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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. How does exogenous testosterone create azoospermia
Increase
Spermatogonia (germ cells)
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Inhibition of HCG access

2. What is the expected increase of estradiol and estrone in pregnancy
Sertoli cell tumor
50 times
Alpha1 antagonists - terazosin - tamsulosin - finasteride
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

3. Bent penis due to acquired fibrous tissue formation

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4. What does the SRY gene do
Leydig cell tumor
Testis determining factor
increased cGMP - smooth muscle relax - vasodltn - proerectile
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

5. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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6. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Just prior to ovulation
Fibromas
Follicular phase varies - luteal phase is 14
Male pseudoHerm

7. What does progesterone do to body temp
Prophase
Androgen insensitivity syndrome
Increase
Increased FSH

8. What bacteria is commone in acute prostatitis
Peripheral adipose tissue
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
E coli
Testosterone

9. What is the presentation of fibrocystic dz
Tight junctions between sertoli cells
The centrioles
Endometrial carcinoma
Prementsrual breast pain and multiple lesions

10. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
The centrioles
Cerebral hemorrhage and ARDS
Decrease
Squamous cell carcinoma

11. Connects ovary to lateral uterus
Oligomenorrhea
Malignant in males not in females
Ligament of the ovary
Slight increase - 1.5 to 2

12. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Testicular lymphoma
Dysuria - frequency - urgency - low back pain
Complete
Placenta previa

13. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
increased cGMP - smooth muscle relax - vasodltn - proerectile
Klinefelter's - XXY
The centrioles
PCOS

14. In What age group are ovarian germ cell tumors most common
Hypogondadotropic hypogonadism
Adolescents
Polyhydramnios
Post menopausal

15. What do leydig cells secrete?
Estradiol and possible growth promoting effects of DHT
Stimulation of secretion - but blocks its action at the breast
Testosterone
Malignant in males not in females

16. How is dyslpasi and carcinoma in situ of the cervix classified
Call exner bodies
Estrogen overstimulation
Inflammatory
CIN 1 - 2 - 3

17. How many days after fertilization does implantation occur?
Polyhydramnios
6
Spermatogonia (germ cells)
Hydatidiform mole

18. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Whorled pattern of smooth muscle bundles
Insulin resistance
Fibrocystic disease

19. dilated vein in pampiniform plexus - bag of worms
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Varicocele
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Bowenoid papulosis - carcinoma in situ of the penis

20. What does inhibin do?
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
4
Turner's XO
Inhibit FSH

21. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Right gonadal vein - IVC
Mittelschmerz syndrome
Corpus luteum - placenta - adrenal cortex - testes
Ectopic preg

22. What is the genetic material in the ovum
Haploid - N - 23 single chromatids
Sertoli cells
Down regulation
Blacks

23. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
1000 times
DRE - hard nodule and biopsy

24. Large bulky breast mass of connective tissue and cysts with leaf like projections
Post menopausal bleeding
Phyllodes tumor
Serous cystadenoma
Abruptio placentae

25. What happens to a leiomyoma in pregs and menopause and why
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Periurethral lobes - lateral and middle
Klinefelter's - XXY
Increase in size in pregs - decrease in size meno - estrogen sens

26. multilocular cyst lined by mucus secreting epi - benign - intestine like
Seminoma
Mucinous cystadenoma
S aureus
Congenital adrenal hyperplasia - exogenous administration of steroids

27. Vaginal sqamous cell carcinoma is most often seconday From which site?
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Neoplastic cells block lymphatic drainage
Cervix
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

28. dilated epididymal duct
Theca - leutin cysts
Estrogen overstimulation
Spermatocele
Phyllodes tumor

29. Complication of retained placental tissue
Hemorrhage
Slight increase - 1.5 to 2
Preeclampsia
Puberty

30. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Testis determining factor
Ligament of the ovary
Turner's XO
Round ligament of the uterus

31. What is a concern of early menopause
Premature ovarian failure (Pof)
Axillary node involvement
Choriocarcinoma
Choriocarcinoma

32. What changes are seen with total PSA and fraction of free PSA
Tubular carcinoma
55-65
increased in total - and dec in free fraction
Comedocarcinoma

33. What is a complication of cryptorchidism and why does it occur
Endocervix
Adenomyosis
Fat necrosis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

34. heavy - irregular menstruation at irregular intervals
Fibrcystic change - ductal cancer
The anterior pituitary and hypothalamus
Menometrorrhagia
Ectopic preg

35. What estrogen does the ovary secrete
17beta estradiol
Smoking - HTN - cocaine
Oligomenorrhea
Testicular lymphoma

36. Benign - looks like bladder
Dysuria - frequency - urgency - low back pain
Brenner tumor
Obdurator - exterinal iliac - hypogastic nodes
Serous cystadenoma

37. premature detachment of placenta from implantation site leading to fetal death
Myometrial tumors
Blacks
Abruptio placentae
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

38. decreased estrogen production due to age linked decline in the number of ovarian follices
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
The centrioles
Testosterone
Menopause

39. What complications are associated with polyhydramnios

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40. What is the serum marker for BPH
PSA
Granulosa cell tumor
Testosterone
Myometrial tumors

41. What are the pathologic features of leiosarcoma
Mucinous cystadenocarcinoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Estradiol > estrone > estriol
Complete

42. Which teratoma - mature or immature - is aggresively malignant
Immature
Preeclampsia clinical
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Smoking - HTN - cocaine

43. endometrium within the myometrium
Testosterone - DHT - androstenedione
Adenomyosis
Erythroplasia of Queyrat - carcinoma in situ of penis
1 week - 2 weeks

44. common cause of recurrent miscarriage in the 1st week
Suckling - increased oxytocin - prolactin
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Low progesterone
Sertoli cells - and adipose tissue via aromatase

45. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Sarcoma botryoides - a rhabdomyosarcoma variant
Trophoblasts
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

46. < 21 day cycle
Polymenorrhea
Fibrosis
S aureus
Congenital adrenal hyperplasia - exogenous administration of steroids

47. What is the most common gynecologic malignancy
Testosterone
Varicocele
Endometrial carcinoma
Teratoma

48. What are the treatments for PCOS
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Intraductal papilloma - breast abscess - mastitis
Metaphase
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

49. increased AFP - schiller duvel bodies - yellow mucinous
Malignant in males not in females
Yolk sac - endodermal sinus - tumor
Tight junctions between sertoli cells
Testosterone

50. What is a complication of invasive carcinoma
Pseudohermaphroditism
Menopause
Invasive ductal
Lateral invasion can block ureters causing renal failure