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First Aid: Reproductive

Subjects : health-sciences, first-aid

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. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Choriocarcinoma
Just prior to ovulation
No
Androgen insensitivity syndrome - 46 XY

2. Red velvety plaques - usually involving the glans - similar to Bowen's
Corpus luteum cyst
Erythroplasia of Queyrat - carcinoma in situ of penis
Comedocarcinoma
Right gonadal vein - IVC

3. Breast path - diseases of the lactiferous sinus
Stimulates testosterone release from leydig cells
Invasive ductal
Intraductal papilloma - breast abscess - mastitis
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

4. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Testosterone - DHT - androstenedione
Fibromas
Hypogondadotropic hypogonadism

5. What hematologic condition is associated with abruptio placentae
Alpha1 antagonists - terazosin - tamsulosin - finasteride
DIC
Oligomenorrhea
increased AFP and hCG

6. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Congenital adrenal hyperplasia - exogenous administration of steroids
GnRH from hypoTh - LH and FSH from ant pituitary
Multiple sexual partners - also HIV and early sexual intercourse
Mittelschmerz syndrome

7. What is the treatment for preeclampsia
Production of a thick cervical mucus
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Delivery of fetus
Diploid - 4N - 46 sister chromatids

8. What increases the risk of cryptorchidism
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Feedback inhibition
Estradiol > estrone > estriol
Prematurity

9. What are the most common cause of anovluation

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10. Benign - looks like bladder
Brenner tumor
Right gonadal vein - IVC
Post menopausal bleeding
50 times

11. What stimulation after labor induces lactation
Retrograde mentrual flow or ascending infection
Fibromas
Decreasing progesterone
Superficial inguinal lymph nodes

12. What is the genetic material in the ovum
Ligament of the ovary
Haploid - N - 23 single chromatids
Estrogen overstimulation
Fructose

13. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
Complete
Hyperestrogenism
Lobular carcinoma - sclerosing adenosis

14. How does BPH present
Pseudohermaphroditism
Testosterone
Endometriosis
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

15. Which androgen is responsible for the deepening of the voice
Complete
1 week - 2 weeks
Adolescents
Testosterone

16. What is a complication of invasive carcinoma
Abruptio placentae
Lateral invasion can block ureters causing renal failure
Dysuria - frequency - urgency - low back pain
Mittelschmerz syndrome

17. Which cells secrete beta hCG
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
6
Polymenorrhea
Trophoblasts

18. Breast path - disease that occurs at the nipple

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19. What is the order of events in the menstrual cycle
Squamous cell carcinoma
Small infiltrating glands with prominent nucleoli
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Differentiation of penis - scrotum and prostate

20. most common testicular cancer in older men
Prior c section - inflammation - placenta previa
Testicular lymphoma
Esophogeal/duodenal atresia - can't swallow - anencephaly
Turner's XO

21. What is a potential complication of endometrial hyperplasia
Endometriosis
Paget cell
Endometrial carcinoma
Blacks

22. When does the secondary oocyte complete meosis II

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23. Bent penis due to acquired fibrous tissue formation

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24. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
DES in utero (DES is a sythetic estrogen)

25. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
One of the centrioles
Bowenoid papulosis - carcinoma in situ of the penis
Whorled pattern of smooth muscle bundles
Testis determining factor

26. Complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Fallopian tube
Comedocarcinoma
DCIS

27. Uterin fundus to labia majora
Left gonadal vein - left renal vein - IVC
Round ligament of uterus
Round ligament of the uterus
Erythroplasia of Queyrat - carcinoma in situ of penis

28. Which cells line the seminiferous tubules and secrete inhibin
Osteoblastic in bone
Theca cell - desmolase - androstenedione
Sertoli cells
Inhibit FSH

29. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
69 xxy
Granulosa cell tumor
Low back pain with increased serum alk phos
Spermatogonia (germ cells)

30. <0.5 L of amniotic fluid
Golgi
Call exner bodies
Oligohydramnios
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

31. What sequelae are associated with leiomyoma
PANS - pelvic nerve
Preductal coarctication
55-65
Severe bleeding iron def anemia - miscarriage

32. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Decreasing progesterone
Female pseudoHerm
46 xx
Mitochondria

33. histo: simple columnar epithelium - ciliated
Fallopian tube
Low back pain with increased serum alk phos
Preductal coarctication
Bowen's dz - carcinoma in situ of the penis

34. dx with decreased testosterone - increased LH
Smooth muscle
The centrioles
DRE - hard nodule and biopsy
Primary hypogonadism

35. What are the effects of prolactin?
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Induces and maintains lactation - decreases reproductive function
Fibrosis
Milk letdown - uterine contractions?

36. Testosterone and estrogen in androgen insensitivity syndrome
Klinefelter's - XXY
Asia - Africa - S. America - HPV - lack of circumcision
Increase (and LH)
Hydatidiform mole

37. What increases risk for endometrial carcinoma
2 months
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Just prior to ovulation
Asia - Africa - S. America - HPV - lack of circumcision

38. Which system and nerve are responsible for emission
Squamous cell carcinoma
SANS - hypogastric nerve
Mimics LH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

39. Is fertility compromised in double Y males?
Aortic bicuspid valve
No
Metrorrhagia
Complete

40. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Chromosomal abnormalities
Dysgerminoma
Erythroplasia of Queyrat - carcinoma in situ of penis

41. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Smooth muscle
Squamo - columnar jxn
1000 times
Oligohydramnios

42. What are the pathologic features of leiosarcoma
Upregulation - LH surge - ovulation
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Endometrial carcinoma
The centrioles

43. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
Chromosomal abnormalities
Inhibit cGMP breakdown
Cervix

44. common cause of recurrent miscarriage in the 1st week
Aortic bicuspid valve
Diploid - 4N - 46 sister chromatids
Low progesterone
Preeclampsia

45. What percentage of testicular tumors are germ cell
Acute mastitis
Testicular lymphoma
Small infiltrating glands with prominent nucleoli
95%

46. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Haploid - 2N - 23 sister chromatids
Slight increase - 1.5 to 2
Follicular phase varies - luteal phase is 14
Just prior to ovulation

47. What does estrogen do to FSH and LH
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Hemorrhage
Granulosa cell - aromatase - androstenedione - estrogen
Feedback inhibition

48. From What tissues to malignant breast tumors arise?
Mammary duct epithelium or lobular glands
Differentiation of penis - scrotum and prostate
Inhibition of HCG access
Posterior lobe peripheral zone

49. What does the tail go onto to form
The centrioles
Obdurator - exterinal iliac - hypogastic nodes
Partial
Defective androgen receptor

50. What occurs to a fibroadenoma during pregnancy and menstruation and why
Metaphase
Meigs syndrome
Menometrorrhagia
increased size and tenderness with increased estrogen