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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. Red velvety plaques - usually involving the glans - similar to Bowen's
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
95%
55-65
Erythroplasia of Queyrat - carcinoma in situ of penis

2. Complication of retained placental tissue
Dilation and curettage and methotrexate
Prior c section - multiparity
Hemorrhage
Sarcoma botryoides - a rhabdomyosarcoma variant

3. From What tissues to malignant breast tumors arise?
Peyronie's dz
Mammary duct epithelium or lobular glands
Asia - Africa - S. America - HPV - lack of circumcision
Malignant in males not in females

4. 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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5. histologic type of fibrocystic with hyperplasia of breast stroma
Fibrosis
Ectopic preg
Golgi
Andogren binding protein - anti mullerian hormone

6. dilated epididymal duct
Just prior to ovulation
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Lateral invasion can block ureters causing renal failure
Spermatocele

7. What converts testosterone to DHT
Down regulation
Theca - leutin cysts
Periurethral lobes - lateral and middle
5 alpha reductase - inhibited by finesteride

8. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Increase in size in pregs - decrease in size meno - estrogen sens
HPV 16 - 18
Fallopian tube
Induces and maintains lactation - decreases reproductive function

9. common cause of recurrent miscarriage in 2nd trimester
DHT - testosterone - androstenedione
5 alpha reductase - inhibited by finesteride
Chocolate cyst
Bicornute uterus

10. distention of unruptured graafian follicle
Follicular cyst
Hydatidiform mole
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Estradiol and possible growth promoting effects of DHT

11. marked increased hCG - complete or partial
Kallman
Complete
Inhibition LH and FSH
Testosterone

12. what structures supplies the energy to the middle piece (neck)
The ampulla - occurs within 1 day of ovulation
Mitochondria
Tunica vaginalis lesions
Menopause

13. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Leydig cell tumor
Krukenburg tumor
Abruptio placentae
Relaxation

14. What is the average age of onset for menopause
Metrorrhagia
Mimics LH
51 yo
Milk letdown - uterine contractions?

15. What are causes of female pseudoHerm
Increase
Congenital adrenal hyperplasia - exogenous administration of steroids
51 yo
Calcifications

16. dx with increased testosterone and dec LH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone secreting tumor - exogenous steroids
Retrograde mentrual flow or ascending infection
Aortic bicuspid valve

17. What are the functions of oxytocin - maybe
Prementsrual breast pain and multiple lesions
Hemolysis - elevated liver enzymes - low platelets
Milk letdown - uterine contractions?
Decreasing progesterone

18. Which gynecologic tumors have the worst prognosis?
Meigs syndrome
Ovary
Ovarian > cervical > endometrial
Klinefelter's - XXY

19. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
No
Androgen insensitivity syndrome - 46 XY
Complete
DCIS

20. What metastasis is most common with prostatic adenocarcinoma
Increase in size in pregs - decrease in size meno - estrogen sens
Epithelial hyperplasia
Stimulation of secretion - but blocks its action at the breast
Osteoblastic in bone

21. Where is testosterone converted to estrogen
Malignant in males not in females
Sertoli cells - and adipose tissue via aromatase
Follicular cyst
Prior c section - multiparity

22. Where is androstenedione made?
increased risk for carcinoma
Adrenal gland
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Testicular lymphoma

23. Where is testosterone secreted into?
Dysuria - frequency - urgency - low back pain
Para - aortic lymph nodes
The semiT and the blood vessels
increased Ca in - smooth muscle contraction - vasocxn - antierectile

24. What do leydig cells secrete?
Testosterone
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Paget cell
Theca cell - desmolase - androstenedione

25. A leimyoma is overgrowth of what cell
Smooth muscle
1 week - 2 weeks
Female pseudoHerm
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

26. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Complete
Meigs syndrome

27. testicular masses that can be transilluminated
IV mag sulfate - diazepam
Tunica vaginalis lesions
Oligomenorrhea
Turner's XO

28. What does progesterone do to smooth muscle in the uterus
Relaxation
Medullary
Andogren binding protein - anti mullerian hormone
Premature ovarian failure (Pof)

29. Which androgen is responsible for libido
IV mag sulfate - diazepam
Testosterone
Periurethral lobes - lateral and middle
Immature

30. How many functional sperm does 1 germ cell creat?
Hemorrhage
Stimulate glandular secretions - and spiral artery development
4
Uterus

31. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
Dysuria - frequency - urgency - low back pain
Stimulates sertoli cells to produce ABP and inhibin
Endometrial carcinoma

32. What is the pattern seen in leiomyoma
Defective androgen receptor
Ectocervix
Whorled pattern of smooth muscle bundles
The anterior pituitary and hypothalamus

33. What estrogen does the placenta secrete
Estradiol
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
2nd week of proliferative phase
Complete

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

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35. androblastoma from sex cord stroma
Sertoli cell tumor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
SANS - hypogastric nerve
Ectocervix

36. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Testosterone secreting tumor - exogenous steroids
Paget cell

37. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
20 to 40
Peyronie's dz

38. When is follicular growth the fastest?
2nd week of proliferative phase
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Upregulation
Granulosa cell tumor

39. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
Calcifications
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Phyllodes tumor

40. Which teratoma - mature or immature - is aggresively malignant
Upregulation - LH surge - ovulation
Immature
Leydig cell tumor
Squamous cell carcinoma

41. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Good - late metastasis
Testosterone - DHT - androstenedione
Primary hypogonadism
Intraductal papilloma

42. what usually causes endometrial hyperplasia
Periurethral lobes - lateral and middle
Bowen's dz - carcinoma in situ of the penis
Estrogen overstimulation
Mucinous cystadenoma

43. What occurs to a fibroadenoma during pregnancy and menstruation and why
Left
The anterior pituitary and hypothalamus
increased size and tenderness with increased estrogen
Endometrial > ovarian> cervical (in US)

44. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
S aureus
Whorled pattern of smooth muscle bundles
Mittelschmerz syndrome
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

45. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Peyronie's dz
Obdurator - exterinal iliac - hypogastic nodes
Left gonadal vein - left renal vein - IVC
No

46. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Delivery of fetus
Left
Choriocarcinoma
Dilation and curettage and methotrexate

47. What are common causes of hyperestrogenism

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48. What substances other than inhibin do sertoli cells produce?
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Andogren binding protein - anti mullerian hormone
increased AFP and hCG
Bowen's dz - carcinoma in situ of the penis

49. Where does LH work - what enzyme works there and what product is secreted
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Cervix
Endometrial carcinoma
Theca cell - desmolase - androstenedione

50. 2 sperm + empty egg
Adolescents
Insulin resistance
Complete
Preductal coarctication