Recalls 4

Question 1

What is the nerve supply to the ovary

Answer 1

T10

Question 2

Which stage of oocyte development does the zona pellucida appear around the ovum

Answer 2

Primary follicle

Question 3

What type of vaccine is HPV

Answer 3

recombinant/subunit vaccine

Question 4

what is the most common SE of misoprostol

Answer 4

diarrhoea

Question 5

Where is the allantois derived from

Answer 5

Endodermal epithelium

Question 6

What is is the animal source of vitamin A?

Plant source?

Answer 6

Retinol

Plant - carotene

Question 7

What does kallman’s syndrome involve

Answer 7

Loss of smell and azoospermia

Question 8

Which amino acid instead of uracil

Answer 8

thymine

Question 9

Which fetal organ dysfunction due to use of ACE

Answer 9

Kidney

Question 10

What is the first sensation developed in the fetus

Answer 10

Touch

Question 11

How does dabigatran work

Answer 11

Thrombin inhibitor

Question 12

Where does warfarin act in the clotting cascade

Answer 12

On factors dependant on vitamin K

10,9,7,2

Question 13

Which surface of the sacrum does piriformis attach to

Answer 13

The PELVIC surface

Not the lumbar

Question 14

What are the phases of drug testing

Answer 14

1- safety
2-efficacy
3-long term benefit/compare with other drugs

FDA approved

4- available to buy

Question 15

Describe a cross section of the umbilical cord

Answer 15

Question 16

What is considered high risk for DS in combined screening

Answer 16

> 1:150

Question 17

What are the high risk HPVs

Answer 17

HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 59

Question 18

Which group of viruses cause molluscum contagiosum

Answer 18

Pox viruses

Question 19

how does ASA differ from ibuprofen and celecoxib

Answer 19

ASA - IRREVERSIBLE inhibition of COX1

Ibuprofen - REVERSIBLE inhibition of COX 1

They also both inhibit cox 2 - both reversible

Celecoxib is a selective cox 1 inhibitor

Question 20

Episode of PMB with ET <4mm

Answer 20

Reassure, come back if further episodes

Question 21

What is the aim for HCG rise to say if something is suspicious for an ectopic

Answer 21

> 66% rise.

Question 22

What is the lymphatic drainage for the sigmoid?

Does it have a mesentary?

Answer 22

Yes it does hage a mesentary

inferior mesenteric lymph nodes, para-aortic and iliac

Question 23

What is the half life of mifepristone

Answer 23

25-30 hours

Question 24

Half life of lidocaine

Answer 24

2 hours

Question 25

Half life ergometrine

Answer 25

120 minutes

Question 26

How does finasteride work

Answer 26

5 alpha reductase inhibitor - prevents conversion of testosterone to DHT

Question 27

What is the final enzye involved in the oxidation of uric acid

Answer 27

Xanthine oxidase

Question 28

Where do most of the enzymes involved i the Kreb's cycle live

Answer 28

mitochondria

Question 29

What is rate of uterine rupture during IUCD insertion

Answer 29

1:500

Question 30

What does a positive Hep B antigen mean

Answer 30

you HAVE the disease. If you have Anti-Hbc it means chronic You dont get AntiHbs until you have recovered

Question 31

What type of endometrioum has large and tortuous glands

Answer 31

secretor endometrium

Question 32

When is hairloss aka Telogen Effluvium most pronounced

Answer 32

after delivery

Question 33

Which stage of the mentrual cycle are natural killer cells highest? Describe the ovarian and endometrial phases of the menstrual cycle

Answer 33

Highest at the end of the secretory phase

Question 34

Which structure in females is homologous to the prostate What about the Cowper glands

Answer 34

Prostate = Skenes gland Cowper = bartholins

Question 35

What is the rate limiting step in catecholamine syntesis

Answer 35

Tyrosine hydroxylase

Question 36

Where are most of the nerves location for a TAP block

Answer 36

Between internal oblique and transverse abdominis

Question 37

What type of structure are TSH/LH/FSH/HCG

Answer 37

Glycoprotein

Question 38

What type of structure are oxytocin/ADH

Answer 38

Nonapeptide

Question 39

LABEL THE DIAGRAM OF AN ULTRASOUND WAVE

Answer 39

Amplitude is up and down Wavelength is peak to peak

Question 40

What are the 3 interactions with an ultrasound wave

Answer 40

Scattering Absorption Reflection

Question 41

Which ovarian cancer is associated with MMR (this is the cause of Lynch syndrome/HPNCC)

Answer 41

Endometroid cancer

Question 42

What can the choroid plexus impinge on

Answer 42

The arachnoid and pia mater

Question 43

When does adult haemoglobin start to get synthesised

Answer 43

??? Ask Rach

Question 44

Where is prolactin produced not under control of dopamine

Answer 44

maternal decidua

Question 45

What is meig's syndrome? What will you see on pathology?

Answer 45

Ovarian fibrome (benign) + ascites + pleural effusion Pathology = spindles

Question 46

What is the commonest cause of sepsis in pregnancy

Answer 46

E.coli then strep A

Question 47

Which organisms to type 2 pneumocytes utilize for surfactant release

Answer 47

lamellar bodies

Question 48

Most important complement in opsonisation

Answer 48

C3b

Question 49

What are clue cells

Answer 49

EPITHELIAL CELLS

Question 50

What is the pudendal cleft

Answer 50

Area between two labia majora Vestibule is the area between the two minora

Question 51

Complete molar pregnancy + bilateral ovarian cysts with high HCG What are the cysts?

Answer 51

Theca lutein cysts

Question 52

What are theca lutein cysts?

Answer 52

They are a type of functional ovarian cyst resulting from overstimulation. Can happen in OHSS GTD - from high HCG

Question 53

What is the most common side effect from PoP

Answer 53

erratic bleeding

Question 54

What type of drug is carboprost

Answer 54

Prostaglandin F2a

Question 55

What type of drug is misoprostol

Answer 55

Prostaglandin E1 Dinoprostone is E2

Question 56

Which layer of the endometrium is destroyed in ablation

Answer 56

Basal layer up to 5mm

Question 57

What does the new non invasive orenatal diagnostic test using free fetal DNA from?

Answer 57

placental cells

Question 58

What is the correct route for the round ligament

Answer 58

gubernaculum --> anterior surface of uterus cornea --> labia majora

Question 59

What is the commonest site of vulval SSC

Answer 59

labia majora

Question 60

What type of laser is neodymium YAG laser

Answer 60

Solid

Question 61

Which type of cells are phagocytic for the residual bodies left over from spermatogensis

Answer 61

Sertoli cells

Question 62

What type of ells produce: PTH Calcitonin T3/4

Answer 62

PTH - chief cells Calcitonin - C cells T3/4 - Follicular cells

Question 63

Which chromosomes are capable of robertsonian translocations

Answer 63

13/14/15/21/22

Question 64

What is trichomonas vaginalis

Answer 64

Flagelated protozoan

Question 65

Do all CS get LMWH

Answer 65

Not electives! If they have no other RFs do not need

Question 66

How does protein C deficiency lead to thrombosis

Answer 66

Affects factor V and 8a

Question 67

Where does pain get referred to for: Renal calculi Ureteric calculi

Answer 67

Renal - lumbar Ureteric - groin

Question 68

What is the unit of Ca125

Answer 68

iu/ml

Question 69

What is the embryological origin of oocytes

Answer 69

primordial germ cell

Question 70

How many hormone producing cells are lactotrophs

Answer 70

10-15% They made up 20-50% in the AP

Question 71

Where is the anitomical location of direct vs indirect hernias

Answer 71

Direct = medial to inferior epigastric arteries Indirect = lateral to inferior epigastric arteries

Question 72

What are the trophoblast cells that invade the lumen of the spiral arteries

Answer 72

endovascular trophoblasts