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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. < 21 day cycle
Mucinous cystadenocarcinoma
Polymenorrhea
Esophogeal/duodenal atresia - can't swallow - anencephaly
Axillary node involvement

2. gynecological tumors from highest incidence to lowest
5 alpha reductase - inhibited by finesteride
Multiple sexual partners - also HIV and early sexual intercourse
Cardinal ligament
Endometrial > ovarian> cervical (in US)

3. When does endometiral carcinoma usually occur
55-65
Brenner tumor
Milk letdown - uterine contractions?
Bicornute uterus

4. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
Call exner bodies
During fetal life
Hydatidiform mole

5. In what phase is meiosis I arrested
Chromosomal abnormalities
Testosterone secreting tumor - exogenous steroids
Prophase
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

6. How many days after fertilization does implantation occur?
Fat necrosis
Follicular cyst
Broad ligament
6

7. What stimulation after labor induces lactation
Smooth muscle
Decreasing progesterone
69 xxy
The semiT and the blood vessels

8. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
S aureus
Bowen's dz - carcinoma in situ of the penis
Hydatidiform mole
Posterior lobe peripheral zone

9. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
Develop both male and female internal genitalia and male external genitalia
PSA
Prior c section - multiparity

10. What forms the blood testis barrier?
Endometrial > ovarian> cervical (in US)
Stimulates testosterone release from leydig cells
Tight junctions between sertoli cells
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

11. testicular masses that can be transilluminated
Sertoli cell tumor
Tunica vaginalis lesions
Mucinous cystadenoma
Polymenorrhea

12. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Bowenoid papulosis - carcinoma in situ of the penis
No
Sertoli cells

13. Which nerve and nerve fibers control for ejaculation
Induces and maintains lactation - decreases reproductive function
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Decreasing progesterone
Visceral - somatic nerves in pudendal

14. What are the functions of oxytocin - maybe
Estradiol > estrone > estriol
Milk letdown - uterine contractions?
Testosterone
Broad ligament

15. Which system and nerve allow for erection in the male?
Periurethral lobes - lateral and middle
Slight increase - 1.5 to 2
Choriocarcinoma
PANS - pelvic nerve

16. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Smooth muscle
Fat necrosis
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Varicocele

17. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Multiple sexual partners - also HIV and early sexual intercourse
Posterior lobe peripheral zone

18. What are common causes of hyperestrogenism

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19. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Sertoli cell tumor
Bicornute uterus
5 alpha reductase def

20. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Tubular carcinoma
Superficial inguinal lymph nodes
Squamous cell carcinoma
Estradiol > estrone > estriol

21. What does the histo show for prostate cancer
Paget cell
No
Abacterial
Small infiltrating glands with prominent nucleoli

22. is fibroadenoma a precursor to breast cancer
No
Fallopian tube
Peyronie's dz
Sclerosing adenosis

23. How does exogenous testosterone create azoospermia
Endometrial > ovarian> cervical (in US)
6
Down regulation
Inhibition of HCG access

24. 2 sperm + empty egg
Maintenance
Placenta acreta
4
Complete

25. What does FSH do
Upregulation - LH surge - ovulation
Testosterone - DHT - androstenedione
Stimulates sertoli cells to produce ABP and inhibin
6

26. tumor with orderly row of cells - often multiple and bilateral
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Invasive lobular
Metrorrhagia
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

27. What are the useful tumor parkers in prostatic adenocarcinoma
Acute mastitis
Metrorrhagia
Ectocervix
Prostatic acid phosphatase and PSA

28. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Differentiation of penis - scrotum and prostate
Ovarian > cervical > endometrial
Asia - Africa - S. America - HPV - lack of circumcision

29. What complications are associated with polyhydramnios

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30. Breast path - diseases of the terminal duct
Metaphase
No
Increased FSH
Tubular carcinoma

31. In what group are malignant breast tumors most commonly seen
Theca cell - desmolase - androstenedione
Delivery of fetus
Post menopausal
Para - aortic lymph nodes

32. increased AFP - schiller duvel bodies - yellow mucinous
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Yolk sac - endodermal sinus - tumor
Peripheral adipose tissue
Testicular lymphoma

33. frequent bu irregular cycles
Metrorrhagia
Stimulation of secretion - but blocks its action at the breast
Chromosomal abnormalities
51 yo

34. histo: simple cuboidal epithelium
Brenner tumor
Inhibition of HCG access
Ovary
Female pseudoHerm

35. When does spermatogenesis begin?
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Cervix
Puberty
Low back pain with increased serum alk phos

36. 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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37. dilated vein in pampiniform plexus - bag of worms
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Abacterial
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Varicocele

38. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Leydig cell tumor
Posterior lobe peripheral zone
Testosterone
Embryonal carcinoma

39. What does estrogen do to estrogen - LH and progesterone recepotrs
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Primary hypogonadism
Upregulation
Prior c section - inflammation - placenta previa

40. androblastoma from sex cord stroma
Sertoli cell tumor
Choriocarcinoma
Prior c section - inflammation - placenta previa
Theca cell - desmolase - androstenedione

41. HTN - proteinuria and edema
DHT - testosterone - androstenedione
No
Mittelschmerz syndrome
Preeclampsia

42. histo: simple columnar epithelium - pseudostratified tubular glands
Ligament of the ovary
Syncytiotrophoblasts of placenta
Uterus
Mittelschmerz syndrome

43. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Andogren binding protein - anti mullerian hormone
Cardinal ligament
Paget cell
Endometriosis

44. What is the genetic material in the primary oocyte?
Meigs syndrome
Granulosa cell tumor
Diploid - 4N - 46 sister chromatids
Maintenance

45. What is the pattern seen in leiomyoma
Complete
Prostatic acid phosphatase and PSA
Whorled pattern of smooth muscle bundles
Peripheral adipose tissue

46. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
2 months
Lateral invasion can block ureters causing renal failure
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Testosterone

47. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Preeclampsia + siezures
Calcifications
HPV 16 - 18
Diploid - 4N - 46 sister chromatids

48. What structures does testosterone negatively feedback on?
Visceral - somatic nerves in pudendal
Male pseudoHerm
PANS - pelvic nerve
The anterior pituitary and hypothalamus

49. Complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Axillary node involvement
Choriocarcinoma
Inhibit FSH

50. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Female pseudoHerm
PANS - pelvic nerve
Endometrial > ovarian> cervical (in US)