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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. Which hydatidiform mole has the greater risk for malignancy
DRE - hard nodule and biopsy
Just prior to ovulation
Testosterone secreting tumor - exogenous steroids
Complete

2. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Choriocarcinoma
Serous cystadenoma
Differentiation of penis - scrotum and prostate
Low progesterone

3. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
17beta estradiol
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Teratoma

4. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Prior c section - inflammation - placenta previa
Preeclampsia clinical
Theca - leutin cysts
Ovary

5. When does endometiral carcinoma usually occur
55-65
Para - aortic lymph nodes
Estradiol and possible growth promoting effects of DHT
Haploid - 2N - 23 sister chromatids

6. What does progesterone do to gonadotropins
Endometriosis
Increase (and LH)
Proliferation
Inhibition LH and FSH

7. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
DCIS
Choriocarcinoma
Severe bleeding iron def anemia - miscarriage
Slight increase - 1.5 to 2

8. How does endometrial hyperplasia manifest clinically
Androgen insensitivity syndrome - 46 XY
Prematurity
Post menopausal bleeding
50 times

9. is fibroadenoma a precursor to breast cancer
Leydig cell tumor
No
Puberty
Premature ovarian failure (Pof)

10. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Dysuria - frequency - urgency - low back pain
Endometriosis
Premature ovarian failure (Pof)

11. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Prementsrual breast pain and multiple lesions
GnRH from hypoTh - LH and FSH from ant pituitary
Neoplastic cells block lymphatic drainage
Myometrial invasion

12. Which teratoma - mature or immature - is aggresively malignant
Immature
Adrenal gland
Tubular carcinoma
Ectopic preg

13. What is the most common pathogen in acute mastitis
Endocervix
increased size and tenderness with increased estrogen
Female pseudoHerm
S aureus

14. Risk factors for ectopic pregs
Bowenoid papulosis - carcinoma in situ of the penis
Pseudohermaphroditism
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
No

15. small follicles filled with eosinphilic secretions
Call exner bodies
Fallopian tube
During fetal life
Dysgerminoma

16. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Mature teratoma
Hyperestrogenism
DRE - hard nodule and biopsy

17. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Ectopic preg
Increase

18. What is the clinical manifestation of PCOS
Lateral invasion can block ureters causing renal failure
Fat necrosis
Increase
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

19. What does LH do
Slight increase - 1.5 to 2
Stimulates testosterone release from leydig cells
Turner's XO
Endometrial carcinoma

20. common cause of recurrent miscarriage in 2nd trimester
Bicornute uterus
Abruptio placentae
Premature ovarian failure (Pof)
Brenner tumor

21. What changes are seen with total PSA and fraction of free PSA
increased in total - and dec in free fraction
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Menopause
Proliferation

22. disagreement between the phenotypic and gonadal sex
Dilation and curettage and methotrexate
Complete
Pseudohermaphroditism
Choriocarcinoma

23. histo: simple cuboidal epithelium
Ovary
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Severe bleeding iron def anemia - miscarriage
2 months

24. In chronic prostatitis is bacterial or abacterial more common
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Theca cell - desmolase - androstenedione
Abacterial
Mitochondria

25. What cellular structure is the acrosome derived from?
DIC
Visceral - somatic nerves in pudendal
Golgi
Ovary

26. Benign - looks like bladder
Brenner tumor
Whorled pattern of smooth muscle bundles
Osteoblastic in bone
No

27. What does progesterone do to smooth muscle in the uterus
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Relaxation
Ligament of the ovary
Medullary

28. Vaginal sqamous cell carcinoma is most often seconday From which site?
Post menopausal
Cervix
Paget cell
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

29. What is a complication of cryptorchidism and why does it occur
Adenomyosis
Small infiltrating glands with prominent nucleoli
Intraductal papilloma - breast abscess - mastitis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

30. Dermal lymphatic invasion by breast carcinoma - peu d orange
Post menopausal
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Inflammatory

31. What does hCG do in the first trimester to maintain the corpus luteum
Round ligament of uterus
Chromosomal abnormalities
The anterior pituitary and hypothalamus
Mimics LH

32. >1.5 -2 L of amniotic fluid
Polyhydramnios
Intraductal papilloma - breast abscess - mastitis
Partial
PCOS

33. What does estrogen do to estrogen - LH and progesterone recepotrs
Premature ovarian failure (Pof)
Upregulation
No
Prementsrual breast pain and multiple lesions

34. what metabolic disorder is assocaited with PCOS
Obdurator - exterinal iliac - hypogastic nodes
Hydatidiform mole
Fat necrosis
Insulin resistance

35. gynecological tumors from highest incidence to lowest
Esophogeal/duodenal atresia - can't swallow - anencephaly
Endometrial > ovarian> cervical (in US)
Sarcoma botryoides - a rhabdomyosarcoma variant
Small infiltrating glands with prominent nucleoli

36. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Corpus luteum - placenta - adrenal cortex - testes
Androgen insensitivity syndrome - 46 XY
Tight junctions between sertoli cells
Neoplastic cells block lymphatic drainage

37. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Granulosa cell tumor
Myometrial tumors
Complete
Visceral - somatic nerves in pudendal

38. What does progesterone do to myometrial excitability
Adolescents
Mimics LH
50 times
Decrease

39. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
DHT - testosterone - androstenedione
Bowenoid papulosis - carcinoma in situ of the penis
Pseudohermaphroditism

40. What is the treatment for preeclampsia
Klinefelter's - XXY
Delivery of fetus
Adenomyosis
2 months

41. Arrange the androgens in order of most potent to least potent
Severe bleeding iron def anemia - miscarriage
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
DHT - testosterone - androstenedione
Androgen insensitivity syndrome

42. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Testosterone
Peyronie's dz
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Invasive ductal

43. What are the 3 androgens
1000 times
Testosterone - DHT - androstenedione
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ectocervix

44. eclampsia
Preeclampsia + siezures
Decrease
Sertoli cell tumor
Just prior to ovulation

45. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Dilation and curettage and methotrexate
Invasive ductal
69 xxy

46. dx with decreased testosterone - increased LH
Induces and maintains lactation - decreases reproductive function
Fallopian tube
Primary hypogonadism
20 to 40

47. Connects cervix to side wall of pelvis - contains uterine vessels
PCOS
Brenner tumor
Post menopausal bleeding
Cardinal ligament

48. Which androgen is responsible for libido
Testosterone
Estradiol > estrone > estriol
Complete
Obdurator - exterinal iliac - hypogastic nodes

49. triad of ovarian fibroma - ascites - hydrothorax
Placenta acreta
Meigs syndrome
Testosterone secreting tumor - exogenous steroids
Defective androgen receptor

50. What complications are associated with oligohydramnios

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