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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 the main source of energy for spermatozoa
Fructose
Leydig cell tumor
Complete
Lobular carcinoma - sclerosing adenosis

2. What is the most common gynecologic malignancy
Intraductal papilloma - breast abscess - mastitis
Erythroplasia of Queyrat - carcinoma in situ of penis
Endometrial carcinoma
Testis determining factor

3. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Intraductal papilloma - breast abscess - mastitis
Ovary
Neoplastic cells block lymphatic drainage

4. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
Hyperestrogenism
Testosterone
Post menopausal

5. increased fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Medullary
Multiple sexual partners - also HIV and early sexual intercourse
Round ligament of uterus

6. What is the most common cause of breast lumps from age 25 to menopause
20 to 40
Fibrocystic disease
In the 6th decade of life
Paget cell

7. gynecological tumors from highest incidence to lowest
Endometrial > ovarian> cervical (in US)
Corpus luteum cyst
DCIS
Broad ligament

8. Breast path - diseases of the major duct
Prostatic acid phosphatase and PSA
Adolescents
5 alpha reductase def
Fibrcystic change - ductal cancer

9. is fibroadenoma a precursor to breast cancer
Calcifications
Production of a thick cervical mucus
5 alpha reductase def
No

10. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Aortic bicuspid valve
Fat necrosis
69 xxy
Post menopausal bleeding

11. testes present with non male external genitals
DCIS
46 xx
Male pseudoHerm
Osteoblastic in bone

12. In chronic prostatitis is bacterial or abacterial more common
No
Abacterial
Hemolysis - elevated liver enzymes - low platelets
Haploid - N - 23 single chromatids

13. Dermal lymphatic invasion by breast carcinoma - peu d orange
Inflammatory
Sertoli cell tumor
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Sarcoma botryoides - a rhabdomyosarcoma variant

14. What percentage of testicular tumors are germ cell
Spermatogonia (germ cells)
Chocolate cyst
95%
Complete

15. Complication of retained placental tissue
Hemorrhage
Just prior to ovulation
Inhibition of HCG access
Mammary duct epithelium or lobular glands

16. What is the treatment for preeclampsia
Delivery of fetus
BPH
Testosterone secreting tumor - exogenous steroids
Fat necrosis

17. When does endometiral carcinoma usually occur
55-65
Mucinous cystadenocarcinoma
Sertoli cells - and adipose tissue via aromatase
Testosterone

18. What causes preeclampsia
Periurethral lobes - lateral and middle
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Placenta previa
Partial

19. How does exogenous testosterone create azoospermia
Cervix
Preeclampsia + siezures
Bowenoid papulosis - carcinoma in situ of the penis
Inhibition of HCG access

20. What sequelae are associated with leiomyoma
Hydrocele
Female pseudoHerm
2 months
Severe bleeding iron def anemia - miscarriage

21. endometrium within the myometrium
Adenomyosis
Theca cell - desmolase - androstenedione
Mucinous cystadenocarcinoma
DIC

22. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
Leydig cell tumor
Severe bleeding iron def anemia - miscarriage
No

23. Vaginal sqamous cell carcinoma is most often seconday From which site?
Estrogen overstimulation
Cervix
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

24. What are the most common cause of anovluation

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25. What is associated with sclerosing adenosis?
Calcifications
Upregulation
Puberty
Inhibition LH and FSH

26. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Sertoli cell tumor
Inhibit FSH
Cystic
Fibrocystic disease

27. What is the most frequent benign ovarian tumor
Koilocytitic
Decrease
Complete
Mature teratoma

28. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Prostate growth - balding - and sebaceous gland activity
Menometrorrhagia
E coli

29. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Blacks
Medullary
Estradiol > estrone > estriol

30. 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
Stimulate glandular secretions - and spiral artery development
Seminoma
Whorled pattern of smooth muscle bundles
Inhibit cGMP breakdown

31. Where is the enlargement found in BPH
Primary hypogonadism
Periurethral lobes - lateral and middle
Teratoma
Myometrial invasion

32. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Increase
Prematurity
The anterior pituitary and hypothalamus

33. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Down regulation
Prior c section - multiparity
Hemorrhage
Sarcoma botryoides - a rhabdomyosarcoma variant

34. How does progesterone inhibit sperm entry to uterus
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Low progesterone
Production of a thick cervical mucus
Prostatic acid phosphatase and PSA

35. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Hydrocele
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Fibromas
Corpus luteum cyst

36. How long does it take for sperm to fully develop
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
2 months
Stimulation of secretion - but blocks its action at the breast
Milk letdown - uterine contractions?

37. 50% of ovarian tumors - malignant and frequently bilateral
Preductal coarctication
Serous cystadenocarcinoma
Abacterial
Dilation and curettage and methotrexate

38. When does the secondary oocyte complete meosis II

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39. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Suspensory ligament of ovaries
Seminoma
Oligomenorrhea

40. common cause of recurrent miscarriage in 1st trimester
Milk letdown - uterine contractions?
Diploid - 4N - 46 sister chromatids
Chromosomal abnormalities
Peyronie's dz

41. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Menopause
Malignant in males not in females
Superficial inguinal lymph nodes

42. What effect does NE have on smoothe muscle in the erectile tissues
IV mag sulfate - diazepam
55-65
PCOS
increased Ca in - smooth muscle contraction - vasocxn - antierectile

43. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Maintenance
Inhibit FSH
Mucinous cystadenoma

44. What does progesterone do to estrogen receptors
Erythroplasia of Queyrat - carcinoma in situ of penis
DIC
Down regulation
Krukenburg tumor

45. how can struma ovarri present?
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Turner's XO
Prematurity
Hyperthyroidism - contains functional thyroid tissue

46. What does progesterone do to body temp
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Increase
PSA
Axillary node involvement

47. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Squamous cell carcinoma
Bowenoid papulosis - carcinoma in situ of the penis
Premature ovarian failure (Pof)

48. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Granulosa cell - aromatase - androstenedione - estrogen
PSA
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Krukenburg tumor

49. Connects ovary to lateral uterus
Ligament of the ovary
Mimics LH
Post menopausal
Decrease

50. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Placenta acreta
Polyhydramnios
Testosterone