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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. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Phyllodes tumor
Testosterone secreting tumor - exogenous steroids
Fibroadenoma
Sarcoma botryoides - a rhabdomyosarcoma variant

2. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
HPV 16 - 18
Low back pain with increased serum alk phos
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

3. What is the common presentation of metastasis in prostate cancer
Round ligament of the uterus
Follicular phase varies - luteal phase is 14
SANS - hypogastric nerve
Low back pain with increased serum alk phos

4. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Prophase
Smooth muscle
No

5. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Invasive lobular
Invasive ductal
Kallman
Prementsrual breast pain and multiple lesions

6. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Round ligament of the uterus
Oligomenorrhea
Estradiol

7. What increases the risk of cryptorchidism
Estradiol > estrone > estriol
Invasive lobular
Prematurity
Inhibit FSH

8. What are risk factors for abruptio placentae?
Fibroadenoma - phyllodes tumor
Smoking - HTN - cocaine
Myometrial invasion
Lateral invasion can block ureters causing renal failure

9. What is hydatidiform mole and precurosor of...
Menometrorrhagia
increased cGMP - smooth muscle relax - vasodltn - proerectile
Choriocarcinoma
Peyronie's dz

10. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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11. Large bulky breast mass of connective tissue and cysts with leaf like projections
Corpus luteum cyst
Phyllodes tumor
Haploid - 2N - 23 sister chromatids
Round ligament of the uterus

12. What cellular structure is the acrosome derived from?
Invasive lobular
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Golgi
Blacks

13. What hematologic condition is associated with abruptio placentae
Brenner tumor
Preeclampsia
Posterior lobe peripheral zone
DIC

14. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
95%
Induces and maintains lactation - decreases reproductive function
Mitochondria
Choriocarcinoma

15. Connects ovary to lateral uterus
Ligament of the ovary
Hypogondadotropic hypogonadism
Placenta acreta
6

16. Arrange the androgens in order of most potent to least potent
20 to 40
Develop both male and female internal genitalia and male external genitalia
Choriocarcinoma
DHT - testosterone - androstenedione

17. What are the functions of oxytocin - maybe
Choriocarcinoma
Milk letdown - uterine contractions?
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Diploid - 4N - 46 sister chromatids

18. How is prostatic adenocarcinoma diagnosed
Fibroadenoma
DRE - hard nodule and biopsy
Phyllodes tumor
PANS - pelvic nerve

19. How does exogenous testosterone create azoospermia
Aortic bicuspid valve
Mitochondria
Inhibition of HCG access
Upregulation - LH surge - ovulation

20. What is the lymphatic drainage the ovaries/testis
DRE - hard nodule and biopsy
Para - aortic lymph nodes
Phyllodes tumor
Theca cell - desmolase - androstenedione

21. endometrium within the myometrium
Adenomyosis
51 yo
Primary hypogonadism
increased cGMP - smooth muscle relax - vasodltn - proerectile

22. What is the karyotype of a complete mole
Stimulate glandular secretions - and spiral artery development
46 xx
Visceral - somatic nerves in pudendal
increased in total - and dec in free fraction

23. 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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24. What does the histo show for prostate cancer
Milk letdown - uterine contractions?
Small infiltrating glands with prominent nucleoli
DCIS
Complete

25. What occurs to a fibroadenoma during pregnancy and menstruation and why
The anterior pituitary and hypothalamus
Peyronie's dz
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
increased size and tenderness with increased estrogen

26. What common valvular abnormality is common in Turner's
95%
Aortic bicuspid valve
Cerebral hemorrhage and ARDS
The ampulla - occurs within 1 day of ovulation

27. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Estrogen overstimulation
Peripheral conversion of androgens
Inhibition LH and FSH

28. what structures supplies the energy to the middle piece (neck)
Intraductal papilloma
Mitochondria
Fibroadenoma - phyllodes tumor
6

29. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Estradiol > estrone > estriol
2 months
Testosterone

30. What does progesterone do to gonadotropins
Haploid - N - 23 single chromatids
20 to 40
55-65
Inhibition LH and FSH

31. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Intraductal papilloma - breast abscess - mastitis
17beta estradiol
Oligomenorrhea

32. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Peyronie's dz
Induces and maintains lactation - decreases reproductive function
Sertoli cells - and adipose tissue via aromatase

33. disagreement between the phenotypic and gonadal sex
Induces and maintains lactation - decreases reproductive function
Primary hypogonadism
DRE - hard nodule and biopsy
Pseudohermaphroditism

34. What estrogen does the placenta secrete
Fibromas
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Mature teratoma
Estradiol

35. what metabolic disorder is assocaited with PCOS
Mittelschmerz syndrome
PANS - pelvic nerve
Pseudohermaphroditism
Insulin resistance

36. What is the genetic material in the primary oocyte?
Bowenoid papulosis - carcinoma in situ of the penis
PCOS
Diploid - 4N - 46 sister chromatids
Varicocele

37. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
No
Tight junctions between sertoli cells
Cervix

38. 2 sperm + 1 egg
Para - aortic lymph nodes
Axillary node involvement
Partial
Menometrorrhagia

39. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Trophoblasts
Mittelschmerz syndrome
Slight increase - 1.5 to 2

40. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Cerebral hemorrhage and ARDS
increased risk for carcinoma
Mucinous cystadenocarcinoma
Testosterone

41. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Granulosa cell - aromatase - androstenedione - estrogen
Complete
Fibromas
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

42. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Choriocarcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Mature teratoma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

43. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Kallman
Production of a thick cervical mucus
Hydatidiform mole
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

44. What are the risk factors for endometrial hyperplasia
Leydig cell tumor
Fibroadenoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Induces and maintains lactation - decreases reproductive function

45. predisposing factor to clear cell adenocarcinoma of the vagina
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
DES in utero (DES is a sythetic estrogen)
Choriocarcinoma
Differentiation of penis - scrotum and prostate

46. What substances other than inhibin do sertoli cells produce?
One of the centrioles
Aortic bicuspid valve
Andogren binding protein - anti mullerian hormone
Prementsrual breast pain and multiple lesions

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

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48. What does progesterone do to estrogen receptors
Bowenoid papulosis - carcinoma in situ of the penis
Haploid - 2N - 23 sister chromatids
Down regulation
Testosterone

49. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Uterus
4
Blacks
Post menopausal bleeding

50. What is the most frequent benign ovarian tumor
Mature teratoma
Post menopausal
Suckling - increased oxytocin - prolactin
DRE - hard nodule and biopsy