2008 module exam Flashcards
which nerve responsible for erection of penis? ( EMQ) hada el so2al ma 3refto 7aseet kolhom 3’ala6 3essam said there was ilio sth ?? nasi sara7a
a. dorsal
b. pudendal
c. perineal
d. sacral splanchnic
?
which structure develops from (lateral fusion?) of lateral lamina of labia minora?
a. Frenulum
b. clitoris
c. mons pubis
d. prepuce
d. prepuce
(check clinically oriented anatomy page 463: lateral lamina -> prepuce; medial
lamina -> frenulum)
a women in her 40’s with multiple deliveries . what structure might be damaged due to those deliveries???
tendinous arch of pelvic fascia urogenital diaphragm
bicornuate uterus is caused by failure of?
a. Fusion of paramesonephric ducts
b. fusion of mesonephric duct
a.Fusion of paramesonephric ducts
which region does ( sensations??) from subperitoneal structures refer to?
a. Anterior thigh
b. Posterior thigh
b. Posterior thigh
which artery supplies the medial aspect of breast?
Internal thoracic
Which muscle is a part of urogenital diaphram?
Urethral sphincter
What causes dimpling of the skin of brease in breast carcinoma?
a. Shortend ligament of cooper
b. Lymphatics
b. Lymphatics (kappela said in the lecture)
What is the arterial supply to the medial aspect of the breast?
Internal thoracic
Cremasteric muscle come from?
- External oblique
- internal oblique
- transversus
- internal oblique
Episiotomy block which nerve?
Pudendal
Testis drainage?
- Lumbar LN
- Perisacral LN
- Internal iliac LN
- Lumbar LN
which structure can be injured during tubal ligation?
a. ovarian artery
b. Ascending branch of utrine
c. descending branch of uterine/ovarian
a. ovarian artery(dr waleed said this is a better answer :/)
which stain is used for karyotyping?
Giemsa
Q about prostate hyperplasia?
Non-proliferative composed of stroma and epithelium
- a biopsy of endometrium from a…….year old lady ( ithink she was old!!) showed undifferentiated epithelium and( malignant?) stroma?
Carcinosarcoma
- which ovarian tumor is associated with psammoma bodies?
Serous cystcarcinoma
- a 15 year old female with ovarian tumor that has αfetoprotein as a marker and a lot of schiller duval bodies?
Yolk sac tumour
an endometrial biopsy showing thickened vessels with irregular non-secretory glands?
Endometrial polyps
pseudodicidualization with week atrophic glands:
Oral contraceptives
A 30 year old woman complaining of pain and tenderness over 6 months. The pain was dull ache paracetamol and worsens by wearing tight clothes. After 2 or 3 days of menstrual flow the pain subsides. What is the cause of pain?
a. Breast abscess
b. Colloidal carcinoma
c. hormonal over stimulation
d. fibrocystic changes
e. Paget’s disease of the breast
c. hormonal over stimulation ( I think this one ! cuz the Q didn’t mention lump!!)
Gartner duct madri elesm 9a7 aw la2 from which embryiological structure?
Mesonephric duct
Chorionic vilii with endomatrial curttage?
Abortion (it was not written this way,, but it means products of conception!)
Thickened BV & polemorphic cystic irregular inactive glands ?
(repeated polyps)
Mental retardation + amenorrhea (menstrual irregularity)
Multiple X
The most common cause of single umbilical artery
Diabetes
((symptoms!!)), urinanalysis: PH: 7.3, protein: +, ketone +
Staghorn calculus??? Not sure
a female in her 20’s presenting with mobile mass in her breast. What investigation should be used?
Ultrasound
A patient with prostate enlargement. What is the best diagnostic method?
Ultrasound (in the exam ultrasound kidney)(dr renno said that this is typo :/)
which cells in placenta produces (hcG or secretions????)
Syncytiotrophoblast
year old female ( I think baby?!)presenting with inguinal mass that was thought to be inguinal hernia but upon examination it was found to be testes ( nsait il.Q!:P)
46XY
which surface antigen is used to make VLP (cervical cancer) vaccine?
a. L1
b. L2
c. E6
d. E7
a. L1
….year old, 24 week pregnant lady admitted to the hospital with abdominal pain and increased thirst. Upon examination the dr. told her that the baby was big and she may deliver with caesarian section
a. eclampsia
b. pre-eclampsia
c. gestational diabetes
c. gestational diabetes?
34 week pregnant lady admitted to the hospital with headache and seizers
a. eclampsia
b. pre-eclampsia
c. gestational diabetes
a. eclampsia?
a 51 year old female went to menopause clinic. The dr. examined her for any contraindications for HRT. What investigation should be used?
Mammogram, lipid profile, bone mass
( a 20?? Year old female) started menstruating at age 14 and stopped at age 19 ( nsait il.Q)
anovulation
3-7 days of normal bleeding every 28 days:
Normal menstrual Period
Qs about definition of intermenstrual bleeding
-
Male w/ hypoganadisim and elevated FSH and E, decreased progesterone?
Klinfelter syndrome
Combinational oral contraceptive cuase?
Decrease ovarian cancer
endometrium with abundant dedcedial stromal cells and few secretary cells
-
35 monosomy of x chromosome (xo)
turners syndrome
A patient with low significant ……… this is equivalent to
a. CIN II
b. CIN III
c. Mild dysplasia
d. Moderate dysplasia
e. Severe dysplasia
c. Mild dysplasia
What is characteristic in Congenital adrenal hyperplasia ?
Female with ambigious genitalia
Q about metrorrhagia homorrhagica
-
33 year old primigravida is pregnant at wk 32. Her antenatal records have shown normal
pregnancy, but now she developed tiredness, headache for 2 wks. What is the most likely cause of her proteinuria?
a. Pre-existing renal disease
b. Gestational hypertension
c. Progesterone effect on glomeruli
d. Renal ischemia
e. Mesangial cell proliferation
d. Renal ischemia (from the PBL!)
The age group most susceptible to metrorrhagia hemorrhagica
a. 20-30
b. 40-45
b. 40-45
20-30 was the youngest age group mentioned in the question
Heavy menstruation with clots (other details!)
Myoma
From which placental cells is hPL secreted
Syncytiotrophoblast
contraindication with HRT ?
Active liver disease
Destroys sperm producing cells in the testes.
Gossypol
A (20-30) yr patient menstrual cycle every 28 days with cramps in the first 2 days. Which drug can be used?
Mefenamic acid
(from gyne lecture)
Pathophysiology of antisperm Ab
agglutination
fucnctional test for detection of antisperm antibodies
- ELISA
- immunofluresence
- sperm-cervical mucus contact test
- sperm-cervical mucus contact test
what (parameter??) decreases during pregnancy?
a. arterial PO2
b. hematocrit
b. hematocrit
at what stage does the formation of lobules type 1 occur?
a. pregnancy
b. lactation
c. puberty
c. puberty
what increase cardiac output in pregnancy?
a. increase stoke volume
b. decreased urine output
c. increased BP
d. increased systemic vascular resistance
a. increase stoke volume
- what causes diffusion of O2 through placenta although PO2 =30?
- double Bohr effect
- shift of O2 dissociation curve to left
- shift of o2 dissociation to right
- shift of O2 dissociation curve to left?
- effect of PCO2 in (maternal intervillous sinuses ??) in O2 uploading and release in fetus ( not sure !!)
- double Bohr effect
- shift of O2 dissociation curve to left
- shift of o2 dissociation to right
- double Bohr effect?
the main ( nutrition?) for fetus in 2nd trimester is:
Glucose
what changes during 2nd trimester? (I think it was first trimester)
a. increase insulin sensitivity
b. increased glucose in maternal plasma
a. increase insulin sensitivity
Acrosome reaction?
Release protease
Which one of these happens during sperm capacitation?
a. Release of of cholesterol
b. Release of fatty acid
c. Release of protease
d. Release of glycolytic enzymes
a. Release of of cholesterol
The most common feature of 5 alpha reducatese deficiency?
a. Abnormal male internal structure
b. High T:TDH
c. Low T:TDH
d. Mutation in a gene located on Y chromosome
e. High plasma DTH
b. High T:TDH
Function of 5 alpha reductase
Converts T to DHT
Dynamic radioisotope are best for
a. Obstruction
b. Uretovesical reflux
a. Obstruction
True about nuclear medicine evaluation of obstruction
If the (…..) resolve after using Lasix this excludes obstruction
In breast examination, what will the patient be asked to do to detect any tumor attached to the posterior wall?
Push hands against hips
