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First Aid: Reproductive

Subjects : health-sciences, first-aid

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Answer 50 questions in 15 minutes.
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1. In what group are malignant breast tumors most commonly seen
Post menopausal
Turner's XO
Adenomyosis
The ampulla - occurs within 1 day of ovulation

2. What complications are associated with oligohydramnios

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3. What is the genetic material in the ovum
Haploid - N - 23 single chromatids
Fibrcystic change - ductal cancer
Choriocarcinoma
Cervix

4. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
4
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Differentiation of penis - scrotum and prostate
Cystic

5. What common valvular abnormality is common in Turner's
Fibrosis
Aortic bicuspid valve
Neoplastic cells block lymphatic drainage
Granulosa cell - aromatase - androstenedione - estrogen

6. What does progesterone do for pregnancy
Maintenance
Left gonadal vein - left renal vein - IVC
Epithelial hyperplasia
Increased FSH

7. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Malignant in males not in females
Male pseudoHerm
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Bicornute uterus

8. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Kallman
Leydig cell tumor
Decreasing progesterone
increased cGMP - smooth muscle relax - vasodltn - proerectile

9. What are risk factors for placenta acreta
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Menometrorrhagia
Prior c section - inflammation - placenta previa
Superficial inguinal lymph nodes

10. What is associated with sclerosing adenosis?
Round ligament of the uterus
Calcifications
Abruptio placentae
Fibromas

11. How many functional sperm does 1 germ cell creat?
4
Acute mastitis
Hydatidiform mole
increased in total - and dec in free fraction

12. List the estrogens in order of decreasing potency
Menometrorrhagia
Estradiol > estrone > estriol
Oligohydramnios
5 alpha reductase def

13. Benign - looks like bladder
46 xx
Brenner tumor
Peripheral adipose tissue
Intraductal papilloma - breast abscess - mastitis

14. common cause of recurrent miscarriage in the 1st week
Low progesterone
Mittelschmerz syndrome
Production of a thick cervical mucus
1000 times

15. What hematologic condition is associated with abruptio placentae
DIC
Ovarian > cervical > endometrial
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Cystic

16. 2 sperm + 1 egg
Diploid - 4N - 46 sister chromatids
Partial
Male pseudoHerm
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

17. What does progesterone do in the endometrium
Intraductal papilloma
Mimics LH
Complete
Stimulate glandular secretions - and spiral artery development

18. Risk factors for ectopic pregs
Sertoli cells - and adipose tissue via aromatase
Prematurity
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
DRE - hard nodule and biopsy

19. From What tissues to malignant breast tumors arise?
Testis determining factor
Menometrorrhagia
SANS - hypogastric nerve
Mammary duct epithelium or lobular glands

20. In chronic prostatitis is bacterial or abacterial more common
Lobular carcinoma - sclerosing adenosis
Abacterial
Mucinous cystadenocarcinoma
Inhibition LH and FSH

21. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Prophase
Hyperthyroidism - contains functional thyroid tissue
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

22. What are the 3 androgens
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Testosterone - DHT - androstenedione
Paget cell
Insulin resistance

23. Which teratoma - mature or immature - is aggresively malignant
Down regulation
Tunica vaginalis lesions
Immature
Oligomenorrhea

24. Is fertility compromised in double Y males?
IV mag sulfate - diazepam
Tubular carcinoma
No
Small infiltrating glands with prominent nucleoli

25. Complications of BPH
HPV 16 - 18
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Brenner tumor

26. What effect does NO have on smooth muscle in erectile tissues
Menometrorrhagia
Mature teratoma
Invasive ductal
increased cGMP - smooth muscle relax - vasodltn - proerectile

27. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Brenner tumor
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Good - late metastasis
Fat necrosis

28. Connects ovaries to lateral pelvic wall - contains ovarian vessels
1 week - 2 weeks
Partial
Suspensory ligament of ovaries
Increase in size in pregs - decrease in size meno - estrogen sens

29. histo: stratified squamous epithelium - nonkeratinized
Sarcoma botryoides - a rhabdomyosarcoma variant
Vagina
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Hyperthyroidism - contains functional thyroid tissue

30. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Feedback inhibition
Relaxation
Low progesterone

31. small follicles filled with eosinphilic secretions
Call exner bodies
Acute mastitis
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Varicocele

32. hemorrhage into persistent corpus luteum
Corpus luteum cyst
2nd week of proliferative phase
increased cGMP - smooth muscle relax - vasodltn - proerectile
Inhibition LH and FSH

33. What are risk factors for abruptio placentae?
Increase
Testosterone - DHT - androstenedione
Decrease
Smoking - HTN - cocaine

34. What stimulation after labor induces lactation
Uterus
Decreasing progesterone
Intraductal papilloma
Turner's XO

35. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Andogren binding protein - anti mullerian hormone
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Fibromas
Low back pain with increased serum alk phos

36. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Puberty
Osteoblastic in bone
Ovary

37. is fibroadenoma a precursor to breast cancer
Invasive lobular
No
Increase in size in pregs - decrease in size meno - estrogen sens
Endometriosis

38. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Prementsrual breast pain and multiple lesions
Menometrorrhagia
Erythroplasia of Queyrat - carcinoma in situ of penis

39. What does estrogen do to FSH and LH
Osteoblastic in bone
Feedback inhibition
Partial
Differentiation of penis - scrotum and prostate

40. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
Fibrocystic disease
2nd week of proliferative phase
Mammary duct epithelium or lobular glands

41. What estrogen does the placenta secrete
Preeclampsia + siezures
Estradiol
Myometrial invasion
Spermatogonia (germ cells)

42. What does FSH do
Prior c section - inflammation - placenta previa
Haploid - 2N - 23 sister chromatids
Stimulates sertoli cells to produce ABP and inhibin
69 xxy

43. How is prostatic adenocarcinoma diagnosed
Decrease
DRE - hard nodule and biopsy
Dilation and curettage and methotrexate
Adrenal gland

44. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Periurethral lobes - lateral and middle
Aortic bicuspid valve
Severe bleeding iron def anemia - miscarriage

45. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Asia - Africa - S. America - HPV - lack of circumcision
Slight increase - 1.5 to 2

46. Bent penis due to acquired fibrous tissue formation

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47. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Theca cell - desmolase - androstenedione
Squamous cell carcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

48. What is the treatment for hydatidiform mole
Slight increase - 1.5 to 2
Obdurator - exterinal iliac - hypogastic nodes
Prostatic acid phosphatase and PSA
Dilation and curettage and methotrexate

49. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Inhibition of HCG access
Decreasing progesterone
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

50. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
20 to 40
In the 6th decade of life
Sertoli cells - and adipose tissue via aromatase

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First Aid: Reproductive

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