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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. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
Right gonadal vein - IVC
Yolk sace - endodermal sinus - tumor
Menometrorrhagia

2. What serum markers are associated with embyronal carcinoma
The centrioles
increased AFP and hCG
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Follicular phase varies - luteal phase is 14

3. Breast path - disease that occurs at the nipple

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4. In what phase is meiosis II arrested
Metaphase
Small infiltrating glands with prominent nucleoli
Menometrorrhagia
4

5. Breast path - diseeases of the lobules
Posterior lobe peripheral zone
Lobular carcinoma - sclerosing adenosis
DCIS
Endometrial > ovarian> cervical (in US)

6. hyperplasia - not hypertrophy of the prostate gland
Mucinous cystadenocarcinoma
Squamous cell carcinoma
BPH
Increase

7. endometrium within the myometrium
Inhibition LH and FSH
Choriocarcinoma
Adenomyosis
Inflammatory

8. common cause of recurrent miscarriage in the 1st week
Low progesterone
One of the centrioles
Retrograde mentrual flow or ascending infection
Broad ligament

9. histo: simple columnar epithelium - pseudostratified tubular glands
Uterus
Sertoli cells
DCIS
Paget cell

10. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
In the 6th decade of life
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Decrease
Teratoma

11. What is the source of estrogen after menopause
Peripheral conversion of androgens
Chocolate cyst
Low progesterone
Phyllodes tumor

12. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Tight junctions between sertoli cells
HPV 16 - 18
Differentiation of penis - scrotum and prostate

13. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Metrorrhagia
Stimulates sertoli cells to produce ABP and inhibin
Testosterone

14. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Fat necrosis
Hydrocele
HPV 16 - 18
Myometrial tumors

15. What does gynecomastia result from?
Hyperestrogenism
69 xxy
GnRH from hypoTh - LH and FSH from ant pituitary
Tubular carcinoma

16. What structures does testosterone negatively feedback on?
Insulin resistance
Decrease
The anterior pituitary and hypothalamus
Follicular phase varies - luteal phase is 14

17. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Intraductal papilloma
Hemorrhage
Testosterone
Superficial inguinal lymph nodes

18. What becomes the main source of hCG
17beta estradiol
Smoking - HTN - cocaine
Syncytiotrophoblasts of placenta
The anterior pituitary and hypothalamus

19. What is the genetic material in the secondary oocyte?
Sclerosing adenosis
Proliferation
Haploid - 2N - 23 sister chromatids
In the 6th decade of life

20. What substances other than inhibin do sertoli cells produce?
Hyperthyroidism - contains functional thyroid tissue
Yolk sace - endodermal sinus - tumor
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Andogren binding protein - anti mullerian hormone

21. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Fibrcystic change - ductal cancer
Good - late metastasis
Endocervix
Placenta previa

22. What happens to a leiomyoma in pregs and menopause and why
Smooth muscle
Prostate growth - balding - and sebaceous gland activity
Increase in size in pregs - decrease in size meno - estrogen sens
Squamous cell carcinoma

23. marked increased hCG - complete or partial
Peripheral conversion of androgens
Complete
Teratoma
Severe bleeding iron def anemia - miscarriage

24. What is the right venous drainage of the ovary/testis
Choriocarcinoma
Right gonadal vein - IVC
Inhibit cGMP breakdown
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

25. What does the SRY gene do
Ligament of the ovary
Dysgerminoma
Testis determining factor
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

26. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Paget's disease
5 alpha reductase def
Male pseudoHerm

27. What common valvular abnormality is common in Turner's
Hyperthyroidism - contains functional thyroid tissue
Aortic bicuspid valve
The centrioles
The ampulla - occurs within 1 day of ovulation

28. How long does it take for sperm to fully develop
Paget's disease
Low back pain with increased serum alk phos
2 months
Left

29. when do primary oocytes begin meiosis I
During fetal life
Decreasing progesterone
Inhibit cGMP breakdown
Peripheral conversion of androgens

30. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Smooth muscle
One of the centrioles

31. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Fertilization 'an egg met a sperm'
Choriocarcinoma
Sertoli cells - and adipose tissue via aromatase

32. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Testis determining factor
Squamo - columnar jxn
Calcifications
Axillary node involvement

33. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
Differentiation of penis - scrotum and prostate
Squamo - columnar jxn
No

34. What increases the risk of cryptorchidism
Polyhydramnios
Round ligament of uterus
Prematurity
4

35. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Female pseudoHerm
Stimulates testosterone release from leydig cells
Invasive ductal
Estradiol and possible growth promoting effects of DHT

36. Which teratoma - mature or immature - is aggresively malignant
Immature
Squamo - columnar jxn
Squamous cell carcinoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

37. hemorrhage into persistent corpus luteum
Post menopausal
Corpus luteum cyst
Prostate growth - balding - and sebaceous gland activity
Multiple sexual partners - also HIV and early sexual intercourse

38. What are the most common cause of anovluation

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39. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Cervix
increased cGMP - smooth muscle relax - vasodltn - proerectile
Bowen's dz - carcinoma in situ of the penis

40. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Spermatogonia (germ cells)
Acute mastitis
Prostate growth - balding - and sebaceous gland activity
Ectocervix

41. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Fibromas
DHT - testosterone - androstenedione
Testosterone

42. What are the effects of prolactin?
Suspensory ligament of ovaries
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
2 months
Induces and maintains lactation - decreases reproductive function

43. What are risk factors for abruptio placentae?
Mucinous cystadenoma
Smoking - HTN - cocaine
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Corpus luteum cyst

44. Which nerve and nerve fibers control for ejaculation
PANS - pelvic nerve
Prophase
Adenomyosis
Visceral - somatic nerves in pudendal

45. 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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46. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Tunica vaginalis lesions
Bowen's dz - carcinoma in situ of the penis
Myometrial tumors

47. Connects ovaries to lateral pelvic wall - contains ovarian vessels
increased size and tenderness with increased estrogen
Adenomyosis
Suspensory ligament of ovaries
Primary hypogonadism

48. histo: simple columnar epithelium
Asia - Africa - S. America - HPV - lack of circumcision
Leydig cell tumor
Endocervix
Visceral - somatic nerves in pudendal

49. testes present with non male external genitals
The semiT and the blood vessels
Fibrocystic disease
Male pseudoHerm
Endometrial carcinoma

50. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
BPH
CIN 1 - 2 - 3
Granulosa cell tumor
Menometrorrhagia