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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. HTN - proteinuria and edema
Preeclampsia
Testosterone - DHT - androstenedione
DCIS
Invasive ductal

2. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Diploid - 4N - 46 sister chromatids
Para - aortic lymph nodes
Granulosa cell - aromatase - androstenedione - estrogen

3. How long does it take for sperm to fully develop
Endometriosis
Syncytiotrophoblasts of placenta
2 months
Polyhydramnios

4. Breast path - diseases of the lactiferous sinus
Milk letdown - uterine contractions?
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Intraductal papilloma - breast abscess - mastitis
Inflammatory

5. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Tunica vaginalis lesions
Inhibit cGMP breakdown
PCOS
No

6. What is a complication of invasive carcinoma
17beta estradiol
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Lateral invasion can block ureters causing renal failure
Tunica vaginalis lesions

7. What are the 3 androgens
Testosterone - DHT - androstenedione
Choriocarcinoma
69 xxy
One of the centrioles

8. What becomes the main source of hCG
Adrenal gland
DIC
Syncytiotrophoblasts of placenta
Mitochondria

9. In What age group are ovarian germ cell tumors most common
Prophase
Round ligament of the uterus
Low back pain with increased serum alk phos
Adolescents

10. endometrium within the myometrium
Peyronie's dz
Adenomyosis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
DCIS

11. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Preeclampsia clinical
PCOS
95%
Fat necrosis

12. In what phase is meiosis I arrested
Stimulates sertoli cells to produce ABP and inhibin
Phyllodes tumor
Prophase
Choriocarcinoma

13. How is beta hCG detectable in blood or urine for a home pregnancy test
Paget's disease
Hydrocele
1 week - 2 weeks
Complete

14. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Neoplastic cells block lymphatic drainage
Myometrial tumors
69 xxy
Primary hypogonadism

15. What does estrogen to do prolaction
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Production of a thick cervical mucus
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Stimulation of secretion - but blocks its action at the breast

16. What is the presentation of fibrocystic dz
Proliferation
Calcifications
Prementsrual breast pain and multiple lesions
Testosterone

17. Arrange the androgens in order of most potent to least potent
Multiple sexual partners - also HIV and early sexual intercourse
Post menopausal bleeding
Low back pain with increased serum alk phos
DHT - testosterone - androstenedione

18. What is the single most important prognostic factor for malignant breast tumors
Complete
Axillary node involvement
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

19. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Dysgerminoma
Upregulation - LH surge - ovulation
GnRH from hypoTh - LH and FSH from ant pituitary

20. What complications are associated with polyhydramnios

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21. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Asia - Africa - S. America - HPV - lack of circumcision
Kallman
Haploid - 2N - 23 sister chromatids
Female pseudoHerm

22. What is the pattern seen in leiomyoma
Whorled pattern of smooth muscle bundles
PCOS
Blacks
Premature ovarian failure (Pof)

23. What is the most common cause of breast lumps from age 25 to menopause
Suckling - increased oxytocin - prolactin
Fibrocystic disease
Round ligament of uterus
No

24. What pathologic states cause increases in hCG
Diploid - 4N - 46 sister chromatids
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Krukenburg tumor
Ectocervix

25. What is the clinical manifestation of PCOS
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Serous cystadenocarcinoma
Cystic
Phyllodes tumor

26. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Oligohydramnios
Partial
Blacks
Invasive lobular

27. What does estrogen do to FSH and LH
Preductal coarctication
Fructose
17beta estradiol
Feedback inhibition

28. testes present with non male external genitals
Male pseudoHerm
Hemolysis - elevated liver enzymes - low platelets
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Neoplastic cells block lymphatic drainage

29. 2 sperm + 1 egg
Increased FSH
Insulin resistance
Esophogeal/duodenal atresia - can't swallow - anencephaly
Partial

30. when do primary oocytes complete meiosis I
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Posterior lobe peripheral zone
Just prior to ovulation

31. What complications are associated with oligohydramnios

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32. What increase in estriol is an indicator offetal well being in pregnancy
Hydatidiform mole
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Suspensory ligament of ovaries
1000 times

33. Overexpression of which receptors is common iwht malignant breast tumors
Metaphase
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Vagina
Insulin resistance

34. What is DHT responsible for in late development
Preeclampsia clinical
DES in utero (DES is a sythetic estrogen)
Good - late metastasis
Prostate growth - balding - and sebaceous gland activity

35. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Lobular carcinoma - sclerosing adenosis
Invasive ductal
Prostate growth - balding - and sebaceous gland activity

36. dilated epididymal duct
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
DRE - hard nodule and biopsy
Testosterone secreting tumor - exogenous steroids
Spermatocele

37. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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38. What estrogen does the placenta secrete
Invasive ductal
increased size and tenderness with increased estrogen
Estradiol
Prementsrual breast pain and multiple lesions

39. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Primary hypogonadism
Fibrcystic change - ductal cancer
Smoking - HTN - cocaine
Suspensory ligament of ovaries

40. What does inhibin do?
Inhibit FSH
Whorled pattern of smooth muscle bundles
Complete
2 months

41. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Invasive lobular
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Yolk sac - endodermal sinus - tumor
increased cGMP - smooth muscle relax - vasodltn - proerectile

42. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Leydig cell tumor
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
IV mag sulfate - diazepam

43. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
DCIS
The ampulla - occurs within 1 day of ovulation
Endometrial carcinoma
Choriocarcinoma

44. What are common causes of hyperestrogenism

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45. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Ectocervix
Preeclampsia
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Sclerosing adenosis

46. What is the karyotype of a partial mole
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Retrograde mentrual flow or ascending infection
Adrenal gland
69 xxy

47. when do primary oocytes begin meiosis I
In the 6th decade of life
6
During fetal life
Delivery of fetus

48. Which teratoma - mature or immature - is aggresively malignant
Visceral - somatic nerves in pudendal
Hyperestrogenism
Immature
Paget's disease - breast abscess

49. How does endometrial hyperplasia manifest clinically
Mittelschmerz syndrome
Increase
Post menopausal bleeding
Inflammatory

50. What substances other than inhibin do sertoli cells produce?
Hypogondadotropic hypogonadism
Ovarian > cervical > endometrial
Endometriosis
Andogren binding protein - anti mullerian hormone

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First Aid: Reproductive

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