Recalls 6 Flashcards
(42 cards)
During laparoscopy which vessel injured during right lateral port insertion?
Where does this branch from?
Inferior epigastric artery
Branch of external iliac artery
What are the branches of the internal and external iliac arteries
Internal
ANTERIOR
- Obturator
- Umbilical (superior vesicle branches)
- Uterine
- Vaginal
- Middle rectal
- Internal pudendal
- Inferior gluteal artery
POSTERIOR
- Iliolumbar
- Superior gluteal
- Lateral sacral
External
- Deep circumflex
- Inferior epigastric
- Femoral is terminal branch (superficial circumflex branches from this)
What relation of VAN
VEIN IS MEDIAL
What is the dermatome of the suprapubic incision aka joel-cohen
What about pfannenstiel?
T12
Pfannenstiel L1
During sacrospinous fixation whicha artery can be injured
Inferior gluteal
Branch of anterior divison of IIA
In a kidney transplant, which artery and vein it is anastomosed to?
EIA
EIV
What are the layers surrounding the zona pellucida
Corona radiata then cumulus oophorus
Describe the layers of the placenta and what happens to them throughout pregnancy
Syncytiotrophoblast - OUTER part of placenta. early pregnancy secrete HCG. Remains throughout pregnancy
Cytotrophoblast - role in early pregnancy. Inner layer of placenta. Not present by the end of pregnancy.
The decidua basalis is the aprt of the endometrium that forms the maternal part of the placenta. It protects the underlying myometrium from syncytiotrophoblast invasion
What is the embryoligcal origin of the bottom 2/3 of vagina
Urogenital sinus - Endoderm.
The cloaca separates to form the urogenital sinus and the anus.
Which hernia will result from a small defect in the lateral umbilical region due to regression of umbilical vein
Gastroschisis
What is the cause of gastrochisis and omphalocele and congeital umbilical hernia
Gastrochisis - herniation through abdominal wall defect due to lateral umbilical vein regression
Omphalocele - herniation through the umbilical cord. Failure of midgut to return to the umbilical cavity
Congenital umbilical hernia - weakening in abdominal wall
What is the embryological course of the GnRH neurones
Primary olfactory placode
Secondary source is neural crest
Brain and CNS is from neuroal tube
How much estradiol is bound to albumin and SHBG
38% SHBG
60% albumin
What percentage of T4 is free
0.03%
How many hours after the LH surge does ovulation occur
36h after the surge
16h after the peak
What is order of potency:
Testosterone
DHEA
DHT
A2
MOST POTENT TO LEAST
DHT
Testosterone
Androstanedione
DHEA
What leads do V1 and AVr represent on an ECG
LV and RA
What is a normal bicarb in pregnancy
18 is lower limit of normal
When is eGFR at the maximum in pregnancy
- massive rise to 13th week
I think peak at 32 weeks
Where does vaginal lubrication come from when aroused
Vaginal transudate
What is cloasma due to in pregnancy
Melanocyte stimulating hormone
Same as melasma
Which amino acid is nitrogen oxide
L-arginine
In brow presentation what is the line called
What are the other presentations called and what are the diameters
mentovertical - brow - 13
suboccipitobregmatic - vertex - 9.5
occipito frontal - OP - 11
Submentobregmatic - face - 9.5
What type of drug is drosperinone
3rd generation progesterone
Antiandrogen
Antimineralocorticoid
