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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.
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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. Where is testosterone secreted into?
The semiT and the blood vessels
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Inhibit cGMP breakdown
Fibrosis

2. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Choriocarcinoma
Squamous cell carcinoma
69 xxy
Bowenoid papulosis - carcinoma in situ of the penis

3. What is the genetic material in the primary oocyte?
Sertoli cells
Granulosa cell - aromatase - androstenedione - estrogen
Diploid - 4N - 46 sister chromatids
Hemorrhage

4. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Menometrorrhagia
Follicular phase varies - luteal phase is 14
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Endometriosis

5. What is the pattern seen in leiomyoma
Cystic
Osteoblastic in bone
69 xxy
Whorled pattern of smooth muscle bundles

6. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
1000 times
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Bowenoid papulosis - carcinoma in situ of the penis
Spermatogonia (germ cells)

7. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
IV mag sulfate - diazepam
Dysuria - frequency - urgency - low back pain
Asia - Africa - S. America - HPV - lack of circumcision
Mucinous cystadenocarcinoma

8. When does endometiral carcinoma usually occur
55-65
increased Ca in - smooth muscle contraction - vasocxn - antierectile
E coli
Seminoma

9. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Peripheral conversion of androgens
Fat necrosis
Feedback inhibition
Trophoblasts

10. Testosterone and estrogen in androgen insensitivity syndrome
Uterus
Ligament of the ovary
Stimulation of secretion - but blocks its action at the breast
Increase (and LH)

11. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Fertilization 'an egg met a sperm'
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Androgen insensitivity syndrome - 46 XY

12. is fibroadenoma a precursor to breast cancer
Dilation and curettage and methotrexate
No
Trophoblasts
Uterus

13. How is beta hCG detectable in blood or urine for a home pregnancy test
Hydrocele
1 week - 2 weeks
The centrioles
Mimics LH

14. Which teratoma - mature or immature - is aggresively malignant
Immature
Visceral - somatic nerves in pudendal
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Low back pain with increased serum alk phos

15. What are the 3 androgens
Testosterone - DHT - androstenedione
Ectocervix
Post menopausal
Post menopausal bleeding

16. What does progesterone do to estrogen receptors
Production of a thick cervical mucus
Oligomenorrhea
Increased FSH
Down regulation

17. What converts testosterone to DHT
46 xx
Prematurity
5 alpha reductase - inhibited by finesteride
Varicocele

18. How is dyslpasi and carcinoma in situ of the cervix classified
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Neoplastic cells block lymphatic drainage
CIN 1 - 2 - 3
Fertilization 'an egg met a sperm'

19. What is a concern of early menopause
Chromosomal abnormalities
Testis determining factor
Bowenoid papulosis - carcinoma in situ of the penis
Premature ovarian failure (Pof)

20. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Preductal coarctication
Estradiol
5 alpha reductase def
Choriocarcinoma

21. What is the most common cause of breast lumps from age 25 to menopause
Ectocervix
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Severe bleeding iron def anemia - miscarriage
Fibrocystic disease

22. Complication of retained placental tissue
46 xx
Female pseudoHerm
Hemorrhage
Retrograde mentrual flow or ascending infection

23. what usually causes endometrial hyperplasia
Malignant in males not in females
17beta estradiol
Visceral - somatic nerves in pudendal
Estrogen overstimulation

24. When is follicular growth the fastest?
Lateral invasion can block ureters causing renal failure
2nd week of proliferative phase
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Milk letdown - uterine contractions?

25. hyperplasia - not hypertrophy of the prostate gland
Round ligament of uterus
BPH
20 to 40
Leydig cell tumor

26. histo: simple columnar epithelium - ciliated
Ovarian > cervical > endometrial
Uterus
Fallopian tube
Prementsrual breast pain and multiple lesions

27. What is the flaggelum derived from
One of the centrioles
Granulosa cell - aromatase - androstenedione - estrogen
Invasive lobular
4

28. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
increased AFP and hCG
Bicornute uterus
Stimulation of secretion - but blocks its action at the breast

29. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Inflammatory
Insulin resistance
Female pseudoHerm

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

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31. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Oligomenorrhea
Cardinal ligament
Proliferation

32. What do leydig cells secrete?
Hemolysis - elevated liver enzymes - low platelets
1 week - 2 weeks
Testosterone
GnRH from hypoTh - LH and FSH from ant pituitary

33. common cause of recurrent miscarriage in 1st trimester
Chromosomal abnormalities
Fibroadenoma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Retrograde mentrual flow or ascending infection

34. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Stimulates sertoli cells to produce ABP and inhibin
Placenta acreta
Estradiol
Superficial inguinal lymph nodes

35. what metabolic disorder is assocaited with PCOS
Cardinal ligament
Yolk sac - endodermal sinus - tumor
Yolk sace - endodermal sinus - tumor
Insulin resistance

36. What does the histo show for prostate cancer
Hyperthyroidism - contains functional thyroid tissue
Small infiltrating glands with prominent nucleoli
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Endocervix

37. Breast path - diseases of the lactiferous sinus
Estrogen overstimulation
Severe bleeding iron def anemia - miscarriage
Intraductal papilloma - breast abscess - mastitis
Spermatocele

38. histologic type of fibrocystic with hyperplasia of breast stroma
Fibrosis
Partial
Develop both male and female internal genitalia and male external genitalia
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

39. What changes are seen with total PSA and fraction of free PSA
Severe bleeding iron def anemia - miscarriage
PSA
increased in total - and dec in free fraction
Polyhydramnios

40. How does progesterone inhibit sperm entry to uterus
Cervix
Production of a thick cervical mucus
Increase in size in pregs - decrease in size meno - estrogen sens
Prior c section - multiparity

41. Increases in which hormone are associated with BPH
Testosterone
Estradiol and possible growth promoting effects of DHT
Follicular phase varies - luteal phase is 14
increased size and tenderness with increased estrogen

42. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
Sarcoma botryoides - a rhabdomyosarcoma variant
Prostate growth - balding - and sebaceous gland activity
Fibrcystic change - ductal cancer

43. 50% of ovarian tumors - malignant and frequently bilateral
Syncytiotrophoblasts of placenta
Lobular carcinoma - sclerosing adenosis
Serous cystadenocarcinoma
1 week - 2 weeks

44. What are the useful tumor parkers in prostatic adenocarcinoma
Sclerosing adenosis
Tight junctions between sertoli cells
Squamo - columnar jxn
Prostatic acid phosphatase and PSA

45. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Complete
Immature
Hydrocele

46. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Hyperestrogenism
Para - aortic lymph nodes
Syncytiotrophoblasts of placenta

47. What is the treatment for hydatidiform mole
Serous cystadenocarcinoma
Dilation and curettage and methotrexate
Immature
Fat necrosis

48. What are common causes of hyperestrogenism

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49. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Turner's XO
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Defective androgen receptor

50. What are the treatments for BPH
4
Testosterone
Estrogen overstimulation
Alpha1 antagonists - terazosin - tamsulosin - finasteride

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First Aid: Reproductive

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