2016 final Flashcards

1
Q

Which of the following has a high molecular weight and does not cross the placenta?

A) Warfarin 
E) Valproate 
F) Phenytoin 
G) Heparin 
H) Aspirin
A

G) Heparin

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2
Q

Which of the following causes nasal hypoplasia?

A) Warfarin 
B) Valproate 
C) Phenytoin 
D) Heparin 
E) Aspirin
A

A) Warfarin

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3
Q

during pregnancy the blood pressure decreases in the first two trimester. This decrease is due to decrease in?

A) Total peripheral resistance
B) Stroke volume
C) Heart rate
D) Cardiac output

A

A) Total peripheral resistance

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4
Q

What will occur years after menopause?

A) Depression
B) Vaginal dryness
C) Pelvic organ prolapse
D) Sleep disturbance
E) Sexual dysfunction
A

C) Pelvic organ prolapse

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5
Q

what is the most important factor in the prognosis of prostatic cancer

A) Gleason score
B) Gleason grade
C) Clinical stage
D) Lymphovascular involvement
E) The presence of prostatic intra epithelial neoplasia
A

C) Clinical stage

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6
Q

what makes a novel BRCA1 mutation linked to cancer ?

A) Lack of segregation in a pedigree
B) Non-sense mutation
C) Finding the mutation in trans with a deleterious mutation

A

B) Non-sense mutation

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7
Q

mutation in WNT4 will affect the development of:

A) Gubernaculum of the ovary
B) Mullerian duct
C) Wolffian duct
D) Glans of clitoris

A

B) Mullerian duct

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8
Q

what structure can be ligated and cut instead of the uterine vessel during hysterectomy

A

Ureter

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9
Q

function of granulosa cell

A

Secrete estrogen

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10
Q

A 40 year old woman noticed that her breast is becoming heavy in the last year (or 2 years) with uncomfortable dragging sensation . A 12 cm mass was discovered, which had cystic and solid areas. Histology showed densely packed irregular spindle cells.

A) Sclerosing adenosis
B) Fibroadenoma
C) Phyllodes tumor

A

C) Phyllodes tumor

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11
Q

A pregnant lady in her 12 weeks of gestation. The SFH is just above the pubic symphysis. What does this finding indicate

A

The SFH is appropriate for the gestational age

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12
Q

What is the reason of glucosuria during pregnancy

A) Decreased urinary bladder tone
B) Decreased filtered load
C) Decreased glucose threshold
D) Decreased GFR

A

C) Decreased glucose threshold

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13
Q

case having abnormal vaginal bleeding, cytodiagnosis of the cervical mucosa showed cells with eosinophilic cytoplasm, tadpole cells and malignant cells

A

Well differentiated keratinizing squamous cell carcinoma

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14
Q

what is the first imaging modality for a female with abnormal uterine bleeding

A) Transvaginal ultrasound
B) MRI

A

A) Transvaginal ultrasound

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15
Q

a case with description of cancer, histology showed papillary tumor with psammoma bodies

A) Serous cystadenocarcinoma
B) Mucinous cystadenocarcinoma

A

A) Serous cystadenocarcinoma

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16
Q

which of the following occur in late pregnancy

A

Increased post pardinal amino acids

17
Q

recurrent miscarriage caused by antibody to which component

A

Phospholipid

18
Q

what is the mechanism causing recurrent miscarriage by inflammatory cytokines

A) Apoptosis of trophoblasts
B) Antiphospholipid syndrome

A

A) Apoptosis of trophoblasts

19
Q

which of the following chromosomes are found in partial hydatidiform mole

A) 46XY
B) 46XX
C) 69 XXY

A

C) 69 XXY

20
Q

Which of the following anatomical landmarks is used as a guide for pudendal nerve block

A) Ischial spine
B) Ischial tuberosity

A

A) Ischial spine

21
Q

which of the following is a complication of preeclampsia

A

Endothelial dysfunction

22
Q

during pregnancy, total thyroid hormone is increased but free thyroid hormone level does not change. What hormone is responsible for this change

A) Thyroid binging globulin
B) Human chorionic gonadotropin
C) Progesterone
D) Estrone

A

B) Human chorionic gonadotropin

23
Q

which part is cut in male sterilization procedure

A) Epididymis
B) Vas deferens
C) Ejaculatory duct

A

B) Vas deferens

24
Q

which tumor marker is commonly elevated in patients with epithelial ovarian carcinoma

A) CEA
B) Ca 125
C) AFP
D) LDH

A

B) Ca 125

25
Q

endometrial biopsy from a patient with ovarian cancer showed atypical hyperplasia. What is the diagnosis

A) Granulosa cell tumor
B) Endometroid carcinoma

A

A) Granulosa cell tumor

26
Q

A case of a young female with anovulatory cycle and heavy bleeding. (the case was pointing towards polycystic ovarian syndrome). Which of the following is the triggering event of anovulation

A) High static LH
B) High FSH
C) High Estradiol
D) High Androgens

A

A) High static LH

27
Q

failure of the migration of epiblasts to the yolk sac will lead to failure of the development of which structure

A) Testes
B) Penis

A

A) Testes

28
Q

a female presented with prolapse of the uterus. She had recently undergone vaginal delivery and the doctor did a procedure where he cut through a muscle. Which structure is mostly affected

A

Perineal body