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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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Match each statement with the correct term.
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1. What estrogen does the ovary secrete
Cerebral hemorrhage and ARDS
Comedocarcinoma
CIN 1 - 2 - 3
17beta estradiol

2. Benign - looks like bladder
Maintenance
Brenner tumor
Prematurity
20 to 40

3. What is the common presentation of metastasis in prostate cancer
Severe bleeding iron def anemia - miscarriage
Low back pain with increased serum alk phos
Stimulates testosterone release from leydig cells
Medullary

4. marked increased hCG - complete or partial
Complete
Female pseudoHerm
Ectopic preg
Polymenorrhea

5. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Androgen insensitivity syndrome
Increase
Small infiltrating glands with prominent nucleoli
Obdurator - exterinal iliac - hypogastic nodes

6. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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7. histo: stratified squamous epithelium - nonkeratinized
Ligament of the ovary
4
Cervix
Vagina

8. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Androgen insensitivity syndrome - 46 XY
Inhibition of HCG access
Complete

9. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Bowen's dz - carcinoma in situ of the penis
PCOS
Sclerosing adenosis

10. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Fibromas
Oligohydramnios
DES in utero (DES is a sythetic estrogen)

11. Overexpression of which receptors is common iwht malignant breast tumors
Tunica vaginalis lesions
Endometrial carcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Call exner bodies

12. Where is the enlargement found in BPH
Obdurator - exterinal iliac - hypogastic nodes
Androgen insensitivity syndrome
Adrenal gland
Periurethral lobes - lateral and middle

13. What effect does NE have on smoothe muscle in the erectile tissues
Endometrial carcinoma
S aureus
Hydatidiform mole
increased Ca in - smooth muscle contraction - vasocxn - antierectile

14. What is the serum marker for BPH
55-65
Increase (and LH)
PSA
Increase in size in pregs - decrease in size meno - estrogen sens

15. What does progesterone do to body temp
Paget cell
Production of a thick cervical mucus
Increase
Tight junctions between sertoli cells

16. Dermal lymphatic invasion by breast carcinoma - peu d orange
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ovarian > cervical > endometrial
Delivery of fetus
Inflammatory

17. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Congenital adrenal hyperplasia - exogenous administration of steroids
Adrenal gland
Defective androgen receptor
Round ligament of the uterus

18. distention of unruptured graafian follicle
Endometrial > ovarian> cervical (in US)
Follicular cyst
increased size and tenderness with increased estrogen
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

19. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
46 xx
17beta estradiol
Erythroplasia of Queyrat - carcinoma in situ of penis

20. in postmenopausal women Where is androstenedione converted to estrone
PSA
Feedback inhibition
Peripheral adipose tissue
Fertilization 'an egg met a sperm'

21. premature detachment of placenta from implantation site leading to fetal death
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Embryonal carcinoma
Abruptio placentae
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

22. Connects ovary to lateral uterus
Ligament of the ovary
increased risk for carcinoma
Complete
2nd week of proliferative phase

23. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Down regulation
Squamous cell carcinoma

24. What are the associated risk factors for malignant breast tumors
Stimulate glandular secretions - and spiral artery development
Severe bleeding iron def anemia - miscarriage
Diploid - 4N - 46 sister chromatids
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

25. histo: simple cuboidal epithelium
Call exner bodies
Ovary
4
Granulosa cell tumor

26. What is a complication of invasive carcinoma
Fibrcystic change - ductal cancer
Hypogondadotropic hypogonadism
Lateral invasion can block ureters causing renal failure
Dysgerminoma

27. dx with decreased testosterone and decreased LH
Bowenoid papulosis - carcinoma in situ of the penis
Hypogondadotropic hypogonadism
Post menopausal
Ectopic preg

28. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Feedback inhibition
Call exner bodies
Multiple sexual partners - also HIV and early sexual intercourse
DCIS

29. What is the most common pathogen in acute mastitis
95%
S aureus
Decrease
increased AFP and hCG

30. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Spermatogonia (germ cells)
Insulin resistance
Chocolate cyst
Broad ligament

31. when do primary oocytes complete meiosis I
95%
Bowen's dz - carcinoma in situ of the penis
Just prior to ovulation
Serous cystadenocarcinoma

32. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
17beta estradiol
Preeclampsia
Premature ovarian failure (Pof)

33. Risk factors for ectopic pregs
Vagina
Follicular cyst
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

34. What does the SRY gene do
Low progesterone
No
Testis determining factor
Yolk sac - endodermal sinus - tumor

35. 2 sperm + 1 egg
Partial
Spermatocele
Milk letdown - uterine contractions?
Differentiation of penis - scrotum and prostate

36. How many days after fertilization does implantation occur?
5 alpha reductase - inhibited by finesteride
Menometrorrhagia
6
Testosterone secreting tumor - exogenous steroids

37. histo: stratified sqamous epithelium
Estradiol > estrone > estriol
17beta estradiol
Ectocervix
Varicocele

38. What are predisposing factors for placenta previa
increased in total - and dec in free fraction
Prior c section - multiparity
HPV 16 - 18
Andogren binding protein - anti mullerian hormone

39. What is the genetic material in the secondary oocyte?
Neoplastic cells block lymphatic drainage
Testis determining factor
Relaxation
Haploid - 2N - 23 sister chromatids

40. What are the effects of prolactin?
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
20 to 40
Induces and maintains lactation - decreases reproductive function
Theca - leutin cysts

41. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Peyronie's dz
Malignant in males not in females
Testosterone
increased cGMP - smooth muscle relax - vasodltn - proerectile

42. What is associated with sclerosing adenosis?
Axillary node involvement
Calcifications
Mittelschmerz syndrome
Endometrial carcinoma

43. Red velvety plaques - usually involving the glans - similar to Bowen's
Prementsrual breast pain and multiple lesions
Testosterone
increased risk for carcinoma
Erythroplasia of Queyrat - carcinoma in situ of penis

44. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Testosterone secreting tumor - exogenous steroids
Cardinal ligament
Cerebral hemorrhage and ARDS
Leydig cell tumor

45. is fibroadenoma a precursor to breast cancer
No
Fructose
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Alpha1 antagonists - terazosin - tamsulosin - finasteride

46. dx with increased testosterone and increased LH
Smoking - HTN - cocaine
Defective androgen receptor
Decreasing progesterone
Varicocele

47. A leimyoma is overgrowth of what cell
E coli
Oligohydramnios
Fibrcystic change - ductal cancer
Smooth muscle

48. Which side is varicocele more common on...
Periurethral lobes - lateral and middle
Milk letdown - uterine contractions?
Leydig cell tumor
Left

49. How does exogenous testosterone create azoospermia
Leydig cell tumor
Decreasing progesterone
DCIS
Inhibition of HCG access

50. Which androgen is responsible for the deepening of the voice
Mitochondria
Mimics LH
Testosterone
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

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First Aid: Reproductive

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