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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
Q

Diarrhoea typically results in

A

metabolic acidosis with normal anion gap

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26
Q

Normal cardiac ejection fraction is

A

60%

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27
Q

Bradykinin

A

polypeptide

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28
Q

% femal body made of water

A

45-55%

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29
Q

most important anion in URINE

A

chloride

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30
Q

The inferior vena cava originates from the common iliac veins at the level of

A

L5

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31
Q

Which nerve arises from ventral rami of lumbar plexus and emerges from the medial border of psoas major muscle?

A

obturator L2-L4

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32
Q

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?

A

femoral nerve

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33
Q

Cabergoline and Bromocriptine are agonists of which receptor

A

Dopamine D2 receptor agonists

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34
Q

Pulsatile gonadotrophin releasing hormone (GnRH) is an appropriate treatment for subfertility in which of the following conditions

A

stress induced ovarian failure

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35
Q

In the foetus where is the principle site of alpha fetoprotein (AFP) production

A

liver

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36
Q

Somites are derived from which germ layer?

A

paraxial mesoderm

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37
Q

At what stage of gestation does maternal immunoglobulin G transfer to the fetus start

A

week 12

fetus started to produced igM from 10-12 weeks

38
Q

embroylogical origin of the trigone of the bladder

A

MESONEPHRIC DUCT

39
Q

android pelvis

A

heart shaped T bigger AP

40
Q

blood supply bartholins goand

A

external pudendal artery

41
Q

post ganglionic sympathetic fibres supplying the bladder originate from

A

inferior mesenteric ganglion

42
Q

what hormone is the immediate precursor to testosterone in the ovary

A

ANDROSTENDIONE

43
Q

What effect does cortisol have

A

decreases bone formation
decrease synthesis of 1,25 dihydroxy D3

increased fetal maturation of lungs, gut, cns
increases surfactant production

44
Q

% T4 bound to proteins

A

99%

45
Q

Where is calcitonin produced in pregnancy

A

thyroid, placenta, breast

46
Q

acute addisonian crisis is cause by what

A

cortisol deficiency

ACTH - low cortisol
hypoglycaemia
raised K+
low sodium

tx IV steroids

47
Q

ratio t4 to t3 in blood

A

4:1

48
Q

Acid base balance in primary hyperparathyroidism

A

hyperchloraemic acidosis

49
Q

common cause of secondary hyperparathyroidism

A

vit d deficiency

50
Q

acid base in conns syndrome

A

Metabolic alkalosis

aldosterone cause renal reabsorption of sodium and increased excretion of potassium and hydrogen. causes hypernatraemia, hypokalaemia and alkalosis

51
Q

2nd most common cause of CAH

A

11-hydroxylase deficiency

most common is 21hydroxylase

52
Q

the orientation of the long axis of the fetus to the long axis of the mother is what

A

fetal lie

53
Q

origin ovary

A

mesoderm

54
Q

diameter fully extended face presentation

A

9.5

submento bregmatic

55
Q

what happens to aldosterone secretion in a normal pregnancy

A

increases

56
Q

what happens to MINUTE volume in normal pregnancy

A

increase

57
Q

what clotting factors increase in pregnancy

A

7, 8, 9, 10

58
Q

what is the presenting diameter in a brow presentation

A

13.5cm
MENTOVERTICAL
can’t deliver vaginally

59
Q

Converts diacylglycerol to arachidonic acid

A

PHOSPHOLIPASE C

60
Q

inheritance PKU

A

autosomal recessive

61
Q

how many pregnancies does gdm effect

A

2-5%

62
Q

innervation levator ani

A

S3/4

63
Q

what test is most appropriate to assess a diagnostic test

A

cross sectional analysis

64
Q

what test is best for assessing prognosis of a disease

A

cohort study

65
Q

average age for uterine cancer diagnose

A

60

66
Q

what compliment recruits others to for a MAX

A

c5b

recruits c6-9 to form a MAC

67
Q

blood supply
levator ani

A

inferior gluteal artery

68
Q

what parametric test is used to test for correlation

A

PEARSON

69
Q

when is the MORULA formed

A

day 4

70
Q

SERTOLI CELLS HAVE WHICH HORMONE RECEPTORS

A

FSH recptors

secrete inhibin

71
Q

primary stimulus for ADH release

A

HIGH SERUM OSMOLALITY

72
Q

2 major onco-proteins associated with high risk HPV

A

E6 and E7

73
Q

what type of hypersensitivity reaction is SLE an example

A

type 3

74
Q

primary site of prostaglandin E2 production

A

placenta

75
Q

where is progesterone produced in the ovary

A

synthesised from cholesterol by luteal cells

76
Q

antibiotic coverage for surgical termination

A

doxycycline 100mg BD 3/7

77
Q

post hysterectomy - TAH - numbness at anterior and posterolateral thigh - which nerve

A

lateral cutaneous

78
Q

where are the bartholins glands

A

labia minors 4 and 8 position

79
Q

CPR in pregnancy

A

supine, manual left uterine displacement

80
Q

what prostiandin should be avoided in asthmatics

A

prostaglandin F2 alpha

81
Q

risk of needing blood transfusion following physiological management of 3rd stage

A

40/1000

82
Q

nausea and vom in active management of 3rd stage

A

1/100

83
Q

blood loss >1000ml during physiological management of 3rd stage

A

29/1000

84
Q

dose of adrenaline in ANAPHYLAXIS

A

0.5mL (500micrograms) 1/1000 IM

85
Q

% rh neg in UK

A

16%

86
Q

neonatal CPR ratio

A

3:1 compression to breaths

87
Q

what HB should RBC be transfused to maintain above

A

80

88
Q

compared to mature human milk colostrum has a higher % of what

A

protein

89
Q

fat content breast milk

A

3-5%

90
Q

blood supply dorsal clitoral artery/ deep artery clitoris

A

INTERNAL PUDENDAL

91
Q

branches internal pudendal artery

A

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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