Q-bank

Question 1

The Right Testicular Artery is a direct branch off of which artery?

Answer 1

Aorta!!!

Question 2

Which nerve supplies the perineum?

Answer 2

Pudendal Nerve

Question 3

During which phase of the menstrual cycle is Progesterone the highest?

Answer 3

Luteal Phase

Question 4

During which phase of the menstrual cycle is Estrogen the highest?

Answer 4

Pre-ovulatory phase

Question 5

What is the definitive tx for Preeclampsia?

Answer 5

Termination of pregnancy; Delivery

Question 6

What is the triad for Preeclampsia?

Answer 6

HTN, proteinuria, and edema

Question 7

How is Eclampsia diff from Preeclampsia?

Answer 7

Seizures w/ Eclampsia

Question 8

What is the most common cause of Pelvic Inflamm. Disease?

Answer 8

Chlamydia

Question 9

What kind of Inflamm. response is mediated aga. Chlamydia?

Answer 9

Obligate intracellular organism–> Cell-mediated cytotoxicity

Question 10

How to visualize Chlamydia?

Answer 10

Iodine, Giemsa, Fluorescent-Ab

Question 11

What can cause Painful, Soft ulcer on genitals?

Answer 11

Haemophilus ducreyi

Question 12

Where can Actinomyces cause infection?

Answer 12

Gingival crevices (cervico-facial), female reproductive tract, and GI

Question 13

What kind of infection is common in pts with and IUD?

Answer 13

Actinomyces israelli

Question 14

**For high grade CIN, what is the prognosis? (%s)

Answer 14

60% Persist, 30% Regress, 10% Progress to Invasive carcinoma

Question 15

What is seen on biopsy of Breast Fat Necrosis?

Answer 15

Calcifications, Giant cells, and Lipid-laden histiocytes

Question 16

Which lymph nodes to testicular masses metastasize to first?

Answer 16

Para-aortic lymph nodes

Question 17

What is Adenomyosis?

Answer 17

Extension of endometrium into myometrium

Question 18

What is the main phenotypic difference b/t Androgen insensitivity and 5a-Reductase Deficiency?

Answer 18

Androgen Insens- failure of development of BOTH internal and external organs
5a-Reductase- Normal Internal organs

Question 19

Which Drug can cause external genitalia abnormalities in male fetuses?

Answer 19

Finasteride

Question 20

Granulosa Cell Tumors of the ovary can lead to what pathology in the endomentrium?

Answer 20

Endometrial hyperplasia–> uterine bleeding

Question 21

What is a common cause of dysfunctional uterine bleeding?

Answer 21

Anovulatory cycle

Question 22

Can fibrocystic breast changes be seen in men?

Answer 22

NO!

Question 23

What cellular marker(s) are elevated in Seminomas?

Answer 23

placental ALP

Question 24

What is the most worrisome complication of Cryptorchidism?

Answer 24

Cancer

Question 25

What is Meigs Syndrome of Ovarian Fibroma?

Answer 25

Ovarian Tumor, Ascites, and Pleural effusion

Question 26

What is the underlying cause of Acute Mastitis?

Answer 26

Breast-feeding

Question 27

Compare the Karyotype of a Complete mole to a Partial mole.

Answer 27

Complete: Diploid Partial: Triploid

Question 28

What are the components of Complete and Partial Mole?

Answer 28

Complete: Usually Enucleated egg+ 1/2 sperm Partial: 2 sperm + 1 Normal egg

Question 29

What molecule is produced by the Trophoblast?

Answer 29

Beta-hCG

Question 30

What molecule is produced by the Yolk sac?

Answer 30

Alpha-Fetoprotein

Question 31

Describe the hormonal changes in LH, FSH, androgens, and GnRH levels in PCOS.

Answer 31

Increased GnRH, Increase LH:FSH ratio, Increase Estrogen, Increase Androgens and Testosterone

Question 32

What is the most common symptom of Leiomyomas?

Answer 32

Abnormal uterine bleeding

Question 33

How do you test for/confirm Anovulation?

Answer 33

Progestin challenge--> triggers mentruation

Question 34

Decreases in which hormones can lead to repeated spontaneous abortions?

Answer 34

Progesterone, hCG

Question 35

Symptoms of Preeclampsia before 20 weeks gestation are highly suggestive of what?

Answer 35

Molar pregnancy

Question 36

How do you treat Maternal Syphilis?

Answer 36

Penicillin (or Tetracycline or Doxyclycline)

Question 37

How do Beta-2 and Alpha-1 Receptors affect Uterine contractions?

Answer 37

Beta-2: Decrease uterine contractions | Alpha 1: Increase uterine contractions

Question 38

What do you use Acyclovir and Gancyclovir for, respectively?

Answer 38

Acyclovir: HSV Gancyclovir: CMV

Question 39

What do you expect to find histologically in Paget's Disease of the breast?

Answer 39

Isolated adenocarcinoma cells in the epidermis

Question 40

What does Paget's Disease of the breast suggest?

Answer 40

Underlying carcinoma

Question 41

What is the underlying mechanism of an ectopic pregnancy?

Answer 41

Delayed transport of the blastocyst

Question 42

What is the mechanism of Acyclovir?

Answer 42

Inhibition of viral DNA polymerase

Question 43

What is the initial event in the pathogenesis of preeclampsia?

Answer 43

Placental ischemia

Question 44

When does Abruptio placcentae occur?

Answer 44

3rd timester

Question 45

What is the #1 cause of spontaneous abortions?

Answer 45

Chromosomal abnormalities

Question 46

What is the mechanism of Ceftriaxone?

Answer 46

Inhibitionn of peptidoglycan synthesis

Question 47

What should you suspect in a women who has had recurrent spontaneous abortions in the 1st trimester?

Answer 47

Robertsonian translocation