First Aid: Reproductive

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. What is associated with sclerosing adenosis?
No
Polymenorrhea
Calcifications
6


2. Benign - looks like bladder
Chocolate cyst
Left
Invasive lobular
Brenner tumor


3. Endometriosis is characterized By what clinical picture?
50 times
HPV 16 - 18
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Aortic bicuspid valve


4. eclampsia
Mucinous cystadenoma
Preeclampsia + siezures
Endometriosis
E coli


5. What are risk factors for abruptio placentae?
Smoking - HTN - cocaine
Krukenburg tumor
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Blacks


6. What does estrogen stimulate in the endometrium
Proliferation
Spermatocele
Metrorrhagia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor


7. What is mortality due to in preeclampsia
Left gonadal vein - left renal vein - IVC
Squamo - columnar jxn
Cerebral hemorrhage and ARDS
Choriocarcinoma


8. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
In the 6th decade of life
E coli
Menopause


9. What are the effects of prolactin?
Hypogondadotropic hypogonadism
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Inhibit cGMP breakdown
Induces and maintains lactation - decreases reproductive function


10. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
55-65
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Hydatidiform mole


11. 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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12. increased fluid secondary to incomplete fustion with processus vaginalis
Broad ligament
DES in utero (DES is a sythetic estrogen)
Hydrocele
55-65


13. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Paget's disease - breast abscess
Broad ligament
Mitochondria
Metaphase


14. What does estrogen do to FSH and LH
Dysuria - frequency - urgency - low back pain
Feedback inhibition
Neoplastic cells block lymphatic drainage
SANS - hypogastric nerve


15. When does the secondary oocyte complete meosis II

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16. What is the single most important prognostic factor for malignant breast tumors
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Axillary node involvement
Fat necrosis
Inflammatory


17. What does progesterone do to myometrial excitability
Mammary duct epithelium or lobular glands
Posterior lobe peripheral zone
5 alpha reductase def
Decrease


18. What is a true hermaphrodite
increased size and tenderness with increased estrogen
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Serous cystadenocarcinoma
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs


19. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
Right gonadal vein - IVC
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Estrogen overstimulation


20. What does estrogen do to estrogen - LH and progesterone recepotrs
Krukenburg tumor
Upregulation
2 months
Embryonal carcinoma


21. What does the histo show for prostate cancer
Sertoli cells
Mammary duct epithelium or lobular glands
Ligament of the ovary
Small infiltrating glands with prominent nucleoli


22. How many days after fertilization does implantation occur?
6
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
PCOS
Hyperthyroidism - contains functional thyroid tissue


23. Breast path - disease that occurs at the nipple

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24. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Testosterone
Fallopian tube
Sclerosing adenosis
Preductal coarctication


25. What is the average age of onset for menopause
Low progesterone
51 yo
Fibroadenoma - phyllodes tumor
Broad ligament


26. hyperplasia - not hypertrophy of the prostate gland
BPH
Intraductal papilloma
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
DES in utero (DES is a sythetic estrogen)


27. What is the pattern seen in leiomyoma
Prior c section - inflammation - placenta previa
Whorled pattern of smooth muscle bundles
Mimics LH
Male pseudoHerm


28. What are the most common cause of anovluation

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29. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
No
Oligohydramnios
The centrioles


30. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Right gonadal vein - IVC
2nd week of proliferative phase


31. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Fat necrosis
increased size and tenderness with increased estrogen


32. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
GnRH from hypoTh - LH and FSH from ant pituitary
Meigs syndrome
Choriocarcinoma
55-65


33. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Spermatocele
Granulosa cell - aromatase - androstenedione - estrogen
Dilation and curettage and methotrexate
20 to 40


34. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Paget's disease - breast abscess
Congenital adrenal hyperplasia - exogenous administration of steroids
Complete


35. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
DHT - testosterone - androstenedione
Multiple sexual partners - also HIV and early sexual intercourse
The anterior pituitary and hypothalamus


36. marked increased hCG - complete or partial
Pseudohermaphroditism
Complete
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Alpha1 antagonists - terazosin - tamsulosin - finasteride


37. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Prostatic acid phosphatase and PSA
Sertoli cells - and adipose tissue via aromatase


38. What serum markers are associated with embyronal carcinoma
Suckling - increased oxytocin - prolactin
Inflammatory
increased AFP and hCG
Intraductal papilloma - breast abscess - mastitis


39. In what phase is meiosis II arrested
PANS - pelvic nerve
DIC
Metaphase
Placenta acreta


40. common cause of recurrent miscarriage in the 1st week
Preductal coarctication
Low progesterone
increased size and tenderness with increased estrogen
Uterus


41. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
DES in utero (DES is a sythetic estrogen)
Superficial inguinal lymph nodes
Ovarian > cervical > endometrial
Small infiltrating glands with prominent nucleoli


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

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43. How does exogenous testosterone create azoospermia
Placenta acreta
Inhibition of HCG access
Visceral - somatic nerves in pudendal
Myometrial tumors


44. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Feedback inhibition
Phyllodes tumor
Preeclampsia
Follicular phase varies - luteal phase is 14


45. most common testicular cancer in older men
Malignant in males not in females
Testicular lymphoma
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Puberty


46. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Adolescents
Testosterone
BPH
Ectocervix


47. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Intraductal papilloma
Polymenorrhea
Testosterone


48. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Teratoma
No
Delivery of fetus
Cerebral hemorrhage and ARDS


49. is fibroadenoma a precursor to breast cancer
Testosterone
Primary hypogonadism
S aureus
No


50. What changes in the aorta are common in Turner's?
E coli
Preductal coarctication
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hemorrhage