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Boards Review > Walls Tests > Flashcards

Walls Tests Flashcards

1
Q

Nerve injured with TVT

A

Ilioinguinal

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2
Q

Nerve injured with TOT

A

Obturator

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3
Q

Only true nerve through the pelvis

A

Obturator

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4
Q

Risk of underlying cancer with EIN

A

40-45%

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5
Q

Inheritance of AIS

A

X-linked (SRY gene problem)

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6
Q

Pelvic radiation causes (3)

A

Ovarian follicle loss
Impaired follicular maturation
Cortical and capsular damage

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7
Q

2.5-5.0 Gy

A

Permanent OI in 60%of females 15-40yo

No effect at 1.5Gy

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8
Q

Most common maternal complication with Cushing syndrome

A

HTN

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9
Q

Post exposure ppx for HIV

A

Tenofovir + emtricitabine (truvada)
& dolutegravir or
Raltegravir

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10
Q

Female with PMB and 10cm adnexal mass

A

Granulosa cell

Inhibin

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11
Q

Kallman’s syndrome possible anomalies

A

Anosmia, amenorrhea, and no breasts

-midline facial anomalies (cleft palate/lip, unilateral renal agenesis, cerebellar ataxia, epilepsy, neuro sensory/HEARING LOSS)

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12
Q

Aromatase inhibitors cause:

A

Osteoporosis

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13
Q

Most common cause of FGR worldwide

A

Malaria

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14
Q

Most common cause of FGR in US

A

CMV

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15
Q

Adolescent with symptoms of androgen excess, think…

A

Sertoli-Leydig (rare)

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16
Q

Medical treatment options of ACUTE menstrual bleeding in adolescents

A

Conjugated equine estrogens
Medroxyprogesterone acetate
TXA
Combined OCP

*check vW first

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17
Q

mL in super plus tampon

A

15-18mL

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18
Q

Lap sponge mL

A

100cc

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19
Q

Reytec mL

A

10mL

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20
Q

Regular tampon mL

A

5cc

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21
Q

Super tampon mL

A

10mL

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22
Q

Structure located during vasectomy

A

Ductus deferens

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23
Q

Half life of catgut

A

5-7days

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24
Q

Vegan patients use what suture?

A

Vicryl rapide

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25
Q

Poliglecaprone

A

Monocryl- monofilament

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26
Q

Polyglactin 910

A

Vicryl- braided

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27
Q

Normal BMI consume how many kilocalories/kg per day

A

30-35

30-40%fat
20%protein
40-50%carbs

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28
Q

Recommended exercise in preg

A

5days for at least 30 minutes (150mins)

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29
Q

Which drug is will affect cell free DNA?

A

LMWH

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30
Q

Superior rectal artery is branch of:

A

Inferior mesenteric artery

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31
Q

Nerve levels of obturator and femoral nerve

A

L2-4

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32
Q

Genitofemoral nerve level

A

L1-2, split nerve

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33
Q

Lumbosacral/sciatic nerve level

A

L4-S3

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34
Q

Cremasteric reflex

A

Genitofemoral nerve

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35
Q

Ilioinguinal/iliohypogastric nerve roots

A

T12-L4

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36
Q

Lateral femoral cutaneous nerve root

A

L2-L3

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37
Q

Arterial supply to breast originates:

A

Axillary

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38
Q

Advantages of LMWH (4) over heparin

A

Low risk for HITT
Decreased bone density loss
Predictable therapeutic range
Once daily dosing

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39
Q

Fetal heart completes development at

A

8wk

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40
Q

Minimal plt count to take someone to surgery with ITP

A

50,000

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41
Q

Which breech has highest risk for cord prolapse

A

Footling

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42
Q

HCG normalizes after mole when

A

By 2mos/8wks

5-6% will occur in 6mos=GTN

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43
Q

Micrograms of folic acid if previous NTD

A

4000 mcg=4mg

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44
Q

Nonpreg retest for CT/GC

A

3-4 mos

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45
Q

Preggo retest CT/GC

A

3-4wks

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46
Q

%acetic acid used in colposcopy

A

3-5%

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47
Q

Glyburide is contraindicated with what allergy

A

Sulfa (is sulfanomide)

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48
Q

Vaginal DNA test tests for (3)

A

G. Vaginalis
C. Albicans
Trich vaginalis

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49
Q

Most common genetic cardiac dz

A

Hypertrophic cardiomyopathy

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50
Q

%brow presentations that convert to face

A

30%

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51
Q

Mentum Anterior

A

Give to MA-ma, SVD

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52
Q

Mentum Posterior

A

Military police (MP) stop >C/S

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53
Q

Serous tubal and tubal intraepithelial lesions are located on

A

Fimbriates part of the tube

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54
Q

FHT shows fetal anemia

A

Sinusoidal

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55
Q

Occurrence malpractice

A

Covers all incidents during specific coverage period

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56
Q

Claims-made malpractice

A

Requires tail insurance

Only covers claims made during policy

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57
Q

Ashkenazi Jewish pts should be offered (8)

A 
CF
Canavan dz
Tay-Sachs
Familial dysautonomia
Guacher’s
Newman-pick
Blooms
Fanconi anemia
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58
Q

Maternal vit D def

A

Congenital rickets/fractures

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59
Q

Inflammatory breast CA

A

Breast CA that has ductal cells in dermal lymphatics

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60
Q

Triad typical of amniotic fluid embolism

A

Hypoxemia
Hypotension
Coagulopathy

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61
Q

Blood flow to gravid uterus at term

A

400-600mL/min

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62
Q

Ribavirin

A

Hep C tx

Associated with skull, palate, eye, skeleton, and GI abnormalities in fetus

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63
Q

Oocyte arrested between birth and ovulation at which phase

A

Prophase I

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64
Q

Oocyte arrests at which phase after puberty before ovulation

A 
Secondary oocyte(haploid)
METAPHASE II
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65
Q

What phase is cytogenetic largo type performed at?

A

Metaphase

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66
Q

Most common aneupoldy

A

X, 45

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67
Q

Most common trisomy associated with spontaneous abortions

A

Trisomy 16

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68
Q

% of placental DNA in maternal plasma

A

10%

69
Q

Contraindication to beta3adnergix receptor agonist

A

Mirabegron, Tx OAB

Uncontrolled HTN

70
Q

Tocolytic associated with behavioral teratogenesis

A

Terbutaline (beta-2 agonist)

71
Q

DCIS

A

Ductal carcinoma in situ
“Do something”
Deadly

72
Q

LCIS

A

Can Look for a bit

73
Q

Smooth muscle tumor of uterus, low grade, composed of malignant mesenchymal component and benign epithelium

A

Adenosarcoma

Rarely metastasizes

74
Q

% of early pregnancy loss are due to chromosomal abnormalities/aneuploidies

A

50%

75
Q

Maternal risk with highest risk of stillborn

A

SLE

76
Q

Most practical marker for reproductive aging

A

Mullerian inhibiting substance
1-4 normal
<1 abnormal

77
Q

Recommended intraperitoneal insufflation pressure during LSC in pregnancy

A

10-12mmHg

Higher increases placenta vessel resistance

78
Q

Most common gyn malignancy one preadolescent females

A

Germ cell tumor

79
Q

Best measure of chronic asthma

A

FEV1

80
Q

Most common complication from influenza

A

PNA

81
Q

Virchow’s triad

A

Stasis
Local trauma
Hypercoagulability

82
Q

Dz most likely to lead to end stage renal disease

A

DM (35%) then

HTN (25%)

83
Q

Loss of houstra, lead pipe appearance

A

Think UC

84
Q

Fat wrapping and fistulas/fissures

A

Think Crohn’s

85
Q

Most likely risk factor for shoulder dystocia

A

Precipitous labor

86
Q

Persistent transverse arrest

A

Platypoid pelvis

87
Q

Tx of hemophilia A

A

Recombinant factor VIII

88
Q

Hemophilia B

A

Factor IX

89
Q

Hemophilia C

A

Factor XI problem

Tx FFP

90
Q

1/3 of pts will have involvement of what portion of intestine in Crohn’s dz

A

Terminal ileum

91
Q

Most valuable in detecting gas embolism

A

End tidal CO2

92
Q

Maneuver to help with gas embolism

A

Durant (left lateral side with head down 5 degrees)

93
Q

Murmur in gas embolism

A

Millwheel murmur

94
Q

Drug that helps with HIP fractures

A

Bisphosphinates

95
Q

Drug that helps with SPINE fractures

A

Raloxifine

96
Q

Only drug that works on BLASTs

A

Recombinant parathyroid hormone

Anabolic

97
Q

Denosumab

A

Anti-reabsorption on surface of osteoclast cells

Tx osteoporosis

98
Q

Most common site of ureteral injury

A

Level of uterine artery

99
Q

Length of ureter

A

25-30cm

100
Q

Pelvic lymphadenectomy

A

Removal of nodal tissue from distal 1/2 of external common iliac arteries anterior and medial of the iliac artery and vein to point of deep circumflex iliac vein crosses external iliac artery and obturator fat pad to obturator nerve

101
Q

Paraaortic lymphadenectomy

A

Nodal tissue removal over distal inferior vena cava from the level of the inferior mesentric artery to the mid right common iliac and the nodal tissue between the aorta and left ureter from inferior mesentric artery to mid left common iliac

102
Q

Most common US findings of congenital CMV

A

Periventricular calcificAtions and symmetric FGR

103
Q

Neonatal subclinical finding of CMV

A

Neurosensory hearing loss

104
Q

Hypovolemic shock

A

NO BLOOD
Decreased CO and PCWP
Increased SVR (attempted to constrict, no volume)

105
Q

Cardiogenic shock

A

Tamponade/MI, heart does not work
decrease in CO
Increase is PCWP (back build up of blood since heart can’t work) and increase in SVR

106
Q

Septic shock

A

Infection leading to leaking vessels/third spacing
Decreased SVR
Increased CO (to over come lack of blood volumes)
Decreased/normal PCWP

107
Q

Pt with vW mostly time to have bleeding

A

50% risk of PPH due it increase in vW level during preg followed by decrease PP

108
Q

Pt with greatest risk for accreta

A

Prior C/S

109
Q

MAP

A

(Systolic BP-diastolic BP)/3- diastolic BP

110
Q

Downs is mostly

A

Robertsonian translocation

111
Q

How many weeks after fertilization does neural tube form

A

3-4wks

112
Q

How many week after LMP does neural tube form?

A

5-6weeks

113
Q

Levonorgestrel IUD prevents pregnancy by

A

Increasing viscosity of mucous of the cervix

114
Q

Chorioangioma is associate with (4)

A

Normal pregnancy
Arterial-venous shunting
Fetal anemia
FGR

115
Q

Ratio of chest compressions to breaths in neonatal resuscitation

A

90 compressions to 30 breaths

116
Q

Best in determining prognosis of breast cancer

A

Stage of disease at time of diagnosis

117
Q

Melanoma metastasis to pelvic regions

A

MC clitoris

118
Q

Prognosis of melanoma is

A

Based on depth of invasion

119
Q

Most reliable tumor markers in pregnancy

A

LDH

120
Q

What peaks mid luteal phase

A

Inhibin A
Produced by corpus luteum
Suppresses FSH

121
Q

HLA-DR4

A

RA

122
Q

Major support for uterus

A

Cardinal ligament

123
Q

Major support for vagina

A

Uterosacral ligaments

124
Q

Major support for ovaries

A

Infundibulopelvic ligament

125
Q

Colposcopy finding most indicative of invasive cervical cancer

A

Atypical vessels

126
Q

Pseudomyxoma peritonei can lead to death due to

A

Bowel obstruction

CEA is marker

127
Q

Dysparenia, burning, vaginal discharge

A

Think erosive lichen planus

Rx corticosteroid suppository

128
Q

MOA of Rhogam

A

Blocking D antigenic determinants on erythrocyte membrane

129
Q

Perinatal period

A

Interval between 20 weeks gestation and 28 days postpartum

130
Q

Yeast allergy

A

Can’t give HPV or Hep B vaccines

131
Q

Femoral triangle

A

SAIL
Sartorius
Adductor longus
Inguinal ligament

132
Q

Ionization radiation

A

Effects the nucleus in M phase

133
Q

Urogenital sphincter (3)

A

Sphincter urethrae
Compressor urethrae
Urethrovaginal spincter

134
Q

Days of menstrual cycle constitutes window of implantation

A

Day 20 to 24

135
Q

MOA trichloroacetic acid

A

Coagulation of tissue proteins

Tx vaginal warts in preg

136
Q

Tx hyperkalemia

A

Insulin and glucose
Or
kayexalate edema

*peaked T waves on EKG

137
Q

Risk for neonatal death with uterine rupture

A

5%

138
Q

Muscles overlies the sacrospinous ligament

A

Coccygeus

139
Q

4mos infant with labia adhesions and breast budding with estrogen cream

A

Change to betamethasone cream

140
Q

Serum marker elevated in fetal demise before 24wk

A

Alpha fetal protein

141
Q

Most common complication of TVT

A

UTI

Think “vescial, vascular”

142
Q

CAH inheritance

A

AR

143
Q

Maximum bone density in female

A

19yo

144
Q

Difficulty breast feeding leads to…

A

Postpartum depression

145
Q

Filbanserin contraindicated in pts w/

A

Liver dysfunction

146
Q

Treatment for mastitis refractory to first line medication

A

Trimethoprim-sulfamethoxazole

147
Q

Most common postoperative complication from McCall’s culdoplasty

A

Dyspareunia

148
Q

Hemaglobin F is produced

A

In yolk sac> mostly Fetal Liver

149
Q

Most common cause of breast cancer

A

Ductal carcinoma

150
Q

Most lethal breast cancer

A

Inflammatory breast cancer

151
Q

Most common breast cancer

A

Invasive ductal carcinoma (80%)

Arises from epithelial lining of large or intermediate-size ducts

152
Q

Type of study that looks at risk factors for disease and prognosis

A

Prospective cohort studies

153
Q

Immature teratoma

A

Neuroepithelium
Markers: Ca125, LDH, and AFP

Arise from ectoderm, squamous component after menopause

154
Q

Bone loading medications (8)

A 
Glucocorticoids 
Excessive thyroxine
SSRIs
Proton pump inhibitors
Aromatase inhibitors
Thiazolidnedones (DM meds)
Lithium
Heparin
Cyclosporine e
155
Q

Antihypertensive that reduces urinary loss of calcium

A

Thiazides

156
Q

Epidural must cover which dermatome for cesarean section

A

T4

157
Q

What’s in FFP

A

Fibrinogen, antithrombin, factor V, XI, XII

158
Q

One unit of FFP

A

Increases fibrinogen level by 10mg/dL

159
Q

Volume of cryo

A

5 to 15mL

160
Q

Each unit of cryo

A

Increases fibrinogen by 10mL/dL

161
Q

What in cryo?

A

Fibrinogen, vWF, factors VIII, XIII

162
Q

Level suspicious for adrenal androgen secreting tumor

A

DHEA > 700

163
Q

dermatome for epidural for vaginal delivery

A

T10-L1

Afford to impulse from cervix and uterus

164
Q

Second stage labor pain transmitted through which spinal roots

A

S2-4

Stretching of vagina, vulva, and perineum

165
Q

Possible fetal anomaly with rivaroxban or other anti-Xa inhibitors

A

Cardiac? Limited study

166
Q

Gestational age for greatest risk of ovarian torsion

A

Between weeks 10-16 with masses 6-8cm, due to displacement of ovaries outside the pelvis by enlarging uterus

167
Q

Subclinical hypothyroidism is associated with (4)

A

PTD
Abruption
preE
gestation DM

168
Q

What findings are suspicious for cancer in thyroid US

A

Microcalcifications

169
Q

Cowden syndrome

A

Think PTen

Breast, thyroid, colon, endometrial CA

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