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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. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Testosterone secreting tumor - exogenous steroids
Adenomyosis
Epithelial hyperplasia
Round ligament of the uterus

2. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Myometrial invasion
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Female pseudoHerm

3. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Neoplastic cells block lymphatic drainage
Menometrorrhagia
Leydig cell tumor
Superficial inguinal lymph nodes

4. What are predisposing factors for placenta previa
Dilation and curettage and methotrexate
Diploid - 4N - 46 sister chromatids
Varicocele
Prior c section - multiparity

5. What is the clinical manifestation of PCOS
Sertoli cells - and adipose tissue via aromatase
Increase
2 months
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

6. > 35 day cycle
The ampulla - occurs within 1 day of ovulation
Mittelschmerz syndrome
Meigs syndrome
Oligomenorrhea

7. What does estrogen to do prolaction
Hydrocele
Inflammatory
Stimulation of secretion - but blocks its action at the breast
Krukenburg tumor

8. Dermal lymphatic invasion by breast carcinoma - peu d orange
Hydatidiform mole
Mucinous cystadenoma
Induces and maintains lactation - decreases reproductive function
Inflammatory

9. Risk factors for ectopic pregs
DHT - testosterone - androstenedione
Fibrosis
Mammary duct epithelium or lobular glands
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

10. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Female pseudoHerm
Visceral - somatic nerves in pudendal
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

11. What is the most common gynecologic malignancy
Mitochondria
During fetal life
Endometrial carcinoma
Testosterone

12. What are the treatments for PCOS
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Choriocarcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Testosterone

13. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
The centrioles
Testosterone
Corpus luteum cyst
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

14. What complications are associated with oligohydramnios

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15. dilated epididymal duct
Klinefelter's - XXY
Follicular cyst
Develop both male and female internal genitalia and male external genitalia
Spermatocele

16. How does exogenous testosterone create azoospermia
Follicular phase varies - luteal phase is 14
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Erythroplasia of Queyrat - carcinoma in situ of penis
Inhibition of HCG access

17. triad of ovarian fibroma - ascites - hydrothorax
Cardinal ligament
Abruptio placentae
Congenital adrenal hyperplasia - exogenous administration of steroids
Meigs syndrome

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

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19. What structures does testosterone negatively feedback on?
Comedocarcinoma
Partial
The anterior pituitary and hypothalamus
Aortic bicuspid valve

20. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
Complete
Squamous cell carcinoma
Fibrosis

21. What is the right venous drainage of the ovary/testis
Obdurator - exterinal iliac - hypogastic nodes
DHT - testosterone - androstenedione
Right gonadal vein - IVC
Calcifications

22. Testosterone and estrogen in androgen insensitivity syndrome
50 times
Abruptio placentae
Increase (and LH)
Inhibition LH and FSH

23. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Obdurator - exterinal iliac - hypogastic nodes
Lateral invasion can block ureters causing renal failure
Neoplastic cells block lymphatic drainage
Placenta previa

24. What does progesterone do to estrogen receptors
Down regulation
Right gonadal vein - IVC
Post menopausal
Superficial inguinal lymph nodes

25. hyperplasia - not hypertrophy of the prostate gland
PSA
increased in total - and dec in free fraction
BPH
The ampulla - occurs within 1 day of ovulation

26. What is the genetic material in the secondary oocyte?
Immature
Comedocarcinoma
The centrioles
Haploid - 2N - 23 sister chromatids

27. What is the most common form of male pseudoHerm
Fibromas
Androgen insensitivity syndrome
Delivery of fetus
Defective androgen receptor

28. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Lateral invasion can block ureters causing renal failure
Testosterone
Androgen insensitivity syndrome - 46 XY

29. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenoma
Adolescents
Serous cystadenocarcinoma
Prostatic acid phosphatase and PSA

30. What does the tail go onto to form
The centrioles
Diploid - 4N - 46 sister chromatids
Dysgerminoma
Choriocarcinoma

31. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Teratoma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Hyperestrogenism
Squamous cell carcinoma

32. What percentage of testicular tumors are germ cell
Sertoli cells - and adipose tissue via aromatase
CIN 1 - 2 - 3
95%
Polymenorrhea

33. What is HELLP syndrome
Production of a thick cervical mucus
Endometriosis
Hemolysis - elevated liver enzymes - low platelets
Adenomyosis

34. What bacteria is commone in acute prostatitis
Fertilization 'an egg met a sperm'
Prior c section - multiparity
Asia - Africa - S. America - HPV - lack of circumcision
E coli

35. What does progesterone do to gonadotropins
Inhibition LH and FSH
Stimulates sertoli cells to produce ABP and inhibin
Bowen's dz - carcinoma in situ of the penis
Meigs syndrome

36. 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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37. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Granulosa cell tumor
Round ligament of the uterus
Hydatidiform mole
Prophase

38. eclampsia
Smooth muscle
Low progesterone
The ampulla - occurs within 1 day of ovulation
Preeclampsia + siezures

39. What increases the risk of cryptorchidism
Production of a thick cervical mucus
Prematurity
Severe bleeding iron def anemia - miscarriage
Koilocytitic

40. What is the best test to confirm menopause
Haploid - N - 23 single chromatids
Increased FSH
Congenital adrenal hyperplasia - exogenous administration of steroids
Retrograde mentrual flow or ascending infection

41. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Serous cystadenocarcinoma
51 yo
Osteoblastic in bone
Upregulation - LH surge - ovulation

42. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Menometrorrhagia
Comedocarcinoma
BPH

43. Which cells secrete beta hCG
Fibrocystic disease
Oligomenorrhea
Trophoblasts
Increased FSH

44. frequent bu irregular cycles
Metrorrhagia
Increase
Lobular carcinoma - sclerosing adenosis
4

45. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Cervix
Androgen insensitivity syndrome - 46 XY
Metaphase
Mittelschmerz syndrome

46. Does a leiomyoma progress to leiosarcoma
Premature ovarian failure (Pof)
Choriocarcinoma
No
Cardinal ligament

47. Where is testosterone converted to estrogen
Fibroadenoma
Sertoli cells - and adipose tissue via aromatase
Acute mastitis
Mucinous cystadenocarcinoma

48. How long does it take for sperm to fully develop
2 months
increased AFP and hCG
Testosterone
Lateral invasion can block ureters causing renal failure

49. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Abruptio placentae
Upregulation - LH surge - ovulation
Medullary
Prior c section - multiparity

50. What does estrogen do to FSH and LH
Stimulate glandular secretions - and spiral artery development
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Invasive lobular
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