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usmle rx qbank > repro > Flashcards

repro Flashcards

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1
Q

main artery of pelvis

A

internal iliac

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2
Q

main nerve of pelvis

A

pudendal S2 S4

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3
Q

which structure anchors testes to scrotum

A

guburaculum

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4
Q

gubernaclum forms what in females

A

ovarian ligament

round ligament

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5
Q

antiandrogen effect of spironolactone

A

inhibits steroid binding

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6
Q

ketoconazole as an antiandrogen

A

inhibits desmolase — steroid synthesis

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7
Q

watery cytoplasm

fried egg appearance

A

seminoma
oligodendroglioma
and koilocytes in HPV

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8
Q

schiller duval bodies resemble primitive glomeruli

A

yolk sac tumor

boys <3years

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9
Q

fried egg appearance and most common tumor

A

Seminoma

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10
Q

normla AFP
increase HCG , painful
glandular papilllary morphology

A

embryonal carcinoma

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11
Q

increase HCG

synchitrophoblasts

A

choriocarcinoma

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12
Q

placental alkaline phosphatase is increased in which testicular tumor

A

SEMINOMA

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13
Q

a mother with a previous history of intravenous drug use, no prenatal care, home birth, breastfeeding, and an extensive malar rash on baby

A

neonatal HIV
diarrhea and increase risk of infections
this baby had impetigo .. honey crusted … staph a

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14
Q

how to prevent HIV transmission from mother to baby

A

start intensive HAART

IV zidovudine from labour till birth

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15
Q

regulation of insulin secretion

A

glucose moves in via GLUT 2 beta cell
glucose metabolisd
ATP used to close ATP k+ channels
depo opens voltage sensitive calcium channels

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16
Q

lassic histology of a fibroma

A

collagen-rich spindle cells,

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17
Q

lapse vs slip error

A

lapse is an error due to memory .. for example if the surgeon forgot to identify the ureters during a hysterectomy
slip is a genuine mistake or mihap

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18
Q

nontender, homogenous right testicular enlargement on ultrasound and enlarged para-aortic lymph nodes on abdominal CT,

A

seminoma

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19
Q

small body size, microcephaly, low nasal bridge, cleft lip, hypoplasia of distal phalanges, nail hypoplasia, and hirsutism.

A

fetal hydantoin syndrome

use of phenytoin

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20
Q

syphilis treatment

A

penicillin G intramuscular

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21
Q

dysmenorrhea, menorrhagia and an enlarged and soft uteru

A

adenomyosis

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22
Q

use during pregnancy is associated with aplasia cutis congenita, a disorder in which there is an absence of skin in infants.

A

methimazole

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23
Q

self feeding in a child by the age of

A

20 months

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24
Q

riding tricycle

A

3years

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25
stacking 6 cubes
2 years
26
a child babbles but cannot talk princer grasp needs assistance to walk plus stranger anxiety
about 15 months stranger anxiety develops by 7-9 months princer grasp with thumb and index by 10 moths
27
Rolling and sitting, but not crawling,
6 months
28
STI who do u treat partner only or both
BOTH
29
prostate develops from
urogenital sinus by DHT
30
25 year old woman teaspoon thin white discharge ph 4 epithelial cells with a few PMNs
NORMAL
31
placenta previa risk factors
prior c section increased pregnancies curettage
32
menorrhagia, dysmenorrhea and a diffusely enlarged, soft “boggy” uterus on exam.
adenomyosis
33
microcephaly, hearing loss, hepatosplenomegaly, and a petechial rash mopther had fever soar throat in early pregnancy
CMV
34
high-riding boggy prostate, a bloody urethral meatus, and a pelvic fracture.
post urethral injury | membranous part of urethra
35
oocytes rest in …. until ovulation | and in …… until fertilization
prophase I | metaphase II
36
16 weeks pregnant … results show an elevated α-fetoprotein level but normal estriol, β-human chorionic gonadotropin (β-hCG), and dimeric inhibin A levels.
Neural tube defects | remember when u see alpha feto protein and acetylcholinesterase
37
decreased a-fetoprotein, decreased estriol, increased inhibin A, and increased ß-hCG
down synd
38
comment on body temp in women
higher in luteal phase | progesterone
39
most common side effects assoc with fluoroquinolones
GI upset | diarrhea abd pain etc
40
female infant presents with ambiguous genitals, hypotension, and signs of dehydration and electrolyte disturbances, including a low bicarbonate concentration, hyponatremia, and hyperkalemia
21 alpha hydrox def | accumulation of serum 17-hydroxyprogesterone,
41
drug used to reduce uterine contractions or delay labour
terbutaline B2 B1 agonist increases protein kinas A
42
neonate has gross hepatosplenomegaly and ascites, as well as peripheral edema and purpura.
hydrops fetalis | Rh incompatibility
43
pregnant woman has gastric ulcers | she is prescribed a med that causes increased vaginal bleeding
misoprostol PGE1 anologue abortion med helps gastric lining by increasing mucus production
44
mefiprestone mechanis,
progesterone antagonist | abortion drug
45
detrusor muscle weakness causes what type of urinary
overflow
46
bHCG is above 2000 and no gestational sac visible
ectopic pregnanc
47
overall healthy female … only has painful menses
primary dysmenorrhea | increased prostaglandin
48
what bacteria makes the majority of normal flora in vagina
gram+ve facultative anaerobe bacilli | LACTOBACILLUS
49
51 year old female post menopausal bleeding firm yellow unilateral ovarian mass thickened endometrial linning
granulosa cell tumor secretes estrogen call exner cells can be seen
50
describe high grade cervical intraepithelial neoplasia
atypical cells occupy more than 1/3rd of the epithelium
51
BHCG is structurally similar to
LH FSH TSH … same alpha uni
52
pt has symptoms of cystic fibrosis but a negative chloride sweat test … what is the diagnosis
CF | negative sweat test does not ruloe out the condition
53
ovarian arteries originate from ....
abdominal aorta | carried in infundibulopelvic ligament
54
painful vaginal bleeding in the third trimester, | smoking, HTN, cocaine use
abruptio placenta
55
fetal brady cardia and PAINLESS bleeding
vasa previa | umbilical cord plants into the membranes and is the presenting part of the pregnancy
56
Bilobed nuclei with bright pink granules on hematoxylin and eosin stain
eosinophils | parasites,allergicr reactions and asthma
57
segmented nucleus with three to five connected lobes with large, spherical, azurophilic granules a
neutrophils
58
bilobed nucleus and numerous blue to purple granules on hematoxylin and eosin stain
basophils
59
an off-center nucleus containing clock-face heterochromatin arrangements with perinuclear clearing called a Hoff.
plasma celsl
60
similar to size of erythrocytes but large nucleus
lymphocytes
61
abruptio placentae complications
DIC from tissue factor entering maternal circulation maternal shock fetal distress
62
vaginal ph with candida inf
<4.5
63
holoprosencephaly
trisomy 13
64
how to confirm diagnosis of preeclampsia
urinary protein check | new onset of hypertension 20 weeks of gestation
65
baby born with syndactyly | which gene is mutated
Hox genes come from a family of homeobox genes that encode transcription factors.
66
which HPV is assoc with warns in anogenital area
HOV 6 11

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