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PLE 2018 > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Vaginal tumor occuring before 6 years old

A

Sarcoma botyroides

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2
Q

Tx of endodermal sinus tumor

A

Surgery + Chemotherapy

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3
Q

Presence of schiller duval bodies in children <2 y/o

A

Endodermal sinus tumor

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4
Q

Treatment of urge incontinence

A

Medical

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5
Q

Structures derived from Mesonephros (Wolffian duct)

A

Vas deferens
Epididymis
Seminal vesicle

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6
Q

Mullerian duct abnormality assoc with reproductive loss

A

Septate uterus

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7
Q

Primary amenorrhea is absence of menses by what age

A

16.5

14 if with no breast devt

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8
Q

Most common cause of primary amenorrhea

A

Gonadal failure

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9
Q

Secondary amenorrhea is absence of menses longer than

A

6 to 12 months

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10
Q

During pregnancy, there is increase in all clotting factors except

A

Factor XI and XIII

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11
Q

Heart rate increases by _____ during pregnancy

A

10 bpm

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12
Q

What dx test should be done in a patient suspected of having urge incontinence?

A

Cystometry

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13
Q

Remnant of mesonephric duct in females

A

Gartner’s duct cyst

vaginal inclusion cyst

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14
Q

Gold standard for uterine lesions (uterine bleeding)

A

Hysteroscopy

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15
Q

Prolactin level suggestive of pituitary prolactinoma

A

100 ng/mL

request for cranial MRI

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16
Q

Pharmacologic category of Leuprolide creating a menopause-like state

A

GH receptor agonist

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17
Q

Gold standard for endometriosis

A

Laparoscopy

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18
Q

Type of androgen secreted most in the ovaries

A

Androstenedione

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19
Q

What are the levels of inhibin and activin in menopause patients?

A

Low inhibin

High activin

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20
Q

Type of androgen specific to adrenal gland

A

DHEA-S

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21
Q

How long after ejaculation does semen liquefaction happen?

A

15-20 minutes

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22
Q

Drug of choice for a perimenopausal woman complaining of hot flushes and decreased libido

A

Tibolone (estrogenic, progestogenic, androgenic)

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23
Q

Most commonly affected in pelvic inflammatory disease

A

Fallopian tube (acute salpingitis)

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24
Q

What is the most likely lesion?
Postmenopausal
chronic vulvar pruritus
reddish, moist patch on the vulva

A

Paget’s disease of the vulva

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25
Q 
What is the most likely condition?
Prepubertal or postmenopausal
thinned vulvar epithelium with loss of rete pegs
limited to labia majora
hourglass or figure-8 formation
A

Lichen Sclerosus atrophicus

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26
Q

Next step if ASCUS on papsmear

A

Either:

  • HPV DNA testing
  • Repeat Papsmear in 6 months
  • Colposcopy
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27
Q

Where do you get the specimen in cytohormonal maturation index?

A

Upper third of vaginal wall

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28
Q

Next step if papsmear showed glandular cells

A

Colposcopy

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29
Q

Next step if papsmear showed ASC-H or HSIL

A

Colposcopy

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30
Q

Most commonly identified aneuploidy in abortion

A

Autosomal trisomy

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31
Q

Window of implantation occurs in which days of the cycle

A

Day 20-24

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32
Q

Lamellar body count signifying fetal lung maturity

A

> 20,000

33
Q

Most sensitive and specific test in determining neural tube defects

A

Acetylcholinesterase

34
Q

Most common abnormal fetal position causing dystocia

A

Persistent Occiput Posterior

35
Q

Single most reliable sign of fetal compromise

A

Reduced baseline heart rate variability

36
Q

Inflammatory marker that is increased throughout pregnancy

A

CRP

37
Q

Causes hypoplastic left heart syndrome if taken during the 1st trimester of pregnancy

A

Nitrofurantoin

38
Q

Apical displacement of tricuspid valve due to intake of lithium due to pregnancy

A

Ebstein anomaly

39
Q

Holoprosencephaly is seen in this genetic abnormality

A

Patau syndrome

40
Q

Most common sex hormone abnormality

A

Klinefelter syndrome

41
Q

stripping of fetal membranes to increase blood levels of prostaglandin F2a

A

Ferguson reflex

42
Q

Most common obstetric cause of DIC

A

Abruptio Placenta

43
Q

Variant of umbilical cord insertion in which the cord anchors at the placental margin; seen in multifetal pregnancies

A 
Battledore placenta
(marginal placenta)
44
Q

Variant of umbilical cord insertion that is vulnerable to compression

A

Velamentous insertion

45
Q

Most common single defect in congenital rubella syndrome

A

sensorineural deafness

46
Q

Contraindicated as prophylactic regimen for malaria during pregnancy

A

Primaquine

Doxycycline

47
Q

Most common small vulvar cyst

A

Epidermal inclusion cyst

or sebaceous cyst

48
Q

Most common large vulvar cyst

A

Bartholin’s duct cyst

49
Q

Endometrial CA with poor prognosis

A

serous

clear cell

50
Q

Most frequent sites of nonpelvic mets

A

lung
upper abdomen
bone

51
Q

tumor marker of dysgerminoma

A

LDH

52
Q

analogous to seminoma of testes

A

dysgerminoma

53
Q

tumor marker of endodermal sinus tumor

A

AFP

54
Q

tumor marker of immature teratoma

A

AFP

55
Q

Marker to determine if source of androgen is peripheral

A

3a - diol - G

56
Q

infertility treatment that acts by competing with estrogen-binding sites on the hypothalamus

A

clomiphene citrate

57
Q

infertility treatment that acts by inhibiting ovarian androgen steroidogenesis

A

Metformin

58
Q

infertility treatment that acts as an aromatase inhibitor

A

Letrozole

59
Q

common agents implicated in toxic shock syndrome

A

clostridium perfringens
clostridium sordelli
group A strep

60
Q

Dilute Russel Viper Venom Test (DRVVT) is a test for?

A

lupus anticoagulant

APAS

61
Q

The pelvic diaphragm is composed of

A

Levator ani

Coccygeus muscle

62
Q

What comprises the levator ani

A

Pubococcygeus
Puborectalis
Iliococcygeus

63
Q

hub nailing is seen in what type of ovarian cancer

A

Clear cell CA

CA 125

64
Q

Call exner bodies are seen in this type of malignancy

A

Granulosa cell tumor

elevated CA 125, inhibin

65
Q

tumor marker for mucinous cystadenocarcinoma of the ovaries

A

CA 19-9

66
Q

causative agent of LGV presenting with buboes (painful inguinal LN)

A

Chlamydia trachomatis

67
Q

causative agent of chancroid

A

H. ducreyi

68
Q

unchanged paramenters in respiratory system during pregnancy

A

respiratory rate
total lung capacity
FVC
lung compliance

69
Q

structures involved in perineal lacerations

A

1st - fourchette, skin, mm (urethral sphincter)
2nd - fascia and muscles of pb
3rd - external anal sphincter
4th - internal anal sphincter and rectal mucosa

70
Q

most common malignant germ cell tumor

A

dysgerminoma

71
Q

structures involved in perineal lacerations

A

1st - fourchette, skin, mm (urethral sphincter)
2nd - fascia and muscles of pb
3rd - external anal sphincter
4th - internal anal sphincter and rectal mucosa

72
Q

3rd most frequent malignancy of lower female genital tract

A 
cervical CA 
(next to endometrial and ovarian)
73
Q

2nd most frequent cause of death among gyne malignancies (lower genital tract)

A

cervical CA (next to ovarian CA)

74
Q

definitive dx of microinvasive carcinoma of the cervix

A

cervical conization

not biopsy

75
Q

tx of microinvasive carcinoma of the cervix

A

total hysterectomy

76
Q

drug used to shrink the size of myoma

A

GnRH agonists (leuprolide)

77
Q

drug recommended for complex hyperplasia with atypia

A

high dose progestins

megestrol acetate

78
Q

drug recommended for simple/complex hyperplasia with or without atypia

A

intermittent progestins

79
Q

cardinal movement that is the 1st prerequisite of childbirth

A

descent

PLE 2018 (12 decks)

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