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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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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. Which system and nerve are responsible for emission
Develop both male and female internal genitalia and male external genitalia
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
SANS - hypogastric nerve
Male pseudoHerm

2. What are the 3 androgens
Brenner tumor
Klinefelter's - XXY
Testosterone - DHT - androstenedione
Insulin resistance

3. What does estrogen stimulate in the endometrium
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Proliferation
DES in utero (DES is a sythetic estrogen)
Mucinous cystadenoma

4. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
One of the centrioles
Follicular phase varies - luteal phase is 14
Ectocervix
Brenner tumor

5. When is follicular growth the fastest?
2nd week of proliferative phase
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Smooth muscle

6. What does progesterone do to estrogen receptors
Sertoli cell tumor
Increase (and LH)
Down regulation
BPH

7. when do primary oocytes begin meiosis I
20 to 40
Serous cystadenocarcinoma
During fetal life
Osteoblastic in bone

8. Which androgen is responsible for libido
Severe bleeding iron def anemia - miscarriage
Slight increase - 1.5 to 2
Testosterone
Inhibit FSH

9. > 35 day cycle
Oligomenorrhea
Inhibit cGMP breakdown
Mature teratoma
Estradiol and possible growth promoting effects of DHT

10. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Endometrial carcinoma
Preeclampsia clinical
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Sclerosing adenosis

11. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Choriocarcinoma
Epithelial hyperplasia
Hypogondadotropic hypogonadism

12. What is the genetic material in the secondary oocyte?
Endometrial carcinoma
Superficial inguinal lymph nodes
Haploid - 2N - 23 sister chromatids
Increased FSH

13. What complications are associated with polyhydramnios

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14. What complications are associated with oligohydramnios

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15. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Increased FSH
Paget cell

16. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
Trophoblasts
Partial
Corpus luteum - placenta - adrenal cortex - testes

17. < 21 day cycle
Serous cystadenoma
DRE - hard nodule and biopsy
Menometrorrhagia
Polymenorrhea

18. Which gynecologic tumors have the worst prognosis?
Endometrial carcinoma
Stimulation of secretion - but blocks its action at the breast
Ovarian > cervical > endometrial
Round ligament of the uterus

19. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Myometrial invasion
Down regulation
Menometrorrhagia
Fat necrosis

20. Where does LH work - what enzyme works there and what product is secreted
Vagina
Theca cell - desmolase - androstenedione
Esophogeal/duodenal atresia - can't swallow - anencephaly
Placenta previa

21. When does the secondary oocyte complete meosis II

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22. 2 sperm + empty egg
2 months
Granulosa cell - aromatase - androstenedione - estrogen
Dysgerminoma
Complete

23. What effect does NO have on smooth muscle in erectile tissues
Chromosomal abnormalities
Brenner tumor
increased cGMP - smooth muscle relax - vasodltn - proerectile
Sarcoma botryoides - a rhabdomyosarcoma variant

24. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
increased cGMP - smooth muscle relax - vasodltn - proerectile
Complete
Dysgerminoma

25. From What tissues to malignant breast tumors arise?
Round ligament of uterus
Fallopian tube
Mammary duct epithelium or lobular glands
4

26. histo: stratified squamous epithelium - nonkeratinized
Vagina
Complete
Decreasing progesterone
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

27. 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
Seminoma
DES in utero (DES is a sythetic estrogen)
Prior c section - multiparity
Testosterone - DHT - androstenedione

28. What is the most common gynecologic malignancy
Endometrial carcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Osteoblastic in bone
Mucinous cystadenoma

29. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Right gonadal vein - IVC
17beta estradiol
Sarcoma botryoides - a rhabdomyosarcoma variant
Teratoma

30. What can happen with no sertoli cell or lack of anti mullerian hormone
Testosterone
Endometrial carcinoma
Develop both male and female internal genitalia and male external genitalia
Hyperthyroidism - contains functional thyroid tissue

31. What estrogen does the placenta secrete
DRE - hard nodule and biopsy
The anterior pituitary and hypothalamus
Estradiol
Fibromas

32. What occurs to a fibroadenoma during pregnancy and menstruation and why
Fibroadenoma - phyllodes tumor
Theca - leutin cysts
Fat necrosis
increased size and tenderness with increased estrogen

33. What causes preeclampsia
IV mag sulfate - diazepam
Axillary node involvement
Multiple sexual partners - also HIV and early sexual intercourse
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

34. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Tunica vaginalis lesions
Epithelial hyperplasia
Increase (and LH)

35. Connects cervix to side wall of pelvis - contains uterine vessels
Estradiol
Cardinal ligament
Granulosa cell tumor
Testosterone secreting tumor - exogenous steroids

36. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Relaxation
Axillary node involvement
Menometrorrhagia

37. What are the associated risk factors for malignant breast tumors
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Testosterone
Peyronie's dz
Invasive lobular

38. disagreement between the phenotypic and gonadal sex
Pseudohermaphroditism
HPV 16 - 18
Androgen insensitivity syndrome
Teratoma

39. What is the lymphatic drainage the ovaries/testis
Preeclampsia clinical
Invasive lobular
Hemorrhage
Para - aortic lymph nodes

40. 50% of ovarian tumors - malignant and frequently bilateral
Develop both male and female internal genitalia and male external genitalia
Serous cystadenocarcinoma
Paget's disease - breast abscess
Fibroadenoma

41. What converts testosterone to DHT
Hemorrhage
5 alpha reductase - inhibited by finesteride
increased risk for carcinoma
Fallopian tube

42. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Tubular carcinoma
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Hemorrhage

43. most common testicular cancer in older men
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Prior c section - multiparity
Axillary node involvement
Testicular lymphoma

44. What is the most common cause of breast lumps from age 25 to menopause
Left gonadal vein - left renal vein - IVC
Fibrocystic disease
Sertoli cells - and adipose tissue via aromatase
Menopause

45. What is the venous drainage of the left ovary/testis?
Multiple sexual partners - also HIV and early sexual intercourse
Prior c section - multiparity
Testosterone
Left gonadal vein - left renal vein - IVC

46. dilated vein in pampiniform plexus - bag of worms
Testosterone secreting tumor - exogenous steroids
Down regulation
Decreasing progesterone
Varicocele

47. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Estradiol > estrone > estriol
Menometrorrhagia
Testis determining factor

48. What does SEVEN Up stand for in regards to the pathway of sperm
Low progesterone
Premature ovarian failure (Pof)
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Menometrorrhagia

49. What increase in estriol is an indicator offetal well being in pregnancy
Increase in size in pregs - decrease in size meno - estrogen sens
Premature ovarian failure (Pof)
HPV 16 - 18
1000 times

50. What is the karyotype of a complete mole
46 xx
Mucinous cystadenoma
Cervix
Small infiltrating glands with prominent nucleoli