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PLE 2018 > OBGYN > Flashcards

Flashcards in OBGYN Deck (79):
1

Vaginal tumor occuring before 6 years old

Sarcoma botyroides

2

Tx of endodermal sinus tumor

Surgery + Chemotherapy

3

Presence of schiller duval bodies in children <2 y/o

Endodermal sinus tumor

4

Treatment of urge incontinence

Medical

5

Structures derived from Mesonephros (Wolffian duct)

Vas deferens
Epididymis
Seminal vesicle

6

Mullerian duct abnormality assoc with reproductive loss

Septate uterus

7

Primary amenorrhea is absence of menses by what age

16.5
(14 if with no breast devt)

8

Most common cause of primary amenorrhea

Gonadal failure

9

Secondary amenorrhea is absence of menses longer than

6 to 12 months

10

During pregnancy, there is increase in all clotting factors except

Factor XI and XIII

11

Heart rate increases by _____ during pregnancy

10 bpm

12

What dx test should be done in a patient suspected of having urge incontinence?

Cystometry

13

Remnant of mesonephric duct in females

Gartner’s duct cyst
(vaginal inclusion cyst)

14

Gold standard for uterine lesions (uterine bleeding)

Hysteroscopy

15

Prolactin level suggestive of pituitary prolactinoma

100 ng/mL
(request for cranial MRI)

16

Pharmacologic category of Leuprolide creating a menopause-like state

GH receptor agonist

17

Gold standard for endometriosis

Laparoscopy

18

Type of androgen secreted most in the ovaries

Androstenedione

19

What are the levels of inhibin and activin in menopause patients?

Low inhibin
High activin

20

Type of androgen specific to adrenal gland

DHEA-S

21

How long after ejaculation does semen liquefaction happen?

15-20 minutes

22

Drug of choice for a perimenopausal woman complaining of hot flushes and decreased libido

Tibolone (estrogenic, progestogenic, androgenic)

23

Most commonly affected in pelvic inflammatory disease

Fallopian tube (acute salpingitis)

24

What is the most likely lesion?
Postmenopausal
chronic vulvar pruritus
reddish, moist patch on the vulva

Paget’s disease of the vulva

25

What is the most likely condition?
Prepubertal or postmenopausal
thinned vulvar epithelium with loss of rete pegs
limited to labia majora
hourglass or figure-8 formation

Lichen Sclerosus atrophicus

26

Next step if ASCUS on papsmear

Either:
-HPV DNA testing
-Repeat Papsmear in 6 months
-Colposcopy

27

Where do you get the specimen in cytohormonal maturation index?

Upper third of vaginal wall

28

Next step if papsmear showed glandular cells

Colposcopy

29

Next step if papsmear showed ASC-H or HSIL

Colposcopy

30

Most commonly identified aneuploidy in abortion

Autosomal trisomy

31

Window of implantation occurs in which days of the cycle

Day 20-24

32

Lamellar body count signifying fetal lung maturity

> 20,000

33

Most sensitive and specific test in determining neural tube defects

Acetylcholinesterase

34

Most common abnormal fetal position causing dystocia

Persistent Occiput Posterior

35

Single most reliable sign of fetal compromise

Reduced baseline heart rate variability

36

Inflammatory marker that is increased throughout pregnancy

CRP

37

Causes hypoplastic left heart syndrome if taken during the 1st trimester of pregnancy

Nitrofurantoin

38

Apical displacement of tricuspid valve due to intake of lithium due to pregnancy

Ebstein anomaly

39

Holoprosencephaly is seen in this genetic abnormality

Patau syndrome

40

Most common sex hormone abnormality

Klinefelter syndrome

41

stripping of fetal membranes to increase blood levels of prostaglandin F2a

Ferguson reflex

42

Most common obstetric cause of DIC

Abruptio Placenta

43

Variant of umbilical cord insertion in which the cord anchors at the placental margin; seen in multifetal pregnancies

Battledore placenta
(marginal placenta)

44

Variant of umbilical cord insertion that is vulnerable to compression

Velamentous insertion

45

Most common single defect in congenital rubella syndrome

sensorineural deafness

46

Contraindicated as prophylactic regimen for malaria during pregnancy

Primaquine
Doxycycline

47

Most common small vulvar cyst

Epidermal inclusion cyst
(or sebaceous cyst)

48

Most common large vulvar cyst

Bartholin’s duct cyst

49

Endometrial CA with poor prognosis

serous
clear cell

50

Most frequent sites of nonpelvic mets

lung
upper abdomen
bone

51

tumor marker of dysgerminoma

LDH

52

analogous to seminoma of testes

dysgerminoma

53

tumor marker of endodermal sinus tumor

AFP

54

tumor marker of immature teratoma

AFP

55

Marker to determine if source of androgen is peripheral

3a - diol - G

56

infertility treatment that acts by competing with estrogen-binding sites on the hypothalamus

clomiphene citrate

57

infertility treatment that acts by inhibiting ovarian androgen steroidogenesis

Metformin

58

infertility treatment that acts as an aromatase inhibitor

Letrozole

59

common agents implicated in toxic shock syndrome

clostridium perfringens
clostridium sordelli
group A strep

60

Dilute Russel Viper Venom Test (DRVVT) is a test for?

lupus anticoagulant
(APAS)

61

The pelvic diaphragm is composed of

Levator ani
Coccygeus muscle

62

What comprises the levator ani

Pubococcygeus
Puborectalis
Iliococcygeus

63

hub nailing is seen in what type of ovarian cancer

Clear cell CA
(CA 125)

64

Call exner bodies are seen in this type of malignancy

Granulosa cell tumor
(elevated CA 125, inhibin)

65

tumor marker for mucinous cystadenocarcinoma of the ovaries

CA 19-9

66

causative agent of LGV presenting with buboes (painful inguinal LN)

Chlamydia trachomatis

67

causative agent of chancroid

H. ducreyi

68

unchanged paramenters in respiratory system during pregnancy

respiratory rate
total lung capacity
FVC
lung compliance

69

structures involved in perineal lacerations

1st - fourchette, skin, mm (urethral sphincter)
2nd - fascia and muscles of pb
3rd - external anal sphincter
4th - internal anal sphincter and rectal mucosa

70

most common malignant germ cell tumor

dysgerminoma

71

structures involved in perineal lacerations

1st - fourchette, skin, mm (urethral sphincter)
2nd - fascia and muscles of pb
3rd - external anal sphincter
4th - internal anal sphincter and rectal mucosa

72

3rd most frequent malignancy of lower female genital tract

cervical CA
(next to endometrial and ovarian)

73

2nd most frequent cause of death among gyne malignancies (lower genital tract)

cervical CA (next to ovarian CA)

74

definitive dx of microinvasive carcinoma of the cervix

cervical conization
(not biopsy)

75

tx of microinvasive carcinoma of the cervix

total hysterectomy

76

drug used to shrink the size of myoma

GnRH agonists (leuprolide)

77

drug recommended for complex hyperplasia with atypia

high dose progestins
(megestrol acetate)

78

drug recommended for simple/complex hyperplasia with or without atypia

intermittent progestins

79

cardinal movement that is the 1st prerequisite of childbirth

descent