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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
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1. < 21 day cycle
1000 times
Left gonadal vein - left renal vein - IVC
Polymenorrhea
Peyronie's dz

2. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Hyperestrogenism
Inhibit FSH
Invasive lobular
HPV 16 - 18

3. How many functional sperm does 1 germ cell creat?
4
Hydatidiform mole
Inflammatory
Squamous cell carcinoma

4. hemorrhage into persistent corpus luteum
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Upregulation
Polymenorrhea
Corpus luteum cyst

5. Atypical cells in epithelial hyperplasia
Erythroplasia of Queyrat - carcinoma in situ of penis
increased risk for carcinoma
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Choriocarcinoma

6. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Theca - leutin cysts
Ectopic preg
Granulosa cell tumor
Placenta acreta

7. dx with decreased testosterone and decreased LH
Meigs syndrome
Estradiol
Lateral invasion can block ureters causing renal failure
Hypogondadotropic hypogonadism

8. What changes in the aorta are common in Turner's?
Preductal coarctication
Spermatocele
Puberty
Fallopian tube

9. histologic type of fibrocystic with hyperplasia of breast stroma
Testosterone
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Fibrosis
Lateral invasion can block ureters causing renal failure

10. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
95%
Leydig cell tumor
Choriocarcinoma
Erythroplasia of Queyrat - carcinoma in situ of penis

11. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Preeclampsia
Mimics LH
Placenta previa
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

12. What does progesterone do to myometrial excitability
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Decrease
17beta estradiol
Sertoli cells

13. What hormones regulate sperm creation?
Defective androgen receptor
GnRH from hypoTh - LH and FSH from ant pituitary
Menopause
Golgi

14. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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15. What does the tail go onto to form
Inhibit FSH
The centrioles
Bowenoid papulosis - carcinoma in situ of the penis
Fallopian tube

16. What is the order of events in the menstrual cycle
Paget's disease - breast abscess
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Broad ligament
Placenta previa

17. Which teratoma - mature or immature - is aggresively malignant
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Follicular cyst
51 yo
Immature

18. What converts testosterone to DHT
Estrogen overstimulation
PSA
5 alpha reductase - inhibited by finesteride
increased AFP and hCG

19. increased fluid secondary to incomplete fustion with processus vaginalis
Yolk sace - endodermal sinus - tumor
Varicocele
Hydrocele
HPV 16 - 18

20. Where is the enlargement found in BPH
2 months
Testosterone
Oligohydramnios
Periurethral lobes - lateral and middle

21. histo: stratified sqamous epithelium
Neoplastic cells block lymphatic drainage
Stimulates sertoli cells to produce ABP and inhibin
Ectocervix
Preductal coarctication

22. What does estrogen do to FSH and LH
The ampulla - occurs within 1 day of ovulation
Feedback inhibition
CIN 1 - 2 - 3
DHT - testosterone - androstenedione

23. frequent bu irregular cycles
E coli
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Metrorrhagia
Koilocytitic

24. Does a leiomyoma progress to leiosarcoma
No
Prematurity
The semiT and the blood vessels
Inhibition of HCG access

25. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Superficial inguinal lymph nodes
S aureus
Obdurator - exterinal iliac - hypogastic nodes
Epithelial hyperplasia

26. What are the functions of oxytocin - maybe
Follicular cyst
Testosterone
Fibrosis
Milk letdown - uterine contractions?

27. Endometriosis is characterized By what clinical picture?
Ligament of the ovary
Premature ovarian failure (Pof)
Placenta previa
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

28. Overexpression of which receptors is common iwht malignant breast tumors
DIC
Round ligament of the uterus
Peyronie's dz
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

29. What does progesterone do to smooth muscle in the uterus
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Relaxation
Hypogondadotropic hypogonadism

30. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Fallopian tube
Periurethral lobes - lateral and middle
Placenta acreta
Blacks

31. What is the karyotype of a partial mole
Erythroplasia of Queyrat - carcinoma in situ of penis
Andogren binding protein - anti mullerian hormone
69 xxy
Estradiol

32. Breast path - diseeases of the lobules
Left
increased AFP and hCG
Lobular carcinoma - sclerosing adenosis
Hemolysis - elevated liver enzymes - low platelets

33. What changes are seen with total PSA and fraction of free PSA
increased in total - and dec in free fraction
The anterior pituitary and hypothalamus
Ovary
Retrograde mentrual flow or ascending infection

34. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Stimulates testosterone release from leydig cells
Choriocarcinoma
Endocervix
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

35. What bacteria is commone in acute prostatitis
Testosterone - DHT - androstenedione
E coli
The semiT and the blood vessels
Preeclampsia + siezures

36. What increases risk for endometrial carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Polymenorrhea
17beta estradiol
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

37. What are causes of female pseudoHerm
Congenital adrenal hyperplasia - exogenous administration of steroids
1000 times
Maintenance
Endometrial > ovarian> cervical (in US)

38. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Chocolate cyst
Obdurator - exterinal iliac - hypogastic nodes
Visceral - somatic nerves in pudendal
Ovarian > cervical > endometrial

39. A leimyoma is overgrowth of what cell
Obdurator - exterinal iliac - hypogastic nodes
Haploid - N - 23 single chromatids
Smooth muscle
Ovary

40. When does endometiral carcinoma usually occur
Malignant in males not in females
Squamous cell carcinoma
Endometrial carcinoma
55-65

41. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
6
PCOS
Ectocervix
Primary hypogonadism

42. common cause of recurrent miscarriage in 1st trimester
Andogren binding protein - anti mullerian hormone
55-65
Chromosomal abnormalities
Severe bleeding iron def anemia - miscarriage

43. 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
Androgen insensitivity syndrome
Andogren binding protein - anti mullerian hormone
51 yo

44. dilated vein in pampiniform plexus - bag of worms
Upregulation - LH surge - ovulation
Slight increase - 1.5 to 2
Tight junctions between sertoli cells
Varicocele

45. Which cells line the seminiferous tubules and secrete inhibin
Mucinous cystadenoma
Small infiltrating glands with prominent nucleoli
Prematurity
Sertoli cells

46. 2 sperm + 1 egg
Sertoli cell tumor
Partial
Estradiol and possible growth promoting effects of DHT
Preeclampsia

47. List the estrogens in order of decreasing potency
Preductal coarctication
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Retrograde mentrual flow or ascending infection
Estradiol > estrone > estriol

48. What is the expected increase of estradiol and estrone in pregnancy
Round ligament of the uterus
50 times
Leydig cell tumor
Relaxation

49. Where is androstenedione made?
Sertoli cells - and adipose tissue via aromatase
Koilocytitic
Adrenal gland
Bowenoid papulosis - carcinoma in situ of the penis

50. What are the treatments for BPH
Endometrial > ovarian> cervical (in US)
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Serous cystadenoma
Alpha1 antagonists - terazosin - tamsulosin - finasteride

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First Aid: Reproductive

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