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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. When does the secondary oocyte complete meosis II

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2. What effect does NE have on smoothe muscle in the erectile tissues
Good - late metastasis
Testicular lymphoma
Fibromas
increased Ca in - smooth muscle contraction - vasocxn - antierectile

3. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Obdurator - exterinal iliac - hypogastic nodes
Relaxation
Smooth muscle
Mittelschmerz syndrome

4. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
Ectopic preg
Neoplastic cells block lymphatic drainage
Sertoli cell tumor

5. What are the 4 sources of progesterone
Turner's XO
Serous cystadenocarcinoma
Corpus luteum - placenta - adrenal cortex - testes
Superficial inguinal lymph nodes

6. common cause of recurrent miscarriage in 1st trimester
Small infiltrating glands with prominent nucleoli
Preeclampsia + siezures
Male pseudoHerm
Chromosomal abnormalities

7. Connects cervix to side wall of pelvis - contains uterine vessels
Hydrocele
Inhibit cGMP breakdown
Cardinal ligament
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

8. multilocular cyst lined by mucus secreting epi - benign - intestine like
Mucinous cystadenoma
Adenomyosis
Hemorrhage
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

9. Where is androstenedione made?
Peripheral adipose tissue
GnRH from hypoTh - LH and FSH from ant pituitary
Adrenal gland
During fetal life

10. What is mortality due to in preeclampsia
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Theca - leutin cysts
Cerebral hemorrhage and ARDS

11. What is the serum marker for BPH
Menometrorrhagia
PSA
69 xxy
Prostate growth - balding - and sebaceous gland activity

12. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
PCOS
Female pseudoHerm
Increase

13. when do primary oocytes complete meiosis I
Relaxation
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Round ligament of uterus
Just prior to ovulation

14. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Seminoma
Mittelschmerz syndrome
Testosterone

15. What is the karyotype of a complete mole
Klinefelter's - XXY
Retrograde mentrual flow or ascending infection
46 xx
Cervix

16. Breast path - diseases of the stroma
Proliferation
Post menopausal
Fibroadenoma - phyllodes tumor
No

17. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
Hypogondadotropic hypogonadism
Prostatic acid phosphatase and PSA
Pseudohermaphroditism

18. What hematologic condition is associated with abruptio placentae
Milk letdown - uterine contractions?
Axillary node involvement
DIC
Menopause

19. What forms the blood testis barrier?
Sertoli cells - and adipose tissue via aromatase
Testosterone
Tight junctions between sertoli cells
Sarcoma botryoides - a rhabdomyosarcoma variant

20. Which gynecologic tumors have the worst prognosis?
Mucinous cystadenocarcinoma
Cerebral hemorrhage and ARDS
increased risk for carcinoma
Ovarian > cervical > endometrial

21. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Koilocytitic
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Metaphase
increased size and tenderness with increased estrogen

22. What is a complication of cryptorchidism and why does it occur
Placenta previa
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
E coli
Just prior to ovulation

23. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Invasive ductal
Fibrcystic change - ductal cancer
69 xxy

24. histologic type of fibrocystic with hyperplasia of breast stroma
Prostatic acid phosphatase and PSA
Mature teratoma
Theca cell - desmolase - androstenedione
Fibrosis

25. What is a true hermaphrodite
Increase (and LH)
Estradiol > estrone > estriol
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Yolk sace - endodermal sinus - tumor

26. hemorrhage into persistent corpus luteum
Multiple sexual partners - also HIV and early sexual intercourse
Corpus luteum cyst
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Bowen's dz - carcinoma in situ of the penis

27. What occurs to a fibroadenoma during pregnancy and menstruation and why
Estradiol > estrone > estriol
Left
increased size and tenderness with increased estrogen
Estradiol and possible growth promoting effects of DHT

28. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
DCIS
Follicular phase varies - luteal phase is 14
Corpus luteum - placenta - adrenal cortex - testes
Tubular carcinoma

29. Where does prostatic adenocarcinoma arise from?
Inflammatory
Axillary node involvement
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Posterior lobe peripheral zone

30. Complication of retained placental tissue
Hemorrhage
Ovarian > cervical > endometrial
Spermatocele
The anterior pituitary and hypothalamus

31. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Stimulate glandular secretions - and spiral artery development
Ectopic preg
Lateral invasion can block ureters causing renal failure
Endometrial carcinoma

32. is fibroadenoma a precursor to breast cancer
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
No
Testosterone secreting tumor - exogenous steroids
Testosterone

33. In what group are malignant breast tumors most commonly seen
Good - late metastasis
Post menopausal
Theca - leutin cysts
Intraductal papilloma - breast abscess - mastitis

34. What can happen with no sertoli cell or lack of anti mullerian hormone
Lobular carcinoma - sclerosing adenosis
Prophase
Develop both male and female internal genitalia and male external genitalia
Multiple sexual partners - also HIV and early sexual intercourse

35. What does estrogen do to estrogen - LH and progesterone recepotrs
Testosterone
Premature ovarian failure (Pof)
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Upregulation

36. What does LH do
Stimulates testosterone release from leydig cells
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Theca - leutin cysts

37. How many days after fertilization does implantation occur?
Complete
Tubular carcinoma
Estradiol
6

38. Which cells secrete beta hCG
Fat necrosis
Trophoblasts
Teratoma
Androgen insensitivity syndrome

39. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Increase in size in pregs - decrease in size meno - estrogen sens
Peyronie's dz
Stimulation of secretion - but blocks its action at the breast

40. dilated vein in pampiniform plexus - bag of worms
Varicocele
Tight junctions between sertoli cells
Abacterial
Estradiol and possible growth promoting effects of DHT

41. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Dysgerminoma
Tunica vaginalis lesions
Epithelial hyperplasia
Right gonadal vein - IVC

42. What causes preeclampsia
4
Mucinous cystadenoma
Granulosa cell tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

43. What are common causes of hyperestrogenism

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44. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Delivery of fetus
Cardinal ligament
Seminoma

45. What are predisposing factors for placenta previa
6
Prior c section - multiparity
Decrease
Paget cell

46. What is the average age of onset for menopause
95%
51 yo
Testosterone - DHT - androstenedione
Corpus luteum cyst

47. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Syncytiotrophoblasts of placenta
Insulin resistance
Increased FSH

48. dx with increased testosterone and dec LH
Para - aortic lymph nodes
PSA
Intraductal papilloma - breast abscess - mastitis
Testosterone secreting tumor - exogenous steroids

49. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
Prior c section - multiparity
Round ligament of uterus
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

50. What is the flaggelum derived from
Medullary
One of the centrioles
Female pseudoHerm
Estrogen - LH surge - ovulation - progesterone from CL - menstruation