Physiology

Question 1

Pregnancy occur

Answer 1

Day of ovulation or

2 days preceding the ovulation

Question 2

Corpus luteum

Answer 2

Theca cells + granulosa cells

Question 3

What cell causes mittelschmerz

Answer 3

Corpus hemorrhagicum

Question 4

Thermogenic properties

Answer 4

Progesterone

Question 5

When does LH secretion peak

Answer 5

10-12 hrs before ovulation

Question 6

Corpus luteum will regress in the absence of pregnancy

Answer 6

9-11 days after ovulation

Question 7

What is the chemotactic activating factor for neutrophils

Answer 7

Interleukin 8

Question 8

The endometrium has been restored completely

Answer 8

5th day of menses

Question 9

The earliest histological evidence of progesterone action

Answer 9

Basal vacuolation

Question 10

Stromal edema

Answer 10

Pronounced in secretory phase

Question 11

Stromal mitoses

Answer 11

Most abundant during proliferative phase

Question 12

Decidua layers which remain the same throughout

Answer 12

Decidua parietalis/ decidua vera

Question 13

32 cell stage

Answer 13

Morula

Question 14

Morula enters the uterine cavity

Answer 14

3 days post conception

Question 15

Implantation

Answer 15

7 days post conception
Posterior superior wall of uterus
During secretory phase of menstrual cycle
Functional layer of endometrium

Question 16

Produces the HCG

Answer 16

Syncytiotrophoblast

Question 17

1st system to develop and continues post natal

Answer 17

CNS

Question 18

Bilaminar Embryonic Disc

Answer 18

Post Conception Week 2

Question 19

Trilaminar embryonic disc

Answer 19

Embryonic Period Week 3-8

Question 20

Period of high susceptibility to teratogen

Answer 20

Week 3-9

Question 21

Source of progesterone 1st 6-7 weeks of pregnancy

Answer 21

Corpus luteum (ovary)

Question 22

Source of progesterone 8 weeks of pregnancy

Answer 22

Placenta (syncytiotrophoblast)

Question 23

Preferred precursor of progesterone biosynthesis by the trophoblast

Answer 23

Maternal plasma LDL cholesterol

Question 24

What produces estrogen in pregnancy

Answer 24

Syncytiotrophoblast

Question 25

Marker of fetal well being

Answer 25

Estriol

Question 26

Poor pap smear quality during pregnancy

Answer 26

Arias stella

Question 27

Crystallization or beading

Answer 27

Progesterone

Question 28

OGTT

Answer 28

24-28 weeks

Question 29

Asymptomatic bacteriuria (urine culture)

Answer 29

>100 000 colonies/ml of E. Coli

Question 30

Prenatal visit

Answer 30

Every 4 wks up to 28 weeks Every 2 weeks up to 36 weeks Weekly thereafte

Question 31

Weight gain

Answer 31

2-11-11

Question 32

Total caloric intake

Answer 32

2500 kcal/day

Question 33

Iron supplement

Answer 33

27-30 mg ferrous iron supplement | 60-100 mg elemental iron/ day (large built, twin, late in pregnancy, depressed hgb level

Question 34

Overly anemic

Answer 34

200 mg elemental iron/ day

Question 35

Folic acid supplement if with prev hx of pregnancy complicated with NTD

Answer 35

4mg/day 1 month prior to conception

Question 36

Folic acid throughout the periconceptional period

Answer 36

400 mcg/day

Question 37

Zinc supplement in pregnancy

Answer 37

15 mg/day

Question 38

Zinc supplement in lactating women

Answer 38

19 mg/day

Question 39

Iodine (pregnancy)

Answer 39

175 mcg/day

Question 40

Iodine (lactating)

Answer 40

200mg/day

Question 41

Magnesium (pregnant)

Answer 41

320 mg/day

Question 42

Magnesium (lactating)

Answer 42

355 mg/day

Question 43

The most common fetal testing method

Answer 43

Nonstress Testing

Question 44

A test of uteroplacental function

Answer 44

contraction stress testing

Question 45

Reactive NST

Answer 45

2 or more accelerations occuring within 20 min that peak at 15 bpm or more above baseline, each lasting 15 sec or more

Question 46

Nonreaasuring finding in umbilical artery doppler velocimetry which may indicate delivery

Answer 46

ARED (absent or reversed end diastolic flow) - uteroplacental insufficiency

Question 47

Single most important indicator of an adequately oxygenated fetus

Answer 47

Baseline or beat to beat variability♥️

Question 48

Normal variability

Answer 48

6-25 bpm fr baseline

Question 49

Early deceleration

Answer 49

Head compression

Question 50

Variable deceleration

Answer 50

Umbilical cord compression

Question 51

Late deceleration

Answer 51

Uteroplacental insufficiency

Question 52

Mirror images of contractions

Answer 52

Early deceleration

Question 53

Abrupt decrease in FHR below the baseline

Answer 53

Variable deceleration

Question 54

Gradual decrease in FHR below the baseline

Answer 54

Late deceleration

Question 55

Most common isolated structural defects

Answer 55

Congenital heart defects

Question 56

Second most common structural defects

Answer 56

Neural tube defects

Question 57

Maternal serum afp screening done when

Answer 57

14-22 weeks

Question 58

MSAFP level which clearly indicates fetal risk

Answer 58

> 3.5 Mom

Question 59

General marker for abn devt

Answer 59

Ventriculomegaly

Question 60

Frontal bone scalloping

Answer 60

Lemon sign

Question 61

Elongation and downward displacement of the cerebellum

Answer 61

Banana sign

Question 62

Triple serum markers for down syndrome

Answer 62

AFP low HCG high Estriol low

Question 63

Quadruple serum markers

Answer 63

Afp Chorionic gonadotropin Estriol Inhibin-high

Question 64

Early amniocentesis

Answer 64

11-14 weeks

Question 65

Chorionic villus sampling

Answer 65

9-12 weeks

Question 66

Percutaneous umbilical cord sampling

Answer 66

>20 weeks

Question 67

Ectopic pregnancy at the isthmus will rupture at

Answer 67

6-8 weeks

Question 68

Ectopic triad

Answer 68

Abdominal pain Amenorrhea Vaginal bleeding

Question 69

Diagnosis of ectopic pregnancy

Answer 69

Serum hcg + vaginal utz | >1500 miU/mL + empty uterus on utz

Question 70

Gold standard for diagnosis of ectopic pregnancy

Answer 70

Laparoscopy