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OBGYN Board Review > 5 Star Study Guide > Flashcards

5 Star Study Guide Flashcards

1
Q

Doctor provides informed consent, but respects individual patient’s wishes.

A

Autonomy.

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2
Q

Doctor has the responsibility to benefit the patient.

A

Beneficence.

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3
Q

Do no harm.

A

Nonmaleficence.

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4
Q

Scare resources should be distributed fairly. All individuals should have equal access to care.

A

Justice.

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5
Q

Sensitivity. Ability of a test to correctly identify persons who have the disease. A/(A+C) x 100

A

Sensitivity.

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6
Q

Specificity. Ability of a test to correctly identify persons who do NOT have the disease. D/(B+D) x 100

A

Specificity.

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7
Q

Predictive value. Probability of a disease, given a test result.

A

Predictive value.

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8
Q

Positive predictive value. Likelihood that a person with a positive test actually has the disease. A/(A+B) x 100

A

Positive predictive value.

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9
Q

Negative predictive value.

A

Likelihood that a person with a negative test actually is free of the disease. (D/(C+D) x 100

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10
Q

Accuracy. Method for determining sensitivity, specificity, and predictive value of a diagnostic test in a patient population. (A+D)/(A+B+C+D)

A

Accuracy.

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11
Q

Maternal mortality.

A

Deaths per 100,000 live births.

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12
Q

Birth rate.

A

Births per 1,000 population.

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13
Q

Fertility rate.

A

Live births per 1,000 women aged 15-44.

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14
Q

Neonatal period.

A

Delivery to 28 days.

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15
Q

Perinatal period.

A

20 weeks to 28 days after birth.

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16
Q

Stillbirth rate.

A

Deaths 20 weeks through delivery per 1,000 total births.

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17
Q

Neonatal death rate.

A

Expressed per 1,000 LIVE births.

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18
Q

Perinatal death rate.

A

Expressed per 1,000 TOTAL births.

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19
Q

C/S rate.

A

Primary cesarean deliveries / Total deliveries (can add “less repeat cesarean deliveries”)

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20
Q

Percentage discordance.

A

(Larger twin -smaller twin) / Larger twin

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21
Q

Level I evidence.

A

One properly randomized trial.

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22
Q

Level IIa evidence.

A

Trial without randomization.

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23
Q

Level IIb evidence.

A

Study from one center or research group.

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24
Q

Level IIc evidence.

A

Multiple series.

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25
Q

Level III evidence.

A

Expert committees. Case reports plus case series.

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26
Q

Confidence interval (expressed as a relative risk).

A

95% confidence interval includes a relative risk of 1.0.

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27
Q

What female structure is equivalent to the embryologic urethral folds?

A

Labia minora.

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28
Q

What female structure is equivalent to the embryologic genital swellings?

A

Labia majora.

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29
Q

What female structure is equivalent to the embryologic genital tubercle?

A

Clitoris.

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30
Q

What female structure is equivalent to the embryologic urogenital sinus?

A

Lower 1/3 of the vagina.

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31
Q

What female structures are equivalent to the embryologic mullerian ducts?

A

Upper 2/3 of the vagina, cervix, uterus, Fallopian tubes.

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32
Q

What is the male embryologic homologue of the female round ligament?

A

Gubernaculum.

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33
Q

What is the male embryologic homologue of the female Skene’s gland?

A

Prostate.

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34
Q

What is the male embryologic homologue of the female Bartholin’s glands?

A

Cowper’s glands (bulbourethral glands).

35
Q

What is the male embryologic homologue of the female labia majora?

A

Scrotum.

36
Q

What is the male embryologic homologue of the female labia minora?

A

Median raphe.

37
Q

What is the male embryologic homologue of the female uterus?

A

Utricle prostaticus.

38
Q

What is the male embryologic homologue of the female vestibular bulb?

A

Corpus spongiosum.

39
Q

What is the male embryologic homologue of the female granulosa cells?

A

Sertoli cells.

40
Q

What is the male embryologic homologue of the female clitoris?

A

Penis.

41
Q

Embryo at 2-3 days post fertilization.

A

Morula.

42
Q

Embryo at 4-5 days post fertilization.

A

Blastocyst.

43
Q

How many weeks post fertilization does the fetal heart begin to beat?

A

3 weeks.

44
Q

What is the male homologue of the female paraurethral glands?

A

Prostate gland.

45
Q

What is the male homologue of the female labia majora?

A

Scrotum.

46
Q

What is the male homologue of the female round ligament?

A

Gubernaculum testis.

47
Q

What is the male homologue of the female Gartner’s duct?

A

Vas deferens.

48
Q

What is the male homologue of the female clitoris?

A

Phallus.

49
Q

Arises from the anterior branch of the hypogastric artery.

A

Uterine artery.

50
Q

Drains into the internal iliac veins.

A

Uterine vein.

51
Q

Drains into the inferior vena cava.

A

Right ovarian vein.

52
Q

Arises from the abdominal aorta.

A

Ovarian artery.

53
Q

Drains into the left renal vein.

A

Left ovarian artery.

54
Q

How many centimeters in length is an average Fallopian tube?

A

8-14 cm.

55
Q

What are the segments of the Fallopian tube in order?

A

Interstitial -> Isthmus -> Ampulla -> Infundibulum -> Fimbria

56
Q

What are the 3 branches of the posterior division of the internal iliac (hypogastric) artery?

A 
Iliolumbar (I)
Lateral sacral (Love)
Superior Gluteal (Sex)
57
Q

What are the 6 branches of the anterior division of the internal iliac (hypogastric) artery?

A 
Obturator (Our)
Umbilical (Underage)
Uterine (Uteruses)
Middle Rectal (Might)
Inferior Gluteal (Immediately Get)
Internal Pudendal (Infected)
58
Q

Branch of the umbilical artery.

A

Superior vesical.

59
Q

Branch of the uterine artery.

A

Vaginal.

60
Q

Branch of the middle rectal artery.

A

Inferior rectal.

61
Q

List the parietal (non organ) branches of the posterior division of the hypogastric artery.

A

Iliolumbar
Lateral sacral
Superior gluteal

(all parietal from posterior division)

62
Q

List the parietal (non organ) branches of the anterior division of the hypogastric artery.

A

Obturator
Inferior gluteal
Internal pudendal

(all others are visceral = organ)

63
Q

Ligation of the hypogastric artery proximal to the posterior division leads to what?

A

“Butt slough”

64
Q

Hypogastric artery ligation decreases what?

A

Pulse pressure.

65
Q

Lymphatics of the upper 1/3 of the vagina.

A

Iliacs.

66
Q

Lymphatics of the middle 1/3 of the vagina.

A

Hypogastrics.

67
Q

Lymphatics of the lower 1/3 of the vagina.

A

Inguinal.

68
Q

Arterial supply of the upper 1/3 of the vagina.

A

Cervical branch of the uterine (cuff bleeds).

69
Q

Arterial supply of the middle 1/3 of the vagina.

A

Inferior vesical.

70
Q

Arterial supply of the lower 1/3 of the vagina.

A

Internal pudendal and middle hemorrhoidal.

71
Q

Nerves to the uterus.

A

Hypogastric plexus. Sympathetics. Frankenhauser’s plexus.

72
Q

Pain to the cervix and upper vagina (spinal cord region).

A

T11-T12.

73
Q

Pain to the perineum (spinal cord region).

A

S2-S4 (pudendal).

74
Q

Ovarian follicle anatomy (innermost to outermost).

A

Zona pellucida -> Granulosa -> Theca

75
Q

Which 3 muscles comprise the levator ani?

A

Iliococcygeous
Pubococcygeous
Puborectalis

76
Q

Which muscle in the levator ani complex comprises part of the internal anal spincter and is used in a levator plication procedure?

A

Puborectalis.

77
Q

What lymphatics drain the lower uterine segment and cervix?

A

Hypogastrics and Iliacs

78
Q

What lymphatics drain the uterine corpus?

A

Hypogastrics and Ovarians

79
Q

What nerve provides sensory and motor to the medial thigh?

A

Obturator nerve

80
Q

What nerve supplies the muscles of the lateral leg and foot? Which spinal levels does this correspond to?

A

Sciatic (L4-S2)

81
Q

Injury: cannot climb stairs. Which nerve?

A

Femoral.

82
Q

Injury: cannot ride a horse (loss of ADDuction). Which nerve?

A

Obturator.

83
Q

Injury: foot drop. Which nerve?

A

Peroneal.

84
Q

Injury: loss of sensation of vulva/anterior medial thigh. Which nerve?

A

Genitofemoral.

OBGYN Board Review (3 decks)

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