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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. histo: simple columnar epithelium
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Endocervix
Mimics LH
PCOS

2. Breast path - disease that occurs at the nipple

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3. How is prostatic adenocarcinoma diagnosed
DRE - hard nodule and biopsy
Fibrocystic disease
Endometrial carcinoma
Whorled pattern of smooth muscle bundles

4. What are the 4 sources of progesterone
Blacks
Corpus luteum - placenta - adrenal cortex - testes
Pseudohermaphroditism
Fibroadenoma

5. What is the right venous drainage of the ovary/testis
GnRH from hypoTh - LH and FSH from ant pituitary
5 alpha reductase def
Right gonadal vein - IVC
Bicornute uterus

6. What pathologic states cause increases in hCG
Calcifications
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Endometrial > ovarian> cervical (in US)

7. endometrium within the myometrium
Inhibit FSH
Intraductal papilloma - breast abscess - mastitis
Adenomyosis
Comedocarcinoma

8. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Testosterone
DES in utero (DES is a sythetic estrogen)

9. Where is testosterone secreted into?
The semiT and the blood vessels
Blacks
Prior c section - inflammation - placenta previa
Golgi

10. What substances other than inhibin do sertoli cells produce?
Fibrocystic disease
Malignant in males not in females
Granulosa cell - aromatase - androstenedione - estrogen
Andogren binding protein - anti mullerian hormone

11. >1.5 -2 L of amniotic fluid
Androgen insensitivity syndrome
Chromosomal abnormalities
Choriocarcinoma
Polyhydramnios

12. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Mimics LH
Polyhydramnios
Choriocarcinoma

13. What hematologic condition is associated with abruptio placentae
Testosterone
Stimulation of secretion - but blocks its action at the breast
DIC
Fibrocystic disease

14. Breast path - diseases of the terminal duct
2nd week of proliferative phase
Insulin resistance
Suspensory ligament of ovaries
Tubular carcinoma

15. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Cardinal ligament
Endometriosis
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Ligament of the ovary

16. What does the tail go onto to form
Oligohydramnios
Broad ligament
The centrioles
Ovarian > cervical > endometrial

17. What is mortality due to in preeclampsia
Mimics LH
Blacks
Retrograde mentrual flow or ascending infection
Cerebral hemorrhage and ARDS

18. What is associated with sclerosing adenosis?
50 times
Small infiltrating glands with prominent nucleoli
The anterior pituitary and hypothalamus
Calcifications

19. dx with decreased testosterone - increased LH
2nd week of proliferative phase
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Left gonadal vein - left renal vein - IVC
Primary hypogonadism

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

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21. What increases the risk of cryptorchidism
The anterior pituitary and hypothalamus
Cardinal ligament
Prematurity
Teratoma

22. Breast path - diseeases of the lobules
Vagina
Inhibition of HCG access
Congenital adrenal hyperplasia - exogenous administration of steroids
Lobular carcinoma - sclerosing adenosis

23. premature detachment of placenta from implantation site leading to fetal death
Abacterial
Female pseudoHerm
Abruptio placentae
Placenta acreta

24. histo: stratified squamous epithelium - nonkeratinized
Vagina
During fetal life
Down regulation
Follicular phase varies - luteal phase is 14

25. distention of unruptured graafian follicle
Increase (and LH)
increased size and tenderness with increased estrogen
Call exner bodies
Follicular cyst

26. dx with increased testosterone and increased LH
No
Defective androgen receptor
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
increased in total - and dec in free fraction

27. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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28. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Sclerosing adenosis
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
17beta estradiol
Hypogondadotropic hypogonadism

29. What is a true hermaphrodite
Mammary duct epithelium or lobular glands
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Abruptio placentae
PSA

30. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
Upregulation - LH surge - ovulation
Polyhydramnios
PANS - pelvic nerve

31. What is the most common pathogen in acute mastitis
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Trophoblasts
S aureus
PSA

32. What is the most common cause of breast lumps from age 25 to menopause
Yolk sac - endodermal sinus - tumor
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Fibrocystic disease
Oligohydramnios

33. What does SEVEN Up stand for in regards to the pathway of sperm
DES in utero (DES is a sythetic estrogen)
Testis determining factor
Testicular lymphoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

34. triad of ovarian fibroma - ascites - hydrothorax
Meigs syndrome
Acute mastitis
Asia - Africa - S. America - HPV - lack of circumcision
Androgen insensitivity syndrome - 46 XY

35. What does progesterone do to smooth muscle in the uterus
IV mag sulfate - diazepam
Relaxation
Complete
No

36. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Peyronie's dz
Blacks
Upregulation

37. What is the expected increase of estradiol and estrone in pregnancy
50 times
PSA
Upregulation - LH surge - ovulation
Congenital adrenal hyperplasia - exogenous administration of steroids

38. What does progesterone do to body temp
Blacks
Increase
Left
Endometrial carcinoma

39. What does progesterone do in the endometrium
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Delivery of fetus
Preeclampsia
Stimulate glandular secretions - and spiral artery development

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. What hormones regulate sperm creation?
Immature
55-65
GnRH from hypoTh - LH and FSH from ant pituitary
During fetal life

42. Breast path - diseases of the lactiferous sinus
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Intraductal papilloma - breast abscess - mastitis
Placenta previa
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

43. testes present with non male external genitals
Proliferation
Corpus luteum - placenta - adrenal cortex - testes
Male pseudoHerm
Cervix

44. tumor with orderly row of cells - often multiple and bilateral
Chocolate cyst
Invasive lobular
Puberty
Myometrial invasion

45. What are predisposing factors for placenta previa
Endometrial carcinoma
Fibrcystic change - ductal cancer
Prior c section - multiparity
Low progesterone

46. What is the single most important prognostic factor for malignant breast tumors
Peripheral adipose tissue
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Fallopian tube
Axillary node involvement

47. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
6
Yolk sac - endodermal sinus - tumor

48. What are the treatments for BPH
Superficial inguinal lymph nodes
Androgen insensitivity syndrome - 46 XY
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Mammary duct epithelium or lobular glands

49. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Testosterone
Peripheral adipose tissue
Production of a thick cervical mucus
Squamous cell carcinoma

50. Where does fertilization most commonly occur?
Peyronie's dz
The centrioles
The ampulla - occurs within 1 day of ovulation
Testis determining factor