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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. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
E coli
Sclerosing adenosis
Choriocarcinoma
Squamo - columnar jxn

2. When does endometiral carcinoma usually occur
Serous cystadenoma
55-65
Cardinal ligament
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

3. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Andogren binding protein - anti mullerian hormone
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Calcifications
Obdurator - exterinal iliac - hypogastic nodes

4. When are phyllodes tumors most common
Andogren binding protein - anti mullerian hormone
In the 6th decade of life
Metrorrhagia
Syncytiotrophoblasts of placenta

5. when do primary oocytes complete meiosis I
Cerebral hemorrhage and ARDS
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Estradiol > estrone > estriol
Just prior to ovulation

6. What does progesterone do to gonadotropins
Fallopian tube
Comedocarcinoma
Myometrial tumors
Inhibition LH and FSH

7. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Squamo - columnar jxn
Placenta acreta
Epithelial hyperplasia
Trophoblasts

8. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
increased cGMP - smooth muscle relax - vasodltn - proerectile
Estrogen overstimulation
Ovarian > cervical > endometrial

9. HTN - proteinuria and edema
Abacterial
Preeclampsia
Theca - leutin cysts
Immature

10. What is the karyotype of a partial mole
Just prior to ovulation
69 xxy
Uterus
Proliferation

11. What is DHT responsible for in early development?
increased cGMP - smooth muscle relax - vasodltn - proerectile
Paget's disease - breast abscess
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Differentiation of penis - scrotum and prostate

12. What does HHAVOC stand for in menopause
Multiple sexual partners - also HIV and early sexual intercourse
Corpus luteum - placenta - adrenal cortex - testes
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

13. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Tight junctions between sertoli cells
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

14. common cause of recurrent miscarriage in the 1st week
No
Cystic
Low progesterone
Choriocarcinoma

15. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Stimulate glandular secretions - and spiral artery development
Mittelschmerz syndrome
Serous cystadenoma
Sertoli cells - and adipose tissue via aromatase

16. What does estrogen do to FSH and LH
Mucinous cystadenocarcinoma
Feedback inhibition
Hemolysis - elevated liver enzymes - low platelets
Insulin resistance

17. Which teratoma - mature or immature - is aggresively malignant
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Immature
Choriocarcinoma
Blacks

18. Prevention of seizures and in preeclampsia
55-65
Mittelschmerz syndrome
IV mag sulfate - diazepam
Prior c section - inflammation - placenta previa

19. Breast path - disease that occurs at the nipple

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20. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Tunica vaginalis lesions
Androgen insensitivity syndrome - 46 XY
Intraductal papilloma
Just prior to ovulation

21. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Sertoli cell tumor
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Leydig cell tumor
Follicular phase varies - luteal phase is 14

22. dx with increased testosterone and dec LH
Menopause
55-65
Granulosa cell tumor
Testosterone secreting tumor - exogenous steroids

23. What converts testosterone to DHT
increased size and tenderness with increased estrogen
5 alpha reductase - inhibited by finesteride
20 to 40
Follicular cyst

24. eclampsia
Hemorrhage
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Preeclampsia + siezures
Mucinous cystadenoma

25. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Kallman
Blacks
Estradiol
Squamo - columnar jxn

26. How many days after fertilization does implantation occur?
Peripheral conversion of androgens
Chocolate cyst
Polymenorrhea
6

27. What are the 3 androgens
Increased FSH
Testosterone - DHT - androstenedione
Preeclampsia clinical
Granulosa cell - aromatase - androstenedione - estrogen

28. What does inhibin do?
Inhibit FSH
Intraductal papilloma
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Testosterone

29. Complication of retained placental tissue
Follicular phase varies - luteal phase is 14
Polymenorrhea
Production of a thick cervical mucus
Hemorrhage

30. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Phyllodes tumor
Seminoma
increased size and tenderness with increased estrogen
In the 6th decade of life

31. tumor with orderly row of cells - often multiple and bilateral
Endometrial carcinoma
Invasive lobular
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Oligomenorrhea

32. What are common causes of hyperestrogenism

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33. What complications are associated with polyhydramnios

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34. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Malignant in males not in females
Squamous cell carcinoma
Cystic

35. What does progesterone do to body temp
Fibrosis
Abruptio placentae
Increase
2nd week of proliferative phase

36. testes present with non male external genitals
Placenta previa
Haploid - 2N - 23 sister chromatids
Male pseudoHerm
Abruptio placentae

37. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
increased cGMP - smooth muscle relax - vasodltn - proerectile
Differentiation of penis - scrotum and prostate
Complete
Superficial inguinal lymph nodes

38. What are the effects of prolactin?
Adrenal gland
Induces and maintains lactation - decreases reproductive function
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

39. Benign - looks like bladder
Brenner tumor
Adenomyosis
Intraductal papilloma
Polyhydramnios

40. how can struma ovarri present?
Sertoli cells
GnRH from hypoTh - LH and FSH from ant pituitary
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Hyperthyroidism - contains functional thyroid tissue

41. How does endometrial hyperplasia manifest clinically
Mittelschmerz syndrome
No
Post menopausal bleeding
Inhibition LH and FSH

42. What stimulation after labor induces lactation
Smooth muscle
Decreasing progesterone
Peripheral adipose tissue
Preeclampsia clinical

43. What cellular structure is the acrosome derived from?
Small infiltrating glands with prominent nucleoli
Golgi
Paget cell
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

44. What occurs to a fibroadenoma during pregnancy and menstruation and why
Leydig cell tumor
increased size and tenderness with increased estrogen
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Acute mastitis

45. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Down regulation
DCIS
Production of a thick cervical mucus
Multiple sexual partners - also HIV and early sexual intercourse

46. common cause of recurrent miscarriage in 1st trimester
Endometrial > ovarian> cervical (in US)
Fibromas
Mammary duct epithelium or lobular glands
Chromosomal abnormalities

47. List the estrogens in order of decreasing potency
Follicular phase varies - luteal phase is 14
Left gonadal vein - left renal vein - IVC
Estradiol > estrone > estriol
Choriocarcinoma

48. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Post menopausal
Feedback inhibition
Production of a thick cervical mucus

49. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Post menopausal
Placenta previa
increased in total - and dec in free fraction

50. histo: simple cuboidal epithelium
increased size and tenderness with increased estrogen
Ovary
Left gonadal vein - left renal vein - IVC
Increased FSH