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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. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Yolk sace - endodermal sinus - tumor
Ligament of the ovary
Fructose
Haploid - 2N - 23 sister chromatids

2. What are the treatments for BPH
Androgen insensitivity syndrome - 46 XY
Alpha1 antagonists - terazosin - tamsulosin - finasteride
GnRH from hypoTh - LH and FSH from ant pituitary
Corpus luteum - placenta - adrenal cortex - testes

3. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
4
Tunica vaginalis lesions
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

4. What increase in estriol is an indicator offetal well being in pregnancy
Oligohydramnios
1000 times
increased size and tenderness with increased estrogen
Lobular carcinoma - sclerosing adenosis

5. Connects ovary to lateral uterus
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Ligament of the ovary
The centrioles
Testosterone

6. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Round ligament of uterus
Placenta acreta
Spermatogonia (germ cells)
S aureus

7. What is the genetic material in the secondary oocyte?
Stimulate glandular secretions - and spiral artery development
Haploid - 2N - 23 sister chromatids
Diploid - 4N - 46 sister chromatids
2 months

8. triad of ovarian fibroma - ascites - hydrothorax
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Meigs syndrome
Slight increase - 1.5 to 2

9. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
Granulosa cell tumor
Polyhydramnios
Endometrial carcinoma

10. How long does it take for sperm to fully develop
S aureus
2 months
Sarcoma botryoides - a rhabdomyosarcoma variant
Osteoblastic in bone

11. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
50 times
Kallman
Spermatogonia (germ cells)
Testis determining factor

12. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
increased risk for carcinoma
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Cystic

13. Where does prostatic adenocarcinoma arise from?
Testosterone
Prementsrual breast pain and multiple lesions
Posterior lobe peripheral zone
Superficial inguinal lymph nodes

14. What pathologic states cause increases in hCG
Fat necrosis
Yolk sac - endodermal sinus - tumor
Estradiol
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

15. dx with increased testosterone and increased LH
Myometrial tumors
Prostatic acid phosphatase and PSA
Defective androgen receptor
Endometrial carcinoma

16. Which nerve and nerve fibers control for ejaculation
Visceral - somatic nerves in pudendal
Mitochondria
Para - aortic lymph nodes
Endometrial carcinoma

17. What does progesterone do to estrogen receptors
Turner's XO
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
In the 6th decade of life
Down regulation

18. What is the genetic material in the ovum
BPH
Bowen's dz - carcinoma in situ of the penis
Leydig cell tumor
Haploid - N - 23 single chromatids

19. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
DRE - hard nodule and biopsy
Low progesterone
Mitochondria
Round ligament of the uterus

20. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Premature ovarian failure (Pof)
Testosterone
Smooth muscle

21. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Myometrial tumors
Leydig cell tumor
Left
DCIS

22. multilocular cyst lined by mucus secreting epi - benign - intestine like
The ampulla - occurs within 1 day of ovulation
Squamo - columnar jxn
Mucinous cystadenoma
Squamous cell carcinoma

23. What does the tail go onto to form
Increase (and LH)
Mucinous cystadenocarcinoma
Mammary duct epithelium or lobular glands
The centrioles

24. Is fertility compromised in double Y males?
No
Low progesterone
46 xx
Brenner tumor

25. Bent penis due to acquired fibrous tissue formation

26. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
Golgi
Testosterone secreting tumor - exogenous steroids
Hemorrhage

27. What can happen with no sertoli cell or lack of anti mullerian hormone
17beta estradiol
Develop both male and female internal genitalia and male external genitalia
Diploid - 4N - 46 sister chromatids
Mucinous cystadenoma

28. What are the treatments for PCOS
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Increase in size in pregs - decrease in size meno - estrogen sens
Broad ligament
Fructose

29. What are the most common cause of anovluation

30. What does progesterone do in the endometrium
Theca - leutin cysts
Stimulate glandular secretions - and spiral artery development
Menopause
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

31. What hematologic condition is associated with abruptio placentae
DIC
HPV 16 - 18
Abruptio placentae
Prementsrual breast pain and multiple lesions

32. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Menometrorrhagia
Female pseudoHerm
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
SANS - hypogastric nerve

33. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
5 alpha reductase - inhibited by finesteride
PCOS
GnRH from hypoTh - LH and FSH from ant pituitary
Stimulate glandular secretions - and spiral artery development

34. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Abacterial
Testosterone
Peripheral adipose tissue

35. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
Increase (and LH)
Paget's disease - breast abscess
Follicular phase varies - luteal phase is 14

36. What does HHAVOC stand for in menopause
Squamous cell carcinoma
Complete
The semiT and the blood vessels
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

37. What is the common presentation of metastasis in prostate cancer
17beta estradiol
Fibromas
Sarcoma botryoides - a rhabdomyosarcoma variant
Low back pain with increased serum alk phos

38. What is the best test to confirm menopause
Polyhydramnios
Tight junctions between sertoli cells
CIN 1 - 2 - 3
Increased FSH

39. Atypical cells in epithelial hyperplasia
Hydatidiform mole
Fibroadenoma
Golgi
increased risk for carcinoma

40. What are the most common tumors in all females?
Bowen's dz - carcinoma in situ of the penis
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Round ligament of uterus
Myometrial tumors

41. What changes in the aorta are common in Turner's?
Sertoli cells
Premature ovarian failure (Pof)
Preductal coarctication
Smoking - HTN - cocaine

42. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Endometrial > ovarian> cervical (in US)
Posterior lobe peripheral zone
Prior c section - multiparity

43. What is the main source of energy for spermatozoa
increased in total - and dec in free fraction
increased cGMP - smooth muscle relax - vasodltn - proerectile
Prior c section - inflammation - placenta previa
Fructose

44. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Granulosa cell - aromatase - androstenedione - estrogen
Hyperestrogenism
increased size and tenderness with increased estrogen

45. What does the histo show for prostate cancer
Inhibit FSH
Visceral - somatic nerves in pudendal
Follicular phase varies - luteal phase is 14
Small infiltrating glands with prominent nucleoli

46. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Embryonal carcinoma
Granulosa cell - aromatase - androstenedione - estrogen
Inhibition of HCG access
Medullary

47. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Granulosa cell - aromatase - androstenedione - estrogen
Left gonadal vein - left renal vein - IVC
Blacks

48. When does endometiral carcinoma usually occur
Lobular carcinoma - sclerosing adenosis
55-65
Post menopausal bleeding
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

49. Which side is varicocele more common on...
Stimulation of secretion - but blocks its action at the breast
Left
Corpus luteum - placenta - adrenal cortex - testes
Fertilization 'an egg met a sperm'

50. When is follicular growth the fastest?
2nd week of proliferative phase
Asia - Africa - S. America - HPV - lack of circumcision
Serous cystadenocarcinoma
Increased FSH