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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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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. Connects ovary to lateral uterus
Ligament of the ovary
Mature teratoma
Sertoli cell tumor
Phyllodes tumor

2. Which androgen is responsible for the closing of the epiphyseal plate
Stimulate glandular secretions - and spiral artery development
Yolk sace - endodermal sinus - tumor
Testosterone
50 times

3. What is a complication of cryptorchidism and why does it occur
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Production of a thick cervical mucus
Fibroadenoma - phyllodes tumor
Preeclampsia

4. in postmenopausal women Where is androstenedione converted to estrone
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Peripheral adipose tissue
Brenner tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

5. dx with decreased testosterone and decreased LH
Serous cystadenocarcinoma
Hypogondadotropic hypogonadism
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Oligomenorrhea

6. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
The ampulla - occurs within 1 day of ovulation
Upregulation - LH surge - ovulation
20 to 40
Hemolysis - elevated liver enzymes - low platelets

7. In what phase is meiosis I arrested
Prophase
Paget cell
PSA
Increase in size in pregs - decrease in size meno - estrogen sens

8. How long does it take for sperm to fully develop
Erythroplasia of Queyrat - carcinoma in situ of penis
6
Testosterone secreting tumor - exogenous steroids
2 months

9. How does exogenous testosterone create azoospermia
Granulosa cell - aromatase - androstenedione - estrogen
Inhibition of HCG access
Preeclampsia
Andogren binding protein - anti mullerian hormone

10. Where is SCC of the penis more common and What is it associated with
Testosterone
Insulin resistance
Neoplastic cells block lymphatic drainage
Asia - Africa - S. America - HPV - lack of circumcision

11. What are the 4 sources of progesterone
Testosterone
Corpus luteum - placenta - adrenal cortex - testes
Prostatic acid phosphatase and PSA
Obdurator - exterinal iliac - hypogastic nodes

12. 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
CIN 1 - 2 - 3
Seminoma
Fibrosis
Retrograde mentrual flow or ascending infection

13. <0.5 L of amniotic fluid
Oligohydramnios
Preductal coarctication
Squamo - columnar jxn
Multiple sexual partners - also HIV and early sexual intercourse

14. histo: simple cuboidal epithelium
Kallman
Prostatic acid phosphatase and PSA
Peripheral adipose tissue
Ovary

15. Prevention of seizures and in preeclampsia
increased cGMP - smooth muscle relax - vasodltn - proerectile
Insulin resistance
IV mag sulfate - diazepam
BPH

16. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Lateral invasion can block ureters causing renal failure
6

17. Which androgen is responsible for libido
Yolk sace - endodermal sinus - tumor
Fibromas
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Testosterone

18. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Multiple sexual partners - also HIV and early sexual intercourse
Squamo - columnar jxn
Primary hypogonadism
Theca cell - desmolase - androstenedione

19. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Cardinal ligament
Inhibit cGMP breakdown
Prementsrual breast pain and multiple lesions
Yolk sace - endodermal sinus - tumor

20. What does the tail go onto to form
Cardinal ligament
The centrioles
69 xxy
Testosterone

21. How is beta hCG detectable in blood or urine for a home pregnancy test
Broad ligament
Develop both male and female internal genitalia and male external genitalia
One of the centrioles
1 week - 2 weeks

22. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Spermatogonia (germ cells)
Kallman
Neoplastic cells block lymphatic drainage

23. What is the best test to confirm menopause
Osteoblastic in bone
Increased FSH
Bowen's dz - carcinoma in situ of the penis
Corpus luteum - placenta - adrenal cortex - testes

24. decreased estrogen production due to age linked decline in the number of ovarian follices
Aortic bicuspid valve
Menopause
Sclerosing adenosis
Premature ovarian failure (Pof)

25. heavy - irregular menstruation at irregular intervals
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Yolk sac - endodermal sinus - tumor
Menometrorrhagia
Oligomenorrhea

26. What are risk factors for abruptio placentae?
Testis determining factor
Ovarian > cervical > endometrial
Smoking - HTN - cocaine
Neoplastic cells block lymphatic drainage

27. When does endometiral carcinoma usually occur
Maintenance
55-65
Polymenorrhea
Low back pain with increased serum alk phos

28. What complications are associated with polyhydramnios

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29. common cause of recurrent miscarriage in 2nd trimester
Menopause
Whorled pattern of smooth muscle bundles
Differentiation of penis - scrotum and prostate
Bicornute uterus

30. What is the treatment for hydatidiform mole
increased cGMP - smooth muscle relax - vasodltn - proerectile
Dilation and curettage and methotrexate
Asia - Africa - S. America - HPV - lack of circumcision
Esophogeal/duodenal atresia - can't swallow - anencephaly

31. Does a leiomyoma progress to leiosarcoma
Complete
increased AFP and hCG
No
Epithelial hyperplasia

32. What is a potential complication of endometrial hyperplasia
Prior c section - multiparity
Endometrial carcinoma
Hemolysis - elevated liver enzymes - low platelets
Smoking - HTN - cocaine

33. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Follicular phase varies - luteal phase is 14
No
Fat necrosis
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

34. What common valvular abnormality is common in Turner's
Stimulates testosterone release from leydig cells
Squamous cell carcinoma
Aortic bicuspid valve
Inhibition of HCG access

35. What is the karyotype of a complete mole
Testosterone secreting tumor - exogenous steroids
46 xx
Yolk sace - endodermal sinus - tumor
Testosterone

36. histo: stratified squamous epithelium - nonkeratinized
Vagina
Complete
Spermatocele
Uterus

37. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Mature teratoma
Choriocarcinoma
Chocolate cyst
Leydig cell tumor

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

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39. histo: simple columnar epithelium - pseudostratified tubular glands
Induces and maintains lactation - decreases reproductive function
PSA
Uterus
Lateral invasion can block ureters causing renal failure

40. What effect does NO have on smooth muscle in erectile tissues
Tunica vaginalis lesions
Low back pain with increased serum alk phos
Complete
increased cGMP - smooth muscle relax - vasodltn - proerectile

41. What is the presentation of prostatitis
Mucinous cystadenocarcinoma
Prostate growth - balding - and sebaceous gland activity
Dysuria - frequency - urgency - low back pain
Mitochondria

42. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Fibrosis
Hemorrhage
Bowenoid papulosis - carcinoma in situ of the penis

43. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Haploid - N - 23 single chromatids
Adrenal gland
Granulosa cell - aromatase - androstenedione - estrogen

44. what metabolic disorder is assocaited with PCOS
Fibromas
Insulin resistance
Follicular cyst
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

45. What hematologic condition is associated with abruptio placentae
Para - aortic lymph nodes
Teratoma
DIC
Neoplastic cells block lymphatic drainage

46. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Prostate growth - balding - and sebaceous gland activity
Down regulation
Varicocele

47. Overexpression of which receptors is common iwht malignant breast tumors
E coli
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Cervix
Smoking - HTN - cocaine

48. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
Polyhydramnios
55-65
Female pseudoHerm

49. What are the four functions of estrogen
Ligament of the ovary
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Hemorrhage
Low back pain with increased serum alk phos

50. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Menopause
Peyronie's dz
increased cGMP - smooth muscle relax - vasodltn - proerectile

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First Aid: Reproductive

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