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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.
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. What stimulation after labor induces lactation
Theca - leutin cysts
Erythroplasia of Queyrat - carcinoma in situ of penis
Down regulation
Decreasing progesterone

2. Complication of retained placental tissue
Fertilization 'an egg met a sperm'
Hemorrhage
Severe bleeding iron def anemia - miscarriage
Corpus luteum - placenta - adrenal cortex - testes

3. List the estrogens in order of decreasing potency
Periurethral lobes - lateral and middle
Slight increase - 1.5 to 2
Estradiol > estrone > estriol
Decreasing progesterone

4. What are the most common tumors in all females?
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Myometrial tumors
Prostatic acid phosphatase and PSA
Sertoli cells

5. In what group are malignant breast tumors most commonly seen
Post menopausal
Medullary
Mucinous cystadenoma
Oligomenorrhea

6. What is the genetic material in the primary oocyte?
Polymenorrhea
Diploid - 4N - 46 sister chromatids
Lateral invasion can block ureters causing renal failure
Upregulation - LH surge - ovulation

7. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Fibroadenoma - phyllodes tumor
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Delivery of fetus

8. What is the treatment for hydatidiform mole
Call exner bodies
Spermatocele
Prementsrual breast pain and multiple lesions
Dilation and curettage and methotrexate

9. Breast path - disease that occurs at the nipple

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10. Bent penis due to acquired fibrous tissue formation

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11. Large cells in epidermis with clear halo
Paget cell
Mitochondria
Endometrial carcinoma
Adenomyosis

12. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
BPH
Brenner tumor
Differentiation of penis - scrotum and prostate
Ectopic preg

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

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14. What are the 4 sources of progesterone
Defective androgen receptor
Corpus luteum - placenta - adrenal cortex - testes
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Theca cell - desmolase - androstenedione

15. Which side is varicocele more common on...
Teratoma
Left
Granulosa cell tumor
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

16. What hematologic condition is associated with abruptio placentae
Complete
DIC
Ectopic preg
Premature ovarian failure (Pof)

17. What is the most common cause of breast lumps from age 25 to menopause
Intraductal papilloma
Increase in size in pregs - decrease in size meno - estrogen sens
Fibrocystic disease
Round ligament of the uterus

18. What is the order of events in the menstrual cycle
HPV 16 - 18
Fat necrosis
Estradiol > estrone > estriol
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

19. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
2 months
Call exner bodies
Paget's disease

20. histo: simple cuboidal epithelium
Inhibit cGMP breakdown
69 xxy
Ovary
Prior c section - inflammation - placenta previa

21. Breast path - diseases of the stroma
Upregulation
Fibroadenoma - phyllodes tumor
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Endometrial carcinoma

22. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Turner's XO
Sclerosing adenosis
Decrease
Tunica vaginalis lesions

23. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Endometrial carcinoma
Mucinous cystadenocarcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant

24. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Obdurator - exterinal iliac - hypogastic nodes
Small infiltrating glands with prominent nucleoli
Defective androgen receptor
Choriocarcinoma

25. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Puberty
Estradiol
Bowen's dz - carcinoma in situ of the penis

26. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Hydatidiform mole
Premature ovarian failure (Pof)
Suspensory ligament of ovaries

27. Where is testosterone secreted into?
The semiT and the blood vessels
Golgi
Testicular lymphoma
SANS - hypogastric nerve

28. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Endometrial carcinoma
Mature teratoma
Congenital adrenal hyperplasia - exogenous administration of steroids

29. How is beta hCG detectable in blood or urine for a home pregnancy test
Inflammatory
1 week - 2 weeks
The ampulla - occurs within 1 day of ovulation
Adrenal gland

30. histo: simple columnar epithelium - pseudostratified tubular glands
Uterus
Post menopausal
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

31. What are the useful tumor parkers in prostatic adenocarcinoma
Erythroplasia of Queyrat - carcinoma in situ of penis
Prostatic acid phosphatase and PSA
69 xxy
Decrease

32. When does endometiral carcinoma usually occur
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Endocervix
Testicular lymphoma
55-65

33. 2 sperm + empty egg
Complete
Increase in size in pregs - decrease in size meno - estrogen sens
Periurethral lobes - lateral and middle
Testicular lymphoma

34. endometrium within the myometrium
Oligomenorrhea
Adenomyosis
During fetal life
Polyhydramnios

35. Benign - looks like bladder
Primary hypogonadism
Inhibition LH and FSH
Brenner tumor
Prior c section - inflammation - placenta previa

36. How many functional sperm does 1 germ cell creat?
Lobular carcinoma - sclerosing adenosis
Tunica vaginalis lesions
Pseudohermaphroditism
4

37. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Whorled pattern of smooth muscle bundles
Bowenoid papulosis - carcinoma in situ of the penis
Multiple sexual partners - also HIV and early sexual intercourse

38. What is DHT responsible for in early development?
Proliferation
Differentiation of penis - scrotum and prostate
Maintenance
Medullary

39. What does the SRY gene do
Periurethral lobes - lateral and middle
Testis determining factor
Fibromas
Primary hypogonadism

40. What metastasis is most common with prostatic adenocarcinoma
Myometrial invasion
Yolk sac - endodermal sinus - tumor
Develop both male and female internal genitalia and male external genitalia
Osteoblastic in bone

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

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42. distention of unruptured graafian follicle
Follicular cyst
Round ligament of uterus
Haploid - 2N - 23 sister chromatids
Small infiltrating glands with prominent nucleoli

43. hemorrhage into persistent corpus luteum
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Complete
Corpus luteum cyst
Fallopian tube

44. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Teratoma
Hyperestrogenism
Stimulation of secretion - but blocks its action at the breast

45. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Ovarian > cervical > endometrial
Inflammatory
PCOS
Relaxation

46. Testosterone and estrogen in androgen insensitivity syndrome
Axillary node involvement
Increase (and LH)
Maintenance
The ampulla - occurs within 1 day of ovulation

47. when do primary oocytes begin meiosis I
4
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Low progesterone
During fetal life

48. What does the tail go onto to form
Low back pain with increased serum alk phos
Golgi
Inhibit FSH
The centrioles

49. What becomes the main source of hCG
E coli
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Intraductal papilloma
Syncytiotrophoblasts of placenta

50. What is the presentation of fibrocystic dz
Leydig cell tumor
1 week - 2 weeks
Prementsrual breast pain and multiple lesions
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors