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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 complications are associated with oligohydramnios

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2. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Placenta previa
Sarcoma botryoides - a rhabdomyosarcoma variant
Prostate growth - balding - and sebaceous gland activity

3. What is the best test to confirm menopause
Increased FSH
IV mag sulfate - diazepam
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Serous cystadenoma

4. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
69 xxy
Cervix
Male pseudoHerm
Krukenburg tumor

5. List the estrogens in order of decreasing potency
Premature ovarian failure (Pof)
Prematurity
Estradiol > estrone > estriol
Left

6. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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7. What is the clinical manifestation of PCOS
Testosterone secreting tumor - exogenous steroids
increased size and tenderness with increased estrogen
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
BPH

8. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Maintenance
Koilocytitic
Follicular phase varies - luteal phase is 14
DES in utero (DES is a sythetic estrogen)

9. decreased estrogen production due to age linked decline in the number of ovarian follices
Endometrial > ovarian> cervical (in US)
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Menopause
Complete

10. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Polyhydramnios
increased Ca in - smooth muscle contraction - vasocxn - antierectile

11. hemorrhage into persistent corpus luteum
The centrioles
Choriocarcinoma
Blacks
Corpus luteum cyst

12. in males - are mature teratomas malignant? What is the case for females
PSA
Decrease
Malignant in males not in females
Diploid - 4N - 46 sister chromatids

13. How long does it take for sperm to fully develop
Osteoblastic in bone
2 months
Develop both male and female internal genitalia and male external genitalia
Corpus luteum - placenta - adrenal cortex - testes

14. predisposing factor to clear cell adenocarcinoma of the vagina
Testosterone
Sertoli cell tumor
DES in utero (DES is a sythetic estrogen)
Corpus luteum - placenta - adrenal cortex - testes

15. What is a concern of early menopause
Premature ovarian failure (Pof)
Bowen's dz - carcinoma in situ of the penis
4
Epithelial hyperplasia

16. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Serous cystadenoma
Maintenance
Endometriosis
Visceral - somatic nerves in pudendal

17. how can struma ovarri present?
Upregulation - LH surge - ovulation
Hyperthyroidism - contains functional thyroid tissue
Tunica vaginalis lesions
Sertoli cells - and adipose tissue via aromatase

18. multilocular cyst lined by mucus secreting epi - benign - intestine like
increased size and tenderness with increased estrogen
Adenomyosis
Prostatic acid phosphatase and PSA
Mucinous cystadenoma

19. In what phase is meiosis II arrested
Metaphase
Androgen insensitivity syndrome
Teratoma
Alpha1 antagonists - terazosin - tamsulosin - finasteride

20. What is the karyotype of a complete mole
Fibrosis
46 xx
Uterus
Ligament of the ovary

21. dx with increased testosterone and increased LH
Defective androgen receptor
Granulosa cell tumor
Insulin resistance
Testicular lymphoma

22. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
Periurethral lobes - lateral and middle
95%
Lobular carcinoma - sclerosing adenosis

23. What is a complication of cryptorchidism and why does it occur
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
IV mag sulfate - diazepam
Inhibit cGMP breakdown
Para - aortic lymph nodes

24. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Premature ovarian failure (Pof)
Obdurator - exterinal iliac - hypogastic nodes
Prior c section - multiparity
IV mag sulfate - diazepam

25. What is mortality due to in preeclampsia
Preductal coarctication
Choriocarcinoma
Upregulation
Cerebral hemorrhage and ARDS

26. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Andogren binding protein - anti mullerian hormone
Retrograde mentrual flow or ascending infection

27. Where is testosterone converted to estrogen
50 times
In the 6th decade of life
Fat necrosis
Sertoli cells - and adipose tissue via aromatase

28. most common testicular cancer in older men
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Erythroplasia of Queyrat - carcinoma in situ of penis
Feedback inhibition
Testicular lymphoma

29. What increase in estriol is an indicator offetal well being in pregnancy
increased cGMP - smooth muscle relax - vasodltn - proerectile
Tunica vaginalis lesions
1000 times
Hydrocele

30. Which androgen is responsible for the closing of the epiphyseal plate
Paget's disease
Testosterone
Multiple sexual partners - also HIV and early sexual intercourse
Broad ligament

31. Bent penis due to acquired fibrous tissue formation

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32. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Suspensory ligament of ovaries
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Yolk sace - endodermal sinus - tumor
Testosterone

33. What does progesterone do to body temp
Preeclampsia clinical
Increase
Premature ovarian failure (Pof)
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

34. In what group are malignant breast tumors most commonly seen
Post menopausal
Placenta previa
The centrioles
Left gonadal vein - left renal vein - IVC

35. Does a leiomyoma progress to leiosarcoma
Superficial inguinal lymph nodes
Aortic bicuspid valve
Relaxation
No

36. common cause of recurrent miscarriage in the 1st week
Sertoli cells - and adipose tissue via aromatase
Low progesterone
Testosterone
BPH

37. What is the right venous drainage of the ovary/testis
50 times
Paget's disease
Preeclampsia + siezures
Right gonadal vein - IVC

38. Complications of BPH
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Partial
Production of a thick cervical mucus

39. Dermal lymphatic invasion by breast carcinoma - peu d orange
Inflammatory
Serous cystadenoma
Female pseudoHerm
2 months

40. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
S aureus
Male pseudoHerm
Testosterone secreting tumor - exogenous steroids

41. Is fertility compromised in double Y males?
Malignant in males not in females
Vagina
Para - aortic lymph nodes
No

42. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Ovarian > cervical > endometrial
Endometrial carcinoma
Sertoli cells

43. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Lobular carcinoma - sclerosing adenosis
Fibroadenoma
Haploid - 2N - 23 sister chromatids

44. < 21 day cycle
Polymenorrhea
Preeclampsia clinical
Follicular phase varies - luteal phase is 14
Cardinal ligament

45. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Hypogondadotropic hypogonadism
No
Ovary

46. What estrogen does the ovary secrete
Golgi
17beta estradiol
Dysgerminoma
Cardinal ligament

47. How many functional sperm does 1 germ cell creat?
Yolk sac - endodermal sinus - tumor
Paget's disease - breast abscess
Haploid - 2N - 23 sister chromatids
4

48. disagreement between the phenotypic and gonadal sex
Malignant in males not in females
Testosterone
Pseudohermaphroditism
Alpha1 antagonists - terazosin - tamsulosin - finasteride

49. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Epithelial hyperplasia
Testosterone
Sarcoma botryoides - a rhabdomyosarcoma variant
increased cGMP - smooth muscle relax - vasodltn - proerectile

50. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
Feedback inhibition
Decreasing progesterone
increased in total - and dec in free fraction