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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. How is dyslpasi and carcinoma in situ of the cervix classified
Inhibit FSH
Inhibit cGMP breakdown
CIN 1 - 2 - 3
Prior c section - inflammation - placenta previa

2. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
Corpus luteum cyst
Corpus luteum - placenta - adrenal cortex - testes
Fibrosis

3. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
DIC
Upregulation - LH surge - ovulation
Polyhydramnios
DES in utero (DES is a sythetic estrogen)

4. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Testicular lymphoma
69 xxy
IV mag sulfate - diazepam
Kallman

5. common cause of recurrent miscarriage in 1st trimester
Call exner bodies
Chromosomal abnormalities
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Invasive lobular

6. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Squamo - columnar jxn
Cardinal ligament

7. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Obdurator - exterinal iliac - hypogastic nodes
Choriocarcinoma
Suspensory ligament of ovaries
Trophoblasts

8. What sequelae are associated with leiomyoma
5 alpha reductase - inhibited by finesteride
Severe bleeding iron def anemia - miscarriage
Round ligament of uterus
Paget cell

9. decreased estrogen production due to age linked decline in the number of ovarian follices
E coli
Abruptio placentae
Estradiol
Menopause

10. What is a concern of early menopause
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Estradiol > estrone > estriol
Premature ovarian failure (Pof)
BPH

11. What is the flaggelum derived from
Mucinous cystadenoma
Mammary duct epithelium or lobular glands
51 yo
One of the centrioles

12. 2 sperm + 1 egg
Phyllodes tumor
Theca cell - desmolase - androstenedione
increased in total - and dec in free fraction
Partial

13. What substances other than inhibin do sertoli cells produce?
Prostate growth - balding - and sebaceous gland activity
Calcifications
Lobular carcinoma - sclerosing adenosis
Andogren binding protein - anti mullerian hormone

14. In What age group are ovarian germ cell tumors most common
Menopause
Adolescents
Down regulation
Leydig cell tumor

15. What is the genetic material in the primary oocyte?
Diploid - 4N - 46 sister chromatids
Prior c section - multiparity
Andogren binding protein - anti mullerian hormone
Fallopian tube

16. Where is the enlargement found in BPH
Peripheral adipose tissue
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Periurethral lobes - lateral and middle
Defective androgen receptor

17. Breast path - diseeases of the lobules
increased cGMP - smooth muscle relax - vasodltn - proerectile
50 times
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Lobular carcinoma - sclerosing adenosis

18. Complication of retained placental tissue
Multiple sexual partners - also HIV and early sexual intercourse
Stimulates sertoli cells to produce ABP and inhibin
Good - late metastasis
Hemorrhage

19. What bacteria is commone in acute prostatitis
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Lobular carcinoma - sclerosing adenosis
Testosterone
E coli

20. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Fibromas
Choriocarcinoma
Serous cystadenocarcinoma

21. What do sildenafil and vardenafil do?
Mucinous cystadenoma
Inhibit cGMP breakdown
Stimulation of secretion - but blocks its action at the breast
Sertoli cells

22. What are predisposing factors for placenta previa
Complete
Follicular cyst
HPV 16 - 18
Prior c section - multiparity

23. What can happen with no sertoli cell or lack of anti mullerian hormone
46 xx
Left gonadal vein - left renal vein - IVC
Develop both male and female internal genitalia and male external genitalia
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

24. What are the useful tumor parkers in prostatic adenocarcinoma
increased AFP and hCG
Prostatic acid phosphatase and PSA
Develop both male and female internal genitalia and male external genitalia
Fibrosis

25. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Hypogondadotropic hypogonadism
Granulosa cell tumor
Testosterone
In the 6th decade of life

26. What metastasis is most common with prostatic adenocarcinoma
Corpus luteum cyst
Hemorrhage
Osteoblastic in bone
Epithelial hyperplasia

27. What estrogen does the placenta secrete
Meigs syndrome
Estradiol
Endometrial > ovarian> cervical (in US)
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

28. What is the presentation of prostatitis
Delivery of fetus
Increased FSH
Adrenal gland
Dysuria - frequency - urgency - low back pain

29. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Production of a thick cervical mucus
Placenta acreta
Varicocele
Differentiation of penis - scrotum and prostate

30. What does inhibin do?
Ectopic preg
Inhibit FSH
Inflammatory
increased Ca in - smooth muscle contraction - vasocxn - antierectile

31. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Corpus luteum - placenta - adrenal cortex - testes
Androgen insensitivity syndrome

32. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Yolk sace - endodermal sinus - tumor
2 months
Premature ovarian failure (Pof)

33. What does estrogen to do prolaction
Ligament of the ovary
Primary hypogonadism
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Stimulation of secretion - but blocks its action at the breast

34. What are the associated risk factors for malignant breast tumors
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Prophase
Maintenance
Mucinous cystadenoma

35. Bent penis due to acquired fibrous tissue formation

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36. Some drugs cause awesome knockers
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
PANS - pelvic nerve
Smoking - HTN - cocaine
Superficial inguinal lymph nodes

37. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Post menopausal bleeding
Right gonadal vein - IVC
Left gonadal vein - left renal vein - IVC

38. eclampsia
46 xx
Insulin resistance
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Preeclampsia + siezures

39. Where does fertilization most commonly occur?
Pseudohermaphroditism
The ampulla - occurs within 1 day of ovulation
Fibrocystic disease
Paget's disease

40. Arrange the androgens in order of most potent to least potent
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Invasive ductal
Immature
DHT - testosterone - androstenedione

41. What estrogen does the ovary secrete
17beta estradiol
Leydig cell tumor
Male pseudoHerm
DES in utero (DES is a sythetic estrogen)

42. dx with decreased testosterone - increased LH
PCOS
S aureus
Primary hypogonadism
Myometrial tumors

43. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Diploid - 4N - 46 sister chromatids
Medullary
Stimulates sertoli cells to produce ABP and inhibin
Neoplastic cells block lymphatic drainage

44. what structures supplies the energy to the middle piece (neck)
Mitochondria
Serous cystadenocarcinoma
increased risk for carcinoma
Androgen insensitivity syndrome

45. When are phyllodes tumors most common
Pseudohermaphroditism
Complete
Blacks
In the 6th decade of life

46. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Testosterone
Sarcoma botryoides - a rhabdomyosarcoma variant
51 yo
Mucinous cystadenoma

47. What happens to a leiomyoma in pregs and menopause and why
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Increase in size in pregs - decrease in size meno - estrogen sens
Just prior to ovulation
Vagina

48. What is the most common cause of breast lumps from age 25 to menopause
Syncytiotrophoblasts of placenta
Fibrocystic disease
Estradiol
Endometriosis

49. What increases the risk of cryptorchidism
Polyhydramnios
Seminoma
Prematurity
In the 6th decade of life

50. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Pseudohermaphroditism
Krukenburg tumor
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Golgi

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First Aid: Reproductive

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