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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. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Ectocervix
Slight increase - 1.5 to 2
Hemorrhage
Mittelschmerz syndrome

2. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
S aureus
Mitochondria
Corpus luteum cyst

3. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
4
Mittelschmerz syndrome
Prior c section - inflammation - placenta previa
Androgen insensitivity syndrome - 46 XY

4. dilated vein in pampiniform plexus - bag of worms
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
No
Varicocele

5. What is the presentation of fibrocystic dz
Increase (and LH)
Estradiol
Prementsrual breast pain and multiple lesions
No

6. What does hCG do in the first trimester to maintain the corpus luteum
Trophoblasts
Choriocarcinoma
Mucinous cystadenoma
Mimics LH

7. When is the peak occurrence of leiomyoma
Menometrorrhagia
20 to 40
Tubular carcinoma
Complete

8. What is the source of estrogen after menopause
Peripheral conversion of androgens
Golgi
Theca cell - desmolase - androstenedione
Slight increase - 1.5 to 2

9. Breast path - diseases of the terminal duct
Tubular carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Complete
Bowenoid papulosis - carcinoma in situ of the penis

10. What are causes of female pseudoHerm
Haploid - N - 23 single chromatids
increased in total - and dec in free fraction
Osteoblastic in bone
Congenital adrenal hyperplasia - exogenous administration of steroids

11. Which system and nerve allow for erection in the male?
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Inhibition of HCG access
PANS - pelvic nerve
Decreasing progesterone

12. What are risk factors for abruptio placentae?
Peyronie's dz
The ampulla - occurs within 1 day of ovulation
Smoking - HTN - cocaine
Mature teratoma

13. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Choriocarcinoma
Trophoblasts
Fat necrosis

14. histologic type of fibrocystic with hyperplasia of breast stroma
Fibrosis
Lateral invasion can block ureters causing renal failure
5 alpha reductase def
Tight junctions between sertoli cells

15. Is fertility compromised in double Y males?
GnRH from hypoTh - LH and FSH from ant pituitary
Lateral invasion can block ureters causing renal failure
Para - aortic lymph nodes
No

16. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Preeclampsia
Cervix
No

17. predisposing factor to clear cell adenocarcinoma of the vagina
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Hemolysis - elevated liver enzymes - low platelets
Prophase
DES in utero (DES is a sythetic estrogen)

18. What becomes the main source of hCG
Round ligament of the uterus
Syncytiotrophoblasts of placenta
Hypogondadotropic hypogonadism
Preeclampsia + siezures

19. Complications of BPH
Dysgerminoma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
2 months
Varicocele

20. What is a complication of invasive carcinoma
During fetal life
Theca cell - desmolase - androstenedione
Lateral invasion can block ureters causing renal failure
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

21. 50% of ovarian tumors - malignant and frequently bilateral
Cerebral hemorrhage and ARDS
The centrioles
Endometrial carcinoma
Serous cystadenocarcinoma

22. What does LH do
Spermatocele
Testosterone secreting tumor - exogenous steroids
Stimulates testosterone release from leydig cells
Multiple sexual partners - also HIV and early sexual intercourse

23. Where does prostatic adenocarcinoma arise from?
Aortic bicuspid valve
Testosterone - DHT - androstenedione
Posterior lobe peripheral zone
Prophase

24. What is the main source of energy for spermatozoa
Adrenal gland
DES in utero (DES is a sythetic estrogen)
Endometrial carcinoma
Fructose

25. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Ectocervix
Androgen insensitivity syndrome - 46 XY
Leydig cell tumor

26. Breast path - diseases of the major duct
Brenner tumor
Fibrcystic change - ductal cancer
Adolescents
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

27. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Fibrosis
Dysgerminoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

28. What is mortality due to in preeclampsia
Cerebral hemorrhage and ARDS
Round ligament of uterus
Abruptio placentae
Hyperestrogenism

29. Which side is varicocele more common on...
Left
No
Suckling - increased oxytocin - prolactin
Ectopic preg

30. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Fibrocystic disease
Mittelschmerz syndrome
Serous cystadenoma

31. Which teratoma - mature or immature - is aggresively malignant
Cystic
No
Immature
Testosterone secreting tumor - exogenous steroids

32. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
Posterior lobe peripheral zone
Upregulation - LH surge - ovulation
No

33. Where is testosterone converted to estrogen
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Haploid - 2N - 23 sister chromatids
Sertoli cells - and adipose tissue via aromatase
Ligament of the ovary

34. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
DIC
Cystic
Inhibition of HCG access
51 yo

35. When does the secondary oocyte complete meosis II

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36. When are phyllodes tumors most common
Tight junctions between sertoli cells
5 alpha reductase def
Testosterone
In the 6th decade of life

37. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
4
Paget's disease
Mucinous cystadenocarcinoma
One of the centrioles

38. small - mobile - firm breast mass with sharp edges - most common in <25
Adrenal gland
Fibroadenoma
Relaxation
Leydig cell tumor

39. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Prematurity
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Oligohydramnios
Superficial inguinal lymph nodes

40. What are the most common cause of anovluation

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41. What does FSH do
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
DES in utero (DES is a sythetic estrogen)
Stimulates sertoli cells to produce ABP and inhibin
Mammary duct epithelium or lobular glands

42. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Testicular lymphoma
Testosterone secreting tumor - exogenous steroids
Theca - leutin cysts
Round ligament of the uterus

43. Which cells secrete beta hCG
Trophoblasts
Broad ligament
PCOS
Stimulates sertoli cells to produce ABP and inhibin

44. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
IV mag sulfate - diazepam
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Fat necrosis
Placenta acreta

45. What is the treatment for hydatidiform mole
SANS - hypogastric nerve
Upregulation - LH surge - ovulation
Dilation and curettage and methotrexate
Alpha1 antagonists - terazosin - tamsulosin - finasteride

46. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Placenta previa
Partial
Intraductal papilloma

47. Large cells in epidermis with clear halo
Defective androgen receptor
Androgen insensitivity syndrome - 46 XY
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Paget cell

48. What is the most common gynecologic malignancy
DRE - hard nodule and biopsy
5 alpha reductase - inhibited by finesteride
Peripheral conversion of androgens
Endometrial carcinoma

49. What changes are seen with total PSA and fraction of free PSA
increased in total - and dec in free fraction
20 to 40
Fructose
Cerebral hemorrhage and ARDS

50. testes present with non male external genitals
Inhibit cGMP breakdown
Mammary duct epithelium or lobular glands
Male pseudoHerm
Abacterial