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First Aid: Reproductive

Subjects : health-sciences, first-aid

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Complete
Peyronie's dz
Menometrorrhagia

2. What does progesterone do in the endometrium
Sarcoma botryoides - a rhabdomyosarcoma variant
Corpus luteum - placenta - adrenal cortex - testes
69 xxy
Stimulate glandular secretions - and spiral artery development

3. What is the most common form of male pseudoHerm
Varicocele
Fat necrosis
Androgen insensitivity syndrome
Acute mastitis

4. What is a complication of cryptorchidism and why does it occur
5 alpha reductase - inhibited by finesteride
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Good - late metastasis
2nd week of proliferative phase

5. What effect does NO have on smooth muscle in erectile tissues
2 months
Proliferation
Post menopausal
increased cGMP - smooth muscle relax - vasodltn - proerectile

6. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
IV mag sulfate - diazepam
Epithelial hyperplasia
Mammary duct epithelium or lobular glands
Spermatocele

7. What is the risk for carcinoma among patients with intraductal papilloma
Left
Hypogondadotropic hypogonadism
Slight increase - 1.5 to 2
Broad ligament

8. What serum markers are associated with embyronal carcinoma
Embryonal carcinoma
One of the centrioles
Left gonadal vein - left renal vein - IVC
increased AFP and hCG

9. dx with increased testosterone and increased LH
Defective androgen receptor
Paget's disease
Testosterone
Endocervix

10. Which side is varicocele more common on...
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Left
Osteoblastic in bone
Metaphase

11. What are the four functions of estrogen
Testosterone secreting tumor - exogenous steroids
The centrioles
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
No

12. What does the SRY gene do
Testis determining factor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Diploid - 4N - 46 sister chromatids
Proliferation

13. HTN - proteinuria and edema
Premature ovarian failure (Pof)
Preeclampsia
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Mimics LH

14. What structures does testosterone negatively feedback on?
Placenta previa
Erythroplasia of Queyrat - carcinoma in situ of penis
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
The anterior pituitary and hypothalamus

15. endometrium within the myometrium
Broad ligament
Mucinous cystadenoma
Theca cell - desmolase - androstenedione
Adenomyosis

16. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Periurethral lobes - lateral and middle
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Endometrial carcinoma

17. 50% of ovarian tumors - malignant and frequently bilateral
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Serous cystadenocarcinoma
Production of a thick cervical mucus
2nd week of proliferative phase

18. When is follicular growth the fastest?
Spermatocele
2nd week of proliferative phase
Endocervix
Fibroadenoma

19. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
Lateral invasion can block ureters causing renal failure
Intraductal papilloma
Dilation and curettage and methotrexate

20. dx with decreased testosterone - increased LH
Low back pain with increased serum alk phos
Testosterone - DHT - androstenedione
Primary hypogonadism
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

21. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Calcifications
Relaxation
Epithelial hyperplasia

22. What forms the blood testis barrier?
Tight junctions between sertoli cells
DRE - hard nodule and biopsy
Visceral - somatic nerves in pudendal
Posterior lobe peripheral zone

23. Atypical cells in epithelial hyperplasia
Prior c section - inflammation - placenta previa
Delivery of fetus
In the 6th decade of life
increased risk for carcinoma

24. gynecological tumors from highest incidence to lowest
Stimulate glandular secretions - and spiral artery development
Endometrial > ovarian> cervical (in US)
Stimulation of secretion - but blocks its action at the breast
Endometrial carcinoma

25. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
increased risk for carcinoma
Post menopausal bleeding
DCIS
Inflammatory

26. What does gynecomastia result from?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Phyllodes tumor
Hyperestrogenism
Induces and maintains lactation - decreases reproductive function

27. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Superficial inguinal lymph nodes
Osteoblastic in bone
Ectopic preg
Dysgerminoma

28. What is the prognosis for seminoma
Good - late metastasis
Posterior lobe peripheral zone
Prophase
Sertoli cells - and adipose tissue via aromatase

29. What does inhibin do?
Inhibit FSH
Paget's disease
Ligament of the ovary
Production of a thick cervical mucus

30. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Preeclampsia + siezures
Testosterone
No
Right gonadal vein - IVC

31. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Placenta previa
50 times
Choriocarcinoma
Estradiol > estrone > estriol

32. What increases risk for endometrial carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Fibroadenoma
Vagina
Mimics LH

33. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Metrorrhagia
Testosterone
Sarcoma botryoides - a rhabdomyosarcoma variant
Obdurator - exterinal iliac - hypogastic nodes

34. predisposing factor to clear cell adenocarcinoma of the vagina
Production of a thick cervical mucus
Andogren binding protein - anti mullerian hormone
Testosterone
DES in utero (DES is a sythetic estrogen)

35. testicular masses that can be transilluminated
Inhibition of HCG access
DES in utero (DES is a sythetic estrogen)
Tunica vaginalis lesions
DCIS

36. In What age group are ovarian germ cell tumors most common
Adolescents
Spermatogonia (germ cells)
Cervix
2nd week of proliferative phase

37. What is the single most important prognostic factor for malignant breast tumors
Placenta previa
Axillary node involvement
Inhibition LH and FSH
increased Ca in - smooth muscle contraction - vasocxn - antierectile

38. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
No
Induces and maintains lactation - decreases reproductive function
Increase in size in pregs - decrease in size meno - estrogen sens
Female pseudoHerm

39. Large cells in epidermis with clear halo
Dysgerminoma
Mittelschmerz syndrome
Hemorrhage
Paget cell

40. histo: simple columnar epithelium - ciliated
Fallopian tube
Proliferation
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Inhibit cGMP breakdown

41. What pathologic states cause increases in hCG
Complete
Delivery of fetus
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Smoking - HTN - cocaine

42. common cause of recurrent miscarriage in 2nd trimester
Mimics LH
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Increase
Bicornute uterus

43. Connects ovary to lateral uterus
Ligament of the ovary
Tight junctions between sertoli cells
Syncytiotrophoblasts of placenta
Alpha1 antagonists - terazosin - tamsulosin - finasteride

44. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Prior c section - multiparity
Periurethral lobes - lateral and middle
Erythroplasia of Queyrat - carcinoma in situ of penis
Blacks

45. What is mortality due to in preeclampsia
Cerebral hemorrhage and ARDS
Dysuria - frequency - urgency - low back pain
Hypogondadotropic hypogonadism
Posterior lobe peripheral zone

46. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Kallman
Testosterone
Puberty

47. From What tissues to malignant breast tumors arise?
Mammary duct epithelium or lobular glands
Ectocervix
Ovary
Round ligament of the uterus

48. Where does prostatic adenocarcinoma arise from?
Testicular lymphoma
IV mag sulfate - diazepam
Cervix
Posterior lobe peripheral zone

49. Connects cervix to side wall of pelvis - contains uterine vessels
Sertoli cells - and adipose tissue via aromatase
Fibrcystic change - ductal cancer
Maintenance
Cardinal ligament

50. What does the histo show for prostate cancer
Hemolysis - elevated liver enzymes - low platelets
Small infiltrating glands with prominent nucleoli
Inhibit FSH
2 months

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First Aid: Reproductive

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