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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. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Prophase
Invasive ductal
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

2. what metabolic disorder is assocaited with PCOS
Superficial inguinal lymph nodes
Prematurity
Insulin resistance
50 times

3. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
DCIS
Sertoli cell tumor
Mucinous cystadenocarcinoma

4. Where does prostatic adenocarcinoma arise from?
During fetal life
55-65
Posterior lobe peripheral zone
Tunica vaginalis lesions

5. What is the venous drainage of the left ovary/testis?
Obdurator - exterinal iliac - hypogastic nodes
Multiple sexual partners - also HIV and early sexual intercourse
Neoplastic cells block lymphatic drainage
Left gonadal vein - left renal vein - IVC

6. histo: simple columnar epithelium - pseudostratified tubular glands
Prementsrual breast pain and multiple lesions
Smoking - HTN - cocaine
Brenner tumor
Uterus

7. What is the treatment for preeclampsia
1 week - 2 weeks
Yolk sac - endodermal sinus - tumor
Bicornute uterus
Delivery of fetus

8. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Malignant in males not in females
Kallman
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
No

9. What does inhibin do?
Granulosa cell tumor
Inhibit FSH
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Medullary

10. Complications of BPH
Invasive lobular
Intraductal papilloma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
increased risk for carcinoma

11. What are the four functions of estrogen
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Stimulation of secretion - but blocks its action at the breast
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Relaxation

12. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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13. What is the main source of energy for spermatozoa
CIN 1 - 2 - 3
Testosterone
Fructose
Partial

14. What complications are associated with oligohydramnios

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15. What are risk factors for abruptio placentae?
Peripheral adipose tissue
Abruptio placentae
Smoking - HTN - cocaine
CIN 1 - 2 - 3

16. Dermal lymphatic invasion by breast carcinoma - peu d orange
Small infiltrating glands with prominent nucleoli
Inflammatory
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Invasive ductal

17. endometrium within the myometrium
Comedocarcinoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Mittelschmerz syndrome
Adenomyosis

18. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Seminoma
Female pseudoHerm
Post menopausal
Hemorrhage

19. What sequelae are associated with leiomyoma
Endometrial carcinoma
Severe bleeding iron def anemia - miscarriage
No
Neoplastic cells block lymphatic drainage

20. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Polyhydramnios
Production of a thick cervical mucus
DHT - testosterone - androstenedione

21. What does estrogen do to estrogen - LH and progesterone recepotrs
Ovarian > cervical > endometrial
2nd week of proliferative phase
Upregulation
Fructose

22. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
Congenital adrenal hyperplasia - exogenous administration of steroids
Intraductal papilloma
Testosterone

23. What does progesterone do for pregnancy
Maintenance
Estradiol
Hydatidiform mole
Broad ligament

24. What is the right venous drainage of the ovary/testis
2 months
Comedocarcinoma
Hydrocele
Right gonadal vein - IVC

25. What is a potential complication of endometrial hyperplasia
Fat necrosis
Induces and maintains lactation - decreases reproductive function
Endometrial carcinoma
Prementsrual breast pain and multiple lesions

26. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Corpus luteum - placenta - adrenal cortex - testes
Hydatidiform mole
No

27. multilocular cyst lined by mucus secreting epi - benign - intestine like
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Bowen's dz - carcinoma in situ of the penis
Differentiation of penis - scrotum and prostate
Mucinous cystadenoma

28. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Testosterone
Fibromas
Seminoma

29. What is mortality due to in preeclampsia
Dysuria - frequency - urgency - low back pain
The semiT and the blood vessels
Fructose
Cerebral hemorrhage and ARDS

30. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Prior c section - inflammation - placenta previa
Decrease
Diploid - 4N - 46 sister chromatids

31. What hormones regulate sperm creation?
Peripheral adipose tissue
Esophogeal/duodenal atresia - can't swallow - anencephaly
Chromosomal abnormalities
GnRH from hypoTh - LH and FSH from ant pituitary

32. What is hydatidiform mole and precurosor of...
Differentiation of penis - scrotum and prostate
Choriocarcinoma
Whorled pattern of smooth muscle bundles
Paget's disease - breast abscess

33. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Endometrial carcinoma
Aortic bicuspid valve
Fibromas

34. Some drugs cause awesome knockers
Follicular phase varies - luteal phase is 14
Tight junctions between sertoli cells
Develop both male and female internal genitalia and male external genitalia
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

35. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Milk letdown - uterine contractions?
Oligohydramnios
Invasive ductal

36. How is prostatic adenocarcinoma diagnosed
Spermatogonia (germ cells)
Estradiol > estrone > estriol
Production of a thick cervical mucus
DRE - hard nodule and biopsy

37. What does the SRY gene do
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Testis determining factor
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Chocolate cyst

38. disagreement between the phenotypic and gonadal sex
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Fibrosis
Superficial inguinal lymph nodes
Pseudohermaphroditism

39. when do primary oocytes complete meiosis I
The anterior pituitary and hypothalamus
Just prior to ovulation
Milk letdown - uterine contractions?
Pseudohermaphroditism

40. What is the karyotype of a complete mole
Endometrial carcinoma
Down regulation
S aureus
46 xx

41. What are the pathologic features of leiosarcoma
Turner's XO
Neoplastic cells block lymphatic drainage
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Partial

42. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
increased cGMP - smooth muscle relax - vasodltn - proerectile
SANS - hypogastric nerve
Male pseudoHerm

43. 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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44. What does progesterone do to estrogen receptors
DIC
Polymenorrhea
Down regulation
Cystic

45. What is the presentation of fibrocystic dz
Cervix
Prementsrual breast pain and multiple lesions
Testosterone secreting tumor - exogenous steroids
Sertoli cells - and adipose tissue via aromatase

46. common cause of recurrent miscarriage in the 1st week
Corpus luteum - placenta - adrenal cortex - testes
Low progesterone
DES in utero (DES is a sythetic estrogen)
Theca - leutin cysts

47. What bacteria is commone in acute prostatitis
S aureus
GnRH from hypoTh - LH and FSH from ant pituitary
Krukenburg tumor
E coli

48. histologic type of fibrocystic with hyperplasia of breast stroma
increased risk for carcinoma
Fibrosis
Inhibit cGMP breakdown
No

49. dx with decreased testosterone - increased LH
Increase
Primary hypogonadism
Bicornute uterus
The semiT and the blood vessels

50. Arrange the androgens in order of most potent to least potent
Fallopian tube
Myometrial invasion
DHT - testosterone - androstenedione
Inhibition LH and FSH