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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. frequent bu irregular cycles
Metrorrhagia
Aortic bicuspid valve
Mucinous cystadenocarcinoma
PANS - pelvic nerve

2. What is a complication of cryptorchidism and why does it occur
Haploid - N - 23 single chromatids
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Kallman
Mitochondria

3. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Fibroadenoma
increased risk for carcinoma
Hydrocele

4. heavy - irregular menstruation at irregular intervals
Low back pain with increased serum alk phos
Menometrorrhagia
Polymenorrhea
Suspensory ligament of ovaries

5. What does progesterone do to estrogen receptors
Adenomyosis
Down regulation
Bowen's dz - carcinoma in situ of the penis
Preeclampsia

6. What is the genetic material in the secondary oocyte?
50 times
No
Haploid - 2N - 23 sister chromatids
Menometrorrhagia

7. what structures supplies the energy to the middle piece (neck)
Upregulation
Mitochondria
S aureus
Maintenance

8. what metabolic disorder is assocaited with PCOS
Post menopausal
Retrograde mentrual flow or ascending infection
Insulin resistance
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

9. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
The ampulla - occurs within 1 day of ovulation
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Myometrial tumors

10. What are the effects of prolactin?
Theca cell - desmolase - androstenedione
Defective androgen receptor
Induces and maintains lactation - decreases reproductive function
Corpus luteum cyst

11. What are the most common tumors in all females?
Hyperestrogenism
Differentiation of penis - scrotum and prostate
Sertoli cells
Myometrial tumors

12. what stimulation is required to maintain milk production and What is the pathway
CIN 1 - 2 - 3
Oligomenorrhea
Hydrocele
Suckling - increased oxytocin - prolactin

13. histo: simple columnar epithelium
Polymenorrhea
Male pseudoHerm
Sclerosing adenosis
Endocervix

14. Connects cervix to side wall of pelvis - contains uterine vessels
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
In the 6th decade of life
Cardinal ligament
Stimulates sertoli cells to produce ABP and inhibin

15. How does endometriosis cause infertility
Complete
Retrograde mentrual flow or ascending infection
Sclerosing adenosis
Haploid - N - 23 single chromatids

16. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Mittelschmerz syndrome
Hyperestrogenism
5 alpha reductase def
Sertoli cells

17. Where is androstenedione made?
Superficial inguinal lymph nodes
Epithelial hyperplasia
Adrenal gland
Endometriosis

18. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Suspensory ligament of ovaries
Mittelschmerz syndrome
Medullary
Increase

19. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Choriocarcinoma
Inhibit cGMP breakdown
PCOS

20. Which cells secrete beta hCG
Testosterone - DHT - androstenedione
Trophoblasts
Post menopausal
2 months

21. What are the functions of oxytocin - maybe
Complete
Milk letdown - uterine contractions?
Down regulation
Polymenorrhea

22. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Retrograde mentrual flow or ascending infection
Mucinous cystadenocarcinoma
E coli
Sertoli cells - and adipose tissue via aromatase

23. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Koilocytitic
55-65
Fibrocystic disease
HPV 16 - 18

24. Dermal lymphatic invasion by breast carcinoma - peu d orange
Inflammatory
E coli
Androgen insensitivity syndrome - 46 XY
HPV 16 - 18

25. what usually causes endometrial hyperplasia
Induces and maintains lactation - decreases reproductive function
The anterior pituitary and hypothalamus
Estrogen overstimulation
Periurethral lobes - lateral and middle

26. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Teratoma
Hydatidiform mole
HPV 16 - 18
Varicocele

27. What is the clinical manifestation of PCOS
Good - late metastasis
Right gonadal vein - IVC
Trophoblasts
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

28. What does progesterone do to gonadotropins
Prematurity
Inhibition LH and FSH
Peripheral conversion of androgens
PCOS

29. What increase in estriol is an indicator offetal well being in pregnancy
Estradiol and possible growth promoting effects of DHT
1000 times
Invasive lobular
Immature

30. In What age group are ovarian germ cell tumors most common
Cardinal ligament
Bicornute uterus
Visceral - somatic nerves in pudendal
Adolescents

31. When does endometiral carcinoma usually occur
Adolescents
55-65
DES in utero (DES is a sythetic estrogen)
Comedocarcinoma

32. Arrange the androgens in order of most potent to least potent
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Fibromas
DHT - testosterone - androstenedione
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

33. 2 sperm + empty egg
No
Mucinous cystadenocarcinoma
Complete
Hydatidiform mole

34. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Retrograde mentrual flow or ascending infection
Cervix
The ampulla - occurs within 1 day of ovulation

35. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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36. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
The ampulla - occurs within 1 day of ovulation
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Brenner tumor

37. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Slight increase - 1.5 to 2
Female pseudoHerm
Premature ovarian failure (Pof)
Round ligament of the uterus

38. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Koilocytitic
Intraductal papilloma
Cervix

39. is fibroadenoma a precursor to breast cancer
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Retrograde mentrual flow or ascending infection
No
Post menopausal bleeding

40. What is the treatment for hydatidiform mole
Smoking - HTN - cocaine
Dilation and curettage and methotrexate
Polymenorrhea
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

41. Which androgen is responsible for libido
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Invasive lobular
Vagina
Testosterone

42. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Suspensory ligament of ovaries
Brenner tumor
Male pseudoHerm

43. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Premature ovarian failure (Pof)
Peripheral adipose tissue
Blacks
Low back pain with increased serum alk phos

44. Where is the enlargement found in BPH
Fibromas
Periurethral lobes - lateral and middle
Blacks
Cervix

45. What are the associated risk factors for malignant breast tumors
Oligohydramnios
Ovarian > cervical > endometrial
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Multiple sexual partners - also HIV and early sexual intercourse

46. 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
Seminoma
Induces and maintains lactation - decreases reproductive function
Neoplastic cells block lymphatic drainage
Suckling - increased oxytocin - prolactin

47. What estrogen does the placenta secrete
Stimulates sertoli cells to produce ABP and inhibin
Complete
Estradiol
Lobular carcinoma - sclerosing adenosis

48. What is DHT responsible for in early development?
Stimulates testosterone release from leydig cells
Tunica vaginalis lesions
Differentiation of penis - scrotum and prostate
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

49. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Haploid - N - 23 single chromatids
Serous cystadenoma
Fat necrosis
Sertoli cells - and adipose tissue via aromatase

50. When is the peak occurrence of leiomyoma
20 to 40
Vagina
Meigs syndrome
Kallman