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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. What is DHT responsible for in early development?
Upregulation
Differentiation of penis - scrotum and prostate
50 times
Theca - leutin cysts

2. > 35 day cycle
Good - late metastasis
Osteoblastic in bone
Oligomenorrhea
Acute mastitis

3. testes present with non male external genitals
Male pseudoHerm
Severe bleeding iron def anemia - miscarriage
Fibrcystic change - ductal cancer
The ampulla - occurs within 1 day of ovulation

4. Testosterone and estrogen in androgen insensitivity syndrome
Right gonadal vein - IVC
Low progesterone
Corpus luteum cyst
Increase (and LH)

5. Which nerve and nerve fibers control for ejaculation
Increase
The anterior pituitary and hypothalamus
Visceral - somatic nerves in pudendal
Testicular lymphoma

6. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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7. What is the most common form of male pseudoHerm
Leydig cell tumor
Upregulation - LH surge - ovulation
Androgen insensitivity syndrome
Dilation and curettage and methotrexate

8. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Testosterone - DHT - androstenedione
Multiple sexual partners - also HIV and early sexual intercourse
Choriocarcinoma

9. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Intraductal papilloma
Relaxation
Myometrial tumors

10. What is the presentation of prostatitis
Mimics LH
Premature ovarian failure (Pof)
Congenital adrenal hyperplasia - exogenous administration of steroids
Dysuria - frequency - urgency - low back pain

11. What is the genetic material in the primary oocyte?
No
Diploid - 4N - 46 sister chromatids
Sertoli cells
Abacterial

12. What substances other than inhibin do sertoli cells produce?
Bowenoid papulosis - carcinoma in situ of the penis
Golgi
Andogren binding protein - anti mullerian hormone
Phyllodes tumor

13. Where is SCC of the penis more common and What is it associated with
Asia - Africa - S. America - HPV - lack of circumcision
5 alpha reductase - inhibited by finesteride
Uterus
Sarcoma botryoides - a rhabdomyosarcoma variant

14. Benign - looks like bladder
Increase
Brenner tumor
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Hemolysis - elevated liver enzymes - low platelets

15. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Embryonal carcinoma
Corpus luteum cyst
Choriocarcinoma

16. When does endometiral carcinoma usually occur
55-65
No
Testosterone secreting tumor - exogenous steroids
E coli

17. Overexpression of which receptors is common iwht malignant breast tumors
Fibromas
Mucinous cystadenocarcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

18. What hematologic condition is associated with abruptio placentae
4
Chocolate cyst
Inhibit cGMP breakdown
DIC

19. What is the prognosis for seminoma
Uterus
Good - late metastasis
Preeclampsia + siezures
Post menopausal

20. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Invasive ductal
Round ligament of the uterus
Diploid - 4N - 46 sister chromatids

21. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Testosterone
Sarcoma botryoides - a rhabdomyosarcoma variant
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Dysgerminoma

22. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Inhibit cGMP breakdown
DCIS
Periurethral lobes - lateral and middle
Abruptio placentae

23. disagreement between the phenotypic and gonadal sex
Pseudohermaphroditism
Cerebral hemorrhage and ARDS
Complete
Placenta acreta

24. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Premature ovarian failure (Pof)
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Choriocarcinoma

25. What does progesterone do to estrogen receptors
Multiple sexual partners - also HIV and early sexual intercourse
Left gonadal vein - left renal vein - IVC
Down regulation
Estrogen overstimulation

26. What does HHAVOC stand for in menopause
E coli
Cervix
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Peripheral conversion of androgens

27. What is the lymphatic drainage the ovaries/testis
Low back pain with increased serum alk phos
Para - aortic lymph nodes
69 xxy
Paget's disease - breast abscess

28. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Preeclampsia
E coli
Leydig cell tumor
Inhibit FSH

29. What is the main source of energy for spermatozoa
Metrorrhagia
Post menopausal
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Fructose

30. 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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31. Vaginal sqamous cell carcinoma is most often seconday From which site?
Para - aortic lymph nodes
Cervix
Stimulates testosterone release from leydig cells
Complete

32. Which androgen is responsible for the closing of the epiphyseal plate
Haploid - N - 23 single chromatids
Inhibit FSH
Testosterone
Fibrocystic disease

33. 50% of ovarian tumors - malignant and frequently bilateral
increased size and tenderness with increased estrogen
Serous cystadenocarcinoma
Tubular carcinoma
Testosterone - DHT - androstenedione

34. increased AFP - schiller duvel bodies - yellow mucinous
Lobular carcinoma - sclerosing adenosis
Yolk sac - endodermal sinus - tumor
Adenomyosis
2 months

35. tumor with orderly row of cells - often multiple and bilateral
Insulin resistance
During fetal life
Invasive lobular
Increase

36. What is a true hermaphrodite
DHT - testosterone - androstenedione
Smooth muscle
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Testicular lymphoma

37. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Dilation and curettage and methotrexate
increased cGMP - smooth muscle relax - vasodltn - proerectile
Invasive lobular

38. In What age group are ovarian germ cell tumors most common
Superficial inguinal lymph nodes
Theca cell - desmolase - androstenedione
Embryonal carcinoma
Adolescents

39. What is the pattern seen in leiomyoma
Serous cystadenocarcinoma
Relaxation
Whorled pattern of smooth muscle bundles
Menopause

40. What causes preeclampsia
Down regulation
Androgen insensitivity syndrome - 46 XY
CIN 1 - 2 - 3
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

41. how can struma ovarri present?
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Testosterone
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Hyperthyroidism - contains functional thyroid tissue

42. Some drugs cause awesome knockers
Hemolysis - elevated liver enzymes - low platelets
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Posterior lobe peripheral zone
Peripheral adipose tissue

43. What does the tail go onto to form
The centrioles
Vagina
Invasive lobular
Severe bleeding iron def anemia - miscarriage

44. Breast path - diseases of the stroma
Immature
Lobular carcinoma - sclerosing adenosis
Sertoli cells
Fibroadenoma - phyllodes tumor

45. Which teratoma - mature or immature - is aggresively malignant
Tubular carcinoma
Testosterone
Estradiol
Immature

46. A leimyoma is overgrowth of what cell
Golgi
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Sertoli cell tumor
Smooth muscle

47. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Partial
Choriocarcinoma
Stimulate glandular secretions - and spiral artery development
In the 6th decade of life

48. What are the treatments for PCOS
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Erythroplasia of Queyrat - carcinoma in situ of penis
Paget cell
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

49. histologic type of fibrocystic with hyperplasia of breast stroma
Left gonadal vein - left renal vein - IVC
The anterior pituitary and hypothalamus
Fibrosis
Polymenorrhea

50. when do primary oocytes begin meiosis I
Insulin resistance
Preeclampsia
During fetal life
One of the centrioles