Female Repro

Question 1

Skin dimpling of breasts d/t

Answer 1

Enlargement + retraction of suspensory/Cooper’s lig

Malignant adenoca

Question 2

Lymphatic breast drainage

Answer 2

Lateral quad: axillary

Medial quadrants: parasternal or opp breast

• spread of Mets

Question 3

Mastectomy complications

Answer 3

1. LThoracic N damage : winged scapula, serrated ant m paralysis
2. Intercostobrachial N : numbness of medial arm skin

Question 4

MC structure damaged during hysterectomy?

Answer 4

Ureter

Cardinal lig: uterine artery + ureters close by

» water under the bridge «

Question 5

Ovaries to lateral pelvic wall fixed by

Answer 5

Infundibulopelvic / ovarian / suspensory ligament

Question 6

What ligament contains uterine vessels ?

Answer 6

Cardinal / transverse cervical lig

Question 7

How is chorionicity and amnionicity determined?

Answer 7

Timing of cleavage

» SCAB «

Separate chorion+ amnion : Day 0-4
Chorion shared : Day 4-8
Amnion shared : Day 8-12
Body shared : Day 13+

Question 8

Incomplete fusion of paramesonephric ducts

Answer 8

Bicornate uterus

• recurrent miscarriages

Question 9

Unfertilized (2°) oocyte arrested in which stage?

Answer 9

Metaphase II

» Oocyte hasn’t met the sperm yet «

Question 10

MC fetal complications of Valproic acid

Answer 10

NTDs

• w/ all anti epileptics

Question 11

Blind vaginal pouch DDx

Answer 11

1. w 2° sexual ch : Müllerian agenesis XX
2. w/o 2° sexual ch : Androgen insensitivity syndrome 45, XY
   - testes present