Old Wall Quiz #3 Flashcards

1
Q
  1. Fluoroquinolones are contraindicated in
    children, adolescents, and breast feeding women
    due to possible adverse effects on the
    development of which of the following tissues?
    A. Bone
    B. Liver
    C. Cartilage
    D. Dental enamel
    E. Kidneys
A

c

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2
Q
2. CA – 125 is least likely to be associated with
which of the following?
A. Ovarian neoplasm
B. Endometriosis
C. Renal disease
D. Normal pregnancy
E. Liver disease
A

c

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3
Q
3. What is the most common presenting sign
in a patient with a pulmonary embolus?
A. Tachypnea
B. Dyspnea
C. Tachycardia
D. Cyanosis
E. Wheezing
A

a

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4
Q
4. Which of the following is least likely
presenting symptom associated with a
pulmonary embolism?
A. Angina
B. Hemoptysis
C. Cough
D. Leg pain
E. Palpitations
A

a

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5
Q
  1. A chorioangioma greater than 5cm can be
    associated with all of the following EXCEPT:
    A. Normal Pregnancy
    B. Arterial-venous shunting
    C. Fetal anemia
    D. Thrombosis
    E. Fetal growth restriction
A

d

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6
Q
10. Which ovarian cancer resembles cervical
glands?
A. Mucinous
B. Serous
C. Hilus Cell
D. Granulosa Cell
E. Sertoli-leydig
A

a

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7
Q
13. Which of the following conditions is
associated with increased estrogen levels in
pregnancy
A. Erythroblastosis fetalis
B. Fetal anencephaly
C. Down syndrome
D. Fetal demise
E. Fetal placental aromatase deficiency
A

a

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8
Q
17. All of the following vaccinations can be
safely given in pregnancy EXCEPT:
A. Influenza
B. Hepatitis B
C. Varivax
D. Pneumococcus
E. Meningococcus
A

c

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9
Q
  1. Measurement of which of the following
    serum levels is helpful in evaluating a patient
    suspected of having late onset congenital
    adrenal hyperplasia?
    A. Testosterone
    B. 17-hydroxyprogesterone
    C. FSH
    D. DHEAS
    E. Cortisol
A

b

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10
Q
21. Which of the following findings on
ultrasound least likely suggest an adnexal
malignancy?
A. Hyperechoic 5cm mass
B. Papillary or solid components
C. Irregularity
D. Presence of ascites
E. High color Doppler flow
A

a

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11
Q
23. Risks of Tamoxifen include all of the
following EXCEPT:
A. Osteoporosis
B. Thromboembolism
C. Endometrial Cancer
D. Vasomotor symptoms
E. Fluid retention
A

a

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12
Q
27. Which of the following is a common
mechanism of primary vaginal cancer spread?
A. Exfoliative
B. Hematogenous
C. Transperitoneal
D. Lymphatic
E. Sideroblastic anemia
A

d

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13
Q
30. The least common symptom of early
cervical carcinoma is:
A. Watery vaginal discharge
B. Intermittent spotting
C. Pelvic pain
D. Post coital bleeding
E. No symptoms
A

c

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14
Q
31. Medical conditions associated with
hypothalamic anovulation are each of the
following EXCEPT:
A. Anorexia Nervosa
B. Kallman’s syndrome
C. Hypothalamic tumors
D. Bulimia
E. Female triathlon athlete
A

d

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15
Q
32. Of the following, which symptom would be
most bothersome to a patient with
endometriosis?
A. Dysuria
B. Dyschezia
C. Dyspareunia
D. Anterior abdominal wall pain
E. Amenorrhea
A

c

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16
Q
  1. The most common indication for hospital
    admission during the first part of pregnancy is:
    A. Pyelonephritis
    B. First trimester bleeding
    C. Hyperemesis gravidarum
    D. Chronic hypertension
    E. Ectopic pregnancy
A

c

17
Q
  1. The most important tests in the evaluation
    of a stillbirth are all of the following EXCEPT:
    A. Fetal autopsy
    B. Karyotype evaluation
    C. Umbilical cord segment specimen
    D. Placental cytology specimen
    E. Antinuclear antibody test (ANA)
A

e

18
Q
  1. A 35 y/o nulligravid woman undergoes a
    Colposcopic biopsy that reveals a
    microscopically invasive cervical cancer with a
    2-mm depth of invasion. What is your next
    step in management?
    A. Simple hysterectomy
    B. Radical hysterectomy
    C. Conization
    D. Radiation therapy
    E. Chemotherapy with cisplatin and radiation
A

c

19
Q
36. A 38 y/o woman with type 1 DM is
scheduled for a TAH. Which of the following
diagnostic tests is least important as part of her
preoperative evaluation?
A. Electrocardiogram
B. HbA1c
C. Bun and Creatinine
D. Glucose
E. Electrolytes
A

b

20
Q
37. Most common side effect of statins is:
A. Myalgias
B. Diarrhea
C. Abdominal discomfort
D. Flatulence
E. Pelvic pain
A

a

21
Q
38. Which of the following most warrants
obtaining a karyotype?
A. Single umbilical artery
B. Club feet
C. Gastroschisis
D. Polyhydramnios
E. Cystic hygroma
A

e

22
Q
39. All of the following are common causes of
ovulatory dysfunction EXCEPT:
A. Polycystic ovarian syndrome
B. Anorexia nervosa
C. Hyperprolactinemia
D. Depo Lupron
E. Asherman’s syndrome
A

e

23
Q
40. Of the following malformations, which is
associated with the use of lithium during
pregnancy?
A. Pulmonary
B. Intestinal
C. Central nervous system
D. Renal
E. Cardiac
A

e

24
Q
  1. A newborn in the nursery, who is 24 hours
    old, has begun to exhibit petechiae and
    ecchymosis. The mother had an uneventful
    pregnancy. Her platelet count is normal, but the
    infant’s platelets are low. The most likely
    diagnosis is:
    A. Immune thrombocytopenic purpura
    B. Drug-induced thrombocytopenia
    C. Von-Willebrands disease
    D. Alloimmune thrombocytopenia
    E. HELLP syndrome
A

d

25
Q
  1. Criteria for referral for BRCA testing
    include all of the following EXCEPT:
    A. A male relative with breast Cancer
    B. A first degree relative with bilateral breast
    cancer
    C. A combination of two or more first or
    second degree relatives with breast cancer
    at any age
    D. A first or second degree relative with both
    breast and ovarian cancer at any age
    E. A combination of both breast and ovarian
    cancer among first and second degree
    relatives
A

c

26
Q
45. All of the following are examples of
Imprinting EXCEPT:
A. Prader-Willi Syndrome
B. Angelman Syndrome
C. Ovarian teratoma
D. Ehlers Danlos syndrome
E. Complete Mole
A

d

27
Q
46. Breast feeding is contraindicated in
women with:
A. Hepatitis B
B. Human immunodeficiency virus (Viral load
undetectable)
C. Hepatitis A
D. Cytomegalovirus
E. Parvovirus B19 infection
A

b

28
Q
47. Which of the following progestins in the
oral contraceptive Yasmin is FDA approved for
the treatment of Premenstrual dysmorphic
disorder?
A. Gestodene
B. Desogestrel
C. Levonorgesterol
D. Drospirenone
E. Etonogestrel
A

d

29
Q
48. Which of the following generally occurs
first among the major developmental events
of female puberty?
A. Menarche
B. Closure epiphyseal plates
C. Thelarche
D. Pubarche
E. Adrenarche
A
c
-initiation of growth spurt
Thelarche
Pubarche
Adrenarche
-Max growth spurt
Menarche
30
Q
48. Which of the following generally occurs
first among the major developmental events
of female puberty?
A. Menarche
B. Closure epiphyseal plates
C. Thelarche
D. Pubarche
E. Adrenarche
A
c
-initiation of growth spurt
Thelarche
Pubarche
Adrenarche
-Max growth spurt
Menarche
31
Q
49. What is the most common complaint in
patients experiencing a postoperative
myocardial infarction?
A. Dyspnea
B. Palpitations
C. Chest pain
D. Chest pressure
E. Arm pain
A

a

32
Q
50. What should not be used for hemostasis
in cases of life threatening hemorrhage from
cervical cancer?
A. Acetone
B. Lugol’s solution
C. Emergent radiation
D. Uterine Artery Embolization
E. Monsel (ferric subsulfate) solution
A

b