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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. endometrium within the myometrium
Tunica vaginalis lesions
Left
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Adenomyosis

2. Where is androstenedione made?
55-65
Testosterone
Adrenal gland
Mature teratoma

3. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Bowenoid papulosis - carcinoma in situ of the penis
Andogren binding protein - anti mullerian hormone
PCOS

4. > 35 day cycle
Slight increase - 1.5 to 2
Haploid - N - 23 single chromatids
GnRH from hypoTh - LH and FSH from ant pituitary
Oligomenorrhea

5. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Decreasing progesterone
Fat necrosis
Hydatidiform mole
Female pseudoHerm

6. When does endometiral carcinoma usually occur
Follicular phase varies - luteal phase is 14
Koilocytitic
Yolk sace - endodermal sinus - tumor
55-65

7. What does FSH do
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
50 times
Stimulates sertoli cells to produce ABP and inhibin
DHT - testosterone - androstenedione

8. What does hCG do in the first trimester to maintain the corpus luteum
50 times
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Mimics LH
Calcifications

9. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
Sertoli cells - and adipose tissue via aromatase
Immature
Milk letdown - uterine contractions?

10. Which gynecologic tumors have the worst prognosis?
Ovarian > cervical > endometrial
Slight increase - 1.5 to 2
Theca cell - desmolase - androstenedione
IV mag sulfate - diazepam

11. Breast path - diseases of the stroma
Upregulation - LH surge - ovulation
69 xxy
Fibroadenoma - phyllodes tumor
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

12. eclampsia
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Production of a thick cervical mucus
Preeclampsia + siezures
Choriocarcinoma

13. common cause of recurrent miscarriage in 1st trimester
Yolk sace - endodermal sinus - tumor
Chromosomal abnormalities
Mimics LH
PANS - pelvic nerve

14. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Just prior to ovulation
PCOS
Cerebral hemorrhage and ARDS

15. Breast path - disease that occurs at the nipple

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16. What are the most common tumors in all females?
Immature
Ovarian > cervical > endometrial
Myometrial tumors
IV mag sulfate - diazepam

17. What is a concern of early menopause
Post menopausal
No
Premature ovarian failure (Pof)
Sclerosing adenosis

18. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Broad ligament
Asia - Africa - S. America - HPV - lack of circumcision

19. How long does it take for sperm to fully develop
Suckling - increased oxytocin - prolactin
Mucinous cystadenocarcinoma
2 months
Myometrial invasion

20. when do primary oocytes begin meiosis I
During fetal life
50 times
Placenta previa
DHT - testosterone - androstenedione

21. tumor is ductal with caseous necrosis
increased AFP and hCG
Comedocarcinoma
Immature
Estradiol and possible growth promoting effects of DHT

22. What metastasis is most common with prostatic adenocarcinoma
4
Osteoblastic in bone
Stimulate glandular secretions - and spiral artery development
Estrogen overstimulation

23. tumor with orderly row of cells - often multiple and bilateral
PCOS
Uterus
Invasive lobular
Increase

24. What changes in the aorta are common in Turner's?
Preductal coarctication
DRE - hard nodule and biopsy
Osteoblastic in bone
Para - aortic lymph nodes

25. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Squamo - columnar jxn
BPH
Upregulation - LH surge - ovulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

26. What increases the risk of cryptorchidism
Theca - leutin cysts
Prematurity
Fallopian tube
Sertoli cells - and adipose tissue via aromatase

27. Which side is varicocele more common on...
Osteoblastic in bone
Left
Complete
Testosterone

28. What is DHT responsible for in early development?
Down regulation
Differentiation of penis - scrotum and prostate
Fibromas
Menometrorrhagia

29. What are the 3 androgens
Stimulation of secretion - but blocks its action at the breast
Maintenance
Sclerosing adenosis
Testosterone - DHT - androstenedione

30. Some drugs cause awesome knockers
Just prior to ovulation
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Choriocarcinoma
Down regulation

31. in males - are mature teratomas malignant? What is the case for females
Congenital adrenal hyperplasia - exogenous administration of steroids
Upregulation
Malignant in males not in females
Post menopausal

32. 2 sperm + 1 egg
Partial
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Tight junctions between sertoli cells
Malignant in males not in females

33. Does a leiomyoma progress to leiosarcoma
No
The ampulla - occurs within 1 day of ovulation
Decreasing progesterone
Endometriosis

34. predisposing factor to clear cell adenocarcinoma of the vagina
Spermatogonia (germ cells)
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Squamo - columnar jxn
DES in utero (DES is a sythetic estrogen)

35. histo: stratified squamous epithelium - nonkeratinized
5 alpha reductase def
Corpus luteum - placenta - adrenal cortex - testes
Vagina
Placenta previa

36. what usually causes endometrial hyperplasia
Ectocervix
Cystic
Estrogen overstimulation
Small infiltrating glands with prominent nucleoli

37. What is the right venous drainage of the ovary/testis
Preeclampsia
Menopause
Female pseudoHerm
Right gonadal vein - IVC

38. When does spermatogenesis begin?
Puberty
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Embryonal carcinoma
Trophoblasts

39. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Haploid - N - 23 single chromatids
Uterus
E coli
Theca - leutin cysts

40. disagreement between the phenotypic and gonadal sex
Pseudohermaphroditism
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Preductal coarctication
Just prior to ovulation

41. A leimyoma is overgrowth of what cell
Smooth muscle
Preeclampsia
Induces and maintains lactation - decreases reproductive function
Preeclampsia clinical

42. histo: simple cuboidal epithelium
Diploid - 4N - 46 sister chromatids
Production of a thick cervical mucus
Ovary
Retrograde mentrual flow or ascending infection

43. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
Round ligament of the uterus
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Stimulate glandular secretions - and spiral artery development

44. When are phyllodes tumors most common
Mimics LH
In the 6th decade of life
DIC
Prematurity

45. dilated epididymal duct
Hemolysis - elevated liver enzymes - low platelets
55-65
Spermatocele
In the 6th decade of life

46. increased AFP - schiller duvel bodies - yellow mucinous
Polymenorrhea
Invasive ductal
Prior c section - inflammation - placenta previa
Yolk sac - endodermal sinus - tumor

47. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Lateral invasion can block ureters causing renal failure
Andogren binding protein - anti mullerian hormone
Spermatogonia (germ cells)
Malignant in males not in females

48. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Abacterial
Fat necrosis
Ovary

49. hemorrhage into persistent corpus luteum
No
Prior c section - multiparity
Testosterone
Corpus luteum cyst

50. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Suspensory ligament of ovaries
Comedocarcinoma
Preeclampsia
Chocolate cyst