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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. histo: simple columnar epithelium - ciliated
Asia - Africa - S. America - HPV - lack of circumcision
Fallopian tube
Increase in size in pregs - decrease in size meno - estrogen sens
Broad ligament

2. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Teratoma
Polyhydramnios
Decreasing progesterone
Hemorrhage

3. What does LH do
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Stimulates testosterone release from leydig cells
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Prematurity

4. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
CIN 1 - 2 - 3
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
PANS - pelvic nerve

5. What does progesterone do to gonadotropins
Inhibition LH and FSH
Fallopian tube
Testicular lymphoma
HPV 16 - 18

6. Increases in which hormone are associated with BPH
Small infiltrating glands with prominent nucleoli
Maintenance
Female pseudoHerm
Estradiol and possible growth promoting effects of DHT

7. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Lobular carcinoma - sclerosing adenosis
Multiple sexual partners - also HIV and early sexual intercourse
Metrorrhagia
Testosterone

8. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Low back pain with increased serum alk phos
69 xxy
SANS - hypogastric nerve

9. How is dyslpasi and carcinoma in situ of the cervix classified
S aureus
CIN 1 - 2 - 3
increased in total - and dec in free fraction
Follicular phase varies - luteal phase is 14

10. A leimyoma is overgrowth of what cell
Smooth muscle
Ligament of the ovary
Whorled pattern of smooth muscle bundles
Hyperthyroidism - contains functional thyroid tissue

11. eclampsia
Superficial inguinal lymph nodes
Preeclampsia + siezures
PCOS
Stimulates sertoli cells to produce ABP and inhibin

12. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Decreasing progesterone
Retrograde mentrual flow or ascending infection
Androgen insensitivity syndrome - 46 XY
Fibrosis

13. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Puberty
Feedback inhibition
Obdurator - exterinal iliac - hypogastic nodes

14. What is a concern of early menopause
Trophoblasts
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Premature ovarian failure (Pof)
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

15. What is the most common form of male pseudoHerm
Fibrcystic change - ductal cancer
Choriocarcinoma
Preeclampsia + siezures
Androgen insensitivity syndrome

16. When are phyllodes tumors most common
Mitochondria
Ligament of the ovary
In the 6th decade of life
46 xx

17. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Ovarian > cervical > endometrial
DRE - hard nodule and biopsy
Paget cell

18. What forms the blood testis barrier?
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Tight junctions between sertoli cells
Abruptio placentae
SANS - hypogastric nerve

19. What effect does NE have on smoothe muscle in the erectile tissues
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Serous cystadenocarcinoma
PCOS
increased Ca in - smooth muscle contraction - vasocxn - antierectile

20. What are causes of female pseudoHerm
Testosterone
Granulosa cell tumor
Round ligament of the uterus
Congenital adrenal hyperplasia - exogenous administration of steroids

21. Benign - looks like bladder
Whorled pattern of smooth muscle bundles
Brenner tumor
Cystic
Mitochondria

22. What is the best test to confirm menopause
Vagina
95%
Bowen's dz - carcinoma in situ of the penis
Increased FSH

23. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Superficial inguinal lymph nodes
DCIS
CIN 1 - 2 - 3

24. What is a complication of invasive carcinoma
CIN 1 - 2 - 3
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Lateral invasion can block ureters causing renal failure
Oligomenorrhea

25. What is the genetic material in the ovum
IV mag sulfate - diazepam
Haploid - 2N - 23 sister chromatids
Haploid - N - 23 single chromatids
1000 times

26. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Theca - leutin cysts
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Preeclampsia clinical
PANS - pelvic nerve

27. What does progesterone do for pregnancy
Endocervix
Maintenance
Asia - Africa - S. America - HPV - lack of circumcision
Partial

28. How many functional sperm does 1 germ cell creat?
Preductal coarctication
4
PANS - pelvic nerve
5 alpha reductase - inhibited by finesteride

29. What does SEVEN Up stand for in regards to the pathway of sperm
5 alpha reductase def
PCOS
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Sertoli cell tumor

30. What does gynecomastia result from?
Hyperestrogenism
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Preeclampsia clinical
Syncytiotrophoblasts of placenta

31. heavy - irregular menstruation at irregular intervals
Premature ovarian failure (Pof)
Post menopausal
Mammary duct epithelium or lobular glands
Menometrorrhagia

32. What are risk factors for abruptio placentae?
Testosterone
Syncytiotrophoblasts of placenta
Smoking - HTN - cocaine
Stimulates testosterone release from leydig cells

33. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Maintenance
Testosterone
Sertoli cells - and adipose tissue via aromatase

34. What do sildenafil and vardenafil do?
increased risk for carcinoma
Aortic bicuspid valve
Inhibit cGMP breakdown
Koilocytitic

35. Which system and nerve allow for erection in the male?
Inflammatory
Smoking - HTN - cocaine
Esophogeal/duodenal atresia - can't swallow - anencephaly
PANS - pelvic nerve

36. In what phase is meiosis I arrested
Round ligament of uterus
Milk letdown - uterine contractions?
Prophase
Proliferation

37. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Metrorrhagia
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Suspensory ligament of ovaries

38. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Fat necrosis
The ampulla - occurs within 1 day of ovulation
Mittelschmerz syndrome
Dilation and curettage and methotrexate

39. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Hemolysis - elevated liver enzymes - low platelets
Retrograde mentrual flow or ascending infection
Granulosa cell tumor
Bowenoid papulosis - carcinoma in situ of the penis

40. Risk factors for ectopic pregs
69 xxy
Just prior to ovulation
Seminoma
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

41. When is follicular growth the fastest?
2nd week of proliferative phase
Congenital adrenal hyperplasia - exogenous administration of steroids
Seminoma
Peyronie's dz

42. What is the genetic material in the primary oocyte?
Endometrial > ovarian> cervical (in US)
Complete
Diploid - 4N - 46 sister chromatids
Leydig cell tumor

43. What substances other than inhibin do sertoli cells produce?
Ligament of the ovary
Andogren binding protein - anti mullerian hormone
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

44. Breast path - diseases of the stroma
Turner's XO
Acute mastitis
Fibroadenoma - phyllodes tumor
Fructose

45. in males - are mature teratomas malignant? What is the case for females
Turner's XO
Stimulates testosterone release from leydig cells
20 to 40
Malignant in males not in females

46. HTN - proteinuria and edema
Preductal coarctication
Squamous cell carcinoma
69 xxy
Preeclampsia

47. small follicles filled with eosinphilic secretions
Medullary
Induces and maintains lactation - decreases reproductive function
Mature teratoma
Call exner bodies

48. marked increased hCG - complete or partial
Complete
Multiple sexual partners - also HIV and early sexual intercourse
Delivery of fetus
Osteoblastic in bone

49. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Bowen's dz - carcinoma in situ of the penis
Stimulates sertoli cells to produce ABP and inhibin
Invasive ductal
Sarcoma botryoides - a rhabdomyosarcoma variant

50. >1.5 -2 L of amniotic fluid
Sertoli cell tumor
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Polyhydramnios
Spermatocele