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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 is associated with sclerosing adenosis?
No
Calcifications
Endocervix
PSA

2. inability to convert testosterone to DHT - limited to genetic males - penis at 12
2 months
5 alpha reductase def
Chocolate cyst
Hypogondadotropic hypogonadism

3. What complications are associated with polyhydramnios

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4. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Premature ovarian failure (Pof)
Broad ligament
Polymenorrhea
Oligomenorrhea

5. Which androgen is responsible for the deepening of the voice
Delivery of fetus
IV mag sulfate - diazepam
Testosterone
Mimics LH

6. What occurs to a fibroadenoma during pregnancy and menstruation and why
Cystic
increased size and tenderness with increased estrogen
Testicular lymphoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

7. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Smoking - HTN - cocaine
55-65
Epithelial hyperplasia

8. What is the single most important prognostic factor for malignant breast tumors
Menometrorrhagia
SANS - hypogastric nerve
Axillary node involvement
Endometrial > ovarian> cervical (in US)

9. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Intraductal papilloma
Corpus luteum cyst
Post menopausal bleeding

10. What happens to a leiomyoma in pregs and menopause and why
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
increased risk for carcinoma
Fructose
Increase in size in pregs - decrease in size meno - estrogen sens

11. What complications are associated with oligohydramnios

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12. What is the presentation of prostatitis
Complete
Peripheral conversion of androgens
Dysuria - frequency - urgency - low back pain
Varicocele

13. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
Stimulation of secretion - but blocks its action at the breast
Placenta previa
Upregulation - LH surge - ovulation

14. Connects ovary to lateral uterus
Granulosa cell tumor
Ligament of the ovary
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Choriocarcinoma

15. What does inhibin do?
Post menopausal bleeding
Inhibit FSH
Ectocervix
Lobular carcinoma - sclerosing adenosis

16. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Granulosa cell tumor
Relaxation
Prophase

17. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
Acute mastitis
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Theca cell - desmolase - androstenedione

18. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
PANS - pelvic nerve
Choriocarcinoma
Male pseudoHerm
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

19. histo: simple columnar epithelium - pseudostratified tubular glands
Uterus
Ovarian > cervical > endometrial
Malignant in males not in females
Ectopic preg

20. In what phase is meiosis II arrested
Metaphase
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Syncytiotrophoblasts of placenta
Yolk sace - endodermal sinus - tumor

21. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
Estrogen overstimulation
Sertoli cell tumor
Oligomenorrhea

22. What does estrogen do to estrogen - LH and progesterone recepotrs
Low back pain with increased serum alk phos
Testosterone
Prior c section - inflammation - placenta previa
Upregulation

23. What hematologic condition is associated with abruptio placentae
Polymenorrhea
Choriocarcinoma
Syncytiotrophoblasts of placenta
DIC

24. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Decrease
Fat necrosis
Para - aortic lymph nodes

25. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Paget's disease
Bowenoid papulosis - carcinoma in situ of the penis
Post menopausal bleeding
Haploid - N - 23 single chromatids

26. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Teratoma
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Fibrcystic change - ductal cancer
Sarcoma botryoides - a rhabdomyosarcoma variant

27. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hydatidiform mole
Testosterone
Follicular cyst

28. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Spermatogonia (germ cells)
Fibromas
Oligohydramnios

29. What is the most common pathogen in acute mastitis
Milk letdown - uterine contractions?
increased in total - and dec in free fraction
S aureus
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

30. What is the most frequent benign ovarian tumor
Mature teratoma
Uterus
Fibrosis
Low back pain with increased serum alk phos

31. What is a potential complication of endometrial hyperplasia
Inhibit FSH
Differentiation of penis - scrotum and prostate
Koilocytitic
Endometrial carcinoma

32. What are the functions of oxytocin - maybe
Fructose
Milk letdown - uterine contractions?
Acute mastitis
Estradiol

33. endometrium within the myometrium
increased risk for carcinoma
Adenomyosis
The ampulla - occurs within 1 day of ovulation
Suckling - increased oxytocin - prolactin

34. Where is androstenedione made?
Small infiltrating glands with prominent nucleoli
Adrenal gland
Acute mastitis
Develop both male and female internal genitalia and male external genitalia

35. when do primary oocytes complete meiosis I
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Round ligament of the uterus
Slight increase - 1.5 to 2
Just prior to ovulation

36. What are risk factors for placenta acreta
Primary hypogonadism
Prior c section - inflammation - placenta previa
Menopause
Bowenoid papulosis - carcinoma in situ of the penis

37. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
SANS - hypogastric nerve
Placenta acreta

38. Where is testosterone secreted into?
Theca cell - desmolase - androstenedione
The semiT and the blood vessels
Upregulation - LH surge - ovulation
Prostate growth - balding - and sebaceous gland activity

39. What is the clinical manifestation of PCOS
Blacks
Esophogeal/duodenal atresia - can't swallow - anencephaly
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
5 alpha reductase - inhibited by finesteride

40. testes present with non male external genitals
Endocervix
Production of a thick cervical mucus
Male pseudoHerm
5 alpha reductase - inhibited by finesteride

41. When is follicular growth the fastest?
Dysuria - frequency - urgency - low back pain
Inflammatory
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
2nd week of proliferative phase

42. What increases risk for endometrial carcinoma
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Bicornute uterus
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

43. Which cells secrete beta hCG
Stimulates sertoli cells to produce ABP and inhibin
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Trophoblasts
Granulosa cell tumor

44. What does estrogen do to FSH and LH
BPH
Superficial inguinal lymph nodes
Feedback inhibition
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

45. Overexpression of which receptors is common iwht malignant breast tumors
Estradiol and possible growth promoting effects of DHT
Peyronie's dz
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Low back pain with increased serum alk phos

46. What does progesterone do to myometrial excitability
Male pseudoHerm
PANS - pelvic nerve
Endometriosis
Decrease

47. What percentage of testicular tumors are germ cell
95%
Inhibition LH and FSH
Prematurity
Fibroadenoma - phyllodes tumor

48. What are risk factors for abruptio placentae?
Comedocarcinoma
Smoking - HTN - cocaine
Brenner tumor
Partial

49. What do sildenafil and vardenafil do?
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Complete
Suspensory ligament of ovaries
Inhibit cGMP breakdown

50. Where does LH work - what enzyme works there and what product is secreted
Spermatogonia (germ cells)
Theca cell - desmolase - androstenedione
Uterus
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility