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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.
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1. Increases in which hormone are associated with BPH
Estradiol and possible growth promoting effects of DHT
Brenner tumor
No
Krukenburg tumor

2. Which gynecologic tumors have the worst prognosis?
Adolescents
Left gonadal vein - left renal vein - IVC
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ovarian > cervical > endometrial

3. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
Retrograde mentrual flow or ascending infection
Slight increase - 1.5 to 2
Increase in size in pregs - decrease in size meno - estrogen sens

4. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
DCIS
GnRH from hypoTh - LH and FSH from ant pituitary
Haploid - N - 23 single chromatids
Dysgerminoma

5. What are the functions of oxytocin - maybe
Dysuria - frequency - urgency - low back pain
Endometrial carcinoma
Milk letdown - uterine contractions?
Corpus luteum cyst

6. What complications are associated with oligohydramnios

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7. small - mobile - firm breast mass with sharp edges - most common in <25
Fibroadenoma
Estradiol and possible growth promoting effects of DHT
Just prior to ovulation
Placenta acreta

8. histologic type of fibrocystic with hyperplasia of breast stroma
Testis determining factor
Erythroplasia of Queyrat - carcinoma in situ of penis
Fibrosis
Kallman

9. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
One of the centrioles
Spermatogonia (germ cells)
Bicornute uterus
Varicocele

10. Complications of BPH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Prematurity
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Krukenburg tumor

11. What sequelae are associated with leiomyoma
Male pseudoHerm
Severe bleeding iron def anemia - miscarriage
In the 6th decade of life
Choriocarcinoma

12. What does progesterone do to myometrial excitability
Decrease
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Blacks
Trophoblasts

13. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Mucinous cystadenoma
Slight increase - 1.5 to 2
Varicocele

14. What structures does testosterone negatively feedback on?
Milk letdown - uterine contractions?
The anterior pituitary and hypothalamus
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Corpus luteum - placenta - adrenal cortex - testes

15. Breast path - disease that occurs at the nipple

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16. What are the most common tumors in all females?
Mittelschmerz syndrome
Myometrial tumors
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Hypogondadotropic hypogonadism

17. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Seminoma
Round ligament of uterus
Estrogen overstimulation

18. What is the treatment for preeclampsia
Delivery of fetus
Right gonadal vein - IVC
Preeclampsia + siezures
One of the centrioles

19. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Golgi
CIN 1 - 2 - 3
Smoking - HTN - cocaine

20. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
2 months
Invasive lobular
Fibroadenoma

21. dx with increased testosterone and increased LH
Androgen insensitivity syndrome - 46 XY
Suspensory ligament of ovaries
Blacks
Defective androgen receptor

22. What is the most common gynecologic malignancy
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Endometrial carcinoma
Testosterone secreting tumor - exogenous steroids
Fibroadenoma - phyllodes tumor

23. What is a true hermaphrodite
4
Dilation and curettage and methotrexate
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Paget's disease - breast abscess

24. What serum markers are associated with embyronal carcinoma
Endometrial > ovarian> cervical (in US)
increased AFP and hCG
Fructose
No

25. Which cells secrete beta hCG
Trophoblasts
DES in utero (DES is a sythetic estrogen)
Choriocarcinoma
No

26. Which system and nerve are responsible for emission
Leydig cell tumor
SANS - hypogastric nerve
Male pseudoHerm
Smoking - HTN - cocaine

27. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Menopause
Peyronie's dz
Myometrial invasion
Female pseudoHerm

28. Which nerve and nerve fibers control for ejaculation
Testosterone
Visceral - somatic nerves in pudendal
Mitochondria
50 times

29. What does inhibin do?
Peripheral adipose tissue
Inhibit FSH
Blacks
Stimulates testosterone release from leydig cells

30. What stimulation after labor induces lactation
DIC
Decreasing progesterone
Estrogen overstimulation
PANS - pelvic nerve

31. What does progesterone do to smooth muscle in the uterus
Osteoblastic in bone
Granulosa cell - aromatase - androstenedione - estrogen
Relaxation
Partial

32. common cause of recurrent miscarriage in 2nd trimester
Sertoli cell tumor
Bicornute uterus
Inflammatory
DRE - hard nodule and biopsy

33. decreased estrogen production due to age linked decline in the number of ovarian follices
Stimulation of secretion - but blocks its action at the breast
Menopause
Kallman
Hydrocele

34. Is fertility compromised in double Y males?
increased risk for carcinoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Phyllodes tumor
No

35. dilated epididymal duct
Spermatocele
Round ligament of the uterus
Meigs syndrome
Aortic bicuspid valve

36. What is the common presentation of metastasis in prostate cancer
Haploid - 2N - 23 sister chromatids
DRE - hard nodule and biopsy
Low back pain with increased serum alk phos
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

37. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Menopause
Peripheral adipose tissue
Paget's disease - breast abscess

38. What becomes the main source of hCG
Smooth muscle
Syncytiotrophoblasts of placenta
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Delivery of fetus

39. What is a concern of early menopause
Premature ovarian failure (Pof)
Whorled pattern of smooth muscle bundles
Just prior to ovulation
Insulin resistance

40. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Prostate growth - balding - and sebaceous gland activity
Choriocarcinoma
Milk letdown - uterine contractions?

41. histo: stratified sqamous epithelium
Testosterone
Pseudohermaphroditism
Slight increase - 1.5 to 2
Ectocervix

42. What hematologic condition is associated with abruptio placentae
DIC
Preeclampsia clinical
E coli
increased AFP and hCG

43. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Ectopic preg
Invasive ductal
Down regulation

44. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Choriocarcinoma
Puberty
Cystic
Upregulation - LH surge - ovulation

45. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Fibroadenoma
Acute mastitis
Placenta previa

46. histo: simple columnar epithelium
Defective androgen receptor
Mimics LH
Endocervix
Chromosomal abnormalities

47. What is the karyotype of a partial mole
Dysgerminoma
Aortic bicuspid valve
Inhibit FSH
69 xxy

48. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Oligohydramnios
Syncytiotrophoblasts of placenta
Chromosomal abnormalities
Dysgerminoma

49. dx with decreased testosterone and decreased LH
69 xxy
Hypogondadotropic hypogonadism
Hydrocele
Fibrocystic disease

50. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Relaxation
Complete

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First Aid: Reproductive

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