Walls Tests Flashcards
1
Q
Nerve injured with TVT
A
Ilioinguinal
2
Q
Nerve injured with TOT
A
Obturator
3
Q
Only true nerve through the pelvis
A
Obturator
4
Q
Risk of underlying cancer with EIN
A
40-45%
5
Q
Inheritance of AIS
A
X-linked (SRY gene problem)
6
Q
Pelvic radiation causes (3)
A
Ovarian follicle loss
Impaired follicular maturation
Cortical and capsular damage
7
Q
2.5-5.0 Gy
A
Permanent OI in 60%of females 15-40yo
No effect at 1.5Gy
8
Q
Most common maternal complication with Cushing syndrome
A
HTN
9
Q
Post exposure ppx for HIV
A
Tenofovir + emtricitabine (truvada)
& dolutegravir or
Raltegravir
10
Q
Female with PMB and 10cm adnexal mass
A
Granulosa cell
Inhibin
11
Q
Kallman’s syndrome possible anomalies
A
Anosmia, amenorrhea, and no breasts
-midline facial anomalies (cleft palate/lip, unilateral renal agenesis, cerebellar ataxia, epilepsy, neuro sensory/HEARING LOSS)
12
Q
Aromatase inhibitors cause:
A
Osteoporosis
13
Q
Most common cause of FGR worldwide
A
Malaria
14
Q
Most common cause of FGR in US
A
CMV
15
Q
Adolescent with symptoms of androgen excess, think…
A
Sertoli-Leydig (rare)
16
Q
Medical treatment options of ACUTE menstrual bleeding in adolescents
A
Conjugated equine estrogens
Medroxyprogesterone acetate
TXA
Combined OCP
*check vW first
17
Q
mL in super plus tampon
A
15-18mL
18
Q
Lap sponge mL
A
100cc
19
Q
Reytec mL
A
10mL
20
Q
Regular tampon mL
A
5cc
21
Q
Super tampon mL
A
10mL
22
Q
Structure located during vasectomy
A
Ductus deferens
23
Q
Half life of catgut
A
5-7days
24
Q
Vegan patients use what suture?
A
Vicryl rapide
25
Poliglecaprone
Monocryl- monofilament
26
Polyglactin 910
Vicryl- braided
27
Normal BMI consume how many kilocalories/kg per day
30-35
30-40%fat
20%protein
40-50%carbs
28
Recommended exercise in preg
5days for at least 30 minutes (150mins)
29
Which drug is will affect cell free DNA?
LMWH
30
Superior rectal artery is branch of:
Inferior mesenteric artery
31
Nerve levels of obturator and femoral nerve
L2-4
32
Genitofemoral nerve level
L1-2, split nerve
33
Lumbosacral/sciatic nerve level
L4-S3
34
Cremasteric reflex
Genitofemoral nerve
35
Ilioinguinal/iliohypogastric nerve roots
T12-L4
36
Lateral femoral cutaneous nerve root
L2-L3
37
Arterial supply to breast originates:
Axillary
38
Advantages of LMWH (4) over heparin
Low risk for HITT
Decreased bone density loss
Predictable therapeutic range
Once daily dosing
39
Fetal heart completes development at
8wk
40
Minimal plt count to take someone to surgery with ITP
50,000
41
Which breech has highest risk for cord prolapse
Footling
42
HCG normalizes after mole when
By 2mos/8wks
5-6% will occur in 6mos=GTN
43
Micrograms of folic acid if previous NTD
4000 mcg=4mg
44
Nonpreg retest for CT/GC
3-4 mos
45
Preggo retest CT/GC
3-4wks
46
%acetic acid used in colposcopy
3-5%
47
Glyburide is contraindicated with what allergy
Sulfa (is sulfanomide)
48
Vaginal DNA test tests for (3)
G. Vaginalis
C. Albicans
Trich vaginalis
49
Most common genetic cardiac dz
Hypertrophic cardiomyopathy
50
%brow presentations that convert to face
30%
51
Mentum Anterior
Give to MA-ma, SVD
52
Mentum Posterior
Military police (MP) stop >C/S
53
Serous tubal and tubal intraepithelial lesions are located on
Fimbriates part of the tube
54
FHT shows fetal anemia
Sinusoidal
55
Occurrence malpractice
Covers all incidents during specific coverage period
56
Claims-made malpractice
Requires tail insurance
| Only covers claims made during policy
57
Ashkenazi Jewish pts should be offered (8)
```
CF
Canavan dz
Tay-Sachs
Familial dysautonomia
Guacher’s
Newman-pick
Blooms
Fanconi anemia
```
58
Maternal vit D def
Congenital rickets/fractures
59
Inflammatory breast CA
Breast CA that has ductal cells in dermal lymphatics
60
Triad typical of amniotic fluid embolism
Hypoxemia
Hypotension
Coagulopathy
61
Blood flow to gravid uterus at term
400-600mL/min
62
Ribavirin
Hep C tx
| Associated with skull, palate, eye, skeleton, and GI abnormalities in fetus
63
Oocyte arrested between birth and ovulation at which phase
Prophase I
64
Oocyte arrests at which phase after puberty before ovulation
```
Secondary oocyte(haploid)
METAPHASE II
```
65
What phase is cytogenetic largo type performed at?
Metaphase
66
Most common aneupoldy
X, 45
67
Most common trisomy associated with spontaneous abortions
Trisomy 16
68
% of placental DNA in maternal plasma
10%
69
Contraindication to beta3adnergix receptor agonist
Mirabegron, Tx OAB
| Uncontrolled HTN
70
Tocolytic associated with behavioral teratogenesis
Terbutaline (beta-2 agonist)
71
DCIS
Ductal carcinoma in situ
“Do something”
Deadly
72
LCIS
Can Look for a bit
73
Smooth muscle tumor of uterus, low grade, composed of malignant mesenchymal component and benign epithelium
Adenosarcoma
| Rarely metastasizes
74
% of early pregnancy loss are due to chromosomal abnormalities/aneuploidies
50%
75
Maternal risk with highest risk of stillborn
SLE
76
Most practical marker for reproductive aging
Mullerian inhibiting substance
1-4 normal
<1 abnormal
77
Recommended intraperitoneal insufflation pressure during LSC in pregnancy
10-12mmHg
| Higher increases placenta vessel resistance
78
Most common gyn malignancy one preadolescent females
Germ cell tumor
79
Best measure of chronic asthma
FEV1
80
Most common complication from influenza
PNA
81
Virchow’s triad
Stasis
Local trauma
Hypercoagulability
82
Dz most likely to lead to end stage renal disease
DM (35%) then
| HTN (25%)
83
Loss of houstra, lead pipe appearance
Think UC
84
Fat wrapping and fistulas/fissures
Think Crohn’s
85
Most likely risk factor for shoulder dystocia
Precipitous labor
86
Persistent transverse arrest
Platypoid pelvis
87
Tx of hemophilia A
Recombinant factor VIII
88
Hemophilia B
Factor IX
89
Hemophilia C
Factor XI problem
| Tx FFP
90
1/3 of pts will have involvement of what portion of intestine in Crohn’s dz
Terminal ileum
91
Most valuable in detecting gas embolism
End tidal CO2
92
Maneuver to help with gas embolism
Durant (left lateral side with head down 5 degrees)
93
Murmur in gas embolism
Millwheel murmur
94
Drug that helps with HIP fractures
Bisphosphinates
95
Drug that helps with SPINE fractures
Raloxifine
96
Only drug that works on BLASTs
Recombinant parathyroid hormone
| Anabolic
97
Denosumab
Anti-reabsorption on surface of osteoclast cells
| Tx osteoporosis
98
Most common site of ureteral injury
Level of uterine artery
99
Length of ureter
25-30cm
100
Pelvic lymphadenectomy
Removal of nodal tissue from distal 1/2 of external common iliac arteries anterior and medial of the iliac artery and vein to point of deep circumflex iliac vein crosses external iliac artery and obturator fat pad to obturator nerve
101
Paraaortic lymphadenectomy
Nodal tissue removal over distal inferior vena cava from the level of the inferior mesentric artery to the mid right common iliac and the nodal tissue between the aorta and left ureter from inferior mesentric artery to mid left common iliac
102
Most common US findings of congenital CMV
Periventricular calcificAtions and symmetric FGR
103
Neonatal subclinical finding of CMV
Neurosensory hearing loss
104
Hypovolemic shock
NO BLOOD
Decreased CO and PCWP
Increased SVR (attempted to constrict, no volume)
105
Cardiogenic shock
Tamponade/MI, heart does not work
decrease in CO
Increase is PCWP (back build up of blood since heart can’t work) and increase in SVR
106
Septic shock
Infection leading to leaking vessels/third spacing
Decreased SVR
Increased CO (to over come lack of blood volumes)
Decreased/normal PCWP
107
Pt with vW mostly time to have bleeding
50% risk of PPH due it increase in vW level during preg followed by decrease PP
108
Pt with greatest risk for accreta
Prior C/S
109
MAP
(Systolic BP-diastolic BP)/3- diastolic BP
110
Downs is mostly
Robertsonian translocation
111
How many weeks after fertilization does neural tube form
3-4wks
112
How many week after LMP does neural tube form?
5-6weeks
113
Levonorgestrel IUD prevents pregnancy by
Increasing viscosity of mucous of the cervix
114
Chorioangioma is associate with (4)
Normal pregnancy
Arterial-venous shunting
Fetal anemia
FGR
115
Ratio of chest compressions to breaths in neonatal resuscitation
90 compressions to 30 breaths
116
Best in determining prognosis of breast cancer
Stage of disease at time of diagnosis
117
Melanoma metastasis to pelvic regions
MC clitoris
118
Prognosis of melanoma is
Based on depth of invasion
119
Most reliable tumor markers in pregnancy
LDH
120
What peaks mid luteal phase
Inhibin A
Produced by corpus luteum
Suppresses FSH
121
HLA-DR4
RA
122
Major support for uterus
Cardinal ligament
123
Major support for vagina
Uterosacral ligaments
124
Major support for ovaries
Infundibulopelvic ligament
125
Colposcopy finding most indicative of invasive cervical cancer
Atypical vessels
126
Pseudomyxoma peritonei can lead to death due to
Bowel obstruction
| CEA is marker
127
Dysparenia, burning, vaginal discharge
Think erosive lichen planus
| Rx corticosteroid suppository
128
MOA of Rhogam
Blocking D antigenic determinants on erythrocyte membrane
129
Perinatal period
Interval between 20 weeks gestation and 28 days postpartum
130
Yeast allergy
Can’t give HPV or Hep B vaccines
131
Femoral triangle
SAIL
Sartorius
Adductor longus
Inguinal ligament
132
Ionization radiation
Effects the nucleus in M phase
133
Urogenital sphincter (3)
Sphincter urethrae
Compressor urethrae
Urethrovaginal spincter
134
Days of menstrual cycle constitutes window of implantation
Day 20 to 24
135
MOA trichloroacetic acid
Coagulation of tissue proteins
| Tx vaginal warts in preg
136
Tx hyperkalemia
Insulin and glucose
Or
kayexalate edema
*peaked T waves on EKG
137
Risk for neonatal death with uterine rupture
5%
138
Muscles overlies the sacrospinous ligament
Coccygeus
139
4mos infant with labia adhesions and breast budding with estrogen cream
Change to betamethasone cream
140
Serum marker elevated in fetal demise before 24wk
Alpha fetal protein
141
Most common complication of TVT
UTI
Think “vescial, vascular”
142
CAH inheritance
AR
143
Maximum bone density in female
19yo
144
Difficulty breast feeding leads to…
Postpartum depression
145
Filbanserin contraindicated in pts w/
Liver dysfunction
146
Treatment for mastitis refractory to first line medication
Trimethoprim-sulfamethoxazole
147
Most common postoperative complication from McCall’s culdoplasty
Dyspareunia
148
Hemaglobin F is produced
In yolk sac> mostly Fetal Liver
149
Most common cause of breast cancer
Ductal carcinoma
150
Most lethal breast cancer
Inflammatory breast cancer
151
Most common breast cancer
Invasive ductal carcinoma (80%)
| Arises from epithelial lining of large or intermediate-size ducts
152
Type of study that looks at risk factors for disease and prognosis
Prospective cohort studies
153
Immature teratoma
Neuroepithelium
Markers: Ca125, LDH, and AFP
Arise from ectoderm, squamous component after menopause
154
Bone loading medications (8)
```
Glucocorticoids
Excessive thyroxine
SSRIs
Proton pump inhibitors
Aromatase inhibitors
Thiazolidnedones (DM meds)
Lithium
Heparin
Cyclosporine e
```
155
Antihypertensive that reduces urinary loss of calcium
Thiazides
156
Epidural must cover which dermatome for cesarean section
T4
157
What’s in FFP
Fibrinogen, antithrombin, factor V, XI, XII
158
One unit of FFP
Increases fibrinogen level by 10mg/dL
159
Volume of cryo
5 to 15mL
160
Each unit of cryo
Increases fibrinogen by 10mL/dL
161
What in cryo?
Fibrinogen, vWF, factors VIII, XIII
162
Level suspicious for adrenal androgen secreting tumor
DHEA > 700
163
dermatome for epidural for vaginal delivery
T10-L1
| Afford to impulse from cervix and uterus
164
Second stage labor pain transmitted through which spinal roots
S2-4
| Stretching of vagina, vulva, and perineum
165
Possible fetal anomaly with rivaroxban or other anti-Xa inhibitors
Cardiac? Limited study
166
Gestational age for greatest risk of ovarian torsion
Between weeks 10-16 with masses 6-8cm, due to displacement of ovaries outside the pelvis by enlarging uterus
167
Subclinical hypothyroidism is associated with (4)
PTD
Abruption
preE
gestation DM
168
What findings are suspicious for cancer in thyroid US
Microcalcifications
169
Cowden syndrome
Think PTen
| Breast, thyroid, colon, endometrial CA
