2009 final Flashcards

1
Q

What sends parasympathetic fibers to the uterus?

A

Pelvic splanchic

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2
Q

A 50-year-old patient came to the clinic to see if she can take HRT without any problems. What should be done to her?

A

Mammogram + bone dentisy

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3
Q

A 19-year-old patient had her menarche at 14 years old, but had her menopause at 19. With her FSH > 40, what should be done?

  • Family history with endocrine disorders
  • Autoimmune disorders
  • Genetic testing with antibody
A

?

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4
Q

What’s seen after ovulation?

A

Torteous glands + subnuclear vacuoles

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5
Q

What is the best precursor for endometrial cancer?

A

Complex hyperplasia with atypia

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6
Q

What is a characteristic of selective estrogen modulators?

A

They may act as agonist or antagonist depending on the target
tissue

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7
Q

A patient wanted to use raloxifene over ethinylestrogen for infertility/breast cancer. What would make her choose raloxifene?

A

Positive family history of breast cancer

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8
Q

A patient with galactorrhea and amenorrhea. What will be high?

A

Prolactin

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9
Q

What happens in acrosome reaction?

A

Acrosomal enzymes from head of sperm penetrate the zona pellucida

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10
Q

What is a contraindication for contraceptives?

A

Cerebcovascular disease

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11
Q

What inhibits spermatogenesis by destroying sperm producing cells?

A

Gossypol

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12
Q

Which is a progesterone receptor antagonist?

A

Mifepristone (RU 486)

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13
Q

Mechanical barrier for contraception

A

Condom

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14
Q

By breast feeding

A

High prolactin

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15
Q

Release of leukocytes and prostaglandins by endometrium and increase hostility to sperms and eggs

A

IUCD “coil”

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16
Q

Where would fluid accumulate in the pelvis?

A

Posterior fornix with rectouterine pouch

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17
Q

What happens before implantation?

A

Blastocyst hatching

18
Q

What is the mechanism of infertility caused by sperm antibodies?

A

Immobilization

19
Q

What causes infertility?

A

Anti-sperm antibodies

20
Q

What is the most common factor causing spontaneous miscarriages?

A

Th1 cytokines

21
Q

What causes increased cardiac output in pregnancy?

A

Increased stroke volume

22
Q

What causes phocomelia in fetuses?

A

Thalidomide

23
Q

What causes nasal hypoplasia?

A

Warfarin

24
Q

A tall stature patient with cystic acne and impaired motor development

A

47 XYY

25
Q

A 14-year-old female with 46 XY and with amenorrhea and cryptoorchid testes

A

Androgen insensitivity syndrome

26
Q

What’s formed by coelomic epithelium?

A

Follicular cells

27
Q

Complete failure of mullerian duct fusion

A

Uterus didelphys

28
Q

Uterus bicornuate is cause by

A

Failure of paramesopnephric duct to fuse

29
Q

What is the structure that goes through the abdomen with the gubernaculum

A

Protessus vaginalis

30
Q

What is responsible for secreting the hormone for external male genitalia?

A

Interstitial cells of leydig

31
Q

Tumor with collection of tissues derived from all three germ layers

A

Teratoma

32
Q

Tumor with signet ring cells

A

Krukenburg

33
Q

Breast tumor that metastasized to the vertebra by

A

Intercostal vessels

34
Q

What reduces blood loss after postpartum?

A

Oxytocin

35
Q

Normal hypertrophy of one or both breasts during menstruation

A

Macromastia

36
Q

Hypertrophy of male breast tissue

A

Gynecomastia

37
Q

A patient with a lump near her armpit that increases in size during menstruation

A

Accessory axillary breast tissue

38
Q

Breast section shows lipid-laden macrophages and inflammation

A

Fat necrosis

39
Q

A patient with cyst formation with apocrine metaplasia and fibrous stroma

A

Fibrocystic change

40
Q

What can be found in the deep perineal pouch?

A

Bulbourethral gland