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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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1. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Estradiol
Complete
increased cGMP - smooth muscle relax - vasodltn - proerectile
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

2. triad of ovarian fibroma - ascites - hydrothorax
Testosterone
Call exner bodies
Seminoma
Meigs syndrome

3. heavy - irregular menstruation at irregular intervals
Androgen insensitivity syndrome - 46 XY
Menometrorrhagia
Inhibition of HCG access
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

4. androblastoma from sex cord stroma
Smoking - HTN - cocaine
Sertoli cell tumor
Endometrial > ovarian> cervical (in US)
4

5. In chronic prostatitis is bacterial or abacterial more common
Low back pain with increased serum alk phos
Abacterial
Chocolate cyst
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

6. What is the most common gynecologic malignancy
Endometrial carcinoma
Paget's disease
Koilocytitic
Paget cell

7. hemorrhage into persistent corpus luteum
Corpus luteum cyst
Immature
Fibrocystic disease
Granulosa cell - aromatase - androstenedione - estrogen

8. What happens to a leiomyoma in pregs and menopause and why
Whorled pattern of smooth muscle bundles
Visceral - somatic nerves in pudendal
Increase in size in pregs - decrease in size meno - estrogen sens
Cystic

9. What hematologic condition is associated with abruptio placentae
DIC
Serous cystadenocarcinoma
Medullary
Male pseudoHerm

10. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
Paget cell
Testosterone - DHT - androstenedione
Choriocarcinoma

11. What does the histo show for prostate cancer
Uterus
Acute mastitis
Endometrial > ovarian> cervical (in US)
Small infiltrating glands with prominent nucleoli

12. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Estradiol and possible growth promoting effects of DHT
Prematurity
2nd week of proliferative phase
Multiple sexual partners - also HIV and early sexual intercourse

13. Large cells in epidermis with clear halo
69 xxy
Paget cell
Medullary
Fibrcystic change - ductal cancer

14. histo: simple columnar epithelium - pseudostratified tubular glands
Mimics LH
No
Uterus
Osteoblastic in bone

15. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Low back pain with increased serum alk phos
Chocolate cyst
Squamous cell carcinoma
Low progesterone

16. Which hydatidiform mole has the greater risk for malignancy
Endometrial carcinoma
During fetal life
Complete
Testosterone secreting tumor - exogenous steroids

17. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Hypogondadotropic hypogonadism
Preeclampsia clinical
Cervix

18. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Axillary node involvement
Fertilization 'an egg met a sperm'
Congenital adrenal hyperplasia - exogenous administration of steroids

19. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
The semiT and the blood vessels
Lateral invasion can block ureters causing renal failure
Medullary
Ectopic preg

20. 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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21. What does progesterone do to estrogen receptors
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Down regulation
Stimulate glandular secretions - and spiral artery development
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

22. How many functional sperm does 1 germ cell creat?
4
Theca - leutin cysts
Cervix
PCOS

23. What is the expected increase of estradiol and estrone in pregnancy
50 times
46 xx
Endometrial carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile

24. Which androgen is responsible for libido
PANS - pelvic nerve
Granulosa cell tumor
Testosterone
Cardinal ligament

25. What effect does NE have on smoothe muscle in the erectile tissues
Superficial inguinal lymph nodes
Estradiol > estrone > estriol
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Preeclampsia + siezures

26. What can happen with no sertoli cell or lack of anti mullerian hormone
DHT - testosterone - androstenedione
Prostate growth - balding - and sebaceous gland activity
Develop both male and female internal genitalia and male external genitalia
Peripheral adipose tissue

27. dx with increased testosterone and increased LH
55-65
Chromosomal abnormalities
Prostate growth - balding - and sebaceous gland activity
Defective androgen receptor

28. predisposing factor to clear cell adenocarcinoma of the vagina
Metaphase
Para - aortic lymph nodes
Hydatidiform mole
DES in utero (DES is a sythetic estrogen)

29. 2 sperm + 1 egg
Partial
Menopause
Serous cystadenoma
Pseudohermaphroditism

30. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Fructose
Bowenoid papulosis - carcinoma in situ of the penis
Paget cell
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

31. What is a complication of invasive carcinoma
6
Ovary
Lateral invasion can block ureters causing renal failure
Klinefelter's - XXY

32. eclampsia
Aortic bicuspid valve
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Para - aortic lymph nodes
Preeclampsia + siezures

33. What is the venous drainage of the left ovary/testis?
Hydatidiform mole
Adrenal gland
Left gonadal vein - left renal vein - IVC
Malignant in males not in females

34. >1.5 -2 L of amniotic fluid
Follicular cyst
Polyhydramnios
Partial
Sertoli cells

35. < 21 day cycle
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Complete
Polymenorrhea
Low back pain with increased serum alk phos

36. What are the functions of oxytocin - maybe
Hyperthyroidism - contains functional thyroid tissue
GnRH from hypoTh - LH and FSH from ant pituitary
Ligament of the ovary
Milk letdown - uterine contractions?

37. How is beta hCG detectable in blood or urine for a home pregnancy test
Varicocele
1 week - 2 weeks
Ectopic preg
Induces and maintains lactation - decreases reproductive function

38. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Prior c section - multiparity
Female pseudoHerm
Haploid - 2N - 23 sister chromatids
Vagina

39. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Call exner bodies
Upregulation - LH surge - ovulation
Premature ovarian failure (Pof)
Uterus

40. When are phyllodes tumors most common
Uterus
51 yo
Ligament of the ovary
In the 6th decade of life

41. What are the treatments for BPH
46 xx
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Stimulates testosterone release from leydig cells
PCOS

42. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Mitochondria
Placenta previa
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

43. 2 sperm + empty egg
Production of a thick cervical mucus
Lobular carcinoma - sclerosing adenosis
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Complete

44. In what phase is meiosis I arrested
The anterior pituitary and hypothalamus
Sertoli cells
Prophase
Complete

45. What does progesterone do for pregnancy
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Maintenance
IV mag sulfate - diazepam

46. histo: simple columnar epithelium - ciliated
In the 6th decade of life
Theca - leutin cysts
Fallopian tube
Follicular cyst

47. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Medullary
Inhibit cGMP breakdown
Estradiol > estrone > estriol

48. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Testosterone
55-65
Chromosomal abnormalities
Puberty

49. hyperplasia - not hypertrophy of the prostate gland
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
BPH
PSA
Increased FSH

50. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
Endocervix
Fibromas
Yolk sac - endodermal sinus - tumor

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First Aid: Reproductive

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