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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. dilated epididymal duct
Spermatocele
Endometriosis
51 yo
Embryonal carcinoma

2. what usually causes endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Prostate growth - balding - and sebaceous gland activity
Increase in size in pregs - decrease in size meno - estrogen sens
Estrogen overstimulation

3. What are the 4 sources of progesterone
Immature
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Corpus luteum - placenta - adrenal cortex - testes
Fibromas

4. What is the genetic material in the primary oocyte?
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Diploid - 4N - 46 sister chromatids
Puberty
Dilation and curettage and methotrexate

5. What does the SRY gene do
Testis determining factor
Testosterone - DHT - androstenedione
Congenital adrenal hyperplasia - exogenous administration of steroids
Retrograde mentrual flow or ascending infection

6. Which teratoma - mature or immature - is aggresively malignant
Immature
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Testosterone
69 xxy

7. What does estrogen stimulate in the endometrium
Proliferation
No
Fertilization 'an egg met a sperm'
Tubular carcinoma

8. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
51 yo
Male pseudoHerm
Periurethral lobes - lateral and middle

9. dilated vein in pampiniform plexus - bag of worms
Increase in size in pregs - decrease in size meno - estrogen sens
Production of a thick cervical mucus
Varicocele
Inhibition LH and FSH

10. How many days after fertilization does implantation occur?
Menometrorrhagia
Cervix
The ampulla - occurs within 1 day of ovulation
6

11. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Yolk sace - endodermal sinus - tumor
Bowenoid papulosis - carcinoma in situ of the penis
Premature ovarian failure (Pof)
In the 6th decade of life

12. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Suckling - increased oxytocin - prolactin
No
IV mag sulfate - diazepam
Fibromas

13. What do leydig cells secrete?
Whorled pattern of smooth muscle bundles
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Testosterone
Delivery of fetus

14. What are the 3 androgens
Andogren binding protein - anti mullerian hormone
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Testosterone - DHT - androstenedione
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

15. What are the useful tumor parkers in prostatic adenocarcinoma
Hemorrhage
Good - late metastasis
Prostatic acid phosphatase and PSA
Premature ovarian failure (Pof)

16. What is the source of estrogen after menopause
Invasive ductal
BPH
Peripheral conversion of androgens
Axillary node involvement

17. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Prementsrual breast pain and multiple lesions
Fibroadenoma - phyllodes tumor
Immature
Bowenoid papulosis - carcinoma in situ of the penis

18. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
No
Theca - leutin cysts
Peripheral conversion of androgens
Koilocytitic

19. How does progesterone inhibit sperm entry to uterus
Klinefelter's - XXY
Cerebral hemorrhage and ARDS
Production of a thick cervical mucus
Erythroplasia of Queyrat - carcinoma in situ of penis

20. Complications of BPH
Primary hypogonadism
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
5 alpha reductase def

21. What are the associated risk factors for malignant breast tumors
Endometriosis
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Hemolysis - elevated liver enzymes - low platelets
Relaxation

22. Dermal lymphatic invasion by breast carcinoma - peu d orange
Proliferation
Endometriosis
Inflammatory
HPV 16 - 18

23. when do primary oocytes begin meiosis I
During fetal life
Fibroadenoma - phyllodes tumor
Right gonadal vein - IVC
One of the centrioles

24. How long does it take for sperm to fully develop
Cardinal ligament
Fibrocystic disease
Male pseudoHerm
2 months

25. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Yolk sac - endodermal sinus - tumor
Prementsrual breast pain and multiple lesions
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Krukenburg tumor

26. What common valvular abnormality is common in Turner's
Dysgerminoma
Periurethral lobes - lateral and middle
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Aortic bicuspid valve

27. What is the expected increase of estradiol and estrone in pregnancy
Fibrosis
50 times
Small infiltrating glands with prominent nucleoli
Androgen insensitivity syndrome

28. Increases in which hormone are associated with BPH
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
In the 6th decade of life
Squamous cell carcinoma
Estradiol and possible growth promoting effects of DHT

29. What does progesterone do to gonadotropins
Inhibition of HCG access
Inhibition LH and FSH
Mammary duct epithelium or lobular glands
Inhibit cGMP breakdown

30. multilocular cyst lined by mucus secreting epi - benign - intestine like
Inhibit cGMP breakdown
Develop both male and female internal genitalia and male external genitalia
Mucinous cystadenoma
Periurethral lobes - lateral and middle

31. histo: stratified sqamous epithelium
Ectocervix
Fibroadenoma - phyllodes tumor
Endometrial carcinoma
Polymenorrhea

32. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Immature
Prostatic acid phosphatase and PSA
5 alpha reductase - inhibited by finesteride

33. 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
Fallopian tube
Post menopausal
Delivery of fetus
Seminoma

34. What are the functions of oxytocin - maybe
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Complete
increased AFP and hCG
Milk letdown - uterine contractions?

35. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
No
Inhibition LH and FSH
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

36. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
No
Choriocarcinoma
Endometrial carcinoma
1 week - 2 weeks

37. What estrogen does the placenta secrete
Complete
Estradiol
Prostate growth - balding - and sebaceous gland activity
Testosterone secreting tumor - exogenous steroids

38. Which androgen is responsible for libido
Bowen's dz - carcinoma in situ of the penis
Testosterone
SANS - hypogastric nerve
Blacks

39. What is a potential complication of endometrial hyperplasia
Round ligament of uterus
Endometrial carcinoma
Male pseudoHerm
Bowen's dz - carcinoma in situ of the penis

40. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Yolk sac - endodermal sinus - tumor
Menopause
Complete
Placenta previa

41. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Neoplastic cells block lymphatic drainage
Dysuria - frequency - urgency - low back pain
Ovary

42. Complication of retained placental tissue
Choriocarcinoma
Bowenoid papulosis - carcinoma in situ of the penis
Hemorrhage
Low back pain with increased serum alk phos

43. What does inhibin do?
Prior c section - inflammation - placenta previa
Inhibit FSH
Yolk sac - endodermal sinus - tumor
Calcifications

44. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Suspensory ligament of ovaries
Mittelschmerz syndrome
Prementsrual breast pain and multiple lesions

45. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
Invasive ductal
Choriocarcinoma
In the 6th decade of life

46. What sequelae are associated with leiomyoma
Prophase
Myometrial invasion
Comedocarcinoma
Severe bleeding iron def anemia - miscarriage

47. What is DHT responsible for in late development
DIC
Myometrial invasion
Medullary
Prostate growth - balding - and sebaceous gland activity

48. frequent bu irregular cycles
Metrorrhagia
17beta estradiol
Haploid - N - 23 single chromatids
Smoking - HTN - cocaine

49. What is the common presentation of metastasis in prostate cancer
Follicular cyst
Testosterone
Testosterone
Low back pain with increased serum alk phos

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

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