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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. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Embryonal carcinoma
Severe bleeding iron def anemia - miscarriage
Ectopic preg
Diploid - 4N - 46 sister chromatids

2. HTN - proteinuria and edema
Preeclampsia
Granulosa cell tumor
Ovary
50 times

3. Which side is varicocele more common on...
Fibrcystic change - ductal cancer
Left
Ovarian > cervical > endometrial
Erythroplasia of Queyrat - carcinoma in situ of penis

4. What substances other than inhibin do sertoli cells produce?
PANS - pelvic nerve
Fibrcystic change - ductal cancer
Increased FSH
Andogren binding protein - anti mullerian hormone

5. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Teratoma
Puberty
Inhibit cGMP breakdown

6. What does progesterone do for pregnancy
Maintenance
Aortic bicuspid valve
Yolk sace - endodermal sinus - tumor
Hypogondadotropic hypogonadism

7. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Vagina
Androgen insensitivity syndrome - 46 XY
Adrenal gland
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

8. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Prior c section - inflammation - placenta previa
Malignant in males not in females
Axillary node involvement

9. Testosterone and estrogen in androgen insensitivity syndrome
Call exner bodies
Increase (and LH)
5 alpha reductase def
SANS - hypogastric nerve

10. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Sarcoma botryoides - a rhabdomyosarcoma variant
Squamo - columnar jxn
Stimulation of secretion - but blocks its action at the breast

11. histologic type of fibrocystic with hyperplasia of breast stroma
Fibrosis
Right gonadal vein - IVC
Testicular lymphoma
Adenomyosis

12. When is follicular growth the fastest?
Para - aortic lymph nodes
Dilation and curettage and methotrexate
Partial
2nd week of proliferative phase

13. Breast path - diseases of the lactiferous sinus
Syncytiotrophoblasts of placenta
Endometrial carcinoma
Intraductal papilloma - breast abscess - mastitis
2 months

14. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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15. What does estrogen stimulate in the endometrium
Proliferation
Choriocarcinoma
Retrograde mentrual flow or ascending infection
Slight increase - 1.5 to 2

16. when do primary oocytes complete meiosis I
Just prior to ovulation
Dilation and curettage and methotrexate
Tight junctions between sertoli cells
Menometrorrhagia

17. What are the 3 androgens
Small infiltrating glands with prominent nucleoli
Adolescents
1000 times
Testosterone - DHT - androstenedione

18. What is the clinical manifestation of PCOS
The semiT and the blood vessels
Estradiol
No
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

19. What sequelae are associated with leiomyoma
Fallopian tube
Severe bleeding iron def anemia - miscarriage
Sclerosing adenosis
Para - aortic lymph nodes

20. What estrogen does the ovary secrete
During fetal life
Squamous cell carcinoma
17beta estradiol
Hemolysis - elevated liver enzymes - low platelets

21. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Bicornute uterus
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Left gonadal vein - left renal vein - IVC

22. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Turner's XO
Granulosa cell tumor
Paget's disease
Seminoma

23. 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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24. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Osteoblastic in bone
Abruptio placentae
Squamous cell carcinoma
Fibrcystic change - ductal cancer

25. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Brenner tumor
Relaxation
5 alpha reductase def
Testosterone secreting tumor - exogenous steroids

26. How does endometrial hyperplasia manifest clinically
Mitochondria
Ligament of the ovary
Hydrocele
Post menopausal bleeding

27. What effect does NE have on smoothe muscle in the erectile tissues
Comedocarcinoma
4
GnRH from hypoTh - LH and FSH from ant pituitary
increased Ca in - smooth muscle contraction - vasocxn - antierectile

28. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Axillary node involvement
DES in utero (DES is a sythetic estrogen)

29. What changes in the aorta are common in Turner's?
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Prostatic acid phosphatase and PSA
Preductal coarctication
Suckling - increased oxytocin - prolactin

30. tumor is ductal with caseous necrosis
Tubular carcinoma
Comedocarcinoma
Trophoblasts
Follicular cyst

31. Which hydatidiform mole has the greater risk for malignancy
Complete
Testosterone
S aureus
95%

32. Is fertility compromised in double Y males?
Premature ovarian failure (Pof)
No
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Haploid - 2N - 23 sister chromatids

33. What are common causes of hyperestrogenism

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34. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
Complete
Just prior to ovulation
Squamous cell carcinoma

35. Benign - looks like bladder
Squamous cell carcinoma
Testosterone
Brenner tumor
Develop both male and female internal genitalia and male external genitalia

36. dilated epididymal duct
Spermatocele
Paget's disease - breast abscess
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Asia - Africa - S. America - HPV - lack of circumcision

37. What is the prognosis for seminoma
Syncytiotrophoblasts of placenta
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Good - late metastasis
increased risk for carcinoma

38. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Periurethral lobes - lateral and middle
Fat necrosis
Testosterone
Bowen's dz - carcinoma in situ of the penis

39. What is DHT responsible for in late development
Comedocarcinoma
Adrenal gland
Hyperestrogenism
Prostate growth - balding - and sebaceous gland activity

40. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Comedocarcinoma
55-65
Squamo - columnar jxn

41. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
The centrioles
Left
Stimulates sertoli cells to produce ABP and inhibin

42. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
51 yo
Follicular phase varies - luteal phase is 14
DRE - hard nodule and biopsy
Andogren binding protein - anti mullerian hormone

43. What are the treatments for BPH
Round ligament of uterus
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Polymenorrhea
Chromosomal abnormalities

44. How is beta hCG detectable in blood or urine for a home pregnancy test
Leydig cell tumor
Testosterone - DHT - androstenedione
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
1 week - 2 weeks

45. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Fallopian tube
Posterior lobe peripheral zone
Visceral - somatic nerves in pudendal
Dysgerminoma

46. Risk factors for ectopic pregs
Increased FSH
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Testosterone secreting tumor - exogenous steroids
Metrorrhagia

47. frequent bu irregular cycles
Myometrial tumors
Multiple sexual partners - also HIV and early sexual intercourse
Spermatocele
Metrorrhagia

48. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Menopause
Adenomyosis
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

49. What does progesterone do to gonadotropins
Asia - Africa - S. America - HPV - lack of circumcision
Inhibition LH and FSH
Smoking - HTN - cocaine
Increase

50. marked increased hCG - complete or partial
Fibromas
Differentiation of penis - scrotum and prostate
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Complete