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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.
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. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Blacks
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Choriocarcinoma
Bowenoid papulosis - carcinoma in situ of the penis

2. histo: simple columnar epithelium - pseudostratified tubular glands
Dysgerminoma
Para - aortic lymph nodes
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Uterus

3. What is the karyotype of a partial mole
Testosterone
Prematurity
Tubular carcinoma
69 xxy

4. what structures supplies the energy to the middle piece (neck)
Prementsrual breast pain and multiple lesions
Trophoblasts
Mitochondria
Fibroadenoma - phyllodes tumor

5. Where is androstenedione made?
Fibrcystic change - ductal cancer
Adrenal gland
Inhibition LH and FSH
One of the centrioles

6. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
increased AFP and hCG
Choriocarcinoma
Just prior to ovulation

7. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Endocervix
5 alpha reductase - inhibited by finesteride
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Superficial inguinal lymph nodes

8. What complications are associated with polyhydramnios

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9. Overexpression of which receptors is common iwht malignant breast tumors
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Fibrocystic disease
IV mag sulfate - diazepam
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

10. What does hCG do in the first trimester to maintain the corpus luteum
Peyronie's dz
5 alpha reductase def
Menopause
Mimics LH

11. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
DRE - hard nodule and biopsy
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Ligament of the ovary

12. What is HELLP syndrome
Male pseudoHerm
Left
In the 6th decade of life
Hemolysis - elevated liver enzymes - low platelets

13. Which androgen is responsible for libido
Endometrial carcinoma
Immature
Suspensory ligament of ovaries
Testosterone

14. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Cervix
Fibrosis
2 months
Teratoma

15. most common testicular cancer in older men
Spermatogonia (germ cells)
Insulin resistance
Testicular lymphoma
DHT - testosterone - androstenedione

16. Where is SCC of the penis more common and What is it associated with
Periurethral lobes - lateral and middle
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Abruptio placentae
Asia - Africa - S. America - HPV - lack of circumcision

17. 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
Paget's disease - breast abscess
Left
Primary hypogonadism

18. marked increased hCG - complete or partial
Erythroplasia of Queyrat - carcinoma in situ of penis
Testosterone
Polymenorrhea
Complete

19. Where is testosterone converted to estrogen
5 alpha reductase def
2 months
Left gonadal vein - left renal vein - IVC
Sertoli cells - and adipose tissue via aromatase

20. What is indicative of a poor prognosis for endometrial carcinoma
Menopause
Tight junctions between sertoli cells
DES in utero (DES is a sythetic estrogen)
Myometrial invasion

21. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Congenital adrenal hyperplasia - exogenous administration of steroids
Asia - Africa - S. America - HPV - lack of circumcision
Preeclampsia clinical
Phyllodes tumor

22. A leimyoma is overgrowth of what cell
Inhibit FSH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
50 times
Smooth muscle

23. 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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24. What sequelae are associated with leiomyoma
2nd week of proliferative phase
Severe bleeding iron def anemia - miscarriage
Granulosa cell tumor
Endometriosis

25. Where is testosterone secreted into?
50 times
Haploid - N - 23 single chromatids
Follicular phase varies - luteal phase is 14
The semiT and the blood vessels

26. What is the treatment for preeclampsia
The centrioles
Theca - leutin cysts
Prementsrual breast pain and multiple lesions
Delivery of fetus

27. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
Testosterone secreting tumor - exogenous steroids
Endometrial > ovarian> cervical (in US)
Medullary

28. How does progesterone inhibit sperm entry to uterus
Metaphase
Visceral - somatic nerves in pudendal
5 alpha reductase def
Production of a thick cervical mucus

29. Benign - looks like bladder
Bicornute uterus
Brenner tumor
Upregulation - LH surge - ovulation
17beta estradiol

30. histo: simple columnar epithelium - ciliated
Granulosa cell - aromatase - androstenedione - estrogen
Premature ovarian failure (Pof)
Develop both male and female internal genitalia and male external genitalia
Fallopian tube

31. What is the typical cell change in HPV infection
Koilocytitic
Immature
Adrenal gland
Superficial inguinal lymph nodes

32. What is the expected increase of estradiol and estrone in pregnancy
Ectocervix
50 times
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
2nd week of proliferative phase

33. What substances other than inhibin do sertoli cells produce?
Asia - Africa - S. America - HPV - lack of circumcision
Andogren binding protein - anti mullerian hormone
Superficial inguinal lymph nodes
Endometriosis

34. common cause of recurrent miscarriage in 2nd trimester
4
Bicornute uterus
Testosterone
Polymenorrhea

35. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Partial
In the 6th decade of life
DHT - testosterone - androstenedione
Epithelial hyperplasia

36. What metastasis is most common with prostatic adenocarcinoma
HPV 16 - 18
Calcifications
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Osteoblastic in bone

37. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Prophase
Low progesterone
Premature ovarian failure (Pof)

38. What estrogen does the placenta secrete
Broad ligament
Call exner bodies
Estradiol
Androgen insensitivity syndrome - 46 XY

39. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Fat necrosis
Mittelschmerz syndrome
Paget's disease
Adenomyosis

40. What hematologic condition is associated with abruptio placentae
DIC
Periurethral lobes - lateral and middle
Peripheral conversion of androgens
Testicular lymphoma

41. What is the order of events in the menstrual cycle
Posterior lobe peripheral zone
Insulin resistance
Tight junctions between sertoli cells
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

42. triad of ovarian fibroma - ascites - hydrothorax
Meigs syndrome
Serous cystadenocarcinoma
increased in total - and dec in free fraction
Uterus

43. What happens to a leiomyoma in pregs and menopause and why
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Increase in size in pregs - decrease in size meno - estrogen sens
IV mag sulfate - diazepam
Prior c section - multiparity

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

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45. endometrium within the myometrium
Adenomyosis
Puberty
Adrenal gland
Myometrial invasion

46. histologic type of fibrocystic with hyperplasia of breast stroma
No
51 yo
Fibrosis
Granulosa cell tumor

47. What does estrogen stimulate in the endometrium
Proliferation
Menometrorrhagia
Paget cell
Fructose

48. In chronic prostatitis is bacterial or abacterial more common
Decreasing progesterone
increased risk for carcinoma
55-65
Abacterial

49. dx with decreased testosterone and decreased LH
Hyperthyroidism - contains functional thyroid tissue
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
DIC
Hypogondadotropic hypogonadism

50. What is the risk for carcinoma among patients with intraductal papilloma
During fetal life
Golgi
Slight increase - 1.5 to 2
Granulosa cell tumor