2009 final

Question 1

What sends parasympathetic fibers to the uterus?

Answer 1

Pelvic splanchic

Question 2

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?

Answer 2

Mammogram + bone dentisy

Question 3

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

Answer 3

?

Question 4

What’s seen after ovulation?

Answer 4

Torteous glands + subnuclear vacuoles

Question 5

What is the best precursor for endometrial cancer?

Answer 5

Complex hyperplasia with atypia

Question 6

What is a characteristic of selective estrogen modulators?

Answer 6

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

Question 7

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

Answer 7

Positive family history of breast cancer

Question 8

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

Answer 8

Prolactin

Question 9

What happens in acrosome reaction?

Answer 9

Acrosomal enzymes from head of sperm penetrate the zona pellucida

Question 10

What is a contraindication for contraceptives?

Answer 10

Cerebcovascular disease

Question 11

What inhibits spermatogenesis by destroying sperm producing cells?

Answer 11

Gossypol

Question 12

Which is a progesterone receptor antagonist?

Answer 12

Mifepristone (RU 486)

Question 13

Mechanical barrier for contraception

Answer 13

Condom

Question 14

By breast feeding

Answer 14

High prolactin

Question 15

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

Answer 15

IUCD “coil”

Question 16

Where would fluid accumulate in the pelvis?

Answer 16

Posterior fornix with rectouterine pouch

Question 17

What happens before implantation?

Answer 17

Blastocyst hatching

Question 18

What is the mechanism of infertility caused by sperm antibodies?

Answer 18

Immobilization

Question 19

What causes infertility?

Answer 19

Anti-sperm antibodies

Question 20

What is the most common factor causing spontaneous miscarriages?

Answer 20

Th1 cytokines

Question 21

What causes increased cardiac output in pregnancy?

Answer 21

Increased stroke volume

Question 22

What causes phocomelia in fetuses?

Answer 22

Thalidomide

Question 23

What causes nasal hypoplasia?

Answer 23

Warfarin

Question 24

A tall stature patient with cystic acne and impaired motor development

Answer 24

47 XYY

Question 25

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

Answer 25

Androgen insensitivity syndrome

Question 26

What’s formed by coelomic epithelium?

Answer 26

Follicular cells

Question 27

Complete failure of mullerian duct fusion

Answer 27

Uterus didelphys

Question 28

Uterus bicornuate is cause by

Answer 28

Failure of paramesopnephric duct to fuse

Question 29

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

Answer 29

Protessus vaginalis

Question 30

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

Answer 30

Interstitial cells of leydig

Question 31

Tumor with collection of tissues derived from all three germ layers

Answer 31

Teratoma

Question 32

Tumor with signet ring cells

Answer 32

Krukenburg

Question 33

Breast tumor that metastasized to the vertebra by

Answer 33

Intercostal vessels

Question 34

What reduces blood loss after postpartum?

Answer 34

Oxytocin

Question 35

Normal hypertrophy of one or both breasts during menstruation

Answer 35

Macromastia

Question 36

Hypertrophy of male breast tissue

Answer 36

Gynecomastia

Question 37

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

Answer 37

Accessory axillary breast tissue

Question 38

Breast section shows lipid-laden macrophages and inflammation

Answer 38

Fat necrosis

Question 39

A patient with cyst formation with apocrine metaplasia and fibrous stroma

Answer 39

Fibrocystic change

Question 40

What can be found in the deep perineal pouch?

Answer 40

Bulbourethral gland