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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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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. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Obdurator - exterinal iliac - hypogastic nodes
Estradiol
Superficial inguinal lymph nodes
No

2. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Post menopausal bleeding
Mittelschmerz syndrome
Serous cystadenoma
The anterior pituitary and hypothalamus

3. Which cells secrete beta hCG
Mature teratoma
Increased FSH
Trophoblasts
Ovary

4. What metastasis is most common with prostatic adenocarcinoma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Premature ovarian failure (Pof)
Osteoblastic in bone
Medullary

5. small follicles filled with eosinphilic secretions
Male pseudoHerm
Premature ovarian failure (Pof)
Call exner bodies
PSA

6. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Placenta acreta
Fallopian tube
Spermatocele
Squamo - columnar jxn

7. What bacteria is commone in acute prostatitis
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
E coli
Just prior to ovulation
Adenomyosis

8. Testosterone and estrogen in androgen insensitivity syndrome
Tight junctions between sertoli cells
Prophase
Maintenance
Increase (and LH)

9. What forms the blood testis barrier?
Fibroadenoma - phyllodes tumor
Tight junctions between sertoli cells
HPV 16 - 18
Bowenoid papulosis - carcinoma in situ of the penis

10. What do sildenafil and vardenafil do?
Squamous cell carcinoma
Andogren binding protein - anti mullerian hormone
Inhibit cGMP breakdown
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

11. What are the associated risk factors for malignant breast tumors
Peripheral conversion of androgens
HPV 16 - 18
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
increased size and tenderness with increased estrogen

12. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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13. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Brenner tumor
Ectopic preg
Placenta acreta
Epithelial hyperplasia

14. How is beta hCG detectable in blood or urine for a home pregnancy test
Prostate growth - balding - and sebaceous gland activity
Peripheral adipose tissue
Post menopausal bleeding
1 week - 2 weeks

15. What are the functions of oxytocin - maybe
Inhibition of HCG access
Sertoli cells
Milk letdown - uterine contractions?
Embryonal carcinoma

16. 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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17. dilated vein in pampiniform plexus - bag of worms
Varicocele
Partial
Left
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

18. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Endometrial carcinoma
Haploid - N - 23 single chromatids
DCIS
Female pseudoHerm

19. distention of unruptured graafian follicle
The centrioles
Retrograde mentrual flow or ascending infection
Chocolate cyst
Follicular cyst

20. Vaginal sqamous cell carcinoma is most often seconday From which site?
Partial
Testosterone
Testicular lymphoma
Cervix

21. HTN - proteinuria and edema
The semiT and the blood vessels
Prior c section - inflammation - placenta previa
Phyllodes tumor
Preeclampsia

22. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Slight increase - 1.5 to 2
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Retrograde mentrual flow or ascending infection

23. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Retrograde mentrual flow or ascending infection
Fibroadenoma - phyllodes tumor
5 alpha reductase def

24. What is the genetic material in the primary oocyte?
Preeclampsia + siezures
Diploid - 4N - 46 sister chromatids
Develop both male and female internal genitalia and male external genitalia
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

25. Which cells line the seminiferous tubules and secrete inhibin
Posterior lobe peripheral zone
Sertoli cells
Premature ovarian failure (Pof)
Decrease

26. What is DHT responsible for in late development
Prior c section - multiparity
Yolk sace - endodermal sinus - tumor
Prostate growth - balding - and sebaceous gland activity
Good - late metastasis

27. What does the tail go onto to form
SANS - hypogastric nerve
The centrioles
Preeclampsia clinical
Corpus luteum cyst

28. What does progesterone do in the endometrium
Congenital adrenal hyperplasia - exogenous administration of steroids
Malignant in males not in females
Serous cystadenocarcinoma
Stimulate glandular secretions - and spiral artery development

29. tumor is ductal with caseous necrosis
Comedocarcinoma
Hydrocele
Follicular phase varies - luteal phase is 14
Feedback inhibition

30. dx with increased testosterone and increased LH
Acute mastitis
Yolk sac - endodermal sinus - tumor
Defective androgen receptor
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

31. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
Prior c section - multiparity
Testosterone
Adrenal gland

32. What percentage of testicular tumors are germ cell
95%
Round ligament of uterus
Endometriosis
Follicular phase varies - luteal phase is 14

33. What is the venous drainage of the left ovary/testis?
Mimics LH
Uterus
Testosterone
Left gonadal vein - left renal vein - IVC

34. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Testosterone
Fat necrosis
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

35. What is associated with sclerosing adenosis?
Serous cystadenocarcinoma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Paget's disease
Calcifications

36. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Preeclampsia clinical
Follicular phase varies - luteal phase is 14
Menometrorrhagia
Golgi

37. What hematologic condition is associated with abruptio placentae
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Androgen insensitivity syndrome - 46 XY
DIC
Fat necrosis

38. What converts testosterone to DHT
Fat necrosis
5 alpha reductase - inhibited by finesteride
Hyperestrogenism
Phyllodes tumor

39. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
Mucinous cystadenoma
Paget's disease - breast abscess
increased in total - and dec in free fraction

40. Breast path - diseases of the stroma
Sarcoma botryoides - a rhabdomyosarcoma variant
Complete
IV mag sulfate - diazepam
Fibroadenoma - phyllodes tumor

41. eclampsia
Preeclampsia + siezures
Right gonadal vein - IVC
Bicornute uterus
Female pseudoHerm

42. What are the effects of prolactin?
Asia - Africa - S. America - HPV - lack of circumcision
Severe bleeding iron def anemia - miscarriage
Induces and maintains lactation - decreases reproductive function
2nd week of proliferative phase

43. What does estrogen stimulate in the endometrium
Vagina
Proliferation
Embryonal carcinoma
Post menopausal

44. Where is testosterone converted to estrogen
55-65
Prior c section - inflammation - placenta previa
Sertoli cells - and adipose tissue via aromatase
Increase in size in pregs - decrease in size meno - estrogen sens

45. What increases risk for endometrial carcinoma
Peripheral adipose tissue
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Abruptio placentae
Choriocarcinoma

46. What is the best test to confirm menopause
Serous cystadenoma
Preeclampsia + siezures
Increased FSH
S aureus

47. What is the serum marker for BPH
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
PSA
Paget's disease - breast abscess
Obdurator - exterinal iliac - hypogastic nodes

48. Some drugs cause awesome knockers
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Follicular cyst
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Preductal coarctication

49. What does hCG do in the first trimester to maintain the corpus luteum
Myometrial invasion
Post menopausal
Mimics LH
Fallopian tube

50. Dermal lymphatic invasion by breast carcinoma - peu d orange
Metrorrhagia
Inflammatory
Asia - Africa - S. America - HPV - lack of circumcision
Mammary duct epithelium or lobular glands