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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. hyperplasia - not hypertrophy of the prostate gland
Premature ovarian failure (Pof)
Trophoblasts
BPH
DHT - testosterone - androstenedione

2. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Stimulates sertoli cells to produce ABP and inhibin
Bowenoid papulosis - carcinoma in situ of the penis
Fat necrosis
Ovary

3. What hematologic condition is associated with abruptio placentae
Tubular carcinoma
6
Paget cell
DIC

4. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Placenta previa
Differentiation of penis - scrotum and prostate
Squamo - columnar jxn

5. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Tunica vaginalis lesions
Suspensory ligament of ovaries
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Multiple sexual partners - also HIV and early sexual intercourse

6. What happens to a leiomyoma in pregs and menopause and why
Hypogondadotropic hypogonadism
Increase in size in pregs - decrease in size meno - estrogen sens
Estrogen overstimulation
Mucinous cystadenocarcinoma

7. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Asia - Africa - S. America - HPV - lack of circumcision
50 times
Granulosa cell - aromatase - androstenedione - estrogen

8. How long does it take for sperm to fully develop
Invasive ductal
Embryonal carcinoma
2 months
Para - aortic lymph nodes

9. Where is the enlargement found in BPH
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Follicular phase varies - luteal phase is 14
95%
Periurethral lobes - lateral and middle

10. What does estrogen to do prolaction
Haploid - N - 23 single chromatids
Choriocarcinoma
Stimulation of secretion - but blocks its action at the breast
Relaxation

11. When are phyllodes tumors most common
Production of a thick cervical mucus
Feedback inhibition
Serous cystadenoma
In the 6th decade of life

12. dx with increased testosterone and increased LH
Feedback inhibition
Develop both male and female internal genitalia and male external genitalia
Endometrial carcinoma
Defective androgen receptor

13. > 35 day cycle
Oligomenorrhea
GnRH from hypoTh - LH and FSH from ant pituitary
Defective androgen receptor
increased size and tenderness with increased estrogen

14. What does progesterone do to myometrial excitability
Testosterone
Decrease
Sertoli cell tumor
Down regulation

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

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16. Arrange the androgens in order of most potent to least potent
Ectopic preg
Sclerosing adenosis
DHT - testosterone - androstenedione
Induces and maintains lactation - decreases reproductive function

17. When does the secondary oocyte complete meosis II

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18. What serum markers are associated with embyronal carcinoma
Menometrorrhagia
increased AFP and hCG
Production of a thick cervical mucus
Inflammatory

19. What is the presentation of fibrocystic dz
Female pseudoHerm
Prementsrual breast pain and multiple lesions
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Testosterone - DHT - androstenedione

20. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Induces and maintains lactation - decreases reproductive function
Hydatidiform mole
Medullary
Spermatogonia (germ cells)

21. common cause of recurrent miscarriage in 2nd trimester
Bicornute uterus
Stimulates testosterone release from leydig cells
No
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

22. In what group are malignant breast tumors most commonly seen
Post menopausal
IV mag sulfate - diazepam
Theca cell - desmolase - androstenedione
Tunica vaginalis lesions

23. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Axillary node involvement
Theca - leutin cysts
Stimulates testosterone release from leydig cells
46 xx

24. What forms the blood testis barrier?
Tight junctions between sertoli cells
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Periurethral lobes - lateral and middle

25. testicular masses that can be transilluminated
Tunica vaginalis lesions
Bowenoid papulosis - carcinoma in situ of the penis
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Just prior to ovulation

26. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Hydrocele
Embryonal carcinoma
Pseudohermaphroditism

27. What is indicative of a poor prognosis for endometrial carcinoma
Oligohydramnios
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
No
Myometrial invasion

28. How does exogenous testosterone create azoospermia
Varicocele
Adolescents
Inhibition of HCG access
Testosterone

29. What does estrogen stimulate in the endometrium
Intraductal papilloma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Proliferation
Blacks

30. What are risk factors for abruptio placentae?
Smoking - HTN - cocaine
The anterior pituitary and hypothalamus
Prematurity
Comedocarcinoma

31. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Slight increase - 1.5 to 2
Good - late metastasis
Hypogondadotropic hypogonadism

32. What is the most common form of male pseudoHerm
Myometrial invasion
Androgen insensitivity syndrome
Testis determining factor
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

33. Breast path - diseases of the stroma
Smooth muscle
Fibroadenoma - phyllodes tumor
Prementsrual breast pain and multiple lesions
Abacterial

34. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Hypogondadotropic hypogonadism
Mucinous cystadenocarcinoma
Estrogen overstimulation

35. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Acute mastitis
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Myometrial invasion
Tubular carcinoma

36. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Fertilization 'an egg met a sperm'
increased cGMP - smooth muscle relax - vasodltn - proerectile
Posterior lobe peripheral zone
Sarcoma botryoides - a rhabdomyosarcoma variant

37. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Prophase
Low back pain with increased serum alk phos
Inhibition of HCG access

38. what usually causes endometrial hyperplasia
Estrogen overstimulation
Pseudohermaphroditism
Medullary
Increase (and LH)

39. Connects ovary to lateral uterus
Post menopausal bleeding
Ligament of the ovary
E coli
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

40. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Para - aortic lymph nodes
95%
increased Ca in - smooth muscle contraction - vasocxn - antierectile
5 alpha reductase def

41. Overexpression of which receptors is common iwht malignant breast tumors
Preductal coarctication
Suspensory ligament of ovaries
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Sertoli cell tumor

42. what structures supplies the energy to the middle piece (neck)
PSA
Mitochondria
Choriocarcinoma
Call exner bodies

43. What estrogen does the placenta secrete
Estradiol
Dilation and curettage and methotrexate
Squamous cell carcinoma
Spermatogonia (germ cells)

44. What do leydig cells secrete?
17beta estradiol
Testosterone
Low progesterone
Ovarian > cervical > endometrial

45. Where does LH work - what enzyme works there and what product is secreted
Syncytiotrophoblasts of placenta
Whorled pattern of smooth muscle bundles
Estradiol and possible growth promoting effects of DHT
Theca cell - desmolase - androstenedione

46. 2 sperm + empty egg
Complete
Periurethral lobes - lateral and middle
Upregulation - LH surge - ovulation
Oligomenorrhea

47. What is the venous drainage of the left ovary/testis?
Osteoblastic in bone
Increase (and LH)
Hydrocele
Left gonadal vein - left renal vein - IVC

48. What is a concern of early menopause
Meigs syndrome
17beta estradiol
Round ligament of uterus
Premature ovarian failure (Pof)

49. Large cells in epidermis with clear halo
Paget cell
PCOS
2nd week of proliferative phase
Para - aortic lymph nodes

50. How does endometriosis cause infertility
Syncytiotrophoblasts of placenta
Testicular lymphoma
Retrograde mentrual flow or ascending infection
increased risk for carcinoma