Midterm

Question 1

The genital system develops from the embryonic?

Answer 1

mesoderm

Question 2

Primary oocytes first appear at what stage

Answer 2

in the primordial follicles

Question 3

primordial germ cells can be identified in the 3rd week of devel in the ?

Answer 3

yolk sac

Question 4

Gartner cysts devel from remnants of

Answer 4

Mesonephric ducts

Question 5

Labia minora develops from?

Answer 5

urogenital folds

Question 6

Labia majora develops from?

Answer 6

labioscrotal swellings

Question 7

false and true pelvis are separated by?

by the plane of the?

Answer 7

linea terminalis,

pelvic inlet

Question 8

diagonal conjugate is defined as the distance?

Answer 8

btwn the lower border of the pubis anteriorly and the lower sacrum at the level of the ischial spines

Question 9

contains uterine aa., vv., and ureters?

the region btwn ovaries and tubes?

Answer 9

broad ligament;

mesosalpinx

Question 10

MC pelvic type

Answer 10

gynecoid

Question 11

narrowest fixed distance through which the fetal head must pass in a vaginal delivery?
should be what measurement?

Answer 11

interspinous diameter;

10cm

Question 12

Oogonia cease to form after?

Answer 12

birth

Question 13

fallopian tubes are approx how long?

their blood supply is from?

Answer 13

7-14cm;

ovarian and uterine aa.

Question 14

distance of ureter from uterine side wall at pt where it crosses uterine a?

Answer 14

1.5-3cm

Question 15

results in vaginal atresia?

Answer 15

lack of canalization of vaginal plate

Question 16

innominate bones are cmpsd of the fused ileum, ischium and?

Answer 16

acetabulum

Question 17

obstetric conjugate should be atleast what measurement?

Answer 17

11cm

Question 18

the transverse diameter of the pelvic inlet should be?

Answer 18

13cm

Question 19

IUGR is defined as a birth weight less than what percentile?

Answer 19

10th percentile

Question 20

about what percent of stillborn infants are found to be growth restricted?

Answer 20

25

Question 21

rate of growth gen declines after?

Answer 21

37th week

Question 22

late onset IUGR is commonly assoc w?

Answer 22

uteroplacental insuff

Question 23

eval. of fetal-placental circ is best assessed w doppler velocimetry of what vessel

Answer 23

Umbilical Artery

Question 24

Hyperviscosity syndrome assoc w IUGR is defined as a fetal Hct more than?
and is assoc with?

Answer 24

65percent;

heart failure

Question 25

Is multiparity a risk factor for macrosomia?

Answer 25

yes

Question 26

minor trauma is seen in about what percent of sexual assault victims? when should ABXs be offered for Px? routine Px should also be offered for?

Answer 26

25; routinely; Hep B

Question 27

what percent of victims seek help after sexual assault

Answer 27

55

Question 28

in order to maximize response of tumor therapy you want the min. number of tumor cells in what phase of cc? the phase most variable in length and influences how responsive a tumor is to chemo?

Answer 28

G0; G1

Question 29

Growth fraction is the number of tumor cells not in what phase?

Answer 29

G0

Question 30

MOA of alkylating agents

Answer 30

interferes w DNA replication by cross-linking DNA

Question 31

MOA of plant (vinca) alkaloids?

Answer 31

inhibition of microtubule assembly

Question 32

Antitumor ABXs act during what phase? | Antimetabolites act during?

Answer 32

all phases; | S

Question 33

Nephrotoxicity is most strongly assoc w what antineoplastic drug?

Answer 33

Cisplatin

Question 34

Gene therapy in cancer therapy is designed to?

Answer 34

reintroduce nml DNA into tumor cells

Question 35

the antimetabolites inhibit?

Answer 35

enzymes necessary for DNA replication

Question 36

approx what percent of pts w molar preg devel persistent or malignant disease

Answer 36

20

Question 37

pts w partial molar preg are more likely to present as

Answer 37

a missed abortion

Question 38

complete molar preg is c/b?

Answer 38

absence of fetal parts on U/S

Question 39

recurrence rate for gestational trophoblastic disease

Answer 39

2 percent

Question 40

in US incidence of choriocarcinoma following a molar preg is about?

Answer 40

1 in 40 molar pregs

Question 41

choriocarcinoma metastasizes through?

Answer 41

hematogenous embolization

Question 42

the cure rate for a pt w nonmetastatic GTN and a FIGO score of 4 is approx

Answer 42

100 percent

Question 43

lichen simplex chronicus appearence? | best Tx?

Answer 43

diffusely red to reddish brown ; | antipruritic agents at night and topical steroid

Question 44

lichen planus description? | should be treated w?

Answer 44

white lacey bands of keratosis ; | topical steroid

Question 45

Sebborheic dermatitis? | management should include

Answer 45

pale to red to yellowish pink ; | 5perc aluminum acetate solution, followed by topical corticosteroid

Question 46

insertional dysparunia, most likely?

Answer 46

vulvar vestibulitis

Question 47

Hydrocele is assoc w ?

Answer 47

canal of Nuck

Question 48

Hidradenomas arise from?

Answer 48

sweat glands

Question 49

assoc w high urinary oxalic acid concs?

Answer 49

vestibulitis

Question 50

lichen sclerosis and hyperplastic dystrophy w atypia carry what risk of vulvar ca?

Answer 50

4 percent

Question 51

mixed acanthosis-lichen sclerosis Tx?

Answer 51

corticosteroid cream for 2-3 weeks then topical steroid

Question 52

characteristic of acanthosis?

Answer 52

Hyperkeratosis

Question 53

Paget disease of vulva may be assoc w carcinoma of the?

Answer 53

skin

Question 54

VIN, usual type, Tx?

Answer 54

laser ablation

Question 55

spread of SCC of vulva is usually to? | overall incidence of this type of metastasis

Answer 55

regional LNs; | 30%

Question 56

Tx for cancer of Bartholin gland?

Answer 56

radical vulvectomy and bilateral lymphadenectomy

Question 57

inclusion cyst arises from?

Answer 57

imperfect alignment of childbirth lacerations or episiotomy

Question 58

of all gyn malignancies: vulvar ca accounts for? and vaginal accts for?

Answer 58

5percent; | 1-3

Question 59

type of leiomyoma MC assoc w abnormal uterine bleeding?

Answer 59

submucosal

Question 60

type of myoma MC mistaken for adnexal mass?

Answer 60

pedunculated