repro Flashcards

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1
Q

main artery of pelvis

A

internal iliac

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2
Q

main nerve of pelvis

A

pudendal S2 S4

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3
Q

which structure anchors testes to scrotum

A

guburaculum

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4
Q

gubernaclum forms what in females

A

ovarian ligament

round ligament

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5
Q

antiandrogen effect of spironolactone

A

inhibits steroid binding

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6
Q

ketoconazole as an antiandrogen

A

inhibits desmolase — steroid synthesis

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7
Q

watery cytoplasm

fried egg appearance

A

seminoma
oligodendroglioma
and koilocytes in HPV

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8
Q

schiller duval bodies resemble primitive glomeruli

A

yolk sac tumor

boys <3years

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9
Q

fried egg appearance and most common tumor

A

Seminoma

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10
Q

normla AFP
increase HCG , painful
glandular papilllary morphology

A

embryonal carcinoma

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11
Q

increase HCG

synchitrophoblasts

A

choriocarcinoma

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12
Q

placental alkaline phosphatase is increased in which testicular tumor

A

SEMINOMA

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13
Q

a mother with a previous history of intravenous drug use, no prenatal care, home birth, breastfeeding, and an extensive malar rash on baby

A

neonatal HIV
diarrhea and increase risk of infections
this baby had impetigo .. honey crusted … staph a

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14
Q

how to prevent HIV transmission from mother to baby

A

start intensive HAART

IV zidovudine from labour till birth

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15
Q

regulation of insulin secretion

A

glucose moves in via GLUT 2 beta cell
glucose metabolisd
ATP used to close ATP k+ channels
depo opens voltage sensitive calcium channels

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16
Q

lassic histology of a fibroma

A

collagen-rich spindle cells,

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17
Q

lapse vs slip error

A

lapse is an error due to memory .. for example if the surgeon forgot to identify the ureters during a hysterectomy
slip is a genuine mistake or mihap

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18
Q

nontender, homogenous right testicular enlargement on ultrasound and enlarged para-aortic lymph nodes on abdominal CT,

A

seminoma

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19
Q

small body size, microcephaly, low nasal bridge, cleft lip, hypoplasia of distal phalanges, nail hypoplasia, and hirsutism.

A

fetal hydantoin syndrome

use of phenytoin

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20
Q

syphilis treatment

A

penicillin G intramuscular

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21
Q

dysmenorrhea, menorrhagia and an enlarged and soft uteru

A

adenomyosis

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22
Q

use during pregnancy is associated with aplasia cutis congenita, a disorder in which there is an absence of skin in infants.

A

methimazole

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23
Q

self feeding in a child by the age of

A

20 months

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24
Q

riding tricycle

A

3years

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25
Q

stacking 6 cubes

A

2 years

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26
Q

a child babbles but cannot talk
princer grasp
needs assistance to walk
plus stranger anxiety

A

about 15 months
stranger anxiety develops by 7-9 months
princer grasp with thumb and index by 10 moths

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27
Q

Rolling and sitting, but not crawling,

A

6 months

28
Q

STI who do u treat partner only or both

A

BOTH

29
Q

prostate develops from

A

urogenital sinus by DHT

30
Q

25 year old woman
teaspoon thin white discharge
ph 4
epithelial cells with a few PMNs

A

NORMAL

31
Q

placenta previa risk factors

A

prior c section
increased pregnancies
curettage

32
Q

menorrhagia, dysmenorrhea and a diffusely enlarged, soft “boggy” uterus on exam.

A

adenomyosis

33
Q

microcephaly, hearing loss, hepatosplenomegaly, and a petechial rash
mopther had fever soar throat in early pregnancy

A

CMV

34
Q

high-riding boggy prostate, a bloody urethral meatus, and a pelvic fracture.

A

post urethral injury

membranous part of urethra

35
Q

oocytes rest in …. until ovulation

and in …… until fertilization

A

prophase I

metaphase II

36
Q

16 weeks pregnant … results show an elevated α-fetoprotein level but normal estriol, β-human chorionic gonadotropin (β-hCG), and dimeric inhibin A levels.

A

Neural tube defects

remember when u see alpha feto protein and acetylcholinesterase

37
Q

decreased a-fetoprotein, decreased estriol, increased inhibin A, and increased ß-hCG

A

down synd

38
Q

comment on body temp in women

A

higher in luteal phase

progesterone

39
Q

most common side effects assoc with fluoroquinolones

A

GI upset

diarrhea abd pain etc

40
Q

female infant presents with ambiguous genitals, hypotension, and signs of dehydration and electrolyte disturbances, including a low bicarbonate concentration, hyponatremia, and hyperkalemia

A

21 alpha hydrox def

accumulation of serum 17-hydroxyprogesterone,

41
Q

drug used to reduce uterine contractions or delay labour

A

terbutaline
B2 B1 agonist
increases protein kinas A

42
Q

neonate has gross hepatosplenomegaly and ascites, as well as peripheral edema and purpura.

A

hydrops fetalis

Rh incompatibility

43
Q

pregnant woman has gastric ulcers

she is prescribed a med that causes increased vaginal bleeding

A

misoprostol
PGE1 anologue
abortion med
helps gastric lining by increasing mucus production

44
Q

mefiprestone mechanis,

A

progesterone antagonist

abortion drug

45
Q

detrusor muscle weakness causes what type of urinary

A

overflow

46
Q

bHCG is above 2000 and no gestational sac visible

A

ectopic pregnanc

47
Q

overall healthy female … only has painful menses

A

primary dysmenorrhea

increased prostaglandin

48
Q

what bacteria makes the majority of normal flora in vagina

A

gram+ve facultative anaerobe bacilli

LACTOBACILLUS

49
Q

51 year old female post menopausal bleeding
firm yellow unilateral ovarian mass
thickened endometrial linning

A

granulosa cell tumor
secretes estrogen
call exner cells can be seen

50
Q

describe high grade cervical intraepithelial neoplasia

A

atypical cells occupy more than 1/3rd of the epithelium

51
Q

BHCG is structurally similar to

A

LH FSH TSH … same alpha uni

52
Q

pt has symptoms of cystic fibrosis but a negative chloride sweat test … what is the diagnosis

A

CF

negative sweat test does not ruloe out the condition

53
Q

ovarian arteries originate from ….

A

abdominal aorta

carried in infundibulopelvic ligament

54
Q

painful vaginal bleeding in the third trimester,

smoking, HTN, cocaine use

A

abruptio placenta

55
Q

fetal brady cardia and PAINLESS bleeding

A

vasa previa

umbilical cord plants into the membranes and is the presenting part of the pregnancy

56
Q

Bilobed nuclei with bright pink granules on hematoxylin and eosin stain

A

eosinophils

parasites,allergicr reactions and asthma

57
Q

segmented nucleus with three to five connected lobes with large, spherical, azurophilic granules a

A

neutrophils

58
Q

bilobed nucleus and numerous blue to purple granules on hematoxylin and eosin stain

A

basophils

59
Q

an off-center nucleus containing clock-face heterochromatin arrangements with perinuclear clearing called a Hoff.

A

plasma celsl

60
Q

similar to size of erythrocytes but large nucleus

A

lymphocytes

61
Q

abruptio placentae complications

A

DIC from tissue factor entering maternal circulation
maternal shock
fetal distress

62
Q

vaginal ph with candida inf

A

<4.5

63
Q

holoprosencephaly

A

trisomy 13

64
Q

how to confirm diagnosis of preeclampsia

A

urinary protein check

new onset of hypertension 20 weeks of gestation

65
Q

baby born with syndactyly

which gene is mutated

A

Hox genes come from a family of homeobox genes that encode transcription factors.

66
Q

which HPV is assoc with warns in anogenital area

A

HOV 6 11