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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. What is the typical cell change in HPV infection
Metrorrhagia
Obdurator - exterinal iliac - hypogastic nodes
Spermatocele
Koilocytitic

2. triad of ovarian fibroma - ascites - hydrothorax
Dysuria - frequency - urgency - low back pain
Pseudohermaphroditism
Meigs syndrome
Placenta acreta

3. What hormones regulate sperm creation?
Endometriosis
5 alpha reductase - inhibited by finesteride
GnRH from hypoTh - LH and FSH from ant pituitary
Hyperthyroidism - contains functional thyroid tissue

4. What is the average age of onset for menopause
51 yo
Menopause
Stimulates sertoli cells to produce ABP and inhibin
Squamo - columnar jxn

5. Which side is varicocele more common on...
DES in utero (DES is a sythetic estrogen)
Left
Ovarian > cervical > endometrial
Production of a thick cervical mucus

6. What is the lymphatic drainage the ovaries/testis
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Hemolysis - elevated liver enzymes - low platelets
Testosterone
Para - aortic lymph nodes

7. Where is SCC of the penis more common and What is it associated with
Hypogondadotropic hypogonadism
Asia - Africa - S. America - HPV - lack of circumcision
Phyllodes tumor
Inhibit FSH

8. When does endometiral carcinoma usually occur
55-65
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
5 alpha reductase - inhibited by finesteride
Estradiol > estrone > estriol

9. Some drugs cause awesome knockers
PSA
Yolk sace - endodermal sinus - tumor
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Ectopic preg

10. common cause of recurrent miscarriage in 1st trimester
Chromosomal abnormalities
Hypogondadotropic hypogonadism
Preeclampsia
Smoking - HTN - cocaine

11. Where does prostatic adenocarcinoma arise from?
Hydrocele
Hemorrhage
Posterior lobe peripheral zone
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

12. What estrogen does the ovary secrete
Prophase
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Haploid - N - 23 single chromatids
17beta estradiol

13. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Puberty
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Squamo - columnar jxn
Stimulate glandular secretions - and spiral artery development

14. histo: stratified sqamous epithelium
Increase
Ectocervix
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
increased cGMP - smooth muscle relax - vasodltn - proerectile

15. Which gynecologic tumors have the worst prognosis?
Testis determining factor
Seminoma
Metaphase
Ovarian > cervical > endometrial

16. What is the order of events in the menstrual cycle
Testosterone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Theca - leutin cysts
Testosterone

17. From What tissues to malignant breast tumors arise?
Mammary duct epithelium or lobular glands
Androgen insensitivity syndrome
Hydatidiform mole
Inhibit cGMP breakdown

18. What does HHAVOC stand for in menopause
increased risk for carcinoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Relaxation
Uterus

19. What is the flaggelum derived from
One of the centrioles
Haploid - 2N - 23 sister chromatids
Hyperthyroidism - contains functional thyroid tissue
Asia - Africa - S. America - HPV - lack of circumcision

20. What is the most common cause of breast lumps from age 25 to menopause
Fibrcystic change - ductal cancer
Endocervix
Fibrocystic disease
Mimics LH

21. What does the SRY gene do
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Testis determining factor
Stimulation of secretion - but blocks its action at the breast
Hemolysis - elevated liver enzymes - low platelets

22. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
Estradiol > estrone > estriol
Down regulation
Estradiol and possible growth promoting effects of DHT

23. What is the source of estrogen after menopause
Peripheral conversion of androgens
Smooth muscle
Paget cell
6

24. What serum markers are associated with embyronal carcinoma
DHT - testosterone - androstenedione
Fructose
Testosterone
increased AFP and hCG

25. Where is testosterone secreted into?
1 week - 2 weeks
Relaxation
The semiT and the blood vessels
Testosterone secreting tumor - exogenous steroids

26. What increases the risk of cryptorchidism
Endometrial > ovarian> cervical (in US)
Prematurity
The centrioles
Sarcoma botryoides - a rhabdomyosarcoma variant

27. common cause of recurrent miscarriage in 2nd trimester
Endometriosis
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Bicornute uterus

28. 50% of ovarian tumors - malignant and frequently bilateral
Corpus luteum cyst
Fibromas
Testosterone
Serous cystadenocarcinoma

29. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
Tubular carcinoma
Ovary
Male pseudoHerm

30. In what phase is meiosis I arrested
Prophase
Production of a thick cervical mucus
Granulosa cell tumor
Testosterone

31. What is the expected increase of estradiol and estrone in pregnancy
Asia - Africa - S. America - HPV - lack of circumcision
Metaphase
Increased FSH
50 times

32. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
Inhibition LH and FSH
Blacks
Endometrial carcinoma

33. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Endocervix
Choriocarcinoma
Endometrial carcinoma
17beta estradiol

34. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Tight junctions between sertoli cells
Develop both male and female internal genitalia and male external genitalia
Seminoma

35. premature detachment of placenta from implantation site leading to fetal death
Menometrorrhagia
Hydatidiform mole
Abruptio placentae
Kallman

36. What substances other than inhibin do sertoli cells produce?
Kallman
69 xxy
Andogren binding protein - anti mullerian hormone
Preeclampsia

37. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Induces and maintains lactation - decreases reproductive function
Mature teratoma
Sertoli cells - and adipose tissue via aromatase
Kallman

38. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Leydig cell tumor
Prementsrual breast pain and multiple lesions
Suspensory ligament of ovaries
Acute mastitis

39. What does estrogen to do prolaction
Smoking - HTN - cocaine
Theca cell - desmolase - androstenedione
Stimulation of secretion - but blocks its action at the breast
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

40. in males - are mature teratomas malignant? What is the case for females
Preductal coarctication
Lateral invasion can block ureters causing renal failure
Malignant in males not in females
increased AFP and hCG

41. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Teratoma
Haploid - 2N - 23 sister chromatids
Chocolate cyst

42. In What age group are ovarian germ cell tumors most common
Adolescents
Estradiol and possible growth promoting effects of DHT
Testicular lymphoma
Prostate growth - balding - and sebaceous gland activity

43. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Decrease
Mittelschmerz syndrome
Choriocarcinoma
Delivery of fetus

44. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Testosterone
Increased FSH
Choriocarcinoma
Stimulates sertoli cells to produce ABP and inhibin

45. endometrium within the myometrium
Call exner bodies
Adenomyosis
55-65
Malignant in males not in females

46. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Tight junctions between sertoli cells
Right gonadal vein - IVC
Trophoblasts
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

47. eclampsia
Axillary node involvement
The ampulla - occurs within 1 day of ovulation
Preeclampsia + siezures
During fetal life

48. 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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49. What is hydatidiform mole and precurosor of...
Metaphase
Periurethral lobes - lateral and middle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Choriocarcinoma

50. When is follicular growth the fastest?
Metaphase
2nd week of proliferative phase
Peripheral conversion of androgens
Blacks