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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. What are the 3 androgens
Testicular lymphoma
GnRH from hypoTh - LH and FSH from ant pituitary
Upregulation - LH surge - ovulation
Testosterone - DHT - androstenedione

2. What are the associated risk factors for malignant breast tumors
Testosterone
Ovarian > cervical > endometrial
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Haploid - N - 23 single chromatids

3. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Defective androgen receptor
5 alpha reductase def
Invasive ductal

4. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Fibroadenoma
Retrograde mentrual flow or ascending infection
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

5. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Embryonal carcinoma
Puberty
Bicornute uterus
Neoplastic cells block lymphatic drainage

6. common cause of recurrent miscarriage in 1st trimester
Meigs syndrome
Preeclampsia
Chromosomal abnormalities
Squamo - columnar jxn

7. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Choriocarcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Preeclampsia clinical
Brenner tumor

8. What does FSH do
Low progesterone
Stimulates sertoli cells to produce ABP and inhibin
Dysgerminoma
Trophoblasts

9. What is the most common form of male pseudoHerm
The semiT and the blood vessels
Pseudohermaphroditism
IV mag sulfate - diazepam
Androgen insensitivity syndrome

10. What does gynecomastia result from?
Premature ovarian failure (Pof)
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Mimics LH
Hyperestrogenism

11. What changes in the aorta are common in Turner's?
DRE - hard nodule and biopsy
Preductal coarctication
Endometrial > ovarian> cervical (in US)
During fetal life

12. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Estrogen overstimulation
Obdurator - exterinal iliac - hypogastic nodes
Medullary
Haploid - N - 23 single chromatids

13. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Testosterone
Testicular lymphoma
69 xxy

14. Where is testosterone converted to estrogen
Stimulates testosterone release from leydig cells
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Develop both male and female internal genitalia and male external genitalia
Sertoli cells - and adipose tissue via aromatase

15. what metabolic disorder is assocaited with PCOS
Maintenance
Cervix
Insulin resistance
Testicular lymphoma

16. Testosterone and estrogen in androgen insensitivity syndrome
Endometriosis
Retrograde mentrual flow or ascending infection
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Increase (and LH)

17. What is DHT responsible for in early development?
Increased FSH
Menopause
Premature ovarian failure (Pof)
Differentiation of penis - scrotum and prostate

18. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Complete
Squamous cell carcinoma
Fibrcystic change - ductal cancer
1000 times

19. What does inhibin do?
Inhibit FSH
Down regulation
Left gonadal vein - left renal vein - IVC
Testosterone

20. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
Round ligament of uterus
Endometrial carcinoma
Increased FSH

21. What substances other than inhibin do sertoli cells produce?
Good - late metastasis
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Andogren binding protein - anti mullerian hormone
increased cGMP - smooth muscle relax - vasodltn - proerectile

22. What is hydatidiform mole and precurosor of...
Preeclampsia clinical
Whorled pattern of smooth muscle bundles
Complete
Choriocarcinoma

23. How many days after fertilization does implantation occur?
6
95%
Turner's XO
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

24. What is mortality due to in preeclampsia
Prostate growth - balding - and sebaceous gland activity
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Cerebral hemorrhage and ARDS
Testicular lymphoma

25. dx with increased testosterone and dec LH
Fibroadenoma - phyllodes tumor
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Testosterone secreting tumor - exogenous steroids
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

26. What is the prognosis for seminoma
Lateral invasion can block ureters causing renal failure
Good - late metastasis
Congenital adrenal hyperplasia - exogenous administration of steroids
6

27. What is a complication of cryptorchidism and why does it occur
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
E coli
Fallopian tube
PANS - pelvic nerve

28. Which cells line the seminiferous tubules and secrete inhibin
Polyhydramnios
Suckling - increased oxytocin - prolactin
Sertoli cells
Abruptio placentae

29. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Invasive ductal
Suspensory ligament of ovaries
Prematurity
2nd week of proliferative phase

30. Which hydatidiform mole has the greater risk for malignancy
Placenta previa
Complete
Puberty
Stimulates testosterone release from leydig cells

31. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
SANS - hypogastric nerve
DCIS
Obdurator - exterinal iliac - hypogastic nodes
Metaphase

32. increased fluid secondary to incomplete fustion with processus vaginalis
Hemorrhage
Hydrocele
BPH
Paget cell

33. When is the peak occurrence of leiomyoma
Polymenorrhea
Haploid - N - 23 single chromatids
20 to 40
Myometrial tumors

34. What are the functions of oxytocin - maybe
Estrogen overstimulation
Milk letdown - uterine contractions?
Prostatic acid phosphatase and PSA
Preductal coarctication

35. What is the genetic material in the ovum
Haploid - N - 23 single chromatids
Multiple sexual partners - also HIV and early sexual intercourse
Testosterone
Stimulation of secretion - but blocks its action at the breast

36. How long does it take for sperm to fully develop
Cystic
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Immature
2 months

37. Which system and nerve are responsible for emission
SANS - hypogastric nerve
PSA
Paget cell
Suckling - increased oxytocin - prolactin

38. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Endocervix
Spermatogonia (germ cells)
Puberty
Develop both male and female internal genitalia and male external genitalia

39. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Primary hypogonadism
Choriocarcinoma

40. What is the most common pathogen in acute mastitis
PCOS
S aureus
Testosterone
Cardinal ligament

41. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Meigs syndrome
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Inhibit FSH

42. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Ovary
Endometriosis
Increase in size in pregs - decrease in size meno - estrogen sens
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

43. multilocular cyst lined by mucus secreting epi - benign - intestine like
Hyperestrogenism
Hemorrhage
Post menopausal
Mucinous cystadenoma

44. histo: simple cuboidal epithelium
Trophoblasts
Estrogen overstimulation
Ovary
PANS - pelvic nerve

45. 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
Post menopausal bleeding
DCIS
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Seminoma

46. what stimulation is required to maintain milk production and What is the pathway
Low back pain with increased serum alk phos
Suckling - increased oxytocin - prolactin
Teratoma
Koilocytitic

47. What is the typical cell change in HPV infection
Koilocytitic
Diploid - 4N - 46 sister chromatids
46 xx
Partial

48. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Multiple sexual partners - also HIV and early sexual intercourse
Koilocytitic
Abacterial
Intraductal papilloma

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

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50. What complications are associated with oligohydramnios

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