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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. Which androgen is responsible for libido
Testosterone
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Malignant in males not in females
Tunica vaginalis lesions

2. In what group are malignant breast tumors most commonly seen
Post menopausal
increased size and tenderness with increased estrogen
Spermatocele
Peripheral conversion of androgens

3. Where is testosterone converted to estrogen
Increase (and LH)
Sertoli cells - and adipose tissue via aromatase
Hydrocele
Paget's disease

4. What are risk factors for placenta acreta
Post menopausal bleeding
Visceral - somatic nerves in pudendal
Mucinous cystadenoma
Prior c section - inflammation - placenta previa

5. tumor is ductal with caseous necrosis
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Comedocarcinoma
Smooth muscle
Endometrial > ovarian> cervical (in US)

6. common cause of recurrent miscarriage in the 1st week
Low progesterone
Visceral - somatic nerves in pudendal
PSA
Cystic

7. What is the single most important prognostic factor for malignant breast tumors
Preeclampsia
Chromosomal abnormalities
Axillary node involvement
17beta estradiol

8. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Androgen insensitivity syndrome
Tubular carcinoma
Oligohydramnios

9. Breast path - diseases of the lactiferous sinus
DES in utero (DES is a sythetic estrogen)
Intraductal papilloma - breast abscess - mastitis
Endometrial carcinoma
Inhibition LH and FSH

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

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11. What percentage of testicular tumors are germ cell
Brenner tumor
increased cGMP - smooth muscle relax - vasodltn - proerectile
95%
Develop both male and female internal genitalia and male external genitalia

12. What is DHT responsible for in early development?
Metaphase
69 xxy
Differentiation of penis - scrotum and prostate
Granulosa cell tumor

13. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Sertoli cells - and adipose tissue via aromatase
Posterior lobe peripheral zone
Epithelial hyperplasia
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

14. What is a true hermaphrodite
Preeclampsia clinical
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Peripheral adipose tissue
Endometriosis

15. What is the average age of onset for menopause
51 yo
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Increase (and LH)
Male pseudoHerm

16. Which teratoma - mature or immature - is aggresively malignant
Immature
95%
Prior c section - inflammation - placenta previa
Fibroadenoma - phyllodes tumor

17. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Menometrorrhagia
Granulosa cell - aromatase - androstenedione - estrogen
Primary hypogonadism
Post menopausal

18. What cellular structure is the acrosome derived from?
Intraductal papilloma - breast abscess - mastitis
Fibroadenoma - phyllodes tumor
Decreasing progesterone
Golgi

19. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Squamo - columnar jxn
Oligohydramnios
Brenner tumor
1000 times

20. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Preeclampsia
Just prior to ovulation
DES in utero (DES is a sythetic estrogen)
Mittelschmerz syndrome

21. Which nerve and nerve fibers control for ejaculation
2nd week of proliferative phase
Visceral - somatic nerves in pudendal
Testosterone - DHT - androstenedione
The centrioles

22. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Abacterial
Upregulation
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Invasive ductal

23. increased AFP - schiller duvel bodies - yellow mucinous
Bicornute uterus
Yolk sac - endodermal sinus - tumor
The semiT and the blood vessels
No

24. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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25. 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
Oligohydramnios
Seminoma
In the 6th decade of life
Inflammatory

26. What is the risk for carcinoma among patients with intraductal papilloma
Spermatogonia (germ cells)
Good - late metastasis
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Slight increase - 1.5 to 2

27. What increases risk for endometrial carcinoma
5 alpha reductase def
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Golgi
Tubular carcinoma

28. histo: simple cuboidal epithelium
Uterus
Ovary
Golgi
Suspensory ligament of ovaries

29. What does the histo show for prostate cancer
Complete
1000 times
Small infiltrating glands with prominent nucleoli
Retrograde mentrual flow or ascending infection

30. From What tissues to malignant breast tumors arise?
Increase in size in pregs - decrease in size meno - estrogen sens
Mammary duct epithelium or lobular glands
Varicocele
Andogren binding protein - anti mullerian hormone

31. histologic type of fibrocystic with hyperplasia of breast stroma
No
Fibrosis
Partial
Osteoblastic in bone

32. What is the main source of energy for spermatozoa
Lateral invasion can block ureters causing renal failure
Hydrocele
Epithelial hyperplasia
Fructose

33. Which androgen is responsible for the deepening of the voice
PANS - pelvic nerve
Testosterone
Prementsrual breast pain and multiple lesions
Fructose

34. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Sclerosing adenosis
Upregulation - LH surge - ovulation
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Smoking - HTN - cocaine

35. What is a concern of early menopause
One of the centrioles
Paget's disease
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Premature ovarian failure (Pof)

36. What are the functions of oxytocin - maybe
Testosterone
Axillary node involvement
Milk letdown - uterine contractions?
Maintenance

37. androblastoma from sex cord stroma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Small infiltrating glands with prominent nucleoli
Sertoli cell tumor
Fibrocystic disease

38. What does progesterone do to smooth muscle in the uterus
Round ligament of the uterus
Relaxation
Chromosomal abnormalities
Syncytiotrophoblasts of placenta

39. What is the most common form of male pseudoHerm
Acute mastitis
Kallman
Axillary node involvement
Androgen insensitivity syndrome

40. What does FSH do
Develop both male and female internal genitalia and male external genitalia
Stimulates sertoli cells to produce ABP and inhibin
S aureus
Post menopausal bleeding

41. How is beta hCG detectable in blood or urine for a home pregnancy test
Hydatidiform mole
Bowenoid papulosis - carcinoma in situ of the penis
CIN 1 - 2 - 3
1 week - 2 weeks

42. 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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43. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Polyhydramnios
Yolk sace - endodermal sinus - tumor
Mimics LH

44. What are common causes of hyperestrogenism

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45. What is the genetic material in the secondary oocyte?
Acute mastitis
Haploid - 2N - 23 sister chromatids
Medullary
Squamo - columnar jxn

46. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
Axillary node involvement
Androgen insensitivity syndrome - 46 XY
Tubular carcinoma

47. common cause of recurrent miscarriage in 1st trimester
Invasive lobular
95%
Chromosomal abnormalities
Estradiol and possible growth promoting effects of DHT

48. What increases the risk of cryptorchidism
HPV 16 - 18
Fertilization 'an egg met a sperm'
Choriocarcinoma
Prematurity

49. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Left
Female pseudoHerm
Serous cystadenocarcinoma

50. What is DHT responsible for in late development
Myometrial invasion
Prostate growth - balding - and sebaceous gland activity
Peripheral conversion of androgens
Mature teratoma