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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. Large cells in epidermis with clear halo
Paget cell
increased in total - and dec in free fraction
DES in utero (DES is a sythetic estrogen)
Mitochondria

2. decreased estrogen production due to age linked decline in the number of ovarian follices
Peripheral adipose tissue
Menopause
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Right gonadal vein - IVC

3. What is HELLP syndrome
Hemolysis - elevated liver enzymes - low platelets
Yolk sace - endodermal sinus - tumor
DRE - hard nodule and biopsy
Mature teratoma

4. What are risk factors for abruptio placentae?
Smoking - HTN - cocaine
Fallopian tube
Suckling - increased oxytocin - prolactin
Posterior lobe peripheral zone

5. What are risk factors for placenta acreta
Induces and maintains lactation - decreases reproductive function
Adenomyosis
Prior c section - inflammation - placenta previa
Just prior to ovulation

6. Dermal lymphatic invasion by breast carcinoma - peu d orange
Syncytiotrophoblasts of placenta
Neoplastic cells block lymphatic drainage
Inflammatory
Tight junctions between sertoli cells

7. Complications of BPH
Good - late metastasis
Acute mastitis
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Testosterone secreting tumor - exogenous steroids

8. Which system and nerve allow for erection in the male?
Syncytiotrophoblasts of placenta
Bowenoid papulosis - carcinoma in situ of the penis
Kallman
PANS - pelvic nerve

9. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Left
Varicocele
Choriocarcinoma
HPV 16 - 18

10. dilated epididymal duct
Calcifications
Spermatocele
Left gonadal vein - left renal vein - IVC
increased in total - and dec in free fraction

11. What is the flaggelum derived from
Estradiol and possible growth promoting effects of DHT
69 xxy
One of the centrioles
17beta estradiol

12. What are the risk factors for endometrial hyperplasia
DHT - testosterone - androstenedione
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Bowen's dz - carcinoma in situ of the penis
Estradiol and possible growth promoting effects of DHT

13. >1.5 -2 L of amniotic fluid
Polyhydramnios
Testosterone
DHT - testosterone - androstenedione
Axillary node involvement

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

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15. what stimulation is required to maintain milk production and What is the pathway
Delivery of fetus
Suckling - increased oxytocin - prolactin
Myometrial invasion
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 are common causes of hyperestrogenism

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17. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Endocervix
DES in utero (DES is a sythetic estrogen)
Low progesterone
Epithelial hyperplasia

18. What is the genetic material in the secondary oocyte?
Haploid - 2N - 23 sister chromatids
Primary hypogonadism
The semiT and the blood vessels
increased in total - and dec in free fraction

19. What is the serum marker for BPH
PSA
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Menometrorrhagia
Adenomyosis

20. What is the order of events in the menstrual cycle
Just prior to ovulation
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Inhibition of HCG access
Whorled pattern of smooth muscle bundles

21. What forms the blood testis barrier?
Diploid - 4N - 46 sister chromatids
No
Tight junctions between sertoli cells
Partial

22. Is fertility compromised in double Y males?
Abacterial
Oligomenorrhea
Cerebral hemorrhage and ARDS
No

23. dx with decreased testosterone and decreased LH
Stimulates testosterone release from leydig cells
Hypogondadotropic hypogonadism
Para - aortic lymph nodes
Testis determining factor

24. What is the typical cell change in HPV infection
Koilocytitic
Cardinal ligament
DRE - hard nodule and biopsy
Polyhydramnios

25. <0.5 L of amniotic fluid
55-65
Endocervix
Bowenoid papulosis - carcinoma in situ of the penis
Oligohydramnios

26. Bent penis due to acquired fibrous tissue formation

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27. What does the tail go onto to form
The centrioles
Serous cystadenoma
Comedocarcinoma
Menometrorrhagia

28. What increase in estriol is an indicator offetal well being in pregnancy
Slight increase - 1.5 to 2
1000 times
Aortic bicuspid valve
Embryonal carcinoma

29. Wher does dysplasia and carcinoma in situ of the cervix usually begin
IV mag sulfate - diazepam
Asia - Africa - S. America - HPV - lack of circumcision
Induces and maintains lactation - decreases reproductive function
Squamo - columnar jxn

30. What is the most common pathogen in acute mastitis
Abacterial
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
S aureus
DRE - hard nodule and biopsy

31. In What age group are ovarian germ cell tumors most common
Complete
Hydatidiform mole
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Adolescents

32. What is a concern of early menopause
The ampulla - occurs within 1 day of ovulation
Premature ovarian failure (Pof)
Neoplastic cells block lymphatic drainage
Blacks

33. Breast path - diseases of the terminal duct
The ampulla - occurs within 1 day of ovulation
Tubular carcinoma
20 to 40
Sarcoma botryoides - a rhabdomyosarcoma variant

34. Where is the enlargement found in BPH
Medullary
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Periurethral lobes - lateral and middle
Syncytiotrophoblasts of placenta

35. Which teratoma - mature or immature - is aggresively malignant
Hemorrhage
Immature
Adenomyosis
Corpus luteum - placenta - adrenal cortex - testes

36. what metabolic disorder is assocaited with PCOS
PANS - pelvic nerve
Insulin resistance
Choriocarcinoma
E coli

37. What hormones regulate sperm creation?
Right gonadal vein - IVC
GnRH from hypoTh - LH and FSH from ant pituitary
No
Prementsrual breast pain and multiple lesions

38. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
No
Tight junctions between sertoli cells
Prior c section - multiparity

39. What does estrogen to do prolaction
Posterior lobe peripheral zone
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Stimulation of secretion - but blocks its action at the breast
Testosterone

40. What effect does NO have on smooth muscle in erectile tissues
Differentiation of penis - scrotum and prostate
increased cGMP - smooth muscle relax - vasodltn - proerectile
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Squamous cell carcinoma

41. 2 sperm + empty egg
Prior c section - inflammation - placenta previa
Relaxation
Complete
Bowen's dz - carcinoma in situ of the penis

42. common cause of recurrent miscarriage in the 1st week
No
Diploid - 4N - 46 sister chromatids
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Low progesterone

43. hyperplasia - not hypertrophy of the prostate gland
Obdurator - exterinal iliac - hypogastic nodes
BPH
Retrograde mentrual flow or ascending infection
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

44. What is the clinical manifestation of PCOS
Proliferation
Invasive ductal
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Embryonal carcinoma

45. What are the most common tumors in all females?
Mimics LH
Ectopic preg
Sclerosing adenosis
Myometrial tumors

46. What does the histo show for prostate cancer
50 times
Ectopic preg
Small infiltrating glands with prominent nucleoli
5 alpha reductase def

47. dx with decreased testosterone - increased LH
Peyronie's dz
Primary hypogonadism
Placenta previa
46 xx

48. Which androgen is responsible for the deepening of the voice
Smooth muscle
Complete
Bicornute uterus
Testosterone

49. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Invasive ductal
Fat necrosis
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Ligament of the ovary

50. multilocular cyst lined by mucus secreting epi - benign - intestine like
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Mucinous cystadenoma
The semiT and the blood vessels
Obdurator - exterinal iliac - hypogastic nodes