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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 complications are associated with polyhydramnios

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2. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Multiple sexual partners - also HIV and early sexual intercourse
Complete
Cerebral hemorrhage and ARDS
Adolescents

3. Prevention of seizures and in preeclampsia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
IV mag sulfate - diazepam
Leydig cell tumor
Fibrcystic change - ductal cancer

4. frequent bu irregular cycles
Follicular cyst
Metrorrhagia
Aortic bicuspid valve
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

5. Which androgen is responsible for libido
Testosterone
Male pseudoHerm
Suckling - increased oxytocin - prolactin
increased cGMP - smooth muscle relax - vasodltn - proerectile

6. predisposing factor to clear cell adenocarcinoma of the vagina
Choriocarcinoma
Decreasing progesterone
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
DES in utero (DES is a sythetic estrogen)

7. What does progesterone do to myometrial excitability
Cardinal ligament
Low back pain with increased serum alk phos
Estradiol > estrone > estriol
Decrease

8. What is the karyotype of a complete mole
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Puberty
Superficial inguinal lymph nodes
46 xx

9. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Granulosa cell - aromatase - androstenedione - estrogen
Ovarian > cervical > endometrial
Left gonadal vein - left renal vein - IVC

10. What is the lymphatic drainage the ovaries/testis
Down regulation
Koilocytitic
Sertoli cells - and adipose tissue via aromatase
Para - aortic lymph nodes

11. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Diploid - 4N - 46 sister chromatids
Sertoli cells
Corpus luteum cyst

12. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Corpus luteum cyst
69 xxy
Theca - leutin cysts
Sarcoma botryoides - a rhabdomyosarcoma variant

13. What does progesterone do to smooth muscle in the uterus
Tubular carcinoma
Testosterone
Adolescents
Relaxation

14. What is the best test to confirm menopause
Yolk sace - endodermal sinus - tumor
Increased FSH
Suspensory ligament of ovaries
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

15. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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16. What does estrogen stimulate in the endometrium
Prostate growth - balding - and sebaceous gland activity
Low back pain with increased serum alk phos
Proliferation
Prementsrual breast pain and multiple lesions

17. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Sclerosing adenosis
Testosterone
Obdurator - exterinal iliac - hypogastic nodes
Paget's disease - breast abscess

18. What is indicative of a poor prognosis for endometrial carcinoma
Feedback inhibition
Yolk sac - endodermal sinus - tumor
Paget cell
Myometrial invasion

19. What are the functions of oxytocin - maybe
Prementsrual breast pain and multiple lesions
Myometrial invasion
Milk letdown - uterine contractions?
Chromosomal abnormalities

20. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Bowenoid papulosis - carcinoma in situ of the penis
Complete
Paget's disease - breast abscess

21. Which cells line the seminiferous tubules and secrete inhibin
Abruptio placentae
Acute mastitis
Sertoli cells
Follicular phase varies - luteal phase is 14

22. Which nerve and nerve fibers control for ejaculation
Visceral - somatic nerves in pudendal
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Inhibit FSH
Call exner bodies

23. Connects ovary to lateral uterus
Trophoblasts
Embryonal carcinoma
Ligament of the ovary
Theca - leutin cysts

24. dilated vein in pampiniform plexus - bag of worms
PSA
Varicocele
The ampulla - occurs within 1 day of ovulation
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

25. What is the prognosis for seminoma
Tight junctions between sertoli cells
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Mitochondria
Good - late metastasis

26. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
2 months
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Menometrorrhagia
Intraductal papilloma

27. HTN - proteinuria and edema
Round ligament of uterus
Preeclampsia
increased size and tenderness with increased estrogen
Phyllodes tumor

28. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Left
Round ligament of the uterus
Defective androgen receptor
Koilocytitic

29. is fibroadenoma a precursor to breast cancer
Aortic bicuspid valve
Uterus
GnRH from hypoTh - LH and FSH from ant pituitary
No

30. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Estradiol and possible growth promoting effects of DHT
Estrogen overstimulation
Whorled pattern of smooth muscle bundles

31. tumor with orderly row of cells - often multiple and bilateral
Paget's disease
Polymenorrhea
Invasive lobular
Partial

32. <0.5 L of amniotic fluid
Sarcoma botryoides - a rhabdomyosarcoma variant
Metrorrhagia
Paget's disease
Oligohydramnios

33. What is the treatment for preeclampsia
Upregulation - LH surge - ovulation
Follicular phase varies - luteal phase is 14
Delivery of fetus
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

34. Breast path - diseases of the stroma
Tubular carcinoma
Spermatocele
Endometriosis
Fibroadenoma - phyllodes tumor

35. What percentage of testicular tumors are germ cell
95%
DHT - testosterone - androstenedione
Suckling - increased oxytocin - prolactin
Prior c section - multiparity

36. Complication of retained placental tissue
Embryonal carcinoma
Hemorrhage
Testosterone
6

37. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Ovarian > cervical > endometrial
Hemolysis - elevated liver enzymes - low platelets
Choriocarcinoma

38. What is the expected increase of estradiol and estrone in pregnancy
Squamo - columnar jxn
50 times
Klinefelter's - XXY
Endometrial carcinoma

39. What is DHT responsible for in early development?
Premature ovarian failure (Pof)
Differentiation of penis - scrotum and prostate
17beta estradiol
Decrease

40. Benign - looks like bladder
Adenomyosis
Seminoma
Androgen insensitivity syndrome
Brenner tumor

41. What are the associated risk factors for malignant breast tumors
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Bowenoid papulosis - carcinoma in situ of the penis
Oligomenorrhea
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

42. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Menopause
Squamous cell carcinoma
17beta estradiol

43. common cause of recurrent miscarriage in 2nd trimester
Fibrosis
Paget's disease
Bicornute uterus
Testosterone - DHT - androstenedione

44. How long does it take for sperm to fully develop
4
Mitochondria
2 months
Fructose

45. What does inhibin do?
Preeclampsia clinical
Tubular carcinoma
Inhibit FSH
2nd week of proliferative phase

46. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Left
HPV 16 - 18
Superficial inguinal lymph nodes
Mitochondria

47. what metabolic disorder is assocaited with PCOS
Turner's XO
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Insulin resistance
IV mag sulfate - diazepam

48. In chronic prostatitis is bacterial or abacterial more common
Upregulation - LH surge - ovulation
Just prior to ovulation
Hydatidiform mole
Abacterial

49. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Inhibit FSH
Invasive lobular
GnRH from hypoTh - LH and FSH from ant pituitary

50. How does exogenous testosterone create azoospermia
Prementsrual breast pain and multiple lesions
Inhibition of HCG access
Paget cell
Krukenburg tumor

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First Aid: Reproductive

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