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revision > 8th deck > Flashcards

8th deck Flashcards

1
Q

by what day does the blastocyst enter the uterine cavity

A

day 4

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2
Q

when does the resumption of meiosis occur during oogenesis

A

LH surge

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3
Q

During sexual arousal vaginal lubrication is caused by secretions from what

A

vaginal transudate

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4
Q

What is the embryological origin of gartners duct cyst

A

MESONEPHRIC DUCT

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5
Q

number of speratozoa produced per day

A

300million

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6
Q

what greater omentum is derived from what structure

A

dorsal mesogastrium

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7
Q

what cells produce mullerian = inhibiting factors

A

sertoli

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8
Q

the ureteric bud is derived from what structure

A

mesonephric duct

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9
Q

how does the placenta transfer free fatty acids

A

via passive diffusion + active diffusion dependnat on lipoprotein lipase activity

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10
Q

In the adult, the spinal cord terminates at the level of

A

L1/L2

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11
Q

Which condition may develop in association with injury to the sympathetic supply to the upper limb?

A

Horner syndrome

can be caused by shoulder dystocia

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12
Q

the lower half of the anal canal has what epithelium

A

Stratified squamous non keratinising

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13
Q

the SI joint is WHAT type

A

synovial

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14
Q

nerve root pudendal nerve

A

S2,3,4. - pudendal

(supplies clitoris, labia minora)

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15
Q

nerve root perineal nerve

A

S1,2,3 – perineal

supplied interior thigh, vulva

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16
Q

lymphatic drainage lower 1/3 vagina

A

superficial inguinal nodes

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17
Q

lymphatic drainage middle 1/3 vagina

A

internal illiac

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18
Q

lymphatic drainage upper 1/3 vagina

A

external illiac nodes

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19
Q

what does Sampson’s artery supply

A

the proximal portion of round ligament of the uterus

,an anastomosis of the ovarian and uterine arteries.

The distal part of the round ligament (within the inguinal canal) is supplied by a branch of the inferior epigastric artery (equivalent to the cremasteric artery in the male)

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20
Q

The muscle of the scotal wall

A

Dartos muscle

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21
Q

An 18-year-old woman who had inflammation of the right ovary complains painful spasms in the muscles and some numbness on the skin of the medial part of her right thigh. The following nerve is mostly involved

A

obturator nerve

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22
Q

Which of the following arteries gives rise to the deep dorsal penile artery?

A

internal pudendal artery

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23
Q

Main hydrogen ion buffer found in urine

A

phosphate

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24
Q

The physiological effects of angiotensin II include

A

Stimulation of thirst and stimulation of anti-diuretic hormone secretion

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25
Diarrhoea typically results in
metabolic acidosis with normal anion gap
26
Normal cardiac ejection fraction is
60%
27
Bradykinin
polypeptide
28
% femal body made of water
45-55%
29
most important anion in URINE
chloride
30
The inferior vena cava originates from the common iliac veins at the level of
L5
31
Which nerve arises from ventral rami of lumbar plexus and emerges from the medial border of psoas major muscle?
obturator L2-L4
32
A 36-year-old woman underwent a total abdominal hysterectomy for uterine fibroids. Postoperatively she complains of loss of flexion of her left hip and numbness over her left anterior and medial thigh. The compression of which nerve is likely to be responsible?
femoral nerve
33
Cabergoline and Bromocriptine are agonists of which receptor
Dopamine D2 receptor agonists
34
Pulsatile gonadotrophin releasing hormone (GnRH) is an appropriate treatment for subfertility in which of the following conditions
stress induced ovarian failure
35
In the foetus where is the principle site of alpha fetoprotein (AFP) production
liver
36
Somites are derived from which germ layer?
paraxial mesoderm
37
At what stage of gestation does maternal immunoglobulin G transfer to the fetus start
week 12 fetus started to produced igM from 10-12 weeks
38
embroylogical origin of the trigone of the bladder
MESONEPHRIC DUCT
39
android pelvis
heart shaped T bigger AP
40
blood supply bartholins goand
external pudendal artery
41
post ganglionic sympathetic fibres supplying the bladder originate from
inferior mesenteric ganglion
42
what hormone is the immediate precursor to testosterone in the ovary
ANDROSTENDIONE
43
What effect does cortisol have
decreases bone formation decrease synthesis of 1,25 dihydroxy D3 increased fetal maturation of lungs, gut, cns increases surfactant production
44
% T4 bound to proteins
99%
45
Where is calcitonin produced in pregnancy
thyroid, placenta, breast
46
acute addisonian crisis is cause by what
cortisol deficiency ACTH - low cortisol hypoglycaemia raised K+ low sodium tx IV steroids
47
ratio t4 to t3 in blood
4:1
48
Acid base balance in primary hyperparathyroidism
hyperchloraemic acidosis
49
common cause of secondary hyperparathyroidism
vit d deficiency
50
acid base in conns syndrome
Metabolic alkalosis aldosterone cause renal reabsorption of sodium and increased excretion of potassium and hydrogen. causes hypernatraemia, hypokalaemia and alkalosis
51
2nd most common cause of CAH
11-hydroxylase deficiency most common is 21hydroxylase
52
the orientation of the long axis of the fetus to the long axis of the mother is what
fetal lie
53
origin ovary
mesoderm
54
diameter fully extended face presentation
9.5 submento bregmatic
55
what happens to aldosterone secretion in a normal pregnancy
increases
56
what happens to MINUTE volume in normal pregnancy
increase
57
what clotting factors increase in pregnancy
7, 8, 9, 10
58
what is the presenting diameter in a brow presentation
13.5cm MENTOVERTICAL can’t deliver vaginally
59
Converts diacylglycerol to arachidonic acid
PHOSPHOLIPASE C
60
inheritance PKU
autosomal recessive
61
how many pregnancies does gdm effect
2-5%
62
innervation levator ani
S3/4
63
what test is most appropriate to assess a diagnostic test
cross sectional analysis
64
what test is best for assessing prognosis of a disease
cohort study
65
average age for uterine cancer diagnose
60
66
what compliment recruits others to for a MAX
c5b recruits c6-9 to form a MAC
67
blood supply levator ani
inferior gluteal artery
68
what parametric test is used to test for correlation
PEARSON
69
when is the MORULA formed
day 4
70
SERTOLI CELLS HAVE WHICH HORMONE RECEPTORS
FSH recptors secrete inhibin
71
primary stimulus for ADH release
HIGH SERUM OSMOLALITY
72
2 major onco-proteins associated with high risk HPV
E6 and E7
73
what type of hypersensitivity reaction is SLE an example
type 3
74
primary site of prostaglandin E2 production
placenta
75
where is progesterone produced in the ovary
synthesised from cholesterol by luteal cells
76
antibiotic coverage for surgical termination
doxycycline 100mg BD 3/7
77
post hysterectomy - TAH - numbness at anterior and posterolateral thigh - which nerve
lateral cutaneous
78
where are the bartholins glands
labia minors 4 and 8 position
79
CPR in pregnancy
supine, manual left uterine displacement
80
what prostiandin should be avoided in asthmatics
prostaglandin F2 alpha
81
risk of needing blood transfusion following physiological management of 3rd stage
40/1000
82
nausea and vom in active management of 3rd stage
1/100
83
blood loss >1000ml during physiological management of 3rd stage
29/1000
84
dose of adrenaline in ANAPHYLAXIS
0.5mL (500micrograms) 1/1000 IM
85
% rh neg in UK
16%
86
neonatal CPR ratio
3:1 compression to breaths
87
what HB should RBC be transfused to maintain above
80
88
compared to mature human milk colostrum has a higher % of what
protein
89
fat content breast milk
3-5%
90
blood supply dorsal clitoral artery/ deep artery clitoris
INTERNAL PUDENDAL
91
branches internal pudendal artery
Branches Inferior anorectal artery, perineal artery, urethral artery; Branches in females: artery of bulb of vestibule, deep artery of clitoris, dorsal artery of clitoris, Branches in males: artery of bulb of penis, deep artery of penis, perforating artery of penis, dorsal artery of penis

revision (14 decks)

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