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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. Vaginal sqamous cell carcinoma is most often seconday From which site?
Inhibition LH and FSH
Cervix
Post menopausal bleeding
Sertoli cells

2. histo: simple columnar epithelium - ciliated
Yolk sac - endodermal sinus - tumor
Varicocele
Fallopian tube
Hyperestrogenism

3. What is the pattern seen in leiomyoma
Male pseudoHerm
Increased FSH
Para - aortic lymph nodes
Whorled pattern of smooth muscle bundles

4. What complications are associated with polyhydramnios

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5. What is the prognosis for seminoma
Good - late metastasis
The ampulla - occurs within 1 day of ovulation
Chromosomal abnormalities
Chocolate cyst

6. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Serous cystadenoma
Fructose
Yolk sac - endodermal sinus - tumor

7. In chronic prostatitis is bacterial or abacterial more common
Androgen insensitivity syndrome
Acute mastitis
Ovarian > cervical > endometrial
Abacterial

8. How is prostatic adenocarcinoma diagnosed
Erythroplasia of Queyrat - carcinoma in situ of penis
Sertoli cells
DRE - hard nodule and biopsy
Yolk sac - endodermal sinus - tumor

9. What occurs to a fibroadenoma during pregnancy and menstruation and why
Seminoma
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
increased size and tenderness with increased estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

10. What does HHAVOC stand for in menopause
Esophogeal/duodenal atresia - can't swallow - anencephaly
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

11. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
No
Medullary
Abacterial

12. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Erythroplasia of Queyrat - carcinoma in situ of penis
Endometrial > ovarian> cervical (in US)
Estradiol and possible growth promoting effects of DHT
Squamous cell carcinoma

13. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
DHT - testosterone - androstenedione
Fibrcystic change - ductal cancer

14. 2 sperm + 1 egg
Lateral invasion can block ureters causing renal failure
Fat necrosis
Stimulates testosterone release from leydig cells
Partial

15. what stimulation is required to maintain milk production and What is the pathway
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Suckling - increased oxytocin - prolactin
Fibrcystic change - ductal cancer

16. What is the treatment for preeclampsia
Delivery of fetus
Fibrocystic disease
50 times
No

17. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Spermatocele
E coli
Premature ovarian failure (Pof)
GnRH from hypoTh - LH and FSH from ant pituitary

18. What is the average age of onset for menopause
Increase
Blacks
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
51 yo

19. How does exogenous testosterone create azoospermia
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
46 xx
Inhibition of HCG access
Fallopian tube

20. Some drugs cause awesome knockers
Teratoma
Bicornute uterus
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

21. What is the best test to confirm menopause
2nd week of proliferative phase
Pseudohermaphroditism
Increased FSH
Broad ligament

22. Connects ovaries to lateral pelvic wall - contains ovarian vessels
BPH
Suspensory ligament of ovaries
Immature
Corpus luteum cyst

23. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Chromosomal abnormalities
Male pseudoHerm
Placenta acreta

24. What is the lymphatic drainage the ovaries/testis
Follicular phase varies - luteal phase is 14
Para - aortic lymph nodes
6
Fibrocystic disease

25. What does inhibin do?
Androgen insensitivity syndrome - 46 XY
Chocolate cyst
Posterior lobe peripheral zone
Inhibit FSH

26. Prevention of seizures and in preeclampsia
17beta estradiol
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
IV mag sulfate - diazepam
Tight junctions between sertoli cells

27. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Left gonadal vein - left renal vein - IVC
Intraductal papilloma
Chocolate cyst
Prior c section - multiparity

28. What stimulation after labor induces lactation
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Down regulation
Adrenal gland
Decreasing progesterone

29. What does FSH do
Stimulates sertoli cells to produce ABP and inhibin
Endometriosis
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Uterus

30. In what phase is meiosis I arrested
Dysuria - frequency - urgency - low back pain
Prophase
Corpus luteum - placenta - adrenal cortex - testes
4

31. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Hydrocele
Koilocytitic
Sclerosing adenosis

32. What bacteria is commone in acute prostatitis
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
E coli
Preeclampsia + siezures
Theca cell - desmolase - androstenedione

33. What are causes of female pseudoHerm
Mature teratoma
No
Congenital adrenal hyperplasia - exogenous administration of steroids
Preeclampsia

34. <0.5 L of amniotic fluid
Blacks
Haploid - N - 23 single chromatids
Mammary duct epithelium or lobular glands
Oligohydramnios

35. Benign - looks like bladder
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
DES in utero (DES is a sythetic estrogen)
Brenner tumor
Relaxation

36. What does progesterone do to gonadotropins
Inhibition LH and FSH
Round ligament of uterus
Peripheral conversion of androgens
CIN 1 - 2 - 3

37. What does the histo show for prostate cancer
Fallopian tube
Small infiltrating glands with prominent nucleoli
Increase
In the 6th decade of life

38. What are the risk factors for endometrial hyperplasia
PCOS
Inflammatory
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Premature ovarian failure (Pof)

39. What are the 4 sources of progesterone
Stimulation of secretion - but blocks its action at the breast
Corpus luteum - placenta - adrenal cortex - testes
Cervix
Immature

40. What is the genetic material in the primary oocyte?
Diploid - 4N - 46 sister chromatids
Metaphase
Bowenoid papulosis - carcinoma in situ of the penis
Increased FSH

41. Which side is varicocele more common on...
Testosterone
Placenta acreta
Left
Calcifications

42. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Fibroadenoma
Paget cell
Granulosa cell tumor
Follicular phase varies - luteal phase is 14

43. Large cells in epidermis with clear halo
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Paget cell
Turner's XO
Hyperthyroidism - contains functional thyroid tissue

44. What do leydig cells secrete?
Hydatidiform mole
Ovary
Testosterone
Androgen insensitivity syndrome - 46 XY

45. histo: simple cuboidal epithelium
Yolk sac - endodermal sinus - tumor
Primary hypogonadism
Just prior to ovulation
Ovary

46. What is the serum marker for BPH
PSA
Decrease
Round ligament of the uterus
Endometrial > ovarian> cervical (in US)

47. What does progesterone do to myometrial excitability
Placenta previa
Proliferation
Decrease
The centrioles

48. What increases risk for endometrial carcinoma
GnRH from hypoTh - LH and FSH from ant pituitary
Puberty
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Squamous cell carcinoma

49. > 35 day cycle
Neoplastic cells block lymphatic drainage
Oligomenorrhea
Upregulation
Haploid - N - 23 single chromatids

50. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Female pseudoHerm
Kallman
Ectopic preg
2nd week of proliferative phase