First Aid: Reproductive

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. Benign - looks like bladder
Brenner tumor
Serous cystadenoma
Production of a thick cervical mucus
Suspensory ligament of ovaries


2. What is the right venous drainage of the ovary/testis
Smooth muscle
Right gonadal vein - IVC
Whorled pattern of smooth muscle bundles
Inhibition of HCG access


3. 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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4. In What age group are ovarian germ cell tumors most common
Testicular lymphoma
Adolescents
Squamous cell carcinoma
Hyperestrogenism


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

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6. Which androgen is responsible for libido
Leydig cell tumor
Testosterone
Mammary duct epithelium or lobular glands
Cystic


7. Red velvety plaques - usually involving the glans - similar to Bowen's
Obdurator - exterinal iliac - hypogastic nodes
Dysuria - frequency - urgency - low back pain
Erythroplasia of Queyrat - carcinoma in situ of penis
Adrenal gland


8. What is the treatment for preeclampsia
GnRH from hypoTh - LH and FSH from ant pituitary
Myometrial invasion
Delivery of fetus
DRE - hard nodule and biopsy


9. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Inhibition of HCG access
Stimulates testosterone release from leydig cells
Intraductal papilloma


10. What does HHAVOC stand for in menopause
Right gonadal vein - IVC
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
DHT - testosterone - androstenedione
Preeclampsia clinical


11. When are phyllodes tumors most common
1 week - 2 weeks
Uterus
In the 6th decade of life
Puberty


12. List the estrogens in order of decreasing potency
46 xx
Estradiol > estrone > estriol
Mitochondria
Testicular lymphoma


13. What are the pathologic features of leiosarcoma
Testosterone secreting tumor - exogenous steroids
Paget's disease - breast abscess
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur


14. dx with decreased testosterone - increased LH
Primary hypogonadism
Estradiol
Seminoma
DHT - testosterone - androstenedione


15. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Sclerosing adenosis
Choriocarcinoma
Increase (and LH)


16. What does inhibin do?
Invasive lobular
Inhibit FSH
Stimulates testosterone release from leydig cells
Suspensory ligament of ovaries


17. What is the common presentation of metastasis in prostate cancer
Testosterone secreting tumor - exogenous steroids
Testosterone
Broad ligament
Low back pain with increased serum alk phos


18. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Induces and maintains lactation - decreases reproductive function
Bowenoid papulosis - carcinoma in situ of the penis
In the 6th decade of life
Smooth muscle


19. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Increased FSH
Testicular lymphoma
Testosterone


20. Where does prostatic adenocarcinoma arise from?
Congenital adrenal hyperplasia - exogenous administration of steroids
Left
PANS - pelvic nerve
Posterior lobe peripheral zone


21. Which side is varicocele more common on...
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Cervix
Develop both male and female internal genitalia and male external genitalia
Left


22. Uterin fundus to labia majora
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
No
Round ligament of uterus
Polyhydramnios


23. What does progesterone do to estrogen receptors
Acute mastitis
Down regulation
The ampulla - occurs within 1 day of ovulation
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism


24. How many days after fertilization does implantation occur?
Corpus luteum cyst
6
Just prior to ovulation
Mittelschmerz syndrome


25. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Bowen's dz - carcinoma in situ of the penis
Cystic
Stimulate glandular secretions - and spiral artery development
Theca - leutin cysts


26. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Myometrial invasion
Premature ovarian failure (Pof)
50 times
Spermatogonia (germ cells)


27. What are the useful tumor parkers in prostatic adenocarcinoma
Prostatic acid phosphatase and PSA
Diploid - 4N - 46 sister chromatids
Abruptio placentae
Testosterone


28. What are the most common cause of anovluation

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29. Increases in which hormone are associated with BPH
Mature teratoma
Estradiol and possible growth promoting effects of DHT
Follicular phase varies - luteal phase is 14
Insulin resistance


30. Where does LH work - what enzyme works there and what product is secreted
Severe bleeding iron def anemia - miscarriage
Theca cell - desmolase - androstenedione
Peyronie's dz
Peripheral adipose tissue


31. What are common causes of hyperestrogenism

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32. Breast path - diseases of the lactiferous sinus
Menometrorrhagia
Mature teratoma
Ligament of the ovary
Intraductal papilloma - breast abscess - mastitis


33. Does a leiomyoma progress to leiosarcoma
increased in total - and dec in free fraction
Ectopic preg
Sertoli cells - and adipose tissue via aromatase
No


34. What is the genetic material in the primary oocyte?
Diploid - 4N - 46 sister chromatids
Decrease
Relaxation
Maintenance


35. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
51 yo
Oligohydramnios
50 times


36. What does the tail go onto to form
During fetal life
Menometrorrhagia
The centrioles
Erythroplasia of Queyrat - carcinoma in situ of penis


37. What complications are associated with polyhydramnios

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38. how can struma ovarri present?
BPH
Hyperthyroidism - contains functional thyroid tissue
Estradiol > estrone > estriol
Granulosa cell tumor


39. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
PSA
Develop both male and female internal genitalia and male external genitalia


40. What are the treatments for BPH
Vagina
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Comedocarcinoma
Estradiol


41. inability to convert testosterone to DHT - limited to genetic males - penis at 12
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
S aureus
Prematurity
5 alpha reductase def


42. Which cells line the seminiferous tubules and secrete inhibin
Paget's disease
Krukenburg tumor
Suspensory ligament of ovaries
Sertoli cells


43. eclampsia
69 xxy
Preeclampsia + siezures
Fibrocystic disease
Bicornute uterus


44. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
The centrioles
Serous cystadenocarcinoma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Choriocarcinoma


45. What is the karyotype of a partial mole
69 xxy
During fetal life
Paget's disease - breast abscess
Dilation and curettage and methotrexate


46. In what phase is meiosis I arrested
Myometrial tumors
Lobular carcinoma - sclerosing adenosis
Prophase
Abacterial


47. In what phase is meiosis II arrested
Metaphase
Broad ligament
Defective androgen receptor
Squamous cell carcinoma


48. What is mortality due to in preeclampsia
Preeclampsia clinical
Proliferation
Hydrocele
Cerebral hemorrhage and ARDS


49. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Invasive lobular
Preeclampsia
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant


50. histo: simple columnar epithelium - ciliated
Ligament of the ovary
Sertoli cells
Fallopian tube
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL