ob-gyne

Question 1

endometrial histologic features:

proliferative? early secretory? late secretory?

Answer 1

🔹proliferative: straight to slightly coiled glands; tubular glands - pseudostratified columnar; scattered mitoses

🔹 early: coiled; simple columnar; clear subnuclear vacuoles

🔹 late: serrated, dilated glands; short columnar cells

Question 2

first sign of ovulation

Answer 2

subnuclear vacuoles and pseudostratification

Question 3

days 21 to 24

Answer 3

“window of implantation”

Question 4

primary cause of endometrial ischemia and tissue degeneration

Answer 4

resultant stasis

Question 5

potent inducer of angiogenesis and vascular permeability factors; vasoconstriction of spiral arteries

Answer 5

PGF 2-alpha

Question 6

enkephalinase activity is highest at what phase of menstruation

Answer 6

midluteal phase

Question 7

greatest transverse diameter of the head

Answer 7

bitemporal diameter

8.0cm

Question 8

plane that corresponds to the greatest circumference of the head

Answer 8

occipitofrontal

34.5 cms

Question 9

plane that corresponds to the smallest circumference of the head

Answer 9

suboccipitobregmatic

32 cms

Question 10

principal prostaglandin of endothelium

Answer 10

prostacyclin

Question 11

cervical mucus during pregnancy is rich in?

Answer 11

🔹 Ig

🔹 cytokines

Question 12

endocervical gland hyperplasia and hypersecretory appearance of the cervix

Answer 12

arias-stella reaction

Question 13

average weight gain during pregnancy

Answer 13

12.5 kgs or 27.5 lbs

Question 14

estimated additional energy demands during pregnancy

Answer 14

1st tri: 85 kcal/day

2nd tri: 285 kcal/day

3rd tri: 475 kcal/day

Question 15

cervical stretching during dilatation; stripping of fetal membranes increase blood levels of prostaglandin F 2a metabolite

Answer 15

ferguson reflex

Question 16

most effective methods of intrapartum pain relief

Answer 16

neuraxial analgesia

Question 17

single most consistent determinant of maleness

Answer 17

Y chromosome

Question 18

pathognomonic is a translucent vertical line at the midline

Answer 18

adhesive vulvitis

Question 19

🔹 precocious puberty
🔹 pigmentation
🔹 polyostotic fibrous dysplasia

Answer 19

McCune Albright syndrome

- a rare somatic mutation in neural crest cells

Question 20

isolated gonadotropin deficiency associated with anosmia

Answer 20

kallman’s syndrome

Question 21

triad of:

🔹 obesity
🔹 hirsutism
🔹 amenorrhea

Answer 21

PCOS aka stein-leventhial syndrome

Question 22

pituitary cell destruction as a result of hypotensive episode during pregnancy

Answer 22

sheehan’s syndrome

Question 23

exposure to DES in-utero

Answer 23

🔹 cervical hypoplasia 
🔹 cervical collars
🔹 cervical hoods
🔹 cock's comb appearance
🔹 pseudopolyps

Question 24

cardinal features of endometriosis

Answer 24

🔹 ectopic endometrial glands
🔹 ectopic endometrial aroma
🔹 hemorrhage on adjacent tissues

Question 25

most important determinant for pre malignant potential in endometrial hyperplasia

Answer 25

cytologic atypia through endometrial sampling

Question 26

virchow's triad in abruptio placenta

Answer 26

🔹 vaginal bleeding after 20 weeks 🔹 ⬆️ uterine tone 🔹 abdominal pain, uterine tenderness or back pain happy happy birthday anne!!! 26 ka naaaaa.. stay young at heart..hehe love you! 😊

Question 27

blood infiltrates the myometrium beneath the uterine serosa, seldom interferes with myometrial contractions

Answer 27

couvelaire uterus

Question 28

most abundant secretory product of the placenta

Answer 28

human chorionic somatomammotropin produced only by syncitiotrophoblasts; it has a strong lypolytic and anti-insulin action

Question 29

MEIGs syndrome

Answer 29

🔹ovarian fibroma 🔹ascites 🔹hydrothorax

Question 30

thromboxane vs prostacyclin

Answer 30

thromboxane: platelet-derived vasoconstrictor prostacyclin: endothelium-derived vasodilatior