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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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1. marked increased hCG - complete or partial
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Complete
Peripheral conversion of androgens
The anterior pituitary and hypothalamus

2. What are the 4 sources of progesterone
Broad ligament
Production of a thick cervical mucus
Corpus luteum - placenta - adrenal cortex - testes
Complete

3. Which nerve and nerve fibers control for ejaculation
SANS - hypogastric nerve
Yolk sace - endodermal sinus - tumor
Small infiltrating glands with prominent nucleoli
Visceral - somatic nerves in pudendal

4. Atypical cells in epithelial hyperplasia
Sarcoma botryoides - a rhabdomyosarcoma variant
increased risk for carcinoma
GnRH from hypoTh - LH and FSH from ant pituitary
DHT - testosterone - androstenedione

5. When does the secondary oocyte complete meosis II

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6. Where does prostatic adenocarcinoma arise from?
Whorled pattern of smooth muscle bundles
Testosterone
Complete
Posterior lobe peripheral zone

7. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Squamo - columnar jxn
Production of a thick cervical mucus
Osteoblastic in bone

8. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Post menopausal
DHT - testosterone - androstenedione
55-65

9. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
4
Paget's disease - breast abscess
Trophoblasts

10. Where does fertilization most commonly occur?
Upregulation
The ampulla - occurs within 1 day of ovulation
Testis determining factor
Stimulates sertoli cells to produce ABP and inhibin

11. Large bulky breast mass of connective tissue and cysts with leaf like projections
In the 6th decade of life
Suckling - increased oxytocin - prolactin
Dysgerminoma
Phyllodes tumor

12. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Dysgerminoma
PCOS
Metrorrhagia
Prior c section - multiparity

13. What is the presentation of fibrocystic dz
Left gonadal vein - left renal vein - IVC
Smooth muscle
Prementsrual breast pain and multiple lesions
Primary hypogonadism

14. small follicles filled with eosinphilic secretions
Increase (and LH)
Call exner bodies
Testosterone
Sertoli cell tumor

15. dx with decreased testosterone and decreased LH
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Hypogondadotropic hypogonadism
Increased FSH
Visceral - somatic nerves in pudendal

16. Which side is varicocele more common on...
Left
Decrease
Inhibition LH and FSH
Vagina

17. How does progesterone inhibit sperm entry to uterus
Peripheral conversion of androgens
Increase (and LH)
Osteoblastic in bone
Production of a thick cervical mucus

18. disagreement between the phenotypic and gonadal sex
Dysuria - frequency - urgency - low back pain
Testosterone secreting tumor - exogenous steroids
Yolk sac - endodermal sinus - tumor
Pseudohermaphroditism

19. How many days after fertilization does implantation occur?
Diploid - 4N - 46 sister chromatids
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
6
Lateral invasion can block ureters causing renal failure

20. In what phase is meiosis II arrested
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Pseudohermaphroditism
Metaphase
Immature

21. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Visceral - somatic nerves in pudendal
Left gonadal vein - left renal vein - IVC
Placenta acreta

22. What sequelae are associated with leiomyoma
Acute mastitis
Squamous cell carcinoma
Severe bleeding iron def anemia - miscarriage
Suckling - increased oxytocin - prolactin

23. What does progesterone do to gonadotropins
Myometrial invasion
IV mag sulfate - diazepam
Puberty
Inhibition LH and FSH

24. testicular masses that can be transilluminated
Complete
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Tunica vaginalis lesions
Prior c section - inflammation - placenta previa

25. Testosterone and estrogen in androgen insensitivity syndrome
DCIS
Corpus luteum cyst
Paget cell
Increase (and LH)

26. In what phase is meiosis I arrested
Blacks
Prophase
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Severe bleeding iron def anemia - miscarriage

27. histo: simple columnar epithelium - pseudostratified tubular glands
Polyhydramnios
Uterus
Multiple sexual partners - also HIV and early sexual intercourse
Slight increase - 1.5 to 2

28. Dermal lymphatic invasion by breast carcinoma - peu d orange
Fibrcystic change - ductal cancer
Paget cell
Dysuria - frequency - urgency - low back pain
Inflammatory

29. What are risk factors for abruptio placentae?
Paget cell
Cerebral hemorrhage and ARDS
Smoking - HTN - cocaine
Inhibit cGMP breakdown

30. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
2 months
Bowenoid papulosis - carcinoma in situ of the penis
Female pseudoHerm
Low progesterone

31. Breast path - disease that occurs at the nipple

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32. What common valvular abnormality is common in Turner's
Prior c section - inflammation - placenta previa
Kallman
increased size and tenderness with increased estrogen
Aortic bicuspid valve

33. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
Asia - Africa - S. America - HPV - lack of circumcision
Adenomyosis
Theca - leutin cysts

34. What are the four functions of estrogen
Decreasing progesterone
Slight increase - 1.5 to 2
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Varicocele

35. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Vagina
Brenner tumor
increased risk for carcinoma
Female pseudoHerm

36. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Visceral - somatic nerves in pudendal
Choriocarcinoma
Hypogondadotropic hypogonadism
Mittelschmerz syndrome

37. What is the average age of onset for menopause
Asia - Africa - S. America - HPV - lack of circumcision
Sclerosing adenosis
51 yo
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

38. What is hydatidiform mole and precurosor of...
Choriocarcinoma
DHT - testosterone - androstenedione
Testis determining factor
In the 6th decade of life

39. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Androgen insensitivity syndrome
Maintenance

40. What does estrogen stimulate in the endometrium
Ovary
Osteoblastic in bone
Spermatocele
Proliferation

41. predisposing factor to clear cell adenocarcinoma of the vagina
Complete
Defective androgen receptor
DES in utero (DES is a sythetic estrogen)
Fibrcystic change - ductal cancer

42. What is the treatment for hydatidiform mole
Premature ovarian failure (Pof)
Haploid - N - 23 single chromatids
Dilation and curettage and methotrexate
Mitochondria

43. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Cardinal ligament
Ectopic preg
Sertoli cell tumor

44. What does progesterone do to myometrial excitability
Endometrial carcinoma
Placenta previa
Ectocervix
Decrease

45. What are the effects of prolactin?
Osteoblastic in bone
Prior c section - multiparity
The centrioles
Induces and maintains lactation - decreases reproductive function

46. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Prostatic acid phosphatase and PSA
Osteoblastic in bone

47. What does inhibin do?
Mammary duct epithelium or lobular glands
5 alpha reductase - inhibited by finesteride
Inhibit FSH
Stimulate glandular secretions - and spiral artery development

48. >1.5 -2 L of amniotic fluid
Good - late metastasis
Polyhydramnios
Fructose
Feedback inhibition

49. Uterin fundus to labia majora
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Round ligament of uterus
Oligomenorrhea
Krukenburg tumor

50. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Down regulation
Abacterial
69 xxy
Teratoma

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First Aid: Reproductive

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