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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. What effect does NE have on smoothe muscle in the erectile tissues
Male pseudoHerm
Induces and maintains lactation - decreases reproductive function
Bicornute uterus
increased Ca in - smooth muscle contraction - vasocxn - antierectile

2. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Theca cell - desmolase - androstenedione
Andogren binding protein - anti mullerian hormone
Neoplastic cells block lymphatic drainage
Peripheral adipose tissue

3. What is mortality due to in preeclampsia
Sertoli cell tumor
4
Peripheral adipose tissue
Cerebral hemorrhage and ARDS

4. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Insulin resistance
Ectocervix
The centrioles

5. Large cells in epidermis with clear halo
Cardinal ligament
increased AFP and hCG
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Paget cell

6. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
BPH
Endocervix

7. What is the karyotype of a complete mole
95%
Down regulation
No
46 xx

8. What are risk factors for abruptio placentae?
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Smoking - HTN - cocaine
Primary hypogonadism
Osteoblastic in bone

9. histologic type of fibrocystic with hyperplasia of breast stroma
Stimulate glandular secretions - and spiral artery development
Fibrosis
Adrenal gland
CIN 1 - 2 - 3

10. What does progesterone do for pregnancy
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Abacterial
One of the centrioles
Maintenance

11. Which hydatidiform mole has the greater risk for malignancy
Complete
Sertoli cell tumor
increased AFP and hCG
5 alpha reductase - inhibited by finesteride

12. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Premature ovarian failure (Pof)
Increase (and LH)
Cystic
Female pseudoHerm

13. histo: simple columnar epithelium - pseudostratified tubular glands
In the 6th decade of life
Suspensory ligament of ovaries
Uterus
Inhibition LH and FSH

14. Which teratoma - mature or immature - is aggresively malignant
Endometriosis
Immature
Male pseudoHerm
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

15. What is the treatment for hydatidiform mole
Peripheral conversion of androgens
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Dilation and curettage and methotrexate
Just prior to ovulation

16. Is fertility compromised in double Y males?
Fibroadenoma
Golgi
Lobular carcinoma - sclerosing adenosis
No

17. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
SANS - hypogastric nerve

18. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Kallman
Round ligament of the uterus
Endometrial carcinoma
Delivery of fetus

19. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Endometriosis
Mitochondria
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

20. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Left
Preeclampsia clinical
Smooth muscle

21. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Epithelial hyperplasia
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Metaphase
Osteoblastic in bone

22. dx with increased testosterone and dec LH
Increase (and LH)
Left
Adrenal gland
Testosterone secreting tumor - exogenous steroids

23. Which androgen is responsible for the deepening of the voice
Testosterone
Esophogeal/duodenal atresia - can't swallow - anencephaly
In the 6th decade of life
2 months

24. 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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25. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Preductal coarctication
Upregulation - LH surge - ovulation
Intraductal papilloma
Ovary

26. What is hydatidiform mole and precurosor of...
95%
51 yo
Mitochondria
Choriocarcinoma

27. How many days after fertilization does implantation occur?
Decreasing progesterone
Feedback inhibition
6
DCIS

28. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Stimulation of secretion - but blocks its action at the breast
Choriocarcinoma
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

29. What are the functions of oxytocin - maybe
Good - late metastasis
Milk letdown - uterine contractions?
Inflammatory
Granulosa cell - aromatase - androstenedione - estrogen

30. hyperplasia - not hypertrophy of the prostate gland
BPH
Complete
Endometrial carcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

31. What percentage of testicular tumors are germ cell
Polymenorrhea
Estradiol
95%
Fallopian tube

32. What does gynecomastia result from?
Hyperestrogenism
Epithelial hyperplasia
Choriocarcinoma
Suckling - increased oxytocin - prolactin

33. Benign - looks like bladder
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Brenner tumor
Testosterone
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

34. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Preeclampsia + siezures
DIC
Malignant in males not in females

35. What bacteria is commone in acute prostatitis
5 alpha reductase - inhibited by finesteride
Fibrcystic change - ductal cancer
E coli
46 xx

36. Breast path - disease that occurs at the nipple

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37. What is the most common gynecologic malignancy
Haploid - N - 23 single chromatids
Endometrial carcinoma
Fibromas
Fibroadenoma

38. What serum markers are associated with embyronal carcinoma
Testis determining factor
increased AFP and hCG
Fructose
Myometrial tumors

39. What is the presentation of fibrocystic dz
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Theca cell - desmolase - androstenedione
Prementsrual breast pain and multiple lesions
Blacks

40. histo: simple columnar epithelium - ciliated
Premature ovarian failure (Pof)
Fallopian tube
Cerebral hemorrhage and ARDS
Testosterone

41. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Follicular cyst
Theca - leutin cysts
Serous cystadenoma
Theca cell - desmolase - androstenedione

42. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Prematurity
1000 times
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Granulosa cell tumor

43. What structures does testosterone negatively feedback on?
CIN 1 - 2 - 3
Ligament of the ovary
Prematurity
The anterior pituitary and hypothalamus

44. What do sildenafil and vardenafil do?
Meigs syndrome
Male pseudoHerm
Inhibit cGMP breakdown
5 alpha reductase def

45. What is the genetic material in the secondary oocyte?
Production of a thick cervical mucus
Puberty
Yolk sace - endodermal sinus - tumor
Haploid - 2N - 23 sister chromatids

46. Increases in which hormone are associated with BPH
Estradiol and possible growth promoting effects of DHT
Klinefelter's - XXY
Estrogen overstimulation
Prior c section - inflammation - placenta previa

47. What hematologic condition is associated with abruptio placentae
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Endometrial carcinoma
Sertoli cell tumor
DIC

48. What increases the risk of cryptorchidism
Prematurity
Bowenoid papulosis - carcinoma in situ of the penis
Chromosomal abnormalities
Fibroadenoma

49. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Spermatocele
Obdurator - exterinal iliac - hypogastic nodes
Round ligament of the uterus
Placenta previa

50. <0.5 L of amniotic fluid
Premature ovarian failure (Pof)
Ovary
Oligohydramnios
Oligomenorrhea