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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 the most common pathogen in acute mastitis
S aureus
Mimics LH
Chocolate cyst
Prematurity

2. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
5 alpha reductase def
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Complete

3. When is the peak occurrence of leiomyoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Trophoblasts
20 to 40
Mature teratoma

4. small follicles filled with eosinphilic secretions
Esophogeal/duodenal atresia - can't swallow - anencephaly
Oligomenorrhea
Call exner bodies
Serous cystadenocarcinoma

5. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Prostatic acid phosphatase and PSA
Yolk sac - endodermal sinus - tumor
Kallman
Oligohydramnios

6. eclampsia
Syncytiotrophoblasts of placenta
Preeclampsia + siezures
Stimulate glandular secretions - and spiral artery development
Dysgerminoma

7. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Broad ligament
Fallopian tube
Paget cell

8. How does endometrial hyperplasia manifest clinically
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Upregulation - LH surge - ovulation
DCIS
Post menopausal bleeding

9. When are phyllodes tumors most common
Serous cystadenocarcinoma
Dysgerminoma
Fertilization 'an egg met a sperm'
In the 6th decade of life

10. What is the source of estrogen after menopause
Hypogondadotropic hypogonadism
Complete
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Peripheral conversion of androgens

11. What is hydatidiform mole and precurosor of...
Good - late metastasis
Hemolysis - elevated liver enzymes - low platelets
Choriocarcinoma
Prophase

12. Uterin fundus to labia majora
17beta estradiol
Fibrosis
Phyllodes tumor
Round ligament of uterus

13. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Superficial inguinal lymph nodes
Fructose

14. In what phase is meiosis I arrested
Broad ligament
Fibroadenoma - phyllodes tumor
Develop both male and female internal genitalia and male external genitalia
Prophase

15. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Just prior to ovulation
PSA

16. What are the treatments for PCOS
Neoplastic cells block lymphatic drainage
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Comedocarcinoma

17. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
Estradiol
Milk letdown - uterine contractions?
Adrenal gland

18. What is the main source of energy for spermatozoa
Fructose
Squamo - columnar jxn
Stimulation of secretion - but blocks its action at the breast
increased in total - and dec in free fraction

19. Increases in which hormone are associated with BPH
increased risk for carcinoma
Seminoma
Para - aortic lymph nodes
Estradiol and possible growth promoting effects of DHT

20. 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
46 xx
Seminoma
Preeclampsia + siezures
Vagina

21. dx with increased testosterone and increased LH
Defective androgen receptor
DHT - testosterone - androstenedione
Mittelschmerz syndrome
Leydig cell tumor

22. predisposing factor to clear cell adenocarcinoma of the vagina
Lobular carcinoma - sclerosing adenosis
DES in utero (DES is a sythetic estrogen)
Haploid - N - 23 single chromatids
Broad ligament

23. premature detachment of placenta from implantation site leading to fetal death
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Abruptio placentae
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Preductal coarctication

24. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Mimics LH
17beta estradiol
Yolk sace - endodermal sinus - tumor
Asia - Africa - S. America - HPV - lack of circumcision

25. What does hCG do in the first trimester to maintain the corpus luteum
Just prior to ovulation
Mimics LH
Placenta previa
Golgi

26. Overexpression of which receptors is common iwht malignant breast tumors
Posterior lobe peripheral zone
Mucinous cystadenocarcinoma
Abacterial
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

27. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Prematurity
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Fibromas
Premature ovarian failure (Pof)

28. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
No
Small infiltrating glands with prominent nucleoli
1 week - 2 weeks
Teratoma

29. when do primary oocytes complete meiosis I
Just prior to ovulation
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Prostate growth - balding - and sebaceous gland activity
51 yo

30. What are risk factors for abruptio placentae?
increased risk for carcinoma
Upregulation - LH surge - ovulation
Smoking - HTN - cocaine
Androgen insensitivity syndrome - 46 XY

31. Breast path - diseases of the stroma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Fibroadenoma - phyllodes tumor
Testosterone
Adrenal gland

32. What does progesterone do for pregnancy
Mitochondria
95%
Estrogen overstimulation
Maintenance

33. Bent penis due to acquired fibrous tissue formation

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34. What is the average age of onset for menopause
51 yo
Increase in size in pregs - decrease in size meno - estrogen sens
Blacks
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

35. What is the right venous drainage of the ovary/testis
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Defective androgen receptor
Esophogeal/duodenal atresia - can't swallow - anencephaly
Right gonadal vein - IVC

36. What changes are seen with total PSA and fraction of free PSA
Theca cell - desmolase - androstenedione
Neoplastic cells block lymphatic drainage
increased in total - and dec in free fraction
Inflammatory

37. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Comedocarcinoma
Vagina
Cystic
DCIS

38. What are the most common tumors in all females?
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
HPV 16 - 18
Choriocarcinoma
Myometrial tumors

39. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Defective androgen receptor
increased Ca in - smooth muscle contraction - vasocxn - antierectile
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
PCOS

40. hyperplasia - not hypertrophy of the prostate gland
Polyhydramnios
Increase
Para - aortic lymph nodes
BPH

41. What hormones regulate sperm creation?
Testosterone
GnRH from hypoTh - LH and FSH from ant pituitary
Immature
Whorled pattern of smooth muscle bundles

42. What is the genetic material in the secondary oocyte?
S aureus
Haploid - 2N - 23 sister chromatids
4
Round ligament of the uterus

43. What is the pattern seen in leiomyoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Trophoblasts
Chocolate cyst
Whorled pattern of smooth muscle bundles

44. What do leydig cells secrete?
Axillary node involvement
CIN 1 - 2 - 3
Testosterone
Milk letdown - uterine contractions?

45. What is DHT responsible for in early development?
Posterior lobe peripheral zone
Round ligament of uterus
50 times
Differentiation of penis - scrotum and prostate

46. What is associated with sclerosing adenosis?
1 week - 2 weeks
Uterus
Calcifications
Epithelial hyperplasia

47. what usually causes endometrial hyperplasia
Suspensory ligament of ovaries
Posterior lobe peripheral zone
Estrogen overstimulation
Upregulation - LH surge - ovulation

48. What is DHT responsible for in late development
Fibroadenoma - phyllodes tumor
Prostate growth - balding - and sebaceous gland activity
Myometrial invasion
Dysuria - frequency - urgency - low back pain

49. What is the most common cause of breast lumps from age 25 to menopause
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Prostate growth - balding - and sebaceous gland activity
Fibrocystic disease
Endocervix

50. Does a leiomyoma progress to leiosarcoma
Ovary
95%
No
Milk letdown - uterine contractions?