Walls Flashcards

1
Q

Branches of Anterior Iliac Artery

A
(OUUMII)
Obturator
Uterine
Umbilical
Middle Rectal 
Inferior gluteal 
Internal pudendal
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2
Q

Klinefelter’s sperm and testes

A

Small firm testes with azoospermia or very low sperm count. Gynecomastia

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3
Q

varicocele on semen analysis

A

mostly changes morphology

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4
Q

beta thalassemia hgb electrophoresis

A

HbA - 96%, HbA2 > 3.5%

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5
Q

Normal Hgb electrophoresis

A

HbA - 97%, HbA2- 3%, HbF <1%

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6
Q

Fetal hgb

A

Produced in liver

HbF- 50%, HbA 50%

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7
Q

EMB on patient with PCOS and irregular menses

A

disordered proliferative endometrium

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8
Q

7 cardinal movements of labor

A
engagement
discent
flexion
internal rotation
extension 
external rotation
Expulsion
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9
Q

Meig’s Syndrome

A

Benign ovarian tumor (fibroma, brenners, 1% will undergo malignant transformation)
ascites
plural effusion

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10
Q

treatment for listeria and if allergic

A

Ampicillin

if allergic - bactrim, vanco

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11
Q

High risk thrombophilias

A

Anthrombin III deficiency

factor V liden homozygote

Prothrombin G20210A homozygote

Heterozygosity for both FVL and prothrombin G20210A

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12
Q

treatment for listeria and if allergic

A

Ampicillin
(if allergic - bactrim, vanco)
only treat if symptomatic

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13
Q

High risk thrombophilias

A

Homozygous factor V Leiden
Homozygous Prothrombin G20210A mutation
Heterozygous Factor V AND Prothrombin
Antithrombin deficiency

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14
Q

Periductal Mastitis (periareolar infection) and risk factors

A

Mastitis in nonpregnant patient

Major risk factor is smoking (young age, diabetes, steriod use)

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15
Q

Hematometria definition

A

blood in uterus

vs hematocolpeisis (blood in vagina

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16
Q

HRT in a patient requiring surgery

A

Can continue

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17
Q

OCPs in patients requiring surgery

A

Continue unless major (open) then can consider discontinuing 4 weeks before

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18
Q

Strassman metroplasty is for

A

bicornuate uterus repair

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19
Q

treatment of VIN usual type and differentiated

A

Usual type - Imiquimod (HPV related)

Differentiated - clobetasol (dermatosis related ie lichen)

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20
Q

recommended weight gain for obese patients

A

0.5 lbs/week in second and third trimesters

11-20 lbs

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21
Q

max dose of lidocaine

A

5 mg/kg without epi

7 mg/kg with epi

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22
Q

What is in cryoprecipitate

A

fibrinogen, factor VIII, factor XIII, vWF (50cc)

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23
Q

What is in Fresh frozen plasma

A

fibrinogen, antithrombin III, factor V, and factor VIII (250cc)

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24
Q

most common sex chromosome aneuploidy

A

Klinefleter’s (XXY) prevelence 1/500

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25
most common sex chromosome aneuploidy
Klinefleter's (XXY) prevalence 1/500
26
treatment for low risk thrombophilias without personal history of a clot
surveillance. Consider ppx postpartum
27
treatment for low risk thrombophilia with hx of clot
ppx or intermediate dose LMWH or UFH during pregnancy and postpartum
28
treatment for high risk thrombophila without previous VTE
ppx or intermediate dose LMWH or UFH during pregnancy and postpartum
29
which thrombophilia cannot be tested in pregnancy
Protein S
30
which thrombophilias can be reliably tested while on anticoagulation
Factor V mutation (not assay) | Prothrombin G20210A mutation
31
which thrombophilias can be reliably tested during acute thrombosis?
Factor V mutation or assay | Prothrombin G20210A mutation
32
next test for evaluation of a normocytic (MCV 80-100) anemia
reticulocyte count (if increased = hemolysis)
33
Rate of chest compressions to breaths for neonate
90 compressions to 30 breaths per min
34
urethral prolapse presenting symptoms and tx
red papule at uretheral meatus in premenarchal (child w/ asthma) or postmenopausal patients. dysuria. Can be treated with estrogen. Children with urethral prolapse present with bleeding, dysuria, and/or difficulty with urination
35
Urethral Carnuncle
bright red nodule usually posterior to the meatus. typically postmenopausal tx w/ estrogen
36
metabolic changes with OCP | cholesterol, fibrinogen, testosterone, thyroid hormone
``` Decrease LDL (estrogen) Increase HDL (estrogen) Increases tryglycerides (estrogen) Increases total cholesterol Elevated fibrinogen Lowered free testosterone elevated total T4 ```
37
Prep consists of
a single pill w/ 2 reverse transcriptase inhibiters: Tenofovir and emtricitabine
38
tamoxifen decreases the risk of breast cancer by 60% in what populations
general public and BRCA2 carriers
39
Cowden syndrome is associated with what diseases and which mutation is responsible
PTEN Hamartomas (benign skin and GI tract) melanoma and cancers of the breast, thyroid, endometrium, kidney, colon, and rectum. Big head, autism
40
a ppx BSO for a patient with BRCA2 reduces the risk of breast cancer by
50%
41
closure of contaminated wound (ie contaminated by TOA)
closure of fascia and pack with antibiotic soaked guaze until granulation tissue forms then close if healthy
42
muscle transected in mediolateral episiotomy
bulbocavernosis
43
claw hand
Klumpke's C8-T1 (lower brachial plexus)
44
waiters tip
Erbs palsy C5-C6 injury
45
Schiller duval bodies
Yolk sac/ Endodermal sinus tumor
46
treatment and tumor marker of endodermal sinus tumer
unilateral SO and chemo with BEP | AFP
47
Schiller duval bodies
Invaginated papillary structures with a central vessel Yolk sac/ Endodermal sinus tumor
48
treatment of hypopituitarism
cortisol and thyroxine
49
most common cause of precoutios puberty
granulosa cell tumor
50
which type of breast cancer has the worst prognosis
inflammatory breast cancer
51
which breast cancer is most common
ductal carcinoma
52
AIS inheritance pattern
autosomal recessive
53
Psammoma bodies
round central area with surrounding calcium uterine papillary serous carcinomas
54
Call-Exner bodies
Sheets of tumor cells punctuated by small folicle-like structures and coffee bean nuclei granulosa cell tumor
55
Hobnail cells
clear cell carcinoma (endometriosis)
56
walthard nest
Brenner tumor
57
sheets of lymphocytes/germ cells
dysgerminoma
58
Signet cells
Krukenberg tumor
59
Epulis gravidarum aka granuloma gravidarum, pyogenic gramuloma
vascular swelling of the gums leading to a highly vascular, hyperplastic lesion of the anterior gingiva. tx: proper dental hygiene, will regress PP
60
minimum volume of fetal maternal hemorrhage that can cause Rh D alloimmunization
0.1 mL
61
breastfeedings daily calorie requirments
500 kcal/day
62
US findings for fetal varicella
- growth restriction - limb hypoplasia - microcephaly - microphthalm
63
US findings for fetal toxoplasmosis
microcephaly hydrocephalus intracranial calcifications
64
US findings for fetal HSV
``` growth restriction microphthalm microcephaly hydranencephaly hepatosplenomegaly ```
65
US findings for fetal rubella
growth restriction cardiac malformations (PDA, septal defects) microphthalmia hepatosplenomegaly
66
US findings for fetal CMV
``` fetal growth restriction cerebral ventriculomegaly microcephaly hydrops chorioretinitis intracranial calcifications ```
67
Most common causes of primary ammenorrhea
1. Gonadal agenesis (turners) | 2. Mullerian agenesis
68
how do you treat short stature in turners
growth hormone
69
what is a case series study and its limitation
limited by lack of control group. follow a small group of patients with a rare condition
70
what is the rate of miscarriage at ages 35-37
14%
71
What are theories of the neuroprotective effects of mag
- reduced inflammatory cytokines - inhibition of inotropic glutamate receptors - increased cerebral blood flow - stabilization of fluctuations of BP in neonate - reduction of free radicals
72
requirements for vaginal breach
EFW 2500-4000 g, EGA > 37 wks, Frank or complete breech, adequate maternal pelvis need to progress normally. do not augment
73
SMA
``` autosomal recessive neurodegenerative disease mutation of SMN1 gene incidence 1/10,000 type I is most severe ```
74
MOA of methamphetamine
blocks re-uptake of dopamine
75
mullerian anomaly with most reproductive success
didelphic uterus
76
levator ani is composed of
puborectalis, pubococcygeus, and iliococcygeus