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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. > 35 day cycle
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Sertoli cell tumor
Fallopian tube
Oligomenorrhea

2. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Ovary
DES in utero (DES is a sythetic estrogen)
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

3. What is the most common gynecologic malignancy
Endometrial carcinoma
Fibrocystic disease
Fibrosis
Production of a thick cervical mucus

4. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Complete
Left gonadal vein - left renal vein - IVC
Testosterone

5. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Spermatogonia (germ cells)
Vagina
Tight junctions between sertoli cells

6. When does spermatogenesis begin?
Right gonadal vein - IVC
Puberty
Intraductal papilloma
Hypogondadotropic hypogonadism

7. What does progesterone do to body temp
Premature ovarian failure (Pof)
Increase
During fetal life
Cervix

8. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Premature ovarian failure (Pof)
Endometriosis
17beta estradiol
Corpus luteum - placenta - adrenal cortex - testes

9. When is follicular growth the fastest?
2nd week of proliferative phase
Asia - Africa - S. America - HPV - lack of circumcision
Partial
Upregulation

10. Bent penis due to acquired fibrous tissue formation

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11. Where is SCC of the penis more common and What is it associated with
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Preeclampsia
Metrorrhagia
Asia - Africa - S. America - HPV - lack of circumcision

12. What are the effects of prolactin?
Estradiol > estrone > estriol
1 week - 2 weeks
Induces and maintains lactation - decreases reproductive function
Sertoli cells

13. What is hydatidiform mole and precurosor of...
Fertilization 'an egg met a sperm'
Tight junctions between sertoli cells
Metaphase
Choriocarcinoma

14. What does progesterone do to myometrial excitability
Decrease
Epithelial hyperplasia
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Phyllodes tumor

15. increased fluid secondary to incomplete fustion with processus vaginalis
Sertoli cells - and adipose tissue via aromatase
Hydrocele
Cystic
Abruptio placentae

16. endometrium within the myometrium
Adenomyosis
Androgen insensitivity syndrome - 46 XY
Primary hypogonadism
Choriocarcinoma

17. dx with increased testosterone and increased LH
Fat necrosis
Defective androgen receptor
Invasive lobular
Inhibition of HCG access

18. Which system and nerve allow for erection in the male?
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Smooth muscle
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
PANS - pelvic nerve

19. most common testicular cancer in older men
Sarcoma botryoides - a rhabdomyosarcoma variant
Testicular lymphoma
Prophase
Dilation and curettage and methotrexate

20. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Ectopic preg
Varicocele
Medullary
Androgen insensitivity syndrome - 46 XY

21. What hematologic condition is associated with abruptio placentae
Andogren binding protein - anti mullerian hormone
DIC
Testosterone
Aortic bicuspid valve

22. What are the 4 sources of progesterone
PSA
Corpus luteum - placenta - adrenal cortex - testes
Decreasing progesterone
Cystic

23. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Polyhydramnios
Corpus luteum cyst
Fibrosis
Female pseudoHerm

24. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
The anterior pituitary and hypothalamus
Neoplastic cells block lymphatic drainage
Granulosa cell tumor

25. What does the histo show for prostate cancer
Corpus luteum - placenta - adrenal cortex - testes
Small infiltrating glands with prominent nucleoli
Theca cell - desmolase - androstenedione
Smoking - HTN - cocaine

26. What are risk factors for placenta acreta
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Preeclampsia
Endocervix
Prior c section - inflammation - placenta previa

27. What does the SRY gene do
Hydatidiform mole
Testis determining factor
Golgi
Theca cell - desmolase - androstenedione

28. What are the associated risk factors for malignant breast tumors
Asia - Africa - S. America - HPV - lack of circumcision
DRE - hard nodule and biopsy
Dysuria - frequency - urgency - low back pain
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

29. What is the karyotype of a complete mole
51 yo
Broad ligament
46 xx
Paget's disease

30. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
2nd week of proliferative phase
IV mag sulfate - diazepam
Placenta acreta
Testosterone secreting tumor - exogenous steroids

31. histo: simple columnar epithelium
Sclerosing adenosis
Mature teratoma
1000 times
Endocervix

32. What occurs to a fibroadenoma during pregnancy and menstruation and why
95%
Endometrial carcinoma
increased size and tenderness with increased estrogen
Stimulate glandular secretions - and spiral artery development

33. What is the prognosis for seminoma
4
Placenta previa
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Good - late metastasis

34. Uterin fundus to labia majora
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Round ligament of uterus
Hemorrhage
Adolescents

35. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Peripheral conversion of androgens
Left
Puberty
DCIS

36. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Delivery of fetus
Andogren binding protein - anti mullerian hormone
5 alpha reductase def

37. What is a potential complication of endometrial hyperplasia
Smooth muscle
Spermatocele
Endometrial carcinoma
Asia - Africa - S. America - HPV - lack of circumcision

38. What are the functions of oxytocin - maybe
Trophoblasts
Decreasing progesterone
Adolescents
Milk letdown - uterine contractions?

39. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
increased cGMP - smooth muscle relax - vasodltn - proerectile
The anterior pituitary and hypothalamus
Menopause

40. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Prostate growth - balding - and sebaceous gland activity
Tight junctions between sertoli cells
Sertoli cells - and adipose tissue via aromatase

41. predisposing factor to clear cell adenocarcinoma of the vagina
Hemolysis - elevated liver enzymes - low platelets
Granulosa cell - aromatase - androstenedione - estrogen
DES in utero (DES is a sythetic estrogen)
Periurethral lobes - lateral and middle

42. What sequelae are associated with leiomyoma
Increased FSH
Severe bleeding iron def anemia - miscarriage
Theca cell - desmolase - androstenedione
Production of a thick cervical mucus

43. small - mobile - firm breast mass with sharp edges - most common in <25
Congenital adrenal hyperplasia - exogenous administration of steroids
Fibroadenoma
One of the centrioles
Meigs syndrome

44. Which androgen is responsible for the deepening of the voice
Testosterone
Superficial inguinal lymph nodes
Bicornute uterus
Leydig cell tumor

45. is fibroadenoma a precursor to breast cancer
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
The anterior pituitary and hypothalamus
No
Neoplastic cells block lymphatic drainage

46. What is the expected increase of estradiol and estrone in pregnancy
Menometrorrhagia
Primary hypogonadism
Embryonal carcinoma
50 times

47. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
PCOS
Prostatic acid phosphatase and PSA
1 week - 2 weeks

48. decreased estrogen production due to age linked decline in the number of ovarian follices
Prostate growth - balding - and sebaceous gland activity
Menopause
Develop both male and female internal genitalia and male external genitalia
No

49. Does a leiomyoma progress to leiosarcoma
Periurethral lobes - lateral and middle
No
Feedback inhibition
Low back pain with increased serum alk phos

50. What is the treatment for preeclampsia
Dilation and curettage and methotrexate
Delivery of fetus
Choriocarcinoma
Lateral invasion can block ureters causing renal failure