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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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1. What is the best test to confirm menopause
Male pseudoHerm
Increased FSH
Prementsrual breast pain and multiple lesions
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

2. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Aortic bicuspid valve
Choriocarcinoma
1 week - 2 weeks
PCOS

3. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Left
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Metrorrhagia

4. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
Inflammatory
Haploid - N - 23 single chromatids
BPH

5. What metastasis is most common with prostatic adenocarcinoma
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
The anterior pituitary and hypothalamus
Osteoblastic in bone
Metrorrhagia

6. what stimulation is required to maintain milk production and What is the pathway
IV mag sulfate - diazepam
Ectocervix
Suckling - increased oxytocin - prolactin
Invasive lobular

7. > 35 day cycle
Complete
Invasive lobular
Oligomenorrhea
Hyperestrogenism

8. What occurs to a fibroadenoma during pregnancy and menstruation and why
Diploid - 4N - 46 sister chromatids
PSA
increased size and tenderness with increased estrogen
SANS - hypogastric nerve

9. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Corpus luteum cyst
Theca - leutin cysts
Medullary

10. tumor with orderly row of cells - often multiple and bilateral
Premature ovarian failure (Pof)
Invasive lobular
Axillary node involvement
Maintenance

11. Which cells secrete beta hCG
Low back pain with increased serum alk phos
Seminoma
Testosterone - DHT - androstenedione
Trophoblasts

12. Breast path - diseases of the terminal duct
Testosterone
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Tubular carcinoma
Oligohydramnios

13. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Fibromas
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Theca cell - desmolase - androstenedione

14. What cellular structure is the acrosome derived from?
DRE - hard nodule and biopsy
Golgi
Mittelschmerz syndrome
Syncytiotrophoblasts of placenta

15. disagreement between the phenotypic and gonadal sex
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Pseudohermaphroditism
Proliferation
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

16. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Adrenal gland
Tunica vaginalis lesions
Serous cystadenocarcinoma

17. What substances other than inhibin do sertoli cells produce?
BPH
Andogren binding protein - anti mullerian hormone
Chocolate cyst
Feedback inhibition

18. Where does LH work - what enzyme works there and what product is secreted
Slight increase - 1.5 to 2
Theca cell - desmolase - androstenedione
Comedocarcinoma
Spermatocele

19. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
Complete
Posterior lobe peripheral zone
Superficial inguinal lymph nodes

20. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
Abacterial
Small infiltrating glands with prominent nucleoli
During fetal life

21. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Testicular lymphoma
Premature ovarian failure (Pof)
Prostatic acid phosphatase and PSA
Corpus luteum - placenta - adrenal cortex - testes

22. dx with increased testosterone and increased LH
Paget's disease
Left
Defective androgen receptor
Hydatidiform mole

23. Connects ovary to lateral uterus
Preeclampsia
Preductal coarctication
Ligament of the ovary
Yolk sace - endodermal sinus - tumor

24. Uterin fundus to labia majora
Round ligament of uterus
Corpus luteum - placenta - adrenal cortex - testes
Ectopic preg
Superficial inguinal lymph nodes

25. Wher does dysplasia and carcinoma in situ of the cervix usually begin
The anterior pituitary and hypothalamus
Broad ligament
Squamo - columnar jxn
Post menopausal bleeding

26. Where is testosterone secreted into?
DCIS
Testosterone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
The semiT and the blood vessels

27. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Turner's XO
Krukenburg tumor
Left gonadal vein - left renal vein - IVC
Fibrocystic disease

28. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Male pseudoHerm
Serous cystadenocarcinoma
Left
Obdurator - exterinal iliac - hypogastic nodes

29. What does estrogen to do prolaction
Diploid - 4N - 46 sister chromatids
Placenta previa
Neoplastic cells block lymphatic drainage
Stimulation of secretion - but blocks its action at the breast

30. histo: simple columnar epithelium - ciliated
Endometrial carcinoma
During fetal life
Follicular phase varies - luteal phase is 14
Fallopian tube

31. What is the karyotype of a complete mole
Cerebral hemorrhage and ARDS
Yolk sace - endodermal sinus - tumor
46 xx
Axillary node involvement

32. hemorrhage into persistent corpus luteum
Corpus luteum cyst
Hypogondadotropic hypogonadism
Adenomyosis
Androgen insensitivity syndrome

33. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Primary hypogonadism
46 xx
Krukenburg tumor

34. What is the most common cause of breast lumps from age 25 to menopause
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Fibrocystic disease
Milk letdown - uterine contractions?
Bicornute uterus

35. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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36. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Testosterone
6
Dysgerminoma
Mimics LH

37. endometrium within the myometrium
Cystic
Testosterone
Adenomyosis
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

38. Which cells line the seminiferous tubules and secrete inhibin
Sertoli cells
Production of a thick cervical mucus
Placenta acreta
Partial

39. What does gynecomastia result from?
Induces and maintains lactation - decreases reproductive function
Fibrosis
Hyperestrogenism
6

40. Which teratoma - mature or immature - is aggresively malignant
Hemolysis - elevated liver enzymes - low platelets
Ligament of the ovary
Placenta acreta
Immature

41. Bent penis due to acquired fibrous tissue formation

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42. in postmenopausal women Where is androstenedione converted to estrone
Congenital adrenal hyperplasia - exogenous administration of steroids
Proliferation
Follicular cyst
Peripheral adipose tissue

43. What does progesterone do to body temp
Prostate growth - balding - and sebaceous gland activity
Granulosa cell tumor
increased AFP and hCG
Increase

44. What does the SRY gene do
Testis determining factor
Pseudohermaphroditism
Prostatic acid phosphatase and PSA
Call exner bodies

45. Endometriosis is characterized By what clinical picture?
DES in utero (DES is a sythetic estrogen)
Brenner tumor
Obdurator - exterinal iliac - hypogastic nodes
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

46. histo: stratified squamous epithelium - nonkeratinized
Vagina
Inhibition LH and FSH
Yolk sac - endodermal sinus - tumor
Preeclampsia clinical

47. What is associated with sclerosing adenosis?
Stimulation of secretion - but blocks its action at the breast
Calcifications
51 yo
Hemolysis - elevated liver enzymes - low platelets

48. What is indicative of a poor prognosis for endometrial carcinoma
The semiT and the blood vessels
Oligohydramnios
Leydig cell tumor
Myometrial invasion

49. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
51 yo
Adrenal gland
Fibroadenoma
Mucinous cystadenocarcinoma

50. What are risk factors for placenta acreta
Axillary node involvement
Prior c section - inflammation - placenta previa
GnRH from hypoTh - LH and FSH from ant pituitary
Neoplastic cells block lymphatic drainage

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First Aid: Reproductive

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