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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Superficial inguinal lymph nodes
5 alpha reductase def
Theca - leutin cysts
DES in utero (DES is a sythetic estrogen)

2. Which cells secrete beta hCG
Neoplastic cells block lymphatic drainage
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Premature ovarian failure (Pof)
Trophoblasts

3. Which androgen is responsible for the deepening of the voice
Corpus luteum cyst
Testosterone
Complete
Endometrial > ovarian> cervical (in US)

4. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Stimulates testosterone release from leydig cells
Stimulation of secretion - but blocks its action at the breast
Increased FSH
Invasive ductal

5. What is DHT responsible for in early development?
HPV 16 - 18
Stimulates testosterone release from leydig cells
Fibromas
Differentiation of penis - scrotum and prostate

6. Breast path - diseases of the major duct
Cerebral hemorrhage and ARDS
Serous cystadenocarcinoma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Fibrcystic change - ductal cancer

7. dx with decreased testosterone - increased LH
Meigs syndrome
DHT - testosterone - androstenedione
Varicocele
Primary hypogonadism

8. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Suckling - increased oxytocin - prolactin
Ectopic preg
Superficial inguinal lymph nodes
Granulosa cell tumor

9. What is mortality due to in preeclampsia
Choriocarcinoma
Cerebral hemorrhage and ARDS
Choriocarcinoma
Ectopic preg

10. What does progesterone do to smooth muscle in the uterus
Complete
Smooth muscle
Syncytiotrophoblasts of placenta
Relaxation

11. Testosterone and estrogen in androgen insensitivity syndrome
Premature ovarian failure (Pof)
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Preeclampsia + siezures
Increase (and LH)

12. What are predisposing factors for placenta previa
Vagina
Epithelial hyperplasia
Prior c section - multiparity
Periurethral lobes - lateral and middle

13. What complications are associated with polyhydramnios

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14. heavy - irregular menstruation at irregular intervals
Small infiltrating glands with prominent nucleoli
Phyllodes tumor
Menometrorrhagia
Testis determining factor

15. Breast path - disease that occurs at the nipple

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16. Which androgen is responsible for libido
Fat necrosis
Metaphase
Testosterone
Endometrial carcinoma

17. Bent penis due to acquired fibrous tissue formation

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18. How is prostatic adenocarcinoma diagnosed
Female pseudoHerm
Just prior to ovulation
Differentiation of penis - scrotum and prostate
DRE - hard nodule and biopsy

19. What is the risk for carcinoma among patients with intraductal papilloma
Invasive lobular
Slight increase - 1.5 to 2
1 week - 2 weeks
Stimulates testosterone release from leydig cells

20. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Androgen insensitivity syndrome
Testosterone
HPV 16 - 18
Seminoma

21. Benign - looks like bladder
Peripheral conversion of androgens
Fibroadenoma
4
Brenner tumor

22. How does endometrial hyperplasia manifest clinically
Severe bleeding iron def anemia - miscarriage
Post menopausal bleeding
55-65
Ectopic preg

23. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
Corpus luteum cyst
Abacterial
Andogren binding protein - anti mullerian hormone

24. What is the most common pathogen in acute mastitis
S aureus
Epithelial hyperplasia
No
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

25. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Diploid - 4N - 46 sister chromatids
Choriocarcinoma
Stimulates testosterone release from leydig cells
Stimulation of secretion - but blocks its action at the breast

26. increased fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Preductal coarctication
Polyhydramnios
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

27. tumor is ductal with caseous necrosis
Comedocarcinoma
Aortic bicuspid valve
Upregulation
DES in utero (DES is a sythetic estrogen)

28. What estrogen does the ovary secrete
4
17beta estradiol
No
Endocervix

29. What structures does testosterone negatively feedback on?
The anterior pituitary and hypothalamus
Partial
Osteoblastic in bone
Slight increase - 1.5 to 2

30. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
GnRH from hypoTh - LH and FSH from ant pituitary
Mammary duct epithelium or lobular glands
Mittelschmerz syndrome
No

31. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Complete
Invasive ductal
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

32. What is HELLP syndrome
Hydatidiform mole
Hemolysis - elevated liver enzymes - low platelets
Just prior to ovulation
Cervix

33. marked increased hCG - complete or partial
Estrogen overstimulation
Complete
Dilation and curettage and methotrexate
Alpha1 antagonists - terazosin - tamsulosin - finasteride

34. What is the source of estrogen after menopause
Peripheral conversion of androgens
increased Ca in - smooth muscle contraction - vasocxn - antierectile
DCIS
During fetal life

35. What is the single most important prognostic factor for malignant breast tumors
increased AFP and hCG
Prior c section - multiparity
Adolescents
Axillary node involvement

36. <0.5 L of amniotic fluid
Testis determining factor
Oligohydramnios
Phyllodes tumor
Prophase

37. Risk factors for ectopic pregs
Follicular phase varies - luteal phase is 14
Increase in size in pregs - decrease in size meno - estrogen sens
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Paget's disease - breast abscess

38. What does the histo show for prostate cancer
increased size and tenderness with increased estrogen
Hydrocele
Inhibition LH and FSH
Small infiltrating glands with prominent nucleoli

39. What are the associated risk factors for malignant breast tumors
Posterior lobe peripheral zone
Stimulates testosterone release from leydig cells
Smooth muscle
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

40. What is the common presentation of metastasis in prostate cancer
Estradiol and possible growth promoting effects of DHT
Dysuria - frequency - urgency - low back pain
Superficial inguinal lymph nodes
Low back pain with increased serum alk phos

41. Large cells in epidermis with clear halo
Maintenance
Bowen's dz - carcinoma in situ of the penis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Paget cell

42. How is beta hCG detectable in blood or urine for a home pregnancy test
Hyperestrogenism
Prophase
1 week - 2 weeks
Increase in size in pregs - decrease in size meno - estrogen sens

43. Increases in which hormone are associated with BPH
Preductal coarctication
Upregulation - LH surge - ovulation
Estradiol and possible growth promoting effects of DHT
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

44. What bacteria is commone in acute prostatitis
The ampulla - occurs within 1 day of ovulation
S aureus
Corpus luteum - placenta - adrenal cortex - testes
E coli

45. tumor with orderly row of cells - often multiple and bilateral
Stimulation of secretion - but blocks its action at the breast
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Hyperthyroidism - contains functional thyroid tissue
Invasive lobular

46. testicular masses that can be transilluminated
Right gonadal vein - IVC
Post menopausal
Low progesterone
Tunica vaginalis lesions

47. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Fibrcystic change - ductal cancer
Lobular carcinoma - sclerosing adenosis
Squamous cell carcinoma
Testosterone

48. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Upregulation - LH surge - ovulation
Choriocarcinoma
1 week - 2 weeks
Delivery of fetus

49. how can struma ovarri present?
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Neoplastic cells block lymphatic drainage
6
Hyperthyroidism - contains functional thyroid tissue

50. What metastasis is most common with prostatic adenocarcinoma
Placenta previa
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Hyperthyroidism - contains functional thyroid tissue
Osteoblastic in bone