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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. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
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
IV mag sulfate - diazepam
Granulosa cell tumor

2. What are the most common tumors in all females?
Koilocytitic
Relaxation
Myometrial tumors
Production of a thick cervical mucus

3. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
20 to 40
Fat necrosis
Low back pain with increased serum alk phos
Acute mastitis

4. What is the treatment for hydatidiform mole
Ectopic preg
Dilation and curettage and methotrexate
During fetal life
Adolescents

5. histo: stratified squamous epithelium - nonkeratinized
Metrorrhagia
Vagina
Complete
DES in utero (DES is a sythetic estrogen)

6. Which cells secrete beta hCG
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Whorled pattern of smooth muscle bundles
Trophoblasts
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

7. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Testosterone
Calcifications
Seminoma

8. Connects ovary to lateral uterus
Ligament of the ovary
Fallopian tube
Klinefelter's - XXY
5 alpha reductase - inhibited by finesteride

9. A leimyoma is overgrowth of what cell
Smooth muscle
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Insulin resistance
Dilation and curettage and methotrexate

10. From What tissues to malignant breast tumors arise?
Hemorrhage
Bowenoid papulosis - carcinoma in situ of the penis
Mammary duct epithelium or lobular glands
Induces and maintains lactation - decreases reproductive function

11. What is the genetic material in the secondary oocyte?
Haploid - 2N - 23 sister chromatids
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Obdurator - exterinal iliac - hypogastic nodes
Esophogeal/duodenal atresia - can't swallow - anencephaly

12. What estrogen does the ovary secrete
Hydrocele
Posterior lobe peripheral zone
17beta estradiol
Endometrial carcinoma

13. What is associated with sclerosing adenosis?
Blacks
Choriocarcinoma
Spermatocele
Calcifications

14. What does LH do
Stimulates testosterone release from leydig cells
No
2nd week of proliferative phase
Fertilization 'an egg met a sperm'

15. distention of unruptured graafian follicle
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Ovary
PSA
Follicular cyst

16. What are common causes of hyperestrogenism

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17. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Peyronie's dz
Oligohydramnios
Suspensory ligament of ovaries
BPH

18. What are the 3 androgens
Whorled pattern of smooth muscle bundles
Testosterone - DHT - androstenedione
S aureus
Stimulate glandular secretions - and spiral artery development

19. What are the 4 sources of progesterone
Peyronie's dz
Prostate growth - balding - and sebaceous gland activity
Corpus luteum cyst
Corpus luteum - placenta - adrenal cortex - testes

20. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Abacterial
Polymenorrhea
Krukenburg tumor
Inhibition of HCG access

21. What are the effects of prolactin?
DHT - testosterone - androstenedione
Mittelschmerz syndrome
Induces and maintains lactation - decreases reproductive function
Mimics LH

22. What is the serum marker for BPH
PSA
Malignant in males not in females
Posterior lobe peripheral zone
Mucinous cystadenocarcinoma

23. What is DHT responsible for in late development
Estradiol > estrone > estriol
DES in utero (DES is a sythetic estrogen)
Prostate growth - balding - and sebaceous gland activity
Stimulation of secretion - but blocks its action at the breast

24. histologic type of fibrocystic with hyperplasia of breast stroma
Maintenance
Fibrosis
Esophogeal/duodenal atresia - can't swallow - anencephaly
Spermatogonia (germ cells)

25. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Theca - leutin cysts
Peyronie's dz
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
The ampulla - occurs within 1 day of ovulation

26. What does estrogen do to FSH and LH
Spermatocele
Hemolysis - elevated liver enzymes - low platelets
Feedback inhibition
Hydatidiform mole

27. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Ovarian > cervical > endometrial
Haploid - 2N - 23 sister chromatids
Upregulation - LH surge - ovulation
4

28. What is mortality due to in preeclampsia
Para - aortic lymph nodes
Bowen's dz - carcinoma in situ of the penis
Cerebral hemorrhage and ARDS
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

29. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Mitochondria
DES in utero (DES is a sythetic estrogen)
Ectopic preg
Myometrial tumors

30. predisposing factor to clear cell adenocarcinoma of the vagina
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Posterior lobe peripheral zone
Krukenburg tumor
DES in utero (DES is a sythetic estrogen)

31. frequent bu irregular cycles
Sertoli cells - and adipose tissue via aromatase
Metrorrhagia
Adenomyosis
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

32. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Testosterone
Osteoblastic in bone
Immature
Prophase

33. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Smoking - HTN - cocaine
Testosterone
Round ligament of uterus

34. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Testosterone
Abacterial
Teratoma
Ligament of the ovary

35. What is the presentation of fibrocystic dz
Slight increase - 1.5 to 2
Blacks
Endometrial carcinoma
Prementsrual breast pain and multiple lesions

36. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
Whorled pattern of smooth muscle bundles
Dilation and curettage and methotrexate
Production of a thick cervical mucus

37. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Yolk sace - endodermal sinus - tumor
Syncytiotrophoblasts of placenta

38. What percentage of testicular tumors are germ cell
Complete
69 xxy
95%
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

39. histo: simple cuboidal epithelium
Ovary
Testicular lymphoma
Cervix
In the 6th decade of life

40. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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41. triad of ovarian fibroma - ascites - hydrothorax
Call exner bodies
Mammary duct epithelium or lobular glands
Meigs syndrome
Androgen insensitivity syndrome

42. What hematologic condition is associated with abruptio placentae
DIC
Cerebral hemorrhage and ARDS
Stimulates sertoli cells to produce ABP and inhibin
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

43. What does progesterone do for pregnancy
Upregulation
Low back pain with increased serum alk phos
Maintenance
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

44. What is a true hermaphrodite
Ectopic preg
Mucinous cystadenoma
DCIS
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

45. dilated vein in pampiniform plexus - bag of worms
Androgen insensitivity syndrome
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Periurethral lobes - lateral and middle
Varicocele

46. histo: simple columnar epithelium - pseudostratified tubular glands
Aortic bicuspid valve
Testosterone
Uterus
Testosterone secreting tumor - exogenous steroids

47. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Hypogondadotropic hypogonadism
Sarcoma botryoides - a rhabdomyosarcoma variant
Corpus luteum - placenta - adrenal cortex - testes
Fibroadenoma

48. How does progesterone inhibit sperm entry to uterus
Peripheral adipose tissue
Production of a thick cervical mucus
Calcifications
Small infiltrating glands with prominent nucleoli

49. What is the most common cause of breast lumps from age 25 to menopause
Decreasing progesterone
Ovary
Tight junctions between sertoli cells
Fibrocystic disease

50. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
increased risk for carcinoma
Follicular phase varies - luteal phase is 14
The centrioles
PSA