05/07/17

Question 1

Why do PCOS patients have infertility?

Answer 1

Increased testosterone –> anovulation from failed follicular maturation

Question 2

Brain findings in schizophrenia

Answer 2

Enlargement of the lateral ventricles

Question 3

Initial monotherapy for HOCM

Answer 3

Beta blockers

2nd line = verapamil

Question 4

If you have ultrasounded pelvis and found firm, nodular, non-mobile mass in the adnexa, what do you do next?

Answer 4

Suspect epithelial ovarian cancer - do an exploratory laparotomy so that you don’t spread the cancer

Question 5

Findings of minimal change disease

Answer 5

Edema, fatigue, abdominal pain and proteinuria.
Nephrotic syndrome
80% of pediatric nephrotic syndromes are minimal change disease = normal renal architecture with diffuse effacement of foot processes of podocytes on EM.

Question 6

anabolic steroids do what to your hormones?

Answer 6

inhibit GnRH release by the hypothalamus (which then causes decreased LH and FSH by the pituitary). You get infertile.

Question 7

Vit A deficiency

Answer 7

Poor adaptation to darkness, photophobia, dry scaly skin, dry conjunctiva, dry cornea, wrinkled, cloudy cornea.

Bitot spots (sliver-gray plaques on the bulbar conjunctiva)

Follicular hyperkeratosis of the shoulders, buttocks, and extensor surfaces.