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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. Testosterone and estrogen in androgen insensitivity syndrome
Choriocarcinoma
Tight junctions between sertoli cells
Increase (and LH)
Just prior to ovulation

2. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
IV mag sulfate - diazepam
Kallman
Embryonal carcinoma
Inhibit cGMP breakdown

3. Which nerve and nerve fibers control for ejaculation
Prophase
Embryonal carcinoma
Visceral - somatic nerves in pudendal
Polymenorrhea

4. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Male pseudoHerm
DRE - hard nodule and biopsy
Mature teratoma

5. What does the SRY gene do
Oligomenorrhea
Testis determining factor
Syncytiotrophoblasts of placenta
Comedocarcinoma

6. What does estrogen do to estrogen - LH and progesterone recepotrs
During fetal life
Upregulation
No
PANS - pelvic nerve

7. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Choriocarcinoma
Testosterone
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Placenta previa

8. How long does it take for sperm to fully develop
Fallopian tube
Estradiol and possible growth promoting effects of DHT
2 months
Klinefelter's - XXY

9. tumor is ductal with caseous necrosis
Upregulation - LH surge - ovulation
Comedocarcinoma
Cerebral hemorrhage and ARDS
Proliferation

10. Bent penis due to acquired fibrous tissue formation

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11. dilated vein in pampiniform plexus - bag of worms
Preeclampsia + siezures
Serous cystadenoma
Varicocele
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

12. From What tissues to malignant breast tumors arise?
Osteoblastic in bone
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Mammary duct epithelium or lobular glands
Chocolate cyst

13. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Blacks
DES in utero (DES is a sythetic estrogen)
PANS - pelvic nerve

14. What does progesterone do for pregnancy
Production of a thick cervical mucus
Maintenance
Mucinous cystadenoma
Stimulation of secretion - but blocks its action at the breast

15. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Good - late metastasis
Asia - Africa - S. America - HPV - lack of circumcision
Preeclampsia clinical
Malignant in males not in females

16. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Preeclampsia + siezures
Fibromas
HPV 16 - 18
Polymenorrhea

17. What is the order of events in the menstrual cycle
Golgi
Polymenorrhea
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
PCOS

18. What percentage of testicular tumors are germ cell
95%
Fallopian tube
Intraductal papilloma
Prementsrual breast pain and multiple lesions

19. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Osteoblastic in bone
Embryonal carcinoma
Testosterone
Fat necrosis

20. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Granulosa cell tumor
Smooth muscle
Sclerosing adenosis
Visceral - somatic nerves in pudendal

21. common cause of recurrent miscarriage in the 1st week
DHT - testosterone - androstenedione
Low progesterone
Testosterone
Epithelial hyperplasia

22. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Yolk sace - endodermal sinus - tumor
Invasive ductal
Abruptio placentae
Prostatic acid phosphatase and PSA

23. androblastoma from sex cord stroma
Induces and maintains lactation - decreases reproductive function
Tubular carcinoma
Sertoli cell tumor
Placenta acreta

24. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Preeclampsia + siezures
Testosterone secreting tumor - exogenous steroids
Fibrocystic disease

25. histo: simple columnar epithelium - ciliated
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Fallopian tube
Stimulates sertoli cells to produce ABP and inhibin
Follicular cyst

26. What is the most frequent benign ovarian tumor
Mature teratoma
Malignant in males not in females
Mimics LH
Cystic

27. 50% of ovarian tumors - malignant and frequently bilateral
Tunica vaginalis lesions
Dysgerminoma
Primary hypogonadism
Serous cystadenocarcinoma

28. What occurs to a fibroadenoma during pregnancy and menstruation and why
Peyronie's dz
Menometrorrhagia
Complete
increased size and tenderness with increased estrogen

29. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
50 times
Granulosa cell tumor
Myometrial invasion

30. What is a complication of cryptorchidism and why does it occur
Complete
Broad ligament
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Periurethral lobes - lateral and middle

31. What substances other than inhibin do sertoli cells produce?
Cerebral hemorrhage and ARDS
Andogren binding protein - anti mullerian hormone
Complete
Fertilization 'an egg met a sperm'

32. What are the 4 sources of progesterone
Blacks
Obdurator - exterinal iliac - hypogastic nodes
Corpus luteum - placenta - adrenal cortex - testes
PSA

33. What is the typical cell change in HPV infection
Severe bleeding iron def anemia - miscarriage
Koilocytitic
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Complete

34. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Tight junctions between sertoli cells
6
Choriocarcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant

35. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Andogren binding protein - anti mullerian hormone
Fibroadenoma
Paget's disease - breast abscess

36. Does a leiomyoma progress to leiosarcoma
Fat necrosis
Testosterone secreting tumor - exogenous steroids
Prior c section - inflammation - placenta previa
No

37. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Acute mastitis
Fibromas
Uterus

38. When is follicular growth the fastest?
2nd week of proliferative phase
Turner's XO
The ampulla - occurs within 1 day of ovulation
Metaphase

39. What is DHT responsible for in late development
Syncytiotrophoblasts of placenta
Prostate growth - balding - and sebaceous gland activity
Hypogondadotropic hypogonadism
Prophase

40. Connects ovary to lateral uterus
Ligament of the ovary
Dysuria - frequency - urgency - low back pain
Peripheral adipose tissue
17beta estradiol

41. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Polyhydramnios
Para - aortic lymph nodes
4

42. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Upregulation
One of the centrioles
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

43. Which side is varicocele more common on...
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Primary hypogonadism
Left
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

44. Large bulky breast mass of connective tissue and cysts with leaf like projections
Right gonadal vein - IVC
Pseudohermaphroditism
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Phyllodes tumor

45. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Menopause
Squamous cell carcinoma
Comedocarcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant

46. hemorrhage into persistent corpus luteum
Corpus luteum cyst
Production of a thick cervical mucus
Sertoli cells
Prementsrual breast pain and multiple lesions

47. What do leydig cells secrete?
Increased FSH
Testosterone secreting tumor - exogenous steroids
Endometriosis
Testosterone

48. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Estradiol and possible growth promoting effects of DHT
Fibromas
S aureus

49. What is the average age of onset for menopause
51 yo
Complete
Pseudohermaphroditism
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

50. Connects cervix to side wall of pelvis - contains uterine vessels
Posterior lobe peripheral zone
Paget's disease
Hydatidiform mole
Cardinal ligament

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First Aid: Reproductive

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