5 Star Study Guide

Question 1

Doctor provides informed consent, but respects individual patient’s wishes.

Answer 1

Autonomy.

Question 2

Doctor has the responsibility to benefit the patient.

Answer 2

Beneficence.

Question 3

Do no harm.

Answer 3

Nonmaleficence.

Question 4

Scare resources should be distributed fairly. All individuals should have equal access to care.

Answer 4

Justice.

Question 5

Sensitivity. Ability of a test to correctly identify persons who have the disease. A/(A+C) x 100

Answer 5

Sensitivity.

Question 6

Specificity. Ability of a test to correctly identify persons who do NOT have the disease. D/(B+D) x 100

Answer 6

Specificity.

Question 7

Predictive value. Probability of a disease, given a test result.

Answer 7

Predictive value.

Question 8

Positive predictive value. Likelihood that a person with a positive test actually has the disease. A/(A+B) x 100

Answer 8

Positive predictive value.

Question 9

Negative predictive value.

Answer 9

Likelihood that a person with a negative test actually is free of the disease. (D/(C+D) x 100

Question 10

Accuracy. Method for determining sensitivity, specificity, and predictive value of a diagnostic test in a patient population. (A+D)/(A+B+C+D)

Answer 10

Accuracy.

Question 11

Maternal mortality.

Answer 11

Deaths per 100,000 live births.

Question 12

Birth rate.

Answer 12

Births per 1,000 population.

Question 13

Fertility rate.

Answer 13

Live births per 1,000 women aged 15-44.

Question 14

Neonatal period.

Answer 14

Delivery to 28 days.

Question 15

Perinatal period.

Answer 15

20 weeks to 28 days after birth.

Question 16

Stillbirth rate.

Answer 16

Deaths 20 weeks through delivery per 1,000 total births.

Question 17

Neonatal death rate.

Answer 17

Expressed per 1,000 LIVE births.

Question 18

Perinatal death rate.

Answer 18

Expressed per 1,000 TOTAL births.

Question 19

C/S rate.

Answer 19

Primary cesarean deliveries / Total deliveries (can add “less repeat cesarean deliveries”)

Question 20

Percentage discordance.

Answer 20

(Larger twin -smaller twin) / Larger twin

Question 21

Level I evidence.

Answer 21

One properly randomized trial.

Question 22

Level IIa evidence.

Answer 22

Trial without randomization.

Question 23

Level IIb evidence.

Answer 23

Study from one center or research group.

Question 24

Level IIc evidence.

Answer 24

Multiple series.

Question 25

Level III evidence.

Answer 25

Expert committees. Case reports plus case series.

Question 26

Confidence interval (expressed as a relative risk).

Answer 26

95% confidence interval includes a relative risk of 1.0.

Question 27

What female structure is equivalent to the embryologic urethral folds?

Answer 27

Labia minora.

Question 28

What female structure is equivalent to the embryologic genital swellings?

Answer 28

Labia majora.

Question 29

What female structure is equivalent to the embryologic genital tubercle?

Answer 29

Clitoris.

Question 30

What female structure is equivalent to the embryologic urogenital sinus?

Answer 30

Lower 1/3 of the vagina.

Question 31

What female structures are equivalent to the embryologic mullerian ducts?

Answer 31

Upper 2/3 of the vagina, cervix, uterus, Fallopian tubes.

Question 32

What is the male embryologic homologue of the female round ligament?

Answer 32

Gubernaculum.

Question 33

What is the male embryologic homologue of the female Skene's gland?

Answer 33

Prostate.

Question 34

What is the male embryologic homologue of the female Bartholin's glands?

Answer 34

Cowper's glands (bulbourethral glands).

Question 35

What is the male embryologic homologue of the female labia majora?

Answer 35

Scrotum.

Question 36

What is the male embryologic homologue of the female labia minora?

Answer 36

Median raphe.

Question 37

What is the male embryologic homologue of the female uterus?

Answer 37

Utricle prostaticus.

Question 38

What is the male embryologic homologue of the female vestibular bulb?

Answer 38

Corpus spongiosum.

Question 39

What is the male embryologic homologue of the female granulosa cells?

Answer 39

Sertoli cells.

Question 40

What is the male embryologic homologue of the female clitoris?

Answer 40

Penis.

Question 41

Embryo at 2-3 days post fertilization.

Answer 41

Morula.

Question 42

Embryo at 4-5 days post fertilization.

Answer 42

Blastocyst.

Question 43

How many weeks post fertilization does the fetal heart begin to beat?

Answer 43

3 weeks.

Question 44

What is the male homologue of the female paraurethral glands?

Answer 44

Prostate gland.

Question 45

What is the male homologue of the female labia majora?

Answer 45

Scrotum.

Question 46

What is the male homologue of the female round ligament?

Answer 46

Gubernaculum testis.

Question 47

What is the male homologue of the female Gartner's duct?

Answer 47

Vas deferens.

Question 48

What is the male homologue of the female clitoris?

Answer 48

Phallus.

Question 49

Arises from the anterior branch of the hypogastric artery.

Answer 49

Uterine artery.

Question 50

Drains into the internal iliac veins.

Answer 50

Uterine vein.

Question 51

Drains into the inferior vena cava.

Answer 51

Right ovarian vein.

Question 52

Arises from the abdominal aorta.

Answer 52

Ovarian artery.

Question 53

Drains into the left renal vein.

Answer 53

Left ovarian artery.

Question 54

How many centimeters in length is an average Fallopian tube?

Answer 54

8-14 cm.

Question 55

What are the segments of the Fallopian tube in order?

Answer 55

Interstitial -> Isthmus -> Ampulla -> Infundibulum -> Fimbria

Question 56

What are the 3 branches of the posterior division of the internal iliac (hypogastric) artery?

Answer 56

``` Iliolumbar (I) Lateral sacral (Love) Superior Gluteal (Sex) ```

Question 57

What are the 6 branches of the anterior division of the internal iliac (hypogastric) artery?

Answer 57

``` Obturator (Our) Umbilical (Underage) Uterine (Uteruses) Middle Rectal (Might) Inferior Gluteal (Immediately Get) Internal Pudendal (Infected) ```

Question 58

Branch of the umbilical artery.

Answer 58

Superior vesical.

Question 59

Branch of the uterine artery.

Answer 59

Vaginal.

Question 60

Branch of the middle rectal artery.

Answer 60

Inferior rectal.

Question 61

List the parietal (non organ) branches of the posterior division of the hypogastric artery.

Answer 61

Iliolumbar Lateral sacral Superior gluteal (all parietal from posterior division)

Question 62

List the parietal (non organ) branches of the anterior division of the hypogastric artery.

Answer 62

Obturator Inferior gluteal Internal pudendal (all others are visceral = organ)

Question 63

Ligation of the hypogastric artery proximal to the posterior division leads to what?

Answer 63

"Butt slough"

Question 64

Hypogastric artery ligation decreases what?

Answer 64

Pulse pressure.

Question 65

Lymphatics of the upper 1/3 of the vagina.

Answer 65

Iliacs.

Question 66

Lymphatics of the middle 1/3 of the vagina.

Answer 66

Hypogastrics.

Question 67

Lymphatics of the lower 1/3 of the vagina.

Answer 67

Inguinal.

Question 68

Arterial supply of the upper 1/3 of the vagina.

Answer 68

Cervical branch of the uterine (cuff bleeds).

Question 69

Arterial supply of the middle 1/3 of the vagina.

Answer 69

Inferior vesical.

Question 70

Arterial supply of the lower 1/3 of the vagina.

Answer 70

Internal pudendal and middle hemorrhoidal.

Question 71

Nerves to the uterus.

Answer 71

Hypogastric plexus. Sympathetics. Frankenhauser's plexus.

Question 72

Pain to the cervix and upper vagina (spinal cord region).

Answer 72

T11-T12.

Question 73

Pain to the perineum (spinal cord region).

Answer 73

S2-S4 (pudendal).

Question 74

Ovarian follicle anatomy (innermost to outermost).

Answer 74

Zona pellucida -> Granulosa -> Theca

Question 75

Which 3 muscles comprise the levator ani?

Answer 75

Iliococcygeous Pubococcygeous Puborectalis

Question 76

Which muscle in the levator ani complex comprises part of the internal anal spincter and is used in a levator plication procedure?

Answer 76

Puborectalis.

Question 77

What lymphatics drain the lower uterine segment and cervix?

Answer 77

Hypogastrics and Iliacs

Question 78

What lymphatics drain the uterine corpus?

Answer 78

Hypogastrics and Ovarians

Question 79

What nerve provides sensory and motor to the medial thigh?

Answer 79

Obturator nerve

Question 80

What nerve supplies the muscles of the lateral leg and foot? Which spinal levels does this correspond to?

Answer 80

Sciatic (L4-S2)

Question 81

Injury: cannot climb stairs. Which nerve?

Answer 81

Femoral.

Question 82

Injury: cannot ride a horse (loss of ADDuction). Which nerve?

Answer 82

Obturator.

Question 83

Injury: foot drop. Which nerve?

Answer 83

Peroneal.

Question 84

Injury: loss of sensation of vulva/anterior medial thigh. Which nerve?

Answer 84

Genitofemoral.