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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. What common valvular abnormality is common in Turner's
1 week - 2 weeks
Congenital adrenal hyperplasia - exogenous administration of steroids
Retrograde mentrual flow or ascending infection
Aortic bicuspid valve

2. most common testicular cancer in older men
1 week - 2 weeks
Post menopausal
Testicular lymphoma
Fibrocystic disease

3. Which androgen is responsible for libido
Testosterone
4
Primary hypogonadism
Mature teratoma

4. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Polymenorrhea
Blacks
DHT - testosterone - androstenedione

5. predisposing factor to clear cell adenocarcinoma of the vagina
Adolescents
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Follicular phase varies - luteal phase is 14
DES in utero (DES is a sythetic estrogen)

6. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Oligohydramnios
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Male pseudoHerm
Chocolate cyst

7. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Fertilization 'an egg met a sperm'
In the 6th decade of life
Paget cell
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

8. What is the typical cell change in HPV infection
Koilocytitic
Teratoma
Endometriosis
Inhibition of HCG access

9. Where is the enlargement found in BPH
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Stimulation of secretion - but blocks its action at the breast
Malignant in males not in females
Periurethral lobes - lateral and middle

10. What do sildenafil and vardenafil do?
E coli
Syncytiotrophoblasts of placenta
Inhibit cGMP breakdown
Peripheral adipose tissue

11. When does the secondary oocyte complete meosis II

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12. Risk factors for ectopic pregs
Estradiol and possible growth promoting effects of DHT
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Fertilization 'an egg met a sperm'
1 week - 2 weeks

13. What is a true hermaphrodite
Mitochondria
Preeclampsia
Male pseudoHerm
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

14. What is the main source of energy for spermatozoa
DRE - hard nodule and biopsy
Fructose
50 times
2nd week of proliferative phase

15. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
6
Intraductal papilloma
Prematurity
Invasive ductal

16. How is prostatic adenocarcinoma diagnosed
DRE - hard nodule and biopsy
Estradiol
Bowen's dz - carcinoma in situ of the penis
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

17. triad of ovarian fibroma - ascites - hydrothorax
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Meigs syndrome
PCOS
Maintenance

18. common cause of recurrent miscarriage in 2nd trimester
Krukenburg tumor
Bicornute uterus
Cardinal ligament
Stimulate glandular secretions - and spiral artery development

19. Where does fertilization most commonly occur?
Relaxation
The ampulla - occurs within 1 day of ovulation
Multiple sexual partners - also HIV and early sexual intercourse
DHT - testosterone - androstenedione

20. What does progesterone do to myometrial excitability
Production of a thick cervical mucus
Periurethral lobes - lateral and middle
Myometrial invasion
Decrease

21. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Prementsrual breast pain and multiple lesions
Syncytiotrophoblasts of placenta
Metrorrhagia
Neoplastic cells block lymphatic drainage

22. What causes preeclampsia
PCOS
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Bicornute uterus
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

23. How long does it take for sperm to fully develop
Mimics LH
Sarcoma botryoides - a rhabdomyosarcoma variant
Squamo - columnar jxn
2 months

24. When is follicular growth the fastest?
2nd week of proliferative phase
Obdurator - exterinal iliac - hypogastic nodes
Teratoma
2 months

25. dx with increased testosterone and increased LH
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Superficial inguinal lymph nodes
Defective androgen receptor
Upregulation - LH surge - ovulation

26. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Mammary duct epithelium or lobular glands
Prophase
95%

27. What is the serum marker for BPH
PSA
No
Testosterone
Testis determining factor

28. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Dilation and curettage and methotrexate
Tubular carcinoma
The centrioles

29. Which cells line the seminiferous tubules and secrete inhibin
Induces and maintains lactation - decreases reproductive function
Estradiol
Calcifications
Sertoli cells

30. What are risk factors for abruptio placentae?
5 alpha reductase - inhibited by finesteride
Multiple sexual partners - also HIV and early sexual intercourse
Smoking - HTN - cocaine
6

31. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Increase
Cervix
HPV 16 - 18
Metrorrhagia

32. What effect does NE have on smoothe muscle in the erectile tissues
Endometrial carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Haploid - 2N - 23 sister chromatids
Theca cell - desmolase - androstenedione

33. Bent penis due to acquired fibrous tissue formation

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34. Which hydatidiform mole has the greater risk for malignancy
Down regulation
Mimics LH
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Complete

35. What does hCG do in the first trimester to maintain the corpus luteum
Seminoma
Mimics LH
Female pseudoHerm
Premature ovarian failure (Pof)

36. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Mitochondria
Epithelial hyperplasia
Haploid - N - 23 single chromatids
Paget cell

37. What does progesterone do for pregnancy
Maintenance
DIC
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Fat necrosis

38. What is the prognosis for seminoma
Syncytiotrophoblasts of placenta
Develop both male and female internal genitalia and male external genitalia
Good - late metastasis
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

39. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Endometrial carcinoma
Left gonadal vein - left renal vein - IVC
Choriocarcinoma
Sclerosing adenosis

40. What effect does NO have on smooth muscle in erectile tissues
SANS - hypogastric nerve
Prior c section - inflammation - placenta previa
increased cGMP - smooth muscle relax - vasodltn - proerectile
The semiT and the blood vessels

41. What does progesterone do to smooth muscle in the uterus
Relaxation
Varicocele
Tunica vaginalis lesions
Placenta previa

42. Which side is varicocele more common on...
Hyperthyroidism - contains functional thyroid tissue
Left
Endometrial > ovarian> cervical (in US)
Placenta previa

43. Breast path - diseeases of the lobules
Right gonadal vein - IVC
Whorled pattern of smooth muscle bundles
Lobular carcinoma - sclerosing adenosis
Stimulates sertoli cells to produce ABP and inhibin

44. 2 sperm + empty egg
Increase
Hypogondadotropic hypogonadism
Complete
The semiT and the blood vessels

45. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Male pseudoHerm
Post menopausal bleeding
No
Multiple sexual partners - also HIV and early sexual intercourse

46. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Golgi
Testosterone
Testosterone - DHT - androstenedione
Whorled pattern of smooth muscle bundles

47. Endometriosis is characterized By what clinical picture?
No
Follicular phase varies - luteal phase is 14
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Fibrosis

48. Red velvety plaques - usually involving the glans - similar to Bowen's
Fibroadenoma
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Pseudohermaphroditism
Erythroplasia of Queyrat - carcinoma in situ of penis

49. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Severe bleeding iron def anemia - miscarriage
Preeclampsia clinical
Paget's disease - breast abscess
Tunica vaginalis lesions

50. Testosterone and estrogen in androgen insensitivity syndrome
PANS - pelvic nerve
Sarcoma botryoides - a rhabdomyosarcoma variant
Placenta previa
Increase (and LH)