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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is the most common gynecologic malignancy
Spermatocele
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Endometrial carcinoma
Axillary node involvement

2. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
No
Serous cystadenoma
Preeclampsia + siezures
Polyhydramnios

3. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
SANS - hypogastric nerve
Metrorrhagia

4. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
The centrioles
Adrenal gland
Turner's XO

5. What does gynecomastia result from?
Stimulation of secretion - but blocks its action at the breast
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Hyperestrogenism
Endocervix

6. What cellular structure is the acrosome derived from?
The anterior pituitary and hypothalamus
Slight increase - 1.5 to 2
Premature ovarian failure (Pof)
Golgi

7. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
Broad ligament
Invasive ductal
Fat necrosis

8. What is the treatment for preeclampsia
Oligohydramnios
Relaxation
Testosterone
Delivery of fetus

9. How many days after fertilization does implantation occur?
Oligomenorrhea
Mittelschmerz syndrome
Paget's disease - breast abscess
6

10. how can struma ovarri present?
Stimulates testosterone release from leydig cells
Phyllodes tumor
Ectopic preg
Hyperthyroidism - contains functional thyroid tissue

11. What causes preeclampsia
Invasive ductal
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
In the 6th decade of life
Lobular carcinoma - sclerosing adenosis

12. What is the average age of onset for menopause
51 yo
Post menopausal
Suckling - increased oxytocin - prolactin
Proliferation

13. Large cells in epidermis with clear halo
Bicornute uterus
Paget cell
Choriocarcinoma
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

14. What does the tail go onto to form
The centrioles
Feedback inhibition
Small infiltrating glands with prominent nucleoli
Prior c section - multiparity

15. small follicles filled with eosinphilic secretions
Call exner bodies
DES in utero (DES is a sythetic estrogen)
Para - aortic lymph nodes
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

16. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Ovarian > cervical > endometrial
Lobular carcinoma - sclerosing adenosis
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

17. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
1000 times
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Acute mastitis

18. 2 sperm + 1 egg
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Golgi
50 times
Partial

19. What percentage of testicular tumors are germ cell
95%
Mammary duct epithelium or lobular glands
Fibroadenoma
Hemorrhage

20. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Female pseudoHerm
Follicular phase varies - luteal phase is 14
Milk letdown - uterine contractions?

21. What do sildenafil and vardenafil do?
Hydatidiform mole
Vagina
Metrorrhagia
Inhibit cGMP breakdown

22. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Theca - leutin cysts
During fetal life
Sertoli cell tumor

23. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Golgi
increased risk for carcinoma
Preeclampsia clinical
Haploid - N - 23 single chromatids

24. What does progesterone do to body temp
Testicular lymphoma
Round ligament of uterus
Increase
Estradiol > estrone > estriol

25. Endometriosis is characterized By what clinical picture?
Serous cystadenocarcinoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Differentiation of penis - scrotum and prostate
Calcifications

26. Which system and nerve are responsible for emission
Tubular carcinoma
Invasive ductal
Oligomenorrhea
SANS - hypogastric nerve

27. What are the treatments for PCOS
Vagina
Ligament of the ovary
Post menopausal
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

28. What is the risk for carcinoma among patients with intraductal papilloma
Polyhydramnios
Cerebral hemorrhage and ARDS
Slight increase - 1.5 to 2
Stimulates testosterone release from leydig cells

29. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Theca - leutin cysts
Testosterone
Primary hypogonadism
Yolk sace - endodermal sinus - tumor

30. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Erythroplasia of Queyrat - carcinoma in situ of penis
Increase
Increase (and LH)

31. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Hemolysis - elevated liver enzymes - low platelets
Delivery of fetus
Abruptio placentae
Granulosa cell tumor

32. Breast path - diseases of the stroma
Male pseudoHerm
Upregulation
Androgen insensitivity syndrome - 46 XY
Fibroadenoma - phyllodes tumor

33. What is the source of estrogen after menopause
Cerebral hemorrhage and ARDS
Multiple sexual partners - also HIV and early sexual intercourse
Peripheral conversion of androgens
Mucinous cystadenoma

34. dx with decreased testosterone - increased LH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
E coli
The anterior pituitary and hypothalamus
Primary hypogonadism

35. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Hyperthyroidism - contains functional thyroid tissue
DHT - testosterone - androstenedione
Choriocarcinoma
Testicular lymphoma

36. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Fructose
Mature teratoma
Fibromas
Inhibition LH and FSH

37. How is dyslpasi and carcinoma in situ of the cervix classified
DCIS
Endometrial carcinoma
CIN 1 - 2 - 3
Myometrial tumors

38. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
5 alpha reductase def
Acute mastitis
Stimulate glandular secretions - and spiral artery development
Posterior lobe peripheral zone

39. List the estrogens in order of decreasing potency
Calcifications
Estradiol > estrone > estriol
Puberty
Round ligament of the uterus

40. What are the effects of prolactin?
Placenta previa
The semiT and the blood vessels
Fat necrosis
Induces and maintains lactation - decreases reproductive function

41. in males - are mature teratomas malignant? What is the case for females
Mucinous cystadenocarcinoma
Defective androgen receptor
Turner's XO
Malignant in males not in females

42. histo: stratified squamous epithelium - nonkeratinized
Comedocarcinoma
SANS - hypogastric nerve
Stimulates sertoli cells to produce ABP and inhibin
Vagina

43. What are the most common cause of anovluation

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44. What are the pathologic features of leiosarcoma
51 yo
increased AFP and hCG
Andogren binding protein - anti mullerian hormone
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

45. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Round ligament of uterus
Androgen insensitivity syndrome
Mucinous cystadenoma
Obdurator - exterinal iliac - hypogastic nodes

46. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
increased cGMP - smooth muscle relax - vasodltn - proerectile
Premature ovarian failure (Pof)
Prostatic acid phosphatase and PSA

47. In what phase is meiosis I arrested
increased AFP and hCG
Prophase
Paget's disease
Embryonal carcinoma

48. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Meigs syndrome
Teratoma
Small infiltrating glands with prominent nucleoli
Severe bleeding iron def anemia - miscarriage

49. premature detachment of placenta from implantation site leading to fetal death
Inhibit cGMP breakdown
Myometrial tumors
Abruptio placentae
Asia - Africa - S. America - HPV - lack of circumcision

50. 50% of ovarian tumors - malignant and frequently bilateral
Invasive lobular
In the 6th decade of life
Serous cystadenocarcinoma
Good - late metastasis