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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. What is a potential complication of endometrial hyperplasia
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Endometrial carcinoma
Tubular carcinoma
Chocolate cyst

2. >1.5 -2 L of amniotic fluid
Follicular cyst
Polyhydramnios
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Ligament of the ovary

3. What is the most frequent benign ovarian tumor
Stimulates testosterone release from leydig cells
Mature teratoma
Relaxation
Preductal coarctication

4. What is the prognosis for seminoma
Good - late metastasis
Granulosa cell - aromatase - androstenedione - estrogen
Decrease
One of the centrioles

5. Which androgen is responsible for the deepening of the voice
Inhibition of HCG access
Testosterone
Bowen's dz - carcinoma in situ of the penis
Post menopausal

6. dx with increased testosterone and dec LH
Lateral invasion can block ureters causing renal failure
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Myometrial tumors
Testosterone secreting tumor - exogenous steroids

7. What effect does NE have on smoothe muscle in the erectile tissues
Hydrocele
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Spermatocele

8. What is the expected increase of estradiol and estrone in pregnancy
Bowen's dz - carcinoma in situ of the penis
50 times
Testosterone
Preductal coarctication

9. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Whorled pattern of smooth muscle bundles
Visceral - somatic nerves in pudendal
20 to 40

10. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Golgi
SANS - hypogastric nerve
Sertoli cell tumor

11. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
Primary hypogonadism
Paget cell
Menopause

12. HTN - proteinuria and edema
Preeclampsia
Slight increase - 1.5 to 2
increased in total - and dec in free fraction
Sclerosing adenosis

13. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
Stimulate glandular secretions - and spiral artery development
Sertoli cell tumor
Left

14. What is the genetic material in the ovum
Multiple sexual partners - also HIV and early sexual intercourse
Diploid - 4N - 46 sister chromatids
2nd week of proliferative phase
Haploid - N - 23 single chromatids

15. Breast path - diseases of the lactiferous sinus
Fallopian tube
Testosterone secreting tumor - exogenous steroids
Intraductal papilloma - breast abscess - mastitis
Abacterial

16. Breast path - disease that occurs at the nipple

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17. What complications are associated with oligohydramnios

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18. endometrium within the myometrium
Adenomyosis
increased AFP and hCG
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Congenital adrenal hyperplasia - exogenous administration of steroids

19. What is the most common gynecologic malignancy
Serous cystadenocarcinoma
Endometrial carcinoma
Ectocervix
increased risk for carcinoma

20. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Peripheral adipose tissue
DRE - hard nodule and biopsy
Fat necrosis
Choriocarcinoma

21. hyperplasia - not hypertrophy of the prostate gland
BPH
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
1000 times
Partial

22. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
4
Hemorrhage
Acute mastitis
Intraductal papilloma

23. Some drugs cause awesome knockers
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Induces and maintains lactation - decreases reproductive function
Invasive lobular
Insulin resistance

24. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Embryonal carcinoma
Klinefelter's - XXY
1000 times

25. 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
Mucinous cystadenoma
Sertoli cells
Suspensory ligament of ovaries

26. When does endometiral carcinoma usually occur
55-65
Broad ligament
Abacterial
Visceral - somatic nerves in pudendal

27. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Esophogeal/duodenal atresia - can't swallow - anencephaly
Female pseudoHerm
Obdurator - exterinal iliac - hypogastic nodes
Golgi

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

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29. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Decrease
Testosterone
Dysgerminoma
Granulosa cell - aromatase - androstenedione - estrogen

30. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Yolk sace - endodermal sinus - tumor
Adrenal gland
Ectocervix
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

31. What are the four functions of estrogen
Superficial inguinal lymph nodes
Endometrial > ovarian> cervical (in US)
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Esophogeal/duodenal atresia - can't swallow - anencephaly

32. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Hemolysis - elevated liver enzymes - low platelets
Testosterone - DHT - androstenedione
Suspensory ligament of ovaries
The anterior pituitary and hypothalamus

33. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Testosterone
Testis determining factor
Periurethral lobes - lateral and middle
Hydrocele

34. When is follicular growth the fastest?
Tubular carcinoma
Metaphase
2nd week of proliferative phase
GnRH from hypoTh - LH and FSH from ant pituitary

35. What are the 3 androgens
Bowenoid papulosis - carcinoma in situ of the penis
Testosterone - DHT - androstenedione
Suspensory ligament of ovaries
Inhibition LH and FSH

36. what metabolic disorder is assocaited with PCOS
2 months
increased size and tenderness with increased estrogen
95%
Insulin resistance

37. Breast path - diseases of the major duct
No
Fibrcystic change - ductal cancer
Choriocarcinoma
Serous cystadenocarcinoma

38. What can happen with no sertoli cell or lack of anti mullerian hormone
Invasive lobular
Develop both male and female internal genitalia and male external genitalia
Upregulation
DRE - hard nodule and biopsy

39. Complications of BPH
Obdurator - exterinal iliac - hypogastic nodes
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Upregulation - LH surge - ovulation
Increase (and LH)

40. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
Hyperestrogenism
Haploid - 2N - 23 sister chromatids
Periurethral lobes - lateral and middle

41. Which nerve and nerve fibers control for ejaculation
51 yo
Prostatic acid phosphatase and PSA
Complete
Visceral - somatic nerves in pudendal

42. In What age group are ovarian germ cell tumors most common
Smooth muscle
Adolescents
Erythroplasia of Queyrat - carcinoma in situ of penis
Preeclampsia + siezures

43. What are risk factors for abruptio placentae?
Prementsrual breast pain and multiple lesions
Smoking - HTN - cocaine
increased size and tenderness with increased estrogen
Decreasing progesterone

44. What does progesterone do to myometrial excitability
Fertilization 'an egg met a sperm'
Decrease
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Estradiol and possible growth promoting effects of DHT

45. What sequelae are associated with leiomyoma
Adenomyosis
Severe bleeding iron def anemia - miscarriage
Theca - leutin cysts
Corpus luteum - placenta - adrenal cortex - testes

46. 2 sperm + empty egg
Varicocele
Smoking - HTN - cocaine
Fat necrosis
Complete

47. histo: simple cuboidal epithelium
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Follicular cyst
Ovary
Diploid - 4N - 46 sister chromatids

48. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Granulosa cell tumor
Choriocarcinoma
Cervix

49. How many days after fertilization does implantation occur?
Differentiation of penis - scrotum and prostate
6
Fibrocystic disease
Low back pain with increased serum alk phos

50. < 21 day cycle
Polymenorrhea
Right gonadal vein - IVC
Preeclampsia
Primary hypogonadism