Old Wall Quiz #12 Flashcards

1
Q
  1. A 27 y/o G0P0 with a BMI of 31.5 presents with
    primary infertility. She has acne, irregular menses
    and hair on her upper lip. Her husband has a
    sperm count of 30 million/mL The next step would
    be:
    A. IVF with ICSI
    B. IVF without ICSI
    C. Aromatase inhibitor
    D. Selective estrogen receptor modulator
    E. IUI with HMG Stimulation
A

c

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2
Q
  1. In a 16 y/o patient who presents with primary
    amenorrhea. She has normal breast
    development, with axillary and pubic hair. Which
    of the following is the most appropriate tests to
    distinguish Androgen Insensitivity from Mullerian
    Agenesis?
    A. Pelvic ultrasound + Testosterone
    B. Karyotype + Estradiol
    C. Karyotype + Testosterone
    D. Testosterone + MRI
A

c

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3
Q
3. Vitamin D deficiency leads to which of the
following:
A. Decreased bone turnover
B. Decreased rate of bone loss
C. Increased calcium resorption
D. Secondary hyperparathyroidism
E. Hypothyroidism
A

d

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4
Q
4. Which of the following hormone levels
changes the least from 5 years before
menopause to 7 years after?
A. Testosterone
B. Estrone
C. Estradiol
D. FSH
E. Androstenedione
A

a

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5
Q
  1. Preimplantation genetic diagnosis may be
    used for all of the following scenarios EXCEPT:
    A. Diagnose single gene disorders
    B. Determine gender
    C. Identify mutations
    D. Diagnose neural tube defects
    E. HLA typing
A

d

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6
Q
7. What is the most common symptom of
appendicitis in pregnancy regardless of
gestational age?
A. Nausea and vomiting
B. Tachycardia
C. Right lower quadrant pain
D. Periumbilical pain
E. Right upper quadrant pain
A

c

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7
Q
8. Carriers of the BRCA 1 mutation gene are at
increased risk for all the following cancers
EXCEPT:
A. Pancreatic
B. Melanoma
C. Brain
D. Breast
E. Ovarian
A

c

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8
Q
9. Most likely neurological laparoscopic injury
from lateral trocar placement is:
A. Lateral femoral cutaneous nerve
B. Femoral nerve
C. Obturator nerve
D. Ilioinguinal nerve
E. Peroneal nerve
A

d

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9
Q
16. Which of the following is most likely
adverse effect of chronic opioid use in
pregnancy?
A. Congenital malformations
B. Placental abruption
C. Polyhydramnios
D. Post partum hemorrhage
E. Premature rupture of membranes
A

b

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10
Q
28. The urogenital sinus gives rise to all of the
following structures EXCEPT?
A. Urinary bladder
B. Gartner's duct
C. Hymen
D. Lower vagina
E. Paraurethral glands
A

b

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11
Q
  1. A 48y/o presents with history of hypoactive
    sexual desire disorder. She admits to no
    improvement in her libido after four sessions of
    couples counseling. Which of the following
    medications have been shown to improve
    libido?
    A. Testosterone
    B. Phosphodiesterase inhibitor
    C. Psychotropic agent
    D. Estrogen
    E. SSRI
A

a

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12
Q
30. Which of the following is not a characteristic
of Androgen Insensitivity Syndrome?
A. Female phenotype
B. Short, blind-ending vagina
C. No uterus or fallopian tubes
D. Ovarian remnants
E. X-linked recessive inheritance
A

d

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13
Q
33. In dividing the rectus abdominis muscle
during the creation of Maylard incision, which
artery is ligated?
A. Deep circumflex
B. Inferior epigastric
C. External iliac artery
D. Superior epigastric
E. Superficial epigastric
A

b

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14
Q
35. Which of the following conditions is
associated with increased estrogen levels in
pregnancy?
A. Fetal demise
B. Erythroblastosis fetalis
C. Fetal anencephaly
D. Downs syndrome
E. Fetal adrenal hypoplasia
A

b

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15
Q
  1. In which phase of the cell cycle does protein
    synthesis, RNA synthesis and DNA repair occur?
    A. M
    B. S
    C. G2
    D. G1
    E. G0
A

d

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16
Q
  1. A 27 y/o symptomatic patient presents for
    evaluation for VAIN I (Low Grade) lesions of the
    vagina. The best option for management of
    these lesions is:
    A. Laser ablation
    B. HPV vaccination
    C. Observation
    D. Excision
    E. Intravaginal fluorouracil (5-FU) cream
A

c

17
Q
  1. Which of the following is not typically seen
    in the presentation of complete Hydatiform
    molar pregnancy?
    A. Abnormal uterine bleeding
    B. Increased plasma thyroxine levels
    C. Greater than expected Serum BhCG levels
    D. Hyperemesis gravidarum
    E. Uterine size greater than dates
A

d

18
Q
49. All of the following are bone formation
markers EXCEPT:
A. C-telopeptide
B. Osteocalcin
C. Bone specific alkaline phosphatase
D. Procollagen type I
E. Deoxypyridinoline
A

a