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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. What hormones regulate sperm creation?
Testosterone
Theca cell - desmolase - androstenedione
GnRH from hypoTh - LH and FSH from ant pituitary
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

2. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Upregulation
Neoplastic cells block lymphatic drainage
increased AFP and hCG
Increase

3. testes present with non male external genitals
DCIS
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Male pseudoHerm
Choriocarcinoma

4. common cause of recurrent miscarriage in 1st trimester
5 alpha reductase - inhibited by finesteride
Chromosomal abnormalities
Down regulation
Premature ovarian failure (Pof)

5. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Testosterone secreting tumor - exogenous steroids
Fibroadenoma - phyllodes tumor
Multiple sexual partners - also HIV and early sexual intercourse

6. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
increased AFP and hCG
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

7. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Bicornute uterus
Endometriosis
Delivery of fetus
Dysuria - frequency - urgency - low back pain

8. dx with decreased testosterone - increased LH
Peripheral adipose tissue
Oligomenorrhea
Bowen's dz - carcinoma in situ of the penis
Primary hypogonadism

9. What becomes the main source of hCG
Syncytiotrophoblasts of placenta
Call exner bodies
Prior c section - inflammation - placenta previa
51 yo

10. testicular masses that can be transilluminated
Complete
Diploid - 4N - 46 sister chromatids
Tunica vaginalis lesions
Complete

11. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Yolk sac - endodermal sinus - tumor
Call exner bodies
Golgi
Mittelschmerz syndrome

12. in males - are mature teratomas malignant? What is the case for females
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Malignant in males not in females
Severe bleeding iron def anemia - miscarriage

13. Which hydatidiform mole has the greater risk for malignancy
Paget's disease - breast abscess
Ligament of the ovary
Ectopic preg
Complete

14. What is DHT responsible for in early development?
46 xx
Differentiation of penis - scrotum and prostate
Increase (and LH)
Visceral - somatic nerves in pudendal

15. What are the risk factors for endometrial hyperplasia
Prementsrual breast pain and multiple lesions
Meigs syndrome
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Klinefelter's - XXY

16. What are the 4 sources of progesterone
One of the centrioles
Corpus luteum - placenta - adrenal cortex - testes
Adrenal gland
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

17. When is the peak occurrence of leiomyoma
No
Squamo - columnar jxn
20 to 40
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

18. What effect does NE have on smoothe muscle in the erectile tissues
Follicular cyst
Post menopausal
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Leydig cell tumor

19. What is the risk for carcinoma among patients with intraductal papilloma
Placenta acreta
Stimulates testosterone release from leydig cells
Slight increase - 1.5 to 2
Turner's XO

20. Bent penis due to acquired fibrous tissue formation

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21. what structures supplies the energy to the middle piece (neck)
Mitochondria
Embryonal carcinoma
Small infiltrating glands with prominent nucleoli
Paget's disease

22. What does progesterone do to myometrial excitability
Malignant in males not in females
Decrease
Dysuria - frequency - urgency - low back pain
Yolk sace - endodermal sinus - tumor

23. What is the expected increase of estradiol and estrone in pregnancy
Primary hypogonadism
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Endocervix
50 times

24. dilated vein in pampiniform plexus - bag of worms
Koilocytitic
Cardinal ligament
Varicocele
Complete

25. What does progesterone do for pregnancy
Testosterone secreting tumor - exogenous steroids
Maintenance
Squamo - columnar jxn
Dysgerminoma

26. What is a potential complication of endometrial hyperplasia
Fibromas
Endometrial carcinoma
Adolescents
Sertoli cells - and adipose tissue via aromatase

27. What increases risk for endometrial carcinoma
Mucinous cystadenocarcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Koilocytitic

28. Breast path - diseases of the terminal duct
Tubular carcinoma
Down regulation
Slight increase - 1.5 to 2
Multiple sexual partners - also HIV and early sexual intercourse

29. hyperplasia - not hypertrophy of the prostate gland
BPH
Fertilization 'an egg met a sperm'
Preductal coarctication
Stimulation of secretion - but blocks its action at the breast

30. What forms the blood testis barrier?
Tight junctions between sertoli cells
Prophase
Placenta previa
Broad ligament

31. When does spermatogenesis begin?
Abruptio placentae
Stimulation of secretion - but blocks its action at the breast
Puberty
Koilocytitic

32. Red velvety plaques - usually involving the glans - similar to Bowen's
Erythroplasia of Queyrat - carcinoma in situ of penis
During fetal life
Prior c section - multiparity
Smoking - HTN - cocaine

33. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Endometrial carcinoma
Inhibition LH and FSH
Andogren binding protein - anti mullerian hormone

34. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
CIN 1 - 2 - 3
Ectocervix
DCIS
One of the centrioles

35. heavy - irregular menstruation at irregular intervals
Testis determining factor
S aureus
Menometrorrhagia
Osteoblastic in bone

36. What complications are associated with oligohydramnios

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37. What bacteria is commone in acute prostatitis
E coli
Oligohydramnios
Post menopausal
Sertoli cells - and adipose tissue via aromatase

38. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
PANS - pelvic nerve
Broad ligament
Fibrcystic change - ductal cancer
Congenital adrenal hyperplasia - exogenous administration of steroids

39. A leimyoma is overgrowth of what cell
Smooth muscle
Andogren binding protein - anti mullerian hormone
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Cardinal ligament

40. dilated epididymal duct
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Spermatocele
No
Estradiol and possible growth promoting effects of DHT

41. What are the four functions of estrogen
Decrease
Premature ovarian failure (Pof)
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Endometrial carcinoma

42. Breast path - diseases of the stroma
Squamous cell carcinoma
Mitochondria
Dysuria - frequency - urgency - low back pain
Fibroadenoma - phyllodes tumor

43. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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44. What is the right venous drainage of the ovary/testis
Corpus luteum - placenta - adrenal cortex - testes
Theca - leutin cysts
Fat necrosis
Right gonadal vein - IVC

45. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Low progesterone
Testosterone
Round ligament of the uterus
increased Ca in - smooth muscle contraction - vasocxn - antierectile

46. eclampsia
Preeclampsia + siezures
Premature ovarian failure (Pof)
Tight junctions between sertoli cells
Testosterone

47. Endometriosis is characterized By what clinical picture?
Menopause
Fibrcystic change - ductal cancer
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

48. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Smoking - HTN - cocaine
Seminoma
PANS - pelvic nerve
Complete

49. decreased estrogen production due to age linked decline in the number of ovarian follices
Leydig cell tumor
Smooth muscle
Menopause
Abacterial

50. What does hCG do in the first trimester to maintain the corpus luteum
Mimics LH
17beta estradiol
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY