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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. histo: stratified squamous epithelium - nonkeratinized
Vagina
SANS - hypogastric nerve
Choriocarcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

2. Breast path - diseeases of the lobules
Dilation and curettage and methotrexate
Lobular carcinoma - sclerosing adenosis
Pseudohermaphroditism
Fibroadenoma - phyllodes tumor

3. What effect does NO have on smooth muscle in erectile tissues
Left
increased cGMP - smooth muscle relax - vasodltn - proerectile
Koilocytitic
17beta estradiol

4. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Decrease
1 week - 2 weeks
PSA
5 alpha reductase def

5. What can happen with no sertoli cell or lack of anti mullerian hormone
Endometrial > ovarian> cervical (in US)
Stimulates sertoli cells to produce ABP and inhibin
Post menopausal
Develop both male and female internal genitalia and male external genitalia

6. is fibroadenoma a precursor to breast cancer
IV mag sulfate - diazepam
Peripheral conversion of androgens
No
20 to 40

7. What is the expected increase of estradiol and estrone in pregnancy
Prostatic acid phosphatase and PSA
Meigs syndrome
50 times
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

8. histo: stratified sqamous epithelium
Tunica vaginalis lesions
Ectocervix
Hemorrhage
Relaxation

9. Large bulky breast mass of connective tissue and cysts with leaf like projections
Right gonadal vein - IVC
Myometrial tumors
Phyllodes tumor
Bicornute uterus

10. increased fluid secondary to incomplete fustion with processus vaginalis
50 times
Haploid - 2N - 23 sister chromatids
Partial
Hydrocele

11. What does progesterone do to myometrial excitability
increased cGMP - smooth muscle relax - vasodltn - proerectile
Theca cell - desmolase - androstenedione
Decrease
Fertilization 'an egg met a sperm'

12. What does progesterone do to gonadotropins
46 xx
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Inhibition LH and FSH
Yolk sace - endodermal sinus - tumor

13. when do primary oocytes complete meiosis I
Lobular carcinoma - sclerosing adenosis
Just prior to ovulation
Yolk sace - endodermal sinus - tumor
1000 times

14. dilated epididymal duct
Spermatocele
Erythroplasia of Queyrat - carcinoma in situ of penis
Sertoli cells - and adipose tissue via aromatase
Stimulate glandular secretions - and spiral artery development

15. How many functional sperm does 1 germ cell creat?
Abruptio placentae
Koilocytitic
20 to 40
4

16. predisposing factor to clear cell adenocarcinoma of the vagina
Testosterone
DES in utero (DES is a sythetic estrogen)
Left gonadal vein - left renal vein - IVC
Testosterone - DHT - androstenedione

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

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18. What is the pattern seen in leiomyoma
Whorled pattern of smooth muscle bundles
Severe bleeding iron def anemia - miscarriage
The semiT and the blood vessels
Delivery of fetus

19. What is DHT responsible for in late development
Medullary
Round ligament of uterus
Prostate growth - balding - and sebaceous gland activity
Polymenorrhea

20. When is the peak occurrence of leiomyoma
Down regulation
20 to 40
Testosterone - DHT - androstenedione
Sarcoma botryoides - a rhabdomyosarcoma variant

21. premature detachment of placenta from implantation site leading to fetal death
Hydrocele
Abruptio placentae
Testosterone
95%

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

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23. endometrium within the myometrium
Esophogeal/duodenal atresia - can't swallow - anencephaly
Testosterone - DHT - androstenedione
Prostatic acid phosphatase and PSA
Adenomyosis

24. Breast path - diseases of the terminal duct
Tubular carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Increase (and LH)
PCOS

25. What does inhibin do?
Inflammatory
Inhibit FSH
increased cGMP - smooth muscle relax - vasodltn - proerectile
Metaphase

26. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Suspensory ligament of ovaries
Chromosomal abnormalities
Mucinous cystadenocarcinoma

27. Is fertility compromised in double Y males?
Low progesterone
No
Para - aortic lymph nodes
Immature

28. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Malignant in males not in females
Chocolate cyst

29. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Estrogen overstimulation
Fructose
Endometriosis
Spermatogonia (germ cells)

30. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Placenta previa
Acute mastitis
Cystic

31. What is the lymphatic drainage the ovaries/testis
Sarcoma botryoides - a rhabdomyosarcoma variant
5 alpha reductase def
Para - aortic lymph nodes
SANS - hypogastric nerve

32. A leimyoma is overgrowth of what cell
Kallman
Upregulation
Smooth muscle
increased Ca in - smooth muscle contraction - vasocxn - antierectile

33. What is indicative of a poor prognosis for endometrial carcinoma
Increase
Myometrial invasion
Fibroadenoma
Acute mastitis

34. What are causes of female pseudoHerm
Complete
Decrease
Fibroadenoma - phyllodes tumor
Congenital adrenal hyperplasia - exogenous administration of steroids

35. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Inhibition LH and FSH
Follicular phase varies - luteal phase is 14
Milk letdown - uterine contractions?
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

36. How many days after fertilization does implantation occur?
Right gonadal vein - IVC
6
Hydatidiform mole
Prior c section - multiparity

37. What estrogen does the ovary secrete
Develop both male and female internal genitalia and male external genitalia
17beta estradiol
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

38. What complications are associated with polyhydramnios

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39. dx with decreased testosterone and decreased LH
Blacks
Hypogondadotropic hypogonadism
Lateral invasion can block ureters causing renal failure
Paget's disease - breast abscess

40. What increase in estriol is an indicator offetal well being in pregnancy
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Fertilization 'an egg met a sperm'
1000 times
Tunica vaginalis lesions

41. what usually causes endometrial hyperplasia
increased in total - and dec in free fraction
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
1000 times
Estrogen overstimulation

42. increased AFP - schiller duvel bodies - yellow mucinous
CIN 1 - 2 - 3
Syncytiotrophoblasts of placenta
Yolk sac - endodermal sinus - tumor
Squamo - columnar jxn

43. Benign - looks like bladder
Teratoma
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
5 alpha reductase def
Brenner tumor

44. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Tubular carcinoma
2nd week of proliferative phase
Testosterone secreting tumor - exogenous steroids
Granulosa cell tumor

45. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
In the 6th decade of life
Testosterone
Hyperestrogenism

46. What are common causes of hyperestrogenism

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47. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Trophoblasts
Fibromas
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Suckling - increased oxytocin - prolactin

48. What serum markers are associated with embyronal carcinoma
Abacterial
Metaphase
increased AFP and hCG
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

49. What is the treatment for hydatidiform mole
Posterior lobe peripheral zone
Preeclampsia clinical
Follicular phase varies - luteal phase is 14
Dilation and curettage and methotrexate

50. What percentage of testicular tumors are germ cell
95%
Develop both male and female internal genitalia and male external genitalia
Koilocytitic
History of infertility - salpingitis - ruptured appendix - prior tubal surgery