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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. Where is SCC of the penis more common and What is it associated with
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Asia - Africa - S. America - HPV - lack of circumcision
Post menopausal bleeding
Serous cystadenoma

2. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Follicular cyst
Leydig cell tumor
CIN 1 - 2 - 3
Epithelial hyperplasia

3. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Round ligament of the uterus
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Fertilization 'an egg met a sperm'

4. Which nerve and nerve fibers control for ejaculation
CIN 1 - 2 - 3
Stimulates testosterone release from leydig cells
Hemolysis - elevated liver enzymes - low platelets
Visceral - somatic nerves in pudendal

5. What bacteria is commone in acute prostatitis
S aureus
Sertoli cell tumor
Broad ligament
E coli

6. What cellular structure is the acrosome derived from?
Golgi
Lobular carcinoma - sclerosing adenosis
Para - aortic lymph nodes
Theca - leutin cysts

7. Where does prostatic adenocarcinoma arise from?
Congenital adrenal hyperplasia - exogenous administration of steroids
51 yo
Posterior lobe peripheral zone
Milk letdown - uterine contractions?

8. Is fertility compromised in double Y males?
No
5 alpha reductase - inhibited by finesteride
Esophogeal/duodenal atresia - can't swallow - anencephaly
Periurethral lobes - lateral and middle

9. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Endometrial carcinoma
Mucinous cystadenocarcinoma
Bicornute uterus
increased size and tenderness with increased estrogen

10. tumor is ductal with caseous necrosis
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Comedocarcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Chromosomal abnormalities

11. What does estrogen to do prolaction
Serous cystadenocarcinoma
Stimulation of secretion - but blocks its action at the breast
Oligomenorrhea
Peripheral conversion of androgens

12. Bent penis due to acquired fibrous tissue formation

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13. What does estrogen do to estrogen - LH and progesterone recepotrs
Low progesterone
Choriocarcinoma
Upregulation
Klinefelter's - XXY

14. In What age group are ovarian germ cell tumors most common
Inflammatory
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Adolescents
Fibrcystic change - ductal cancer

15. What percentage of testicular tumors are germ cell
95%
PSA
Testis determining factor
Peripheral conversion of androgens

16. < 21 day cycle
Asia - Africa - S. America - HPV - lack of circumcision
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Polymenorrhea
Testosterone - DHT - androstenedione

17. What do leydig cells secrete?
Menometrorrhagia
The centrioles
Testosterone
Endometrial > ovarian> cervical (in US)

18. common cause of recurrent miscarriage in the 1st week
Epithelial hyperplasia
DCIS
Low progesterone
Aortic bicuspid valve

19. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Squamous cell carcinoma
Dysgerminoma
GnRH from hypoTh - LH and FSH from ant pituitary

20. What estrogen does the ovary secrete
Serous cystadenocarcinoma
17beta estradiol
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

21. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
PANS - pelvic nerve
Acute mastitis
Testosterone - DHT - androstenedione
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

22. What stimulation after labor induces lactation
Develop both male and female internal genitalia and male external genitalia
Diploid - 4N - 46 sister chromatids
Right gonadal vein - IVC
Decreasing progesterone

23. Risk factors for ectopic pregs
Menometrorrhagia
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Testosterone
Production of a thick cervical mucus

24. in males - are mature teratomas malignant? What is the case for females
Estradiol
Post menopausal
Malignant in males not in females
Multiple sexual partners - also HIV and early sexual intercourse

25. What hormones regulate sperm creation?
Bicornute uterus
Tubular carcinoma
GnRH from hypoTh - LH and FSH from ant pituitary
Fat necrosis

26. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Invasive ductal
Granulosa cell tumor
Fibromas

27. Complication of retained placental tissue
No
Seminoma
Hemorrhage
Inflammatory

28. what structures supplies the energy to the middle piece (neck)
2nd week of proliferative phase
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Mitochondria

29. What estrogen does the placenta secrete
The centrioles
2 months
Axillary node involvement
Estradiol

30. What is the genetic material in the ovum
Induces and maintains lactation - decreases reproductive function
Oligohydramnios
Haploid - N - 23 single chromatids
Uterus

31. Dermal lymphatic invasion by breast carcinoma - peu d orange
Stimulates testosterone release from leydig cells
Relaxation
Inflammatory
Endometrial carcinoma

32. What is the average age of onset for menopause
Inhibition of HCG access
Male pseudoHerm
51 yo
Testosterone

33. What does hCG do in the first trimester to maintain the corpus luteum
Testosterone
Mimics LH
Spermatocele
Increase

34. What is a concern of early menopause
Haploid - 2N - 23 sister chromatids
17beta estradiol
Lobular carcinoma - sclerosing adenosis
Premature ovarian failure (Pof)

35. Breast path - diseases of the lactiferous sinus
Feedback inhibition
Severe bleeding iron def anemia - miscarriage
Intraductal papilloma - breast abscess - mastitis
Diploid - 4N - 46 sister chromatids

36. Which hydatidiform mole has the greater risk for malignancy
Slight increase - 1.5 to 2
Myometrial invasion
Complete
The centrioles

37. Which system and nerve allow for erection in the male?
Chromosomal abnormalities
PANS - pelvic nerve
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Oligohydramnios

38. What does progesterone do for pregnancy
Maintenance
Theca - leutin cysts
5 alpha reductase def
Serous cystadenocarcinoma

39. What is the most common gynecologic malignancy
Kallman
Post menopausal
Male pseudoHerm
Endometrial carcinoma

40. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Inhibit cGMP breakdown
Endometriosis
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Turner's XO

41. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Tunica vaginalis lesions
Embryonal carcinoma
Trophoblasts
Theca cell - desmolase - androstenedione

42. What increase in estriol is an indicator offetal well being in pregnancy
Yolk sace - endodermal sinus - tumor
1000 times
20 to 40
Estradiol

43. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Obdurator - exterinal iliac - hypogastic nodes
55-65
Androgen insensitivity syndrome - 46 XY
Defective androgen receptor

44. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Epithelial hyperplasia
Meigs syndrome
Decreasing progesterone
Menometrorrhagia

45. What are risk factors for placenta acreta
Congenital adrenal hyperplasia - exogenous administration of steroids
2nd week of proliferative phase
Peripheral adipose tissue
Prior c section - inflammation - placenta previa

46. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Squamo - columnar jxn
Polyhydramnios
Milk letdown - uterine contractions?
Endometriosis

47. endometrium within the myometrium
2 months
Adenomyosis
Follicular cyst
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

48. What are the treatments for BPH
55-65
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Andogren binding protein - anti mullerian hormone

49. histo: simple columnar epithelium
Endocervix
51 yo
Paget cell
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

50. multilocular cyst lined by mucus secreting epi - benign - intestine like
Endometriosis
Mucinous cystadenoma
Upregulation - LH surge - ovulation
Female pseudoHerm