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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. histo: simple cuboidal epithelium
increased AFP and hCG
Granulosa cell tumor
Ovary
increased risk for carcinoma

2. What are common causes of hyperestrogenism

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3. What is the right venous drainage of the ovary/testis
Mittelschmerz syndrome
Preeclampsia clinical
Blacks
Right gonadal vein - IVC

4. What is the common presentation of metastasis in prostate cancer
increased cGMP - smooth muscle relax - vasodltn - proerectile
Diploid - 4N - 46 sister chromatids
Low back pain with increased serum alk phos
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

5. Does a leiomyoma progress to leiosarcoma
No
Oligohydramnios
Good - late metastasis
During fetal life

6. Where is testosterone secreted into?
Prostate growth - balding - and sebaceous gland activity
Chocolate cyst
The semiT and the blood vessels
Fibroadenoma

7. Uterin fundus to labia majora
Round ligament of uterus
Intraductal papilloma - breast abscess - mastitis
Upregulation
Lateral invasion can block ureters causing renal failure

8. What is the expected increase of estradiol and estrone in pregnancy
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
SANS - hypogastric nerve
50 times

9. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Fibromas
Dysgerminoma
Preeclampsia
Inhibit FSH

10. Some drugs cause awesome knockers
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Male pseudoHerm
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Placenta acreta

11. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
Medullary
Tubular carcinoma
Endometriosis

12. Breast path - diseases of the major duct
Prematurity
Fibrcystic change - ductal cancer
Varicocele
Yolk sace - endodermal sinus - tumor

13. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Upregulation
Para - aortic lymph nodes

14. >1.5 -2 L of amniotic fluid
Male pseudoHerm
Slight increase - 1.5 to 2
Endometrial > ovarian> cervical (in US)
Polyhydramnios

15. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
The centrioles
Whorled pattern of smooth muscle bundles
Teratoma

16. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
5 alpha reductase - inhibited by finesteride
The ampulla - occurs within 1 day of ovulation
PCOS
Haploid - 2N - 23 sister chromatids

17. What are the associated risk factors for malignant breast tumors
Inhibit cGMP breakdown
Fructose
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

18. Breast path - diseases of the stroma
Ligament of the ovary
Androgen insensitivity syndrome
Male pseudoHerm
Fibroadenoma - phyllodes tumor

19. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Call exner bodies
Round ligament of the uterus
Intraductal papilloma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

20. Breast path - diseases of the terminal duct
Tubular carcinoma
Ovary
Dysgerminoma
Low progesterone

21. What does the histo show for prostate cancer
Estrogen overstimulation
Small infiltrating glands with prominent nucleoli
Cardinal ligament
Turner's XO

22. Vaginal sqamous cell carcinoma is most often seconday From which site?
Testicular lymphoma
Dysgerminoma
Cervix
Comedocarcinoma

23. most common testicular cancer in older men
Hyperthyroidism - contains functional thyroid tissue
Testicular lymphoma
Cervix
Ectopic preg

24. hemorrhage into persistent corpus luteum
Round ligament of uterus
50 times
Corpus luteum cyst
Uterus

25. What are the risk factors for endometrial hyperplasia
PANS - pelvic nerve
Adolescents
increased in total - and dec in free fraction
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

26. Bent penis due to acquired fibrous tissue formation

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27. What is the presentation of fibrocystic dz
Androgen insensitivity syndrome - 46 XY
Prementsrual breast pain and multiple lesions
increased risk for carcinoma
Primary hypogonadism

28. How does endometriosis cause infertility
Preductal coarctication
Corpus luteum - placenta - adrenal cortex - testes
Diploid - 4N - 46 sister chromatids
Retrograde mentrual flow or ascending infection

29. Connects ovary to lateral uterus
Metaphase
One of the centrioles
Ligament of the ovary
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

30. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Endometrial carcinoma
Polyhydramnios
Post menopausal

31. Arrange the androgens in order of most potent to least potent
Spermatogonia (germ cells)
Granulosa cell tumor
Lobular carcinoma - sclerosing adenosis
DHT - testosterone - androstenedione

32. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
increased cGMP - smooth muscle relax - vasodltn - proerectile
Hydrocele
Premature ovarian failure (Pof)
Acute mastitis

33. when do primary oocytes complete meiosis I
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Adolescents
Just prior to ovulation
Serous cystadenoma

34. What is DHT responsible for in early development?
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
DRE - hard nodule and biopsy
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Differentiation of penis - scrotum and prostate

35. What are the most common cause of anovluation

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36. multilocular cyst lined by mucus secreting epi - benign - intestine like
Klinefelter's - XXY
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
1000 times
Mucinous cystadenoma

37. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
Fructose
Estrogen overstimulation
6

38. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
Prementsrual breast pain and multiple lesions
Corpus luteum - placenta - adrenal cortex - testes
Comedocarcinoma

39. What are the four functions of estrogen
Post menopausal
Placenta acreta
DRE - hard nodule and biopsy
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

40. What are causes of female pseudoHerm
Estrogen overstimulation
Congenital adrenal hyperplasia - exogenous administration of steroids
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

41. Breast path - disease that occurs at the nipple

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42. What occurs to a fibroadenoma during pregnancy and menstruation and why
DCIS
Post menopausal
Oligohydramnios
increased size and tenderness with increased estrogen

43. What is the source of estrogen after menopause
Milk letdown - uterine contractions?
Peripheral conversion of androgens
Prematurity
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

44. Which teratoma - mature or immature - is aggresively malignant
Immature
DIC
Serous cystadenocarcinoma
Fallopian tube

45. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Sertoli cells - and adipose tissue via aromatase
Inhibit FSH
Hydatidiform mole
Increase (and LH)

46. HTN - proteinuria and edema
Medullary
Preeclampsia
Induces and maintains lactation - decreases reproductive function
69 xxy

47. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
Prementsrual breast pain and multiple lesions
Dilation and curettage and methotrexate
Increase in size in pregs - decrease in size meno - estrogen sens

48. What does progesterone do to smooth muscle in the uterus
Aortic bicuspid valve
Follicular phase varies - luteal phase is 14
Serous cystadenoma
Relaxation

49. What is the best test to confirm menopause
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Choriocarcinoma
Increased FSH
Haploid - 2N - 23 sister chromatids

50. What percentage of testicular tumors are germ cell
95%
50 times
Small infiltrating glands with prominent nucleoli
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor