Questão 1
Questão
Which is not part of the spermatic cord's contents?
Responda
-
Cremasteric Artery
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Ductus Deferens
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Artery of the Ductus Deferens
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Pampiniform Plexus
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Lymphatic Vessels
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Genitofemoral Nerve (Genital Branch)
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Testicular Artery
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Parasympathetic Nerve fibers
-
Sympathetic nerve fibers
-
Cremasteric Muscle
Questão 2
Questão
What is true regarding descent of the gonads?
Responda
-
Originally from level T10
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Pulled down by ligamentous cord gubernaculum
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Bring along blood supply, nerves, and lymphatics
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In women Gubernaculum becomes the round ligament of the uterus
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In women gubernaculum becomes ligament of ovary proper
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In men, the gubernaculum disintegrates
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In men, part of the gubernaculum becomes the scrotal ligament that "anchors" the scrotum in place outside the body
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Originally from Level L4
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Descent happens early--middle pregnancy
-
Descent happens in late pregnancy/early birth
Questão 3
Questão
What is of clinical importance of varicocele?
Responda
-
sometime chronic pain
-
acute pain
-
"Bag of worms" appearance
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testicular blood supply is blocked
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testicular veins widen due to dysfunctioning
-
can affect fertility/potency
-
irreversible damage
-
may have swelling
-
extreme pain
-
usually unpainful
Questão 4
Questão
What is the clinical importance of hydrocele?
Responda
-
"transilluminate" test
-
painful swelling
-
painless swelling
-
excess fluid accumulate around testis
-
fluid escapes tunica albuginea
-
fluid escapes tunica vaginalis
-
can affect fertility/potency
Questão 5
Questão
Which are layers of the scrotum
Questão 6
Questão
What does the Cloaca give rise to?
Responda
-
Genital tubercle
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Urethral folds
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Anal Fold
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Genital Swelling
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External Genitalia
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Uterus
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Bladder
-
Prostate
Questão 7
Questão
What are the symptoms characteristic of Hypospadias?
Questão 8
Questão
What is sensitivity?
Responda
-
How likely to give true positives
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How likely not to give false negatives
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How likely not to give false positives
-
How likely to give false negatives
Questão 9
Questão
What is the probability of correctly identifying a non-diseased person?
Responda
-
Sensitivity
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Specifity
-
Likelihood
Questão 10
Questão
Positive predictive values tell us how likely we are to get the disease
Questão 11
Questão
Negative predictive value is how likely patient does not have the condition
Questão 12
Questão
What are the defining characteristics of Polycystic Ovary Syndrome? (POS)
Questão 13
Questão
Diagnosis requirements of PCOS?
Responda
-
oligo-ovulation or anovulation
-
12< cysts on ovaries
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symptoms like hirsutism, alopecia, and acne
-
20< cysts on ovaries
-
polyovulation
-
dyspareunia
Questão 14
Questão
PCOS can lead to ______________.
Questão 15
Questão
What is endometriosis?
Responda
-
growth of endometrial tissue elsewhere than the uterine cavity
-
inflammation of the endometrium
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excessive proliferation of the endometrium
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Tumor of the endometrium
Questão 16
Questão
Important clinical factors of endometriosis?
Responda
-
cyclic or chronic pelvic pain
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infertility
-
dysmennorea
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dyspareunia
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menorrhagia
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discolored discharge
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endometrial tissue most commonly in pouch Douglas, pelvic cavity, uterosacral ligaments, and bladder
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endometrial tissue most commonly in vagina, cervix, and rectum
-
diagnosis using ultrasound (see lesions, cysts, and peritoneal deposits)
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diagnosis using laporoscopy (see lesions, cysts, and peritoneal deposits)
Questão 17
Questão
Management of endometritis?
Responda
-
asymptomatic: only analgesia if needed
-
goal: promotion of ovulation
pills promoting LH
-
goal: suppression of ovarian function
Combined pill or GnRH agonists
-
Give pills to manage stress
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Surgical removal of endometrial lining of the womb (Laparoscopic endometrial ablation)
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Surgical alteration of endometrial womb thickness (laparoscopic endometrial retroversion)
-
Only can give analgesics because cannot cure
Questão 18
Questão
If post-menopausal bleeding at least 1 year after last period, endometrial carcinoma until proven otherwise.
Questão 19
Questão
Beta HCG isn't reliable for vaginal bleeds to rule out pregnancy/ectopic pregnancyy
Questão 20
Questão
What is PID (Pelvic Inflammatory Disease)
Responda
-
any infection of the womb
-
autoimmune disease of the pelvic bones
-
any infection of the womb and fallopian tubes
Questão 21
Questão
What most commonly causes PID (3 answers)?
Questão 22
Questão
Most noteworthy symptoms of PID?
Responda
-
pelvic pain/lower abdominal pain
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fever
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dyspareunia
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vaginal discharge
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post-sex vaginal bleeding
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vomiting
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red appearance of tummy and hips
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inability to walk at all
Questão 23
Questão
Which test is NOT done when investigating PID?
Responda
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blood test
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urine test
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swabs and culture
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pregnancy test
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ultrasound
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X-ray fluroscopy
Questão 24
Questão
Management of PID?
Responda
-
2 different types of Antibiotics broad-spectrum (IV if high fever or peritonitis)
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Avoid intercourse until full healing
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Remove IUD/ inserted contraceptive devices if severe
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Refer to GUM clinic if STD
-
Specific antibiotics if cause known
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Surgical alteration
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Radiation/ chemotherapy
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Phototherapy
Questão 25
Questão
Because PID can cause scarring of fallopian tubes and uterus, it can lead to...
Questão 26
Questão
What hormone(s) increases after menopause?
Responda
-
LH
-
FSH
-
LH and FSH
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LH and estrogen
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estrogen
-
estrogen and FSH
Questão 27
Questão
What is 2nd trimester?
Responda
-
wk 0-12
-
wk 13-24
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25-36/38
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wk-30-38
-
wk 20-40
Questão 28
Questão
What pills can induce abortion?
Questão 29
Questão
A skeletal muscle can be innervated by nerves from more than one single spinal cord level
Questão 30
Questão
[blank_start]Proprioception[blank_end] is how the body knows the relative position of our muscles. Specifically, the [blank_start]cerebellum[blank_end] and [blank_start]cerebral[blank_end] [blank_start]cortex[blank_end] This is how we know what our feet are doing or where they are even if they're not visible.
Responda
-
Proprioception
-
cerebellum
-
cerebral
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cortex
Questão 31
Questão
What are examples of proprioception?
Responda
-
golgi tendon bodies
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muscle spindles
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joints sensors
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skin sensors
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myotomes
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dermatomes
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deep tendon reflex
Questão 32
Questão
[blank_start]Golgi[blank_end] [blank_start]tendon[blank_end] [blank_start]bodies[blank_end] force you to relax to prevent muscle overexertion. They also help with [blank_start]fine[blank_end] movement.
Questão 33
Questão
During low intensity exercise, most of our energy comes from [blank_start]fatty[blank_end] [blank_start]acids[blank_end]. Once exercise hits [blank_start]70[blank_end]% max intensity, most our energy comes from [blank_start]carbohydrates[blank_end].
Responda
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fatty
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acids
-
70
-
carbohydrates