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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.
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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. gynecological tumors from highest incidence to lowest
Induces and maintains lactation - decreases reproductive function
Estradiol
Yolk sac - endodermal sinus - tumor
Endometrial > ovarian> cervical (in US)

2. How is dyslpasi and carcinoma in situ of the cervix classified
During fetal life
Uterus
In the 6th decade of life
CIN 1 - 2 - 3

3. When does spermatogenesis begin?
Puberty
Polymenorrhea
Polyhydramnios
Production of a thick cervical mucus

4. dilated epididymal duct
Teratoma
Spermatocele
Inflammatory
Male pseudoHerm

5. What is the common presentation of metastasis in prostate cancer
Complete
Dysgerminoma
Haploid - N - 23 single chromatids
Low back pain with increased serum alk phos

6. What is the flaggelum derived from
Golgi
Hyperestrogenism
Hyperthyroidism - contains functional thyroid tissue
One of the centrioles

7. Connects cervix to side wall of pelvis - contains uterine vessels
Tunica vaginalis lesions
Cardinal ligament
Chromosomal abnormalities
Leydig cell tumor

8. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Cerebral hemorrhage and ARDS
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
DCIS
Fertilization 'an egg met a sperm'

9. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Testosterone
Bowenoid papulosis - carcinoma in situ of the penis
Ectopic preg
Granulosa cell tumor

10. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
4
Kallman
Choriocarcinoma
Maintenance

11. What does progesterone do in the endometrium
Sertoli cells
Stimulate glandular secretions - and spiral artery development
DHT - testosterone - androstenedione
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

12. What are causes of female pseudoHerm
Congenital adrenal hyperplasia - exogenous administration of steroids
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
5 alpha reductase - inhibited by finesteride
No

13. What stimulation after labor induces lactation
Decreasing progesterone
Menopause
DRE - hard nodule and biopsy
Low progesterone

14. Bent penis due to acquired fibrous tissue formation

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15. eclampsia
Fibroadenoma - phyllodes tumor
E coli
Post menopausal
Preeclampsia + siezures

16. histo: simple columnar epithelium - ciliated
increased Ca in - smooth muscle contraction - vasocxn - antierectile
95%
Fallopian tube
Delivery of fetus

17. What does SEVEN Up stand for in regards to the pathway of sperm
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Visceral - somatic nerves in pudendal
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Mittelschmerz syndrome

18. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Chocolate cyst
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Partial

19. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Ovarian > cervical > endometrial
Syncytiotrophoblasts of placenta
Inhibition of HCG access
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

20. How many days after fertilization does implantation occur?
55-65
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
6

21. Where is the enlargement found in BPH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Periurethral lobes - lateral and middle
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
The semiT and the blood vessels

22. triad of ovarian fibroma - ascites - hydrothorax
Sertoli cell tumor
Meigs syndrome
Menometrorrhagia
Krukenburg tumor

23. Testosterone and estrogen in androgen insensitivity syndrome
Androgen insensitivity syndrome - 46 XY
Increase (and LH)
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
The semiT and the blood vessels

24. What does estrogen do to estrogen - LH and progesterone recepotrs
Preeclampsia
Hydrocele
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Upregulation

25. Where is androstenedione made?
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Estradiol
S aureus
Adrenal gland

26. marked increased hCG - complete or partial
Complete
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Follicular cyst
2nd week of proliferative phase

27. heavy - irregular menstruation at irregular intervals
Abruptio placentae
Menometrorrhagia
Mammary duct epithelium or lobular glands
Male pseudoHerm

28. What cellular structure is the acrosome derived from?
Osteoblastic in bone
The semiT and the blood vessels
Stimulation of secretion - but blocks its action at the breast
Golgi

29. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
No
Endocervix
Testosterone - DHT - androstenedione

30. What are the useful tumor parkers in prostatic adenocarcinoma
Hydrocele
Oligohydramnios
Prostatic acid phosphatase and PSA
Choriocarcinoma

31. histo: stratified squamous epithelium - nonkeratinized
Myometrial tumors
Vagina
Serous cystadenocarcinoma
Upregulation

32. What converts testosterone to DHT
2 months
Right gonadal vein - IVC
Blacks
5 alpha reductase - inhibited by finesteride

33. 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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34. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
Decreasing progesterone
Premature ovarian failure (Pof)
Dysgerminoma

35. < 21 day cycle
Testosterone
Preeclampsia + siezures
DES in utero (DES is a sythetic estrogen)
Polymenorrhea

36. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Mature teratoma
Seminoma
Testosterone secreting tumor - exogenous steroids
Superficial inguinal lymph nodes

37. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
Premature ovarian failure (Pof)
Adolescents
Fibrosis

38. From What tissues to malignant breast tumors arise?
Suckling - increased oxytocin - prolactin
Mammary duct epithelium or lobular glands
Neoplastic cells block lymphatic drainage
increased AFP and hCG

39. Increases in which hormone are associated with BPH
Retrograde mentrual flow or ascending infection
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Cervix
Estradiol and possible growth promoting effects of DHT

40. What changes in the aorta are common in Turner's?
Preductal coarctication
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Paget's disease - breast abscess
Invasive lobular

41. What percentage of testicular tumors are germ cell
46 xx
Hydatidiform mole
Acute mastitis
95%

42. What is HELLP syndrome
Just prior to ovulation
Endocervix
Call exner bodies
Hemolysis - elevated liver enzymes - low platelets

43. Which cells line the seminiferous tubules and secrete inhibin
Peripheral conversion of androgens
Peyronie's dz
Squamous cell carcinoma
Sertoli cells

44. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Prostate growth - balding - and sebaceous gland activity
Inhibition LH and FSH
Female pseudoHerm
Smooth muscle

45. What is a complication of invasive carcinoma
Sertoli cell tumor
Sarcoma botryoides - a rhabdomyosarcoma variant
Lateral invasion can block ureters causing renal failure
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

46. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Sertoli cells
Fibrocystic disease
Serous cystadenoma
Low back pain with increased serum alk phos

47. premature detachment of placenta from implantation site leading to fetal death
Metrorrhagia
Abruptio placentae
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Endometrial carcinoma

48. What is the right venous drainage of the ovary/testis
Smooth muscle
Complete
Right gonadal vein - IVC
Congenital adrenal hyperplasia - exogenous administration of steroids

49. when do primary oocytes begin meiosis I
Smooth muscle
Hydatidiform mole
During fetal life
increased size and tenderness with increased estrogen

50. What does the histo show for prostate cancer
DES in utero (DES is a sythetic estrogen)
Small infiltrating glands with prominent nucleoli
Seminoma
Theca cell - desmolase - androstenedione