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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. small - mobile - firm breast mass with sharp edges - most common in <25
46 xx
Axillary node involvement
increased risk for carcinoma
Fibroadenoma

2. In what phase is meiosis I arrested
Prophase
Stimulation of secretion - but blocks its action at the breast
Male pseudoHerm
Posterior lobe peripheral zone

3. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Endometriosis
Menopause
Obdurator - exterinal iliac - hypogastic nodes
Ectopic preg

4. What does estrogen do to estrogen - LH and progesterone recepotrs
95%
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Upregulation
Decreasing progesterone

5. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Polymenorrhea
Axillary node involvement
Esophogeal/duodenal atresia - can't swallow - anencephaly

6. What is the common presentation of metastasis in prostate cancer
Production of a thick cervical mucus
Low back pain with increased serum alk phos
Post menopausal
Fallopian tube

7. What is the source of estrogen after menopause
Sertoli cells - and adipose tissue via aromatase
Peripheral conversion of androgens
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Ectocervix

8. increased fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Proliferation
Endometrial > ovarian> cervical (in US)
increased AFP and hCG

9. What is the prognosis for seminoma
Good - late metastasis
Prostatic acid phosphatase and PSA
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Sertoli cells

10. eclampsia
Tubular carcinoma
Prematurity
Preeclampsia + siezures
Testosterone

11. Where does fertilization most commonly occur?
Squamo - columnar jxn
The ampulla - occurs within 1 day of ovulation
Pseudohermaphroditism
Brenner tumor

12. What does the SRY gene do
Testis determining factor
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Fibroadenoma - phyllodes tumor
Testosterone secreting tumor - exogenous steroids

13. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Female pseudoHerm
Testosterone
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

14. When is follicular growth the fastest?
Granulosa cell - aromatase - androstenedione - estrogen
2nd week of proliferative phase
Bowenoid papulosis - carcinoma in situ of the penis
Oligohydramnios

15. Vaginal sqamous cell carcinoma is most often seconday From which site?
Whorled pattern of smooth muscle bundles
Complete
HPV 16 - 18
Cervix

16. Arrange the androgens in order of most potent to least potent
During fetal life
Ectopic preg
Right gonadal vein - IVC
DHT - testosterone - androstenedione

17. What does hCG do in the first trimester to maintain the corpus luteum
Mimics LH
Estradiol and possible growth promoting effects of DHT
Ovary
Partial

18. What is the genetic material in the primary oocyte?
Adenomyosis
Prostate growth - balding - and sebaceous gland activity
Diploid - 4N - 46 sister chromatids
Prostatic acid phosphatase and PSA

19. Which side is varicocele more common on...
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Paget's disease - breast abscess
increased cGMP - smooth muscle relax - vasodltn - proerectile
Left

20. Overexpression of which receptors is common iwht malignant breast tumors
PANS - pelvic nerve
Polymenorrhea
Testosterone
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

21. histo: simple columnar epithelium - pseudostratified tubular glands
Granulosa cell tumor
Uterus
Just prior to ovulation
Estrogen overstimulation

22. What is the risk for carcinoma among patients with intraductal papilloma
Intraductal papilloma - breast abscess - mastitis
Malignant in males not in females
Slight increase - 1.5 to 2
Production of a thick cervical mucus

23. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Upregulation
Choriocarcinoma
Cystic
Intraductal papilloma

24. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Inhibition of HCG access
Endocervix
Posterior lobe peripheral zone

25. What metastasis is most common with prostatic adenocarcinoma
Medullary
Male pseudoHerm
Pseudohermaphroditism
Osteoblastic in bone

26. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Cystic
Fibromas

27. Which system and nerve allow for erection in the male?
Polymenorrhea
Dysuria - frequency - urgency - low back pain
PANS - pelvic nerve
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

28. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Decreasing progesterone
Brenner tumor
Malignant in males not in females

29. When does spermatogenesis begin?
Tubular carcinoma
Complete
Prophase
Puberty

30. androblastoma from sex cord stroma
PSA
Dysuria - frequency - urgency - low back pain
Sertoli cell tumor
Sarcoma botryoides - a rhabdomyosarcoma variant

31. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Sertoli cell tumor
Broad ligament

32. Where is testosterone converted to estrogen
Testosterone
Sertoli cells - and adipose tissue via aromatase
2nd week of proliferative phase
Prostate growth - balding - and sebaceous gland activity

33. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Acute mastitis
Complete
PCOS
Erythroplasia of Queyrat - carcinoma in situ of penis

34. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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35. How does exogenous testosterone create azoospermia
4
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Whorled pattern of smooth muscle bundles
Inhibition of HCG access

36. What bacteria is commone in acute prostatitis
Syncytiotrophoblasts of placenta
Varicocele
Down regulation
E coli

37. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Dysuria - frequency - urgency - low back pain
Neoplastic cells block lymphatic drainage
Right gonadal vein - IVC
S aureus

38. What are risk factors for abruptio placentae?
Smoking - HTN - cocaine
Prematurity
One of the centrioles
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

39. frequent bu irregular cycles
Sertoli cells
Metrorrhagia
In the 6th decade of life
Malignant in males not in females

40. What serum markers are associated with embyronal carcinoma
BPH
Placenta acreta
increased AFP and hCG
Endocervix

41. histo: simple cuboidal epithelium
Ovary
Estradiol and possible growth promoting effects of DHT
46 xx
Multiple sexual partners - also HIV and early sexual intercourse

42. Where is SCC of the penis more common and What is it associated with
Chocolate cyst
Cerebral hemorrhage and ARDS
Asia - Africa - S. America - HPV - lack of circumcision
Round ligament of uterus

43. What are the most common cause of anovluation

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44. heavy - irregular menstruation at irregular intervals
Seminoma
Ligament of the ovary
Tubular carcinoma
Menometrorrhagia

45. What is the clinical manifestation of PCOS
Menometrorrhagia
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Cerebral hemorrhage and ARDS
Low back pain with increased serum alk phos

46. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
PSA
Epithelial hyperplasia
Testosterone
Inhibition LH and FSH

47. Breast path - diseases of the lactiferous sinus
Intraductal papilloma - breast abscess - mastitis
Insulin resistance
Chromosomal abnormalities
Brenner tumor

48. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Sertoli cells - and adipose tissue via aromatase
Inhibition of HCG access
Fallopian tube
Upregulation - LH surge - ovulation

49. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Adenomyosis
Andogren binding protein - anti mullerian hormone

50. What is a potential complication of endometrial hyperplasia
Differentiation of penis - scrotum and prostate
Cystic
Endometrial carcinoma
Congenital adrenal hyperplasia - exogenous administration of steroids