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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. Large cells in epidermis with clear halo
Prematurity
Medullary
Intraductal papilloma
Paget cell

2. histo: simple columnar epithelium - pseudostratified tubular glands
Turner's XO
Puberty
Endometrial carcinoma
Uterus

3. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
55-65
Fibrosis
Superficial inguinal lymph nodes

4. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Bowenoid papulosis - carcinoma in situ of the penis
PSA
Intraductal papilloma
Serous cystadenocarcinoma

5. What is the main source of energy for spermatozoa
Upregulation - LH surge - ovulation
Decrease
Granulosa cell - aromatase - androstenedione - estrogen
Fructose

6. What does progesterone do to smooth muscle in the uterus
Call exner bodies
Relaxation
Fructose
Defective androgen receptor

7. histo: simple columnar epithelium - ciliated
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Stimulates sertoli cells to produce ABP and inhibin
Testosterone
Fallopian tube

8. dx with decreased testosterone and decreased LH
Squamous cell carcinoma
Hypogondadotropic hypogonadism
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Insulin resistance

9. What estrogen does the ovary secrete
Teratoma
17beta estradiol
Round ligament of the uterus
Production of a thick cervical mucus

10. What is the treatment for preeclampsia
Decreasing progesterone
Delivery of fetus
Periurethral lobes - lateral and middle
Varicocele

11. premature detachment of placenta from implantation site leading to fetal death
55-65
Abruptio placentae
Estradiol > estrone > estriol
Low back pain with increased serum alk phos

12. When does spermatogenesis begin?
Primary hypogonadism
Chromosomal abnormalities
Tunica vaginalis lesions
Puberty

13. How long does it take for sperm to fully develop
One of the centrioles
2 months
Oligohydramnios
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

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. Red velvety plaques - usually involving the glans - similar to Bowen's
Trophoblasts
Erythroplasia of Queyrat - carcinoma in situ of penis
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Haploid - N - 23 single chromatids

16. In What age group are ovarian germ cell tumors most common
Sertoli cells
Adolescents
Puberty
Inhibition of HCG access

17. What is the prognosis for seminoma
Andogren binding protein - anti mullerian hormone
Good - late metastasis
DRE - hard nodule and biopsy
Placenta previa

18. What is HELLP syndrome
Abruptio placentae
Adrenal gland
Hemolysis - elevated liver enzymes - low platelets
Mimics LH

19. common cause of recurrent miscarriage in 1st trimester
Erythroplasia of Queyrat - carcinoma in situ of penis
Chromosomal abnormalities
Hypogondadotropic hypogonadism
Hemolysis - elevated liver enzymes - low platelets

20. What do leydig cells secrete?
Testosterone
Endocervix
Congenital adrenal hyperplasia - exogenous administration of steroids
Develop both male and female internal genitalia and male external genitalia

21. What is the clinical manifestation of PCOS
Estrogen overstimulation
Develop both male and female internal genitalia and male external genitalia
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Blacks

22. What becomes the main source of hCG
Endometriosis
Maintenance
Adrenal gland
Syncytiotrophoblasts of placenta

23. What are the 3 androgens
Testosterone - DHT - androstenedione
Peripheral adipose tissue
Chromosomal abnormalities
Fallopian tube

24. Endometriosis is characterized By what clinical picture?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Delivery of fetus
Inflammatory
Haploid - 2N - 23 sister chromatids

25. What does LH do
Hemolysis - elevated liver enzymes - low platelets
6
Cardinal ligament
Stimulates testosterone release from leydig cells

26. How does exogenous testosterone create azoospermia
Inhibition of HCG access
Fibroadenoma - phyllodes tumor
Testosterone
Spermatocele

27. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Sertoli cells - and adipose tissue via aromatase
Multiple sexual partners - also HIV and early sexual intercourse
Small infiltrating glands with prominent nucleoli

28. How many functional sperm does 1 germ cell creat?
Multiple sexual partners - also HIV and early sexual intercourse
Follicular phase varies - luteal phase is 14
Production of a thick cervical mucus
4

29. What is a potential complication of endometrial hyperplasia
Chocolate cyst
Testosterone
Adolescents
Endometrial carcinoma

30. What does SEVEN Up stand for in regards to the pathway of sperm
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Small infiltrating glands with prominent nucleoli
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Estradiol

31. What does the SRY gene do
Fructose
Prostatic acid phosphatase and PSA
Testis determining factor
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

32. histo: stratified squamous epithelium - nonkeratinized
Cervix
PSA
Placenta acreta
Vagina

33. What is indicative of a poor prognosis for endometrial carcinoma
Testosterone secreting tumor - exogenous steroids
Choriocarcinoma
Myometrial invasion
IV mag sulfate - diazepam

34. Where does LH work - what enzyme works there and what product is secreted
Low progesterone
1000 times
Whorled pattern of smooth muscle bundles
Theca cell - desmolase - androstenedione

35. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Serous cystadenocarcinoma
Inhibition LH and FSH
Testosterone
Suckling - increased oxytocin - prolactin

36. What does progesterone do to gonadotropins
Peyronie's dz
Insulin resistance
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Inhibition LH and FSH

37. What does hCG do in the first trimester to maintain the corpus luteum
IV mag sulfate - diazepam
Oligohydramnios
Mimics LH
Seminoma

38. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Ectopic preg
One of the centrioles
1 week - 2 weeks
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

39. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
46 xx
Invasive lobular
Hypogondadotropic hypogonadism

40. What is the average age of onset for menopause
51 yo
Squamo - columnar jxn
Bicornute uterus
Endometrial > ovarian> cervical (in US)

41. heavy - irregular menstruation at irregular intervals
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Relaxation
Menometrorrhagia
Serous cystadenoma

42. 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
51 yo
Seminoma
Ligament of the ovary
Mucinous cystadenoma

43. What is the order of events in the menstrual cycle
Medullary
Female pseudoHerm
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Invasive lobular

44. What is the most common form of male pseudoHerm
Oligomenorrhea
During fetal life
Androgen insensitivity syndrome
Stimulation of secretion - but blocks its action at the breast

45. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Andogren binding protein - anti mullerian hormone
Peripheral conversion of androgens
Prophase

46. List the estrogens in order of decreasing potency
Estradiol > estrone > estriol
Inhibit FSH
DRE - hard nodule and biopsy
Trophoblasts

47. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Develop both male and female internal genitalia and male external genitalia
Ovary
Teratoma
Right gonadal vein - IVC

48. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Choriocarcinoma
Para - aortic lymph nodes
Endometriosis
Upregulation - LH surge - ovulation

49. What is the common presentation of metastasis in prostate cancer
Cervix
Bowen's dz - carcinoma in situ of the penis
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Low back pain with increased serum alk phos

50. What is the flaggelum derived from
Preeclampsia
BPH
Stimulate glandular secretions - and spiral artery development
One of the centrioles