5/22 Repro

Question 1

infundibulopelvic ligament (suspensory)

Answer 1

ovaries to lateral pelvic wall

carries ovarian vessels

ligate during oophorectomy

Question 2

cardinal ligament

Answer 2

cervix to pelvic wall

carries uterine vesssels

Question 3

round ligament of uterus

Answer 3

uterine fundus to labia majora

gubernaculum derivative

Question 4

ovarian ligament

Answer 4

medial ovary to lateral uterus

gubernaculum derivative

Question 5

posterior urethra injury (male)

Answer 5

from pelvic fracture

leak urine into retropubic space

Question 6

anterior urethra injury (male)

Answer 6

from perineal straddle injury

leak urine beneath deep fascia of buck –> superficial perineal space

Question 7

which nerves carry out erection, emission, and ejaculation

Answer 7

erection: parasymp- pelvic nerve
emission: sympathetic- hypogastric nerve
erection: somatic, visceral- pudendal nerve

Question 8

APGAR stands for…

Answer 8

Appearance (pink)
Pulse (>100)
Grimace (cries, pulls away)
Activity 
Respiration (strong cry)

Question 9

low birth weight defined as

Answer 9

<2500 g

Question 10

vasa previa

Answer 10

fetal vessels run over cervical os–> prone to rupture

–> painless bleeding, fetal bradycardia

Question 11

4 main causes of postpartum hemorrhage

Answer 11

tone (uterine atony)

trauma (lacerations, incisions)

thrombin (coagulopathy)

tissue (retained products of conception)

Question 12

antihypertensives during pregnancy

Answer 12

hydralazine
alpha-methyldopa
labetalol
nifedipine

“Hyd the meth lab from nifeds.”

Question 13

squamous cell carcinoma of penis- 3 types

Answer 13

Bowen- shaft- leukoplakia

Erythroplasia of Queyrat- glans, erythroplakia

Bowenoid papulosis- reddish papules, carc in situ

Question 14

ischemic pripiasm

Answer 14

boner > 4 hours

causes: sickle cell, meds (sildenfail, trazodone)
treat: corporal aspiration, phenylephrine, surgical decompression

Question 15

does varicocele happen more on left or right?

Answer 15

left because increased resistance—
left gonadal vein drains into left renal vein before IVC, whereas right gonadal vein goes straight into IVC

associated with left RCC (block left renal vein)

Question 16

where does choriocarcinoma spread to

Answer 16

lung- hematogenous spread

–> SOB, hemoptysis

Question 17

peyronie disease

Answer 17

abnormal penis curvature

due to fibrous plaque within tunica albuginea

Question 18

best way to identify trichomonas

Answer 18

wet mount- saline microscopy

Question 19

complications in neonate of diabetic mom

Answer 19

transient hypoglycemia
premature delivery
fetal macrosomia
respiratory distress
polycythemia
neural tube defects

Question 20

whats a complication of prostatectomy

Answer 20

erectile dysfunction- lesser and greater cavernous nerves arise from prostate plexus

Question 21

what type of bacteria is garderneralla

Answer 21

anaerobic gram neg rod

Question 22

amniotic fluid embolism

Answer 22

fetal squamous cells in maternal pulm artery –> hypoxia, DIC, shock –> cardipulm arrest

Question 23

causes of increased AFP in pregnancy

Answer 23

• open neural tube defects
• ventral wall defects
• multiple gestation

Question 24

causes of decreased AFP in pregnancy

Answer 24

trisomy 18 and 21