Disorder Of Preg Pharm Phys Of Parturition Lactation
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.JPG "Disorder Of Preg Pharm Phys Of Parturition Lactation")
CTL: Disorders of pregnancy "CTL: The pregnant patient; pharmacology/physiology of parturition/lactation"
- 1.
![A 28-year-old woman in her 12 weeks’ pregnancy presents to the Emergency Department with vaginal bleeding. Physical examination reveals an enlarged uterus. Ultrasound investigation detects snow-storm pattern of the distended uterine content; a fetus is not found. D&C is performed and the microscopic appearance of the specimen is shown for your evaluation. Which of the following is the most likely genetic background for the described pathology?]( "A 28-year-old woman in her 12 weeks’ pregnancy presents to the Emergency Department with vaginal bleeding. Physical examination reveals an enlarged uterus. Ultrasound investigation detects snow-storm pattern of the distended uterine content; a fetus is not found. D&C is performed and the microscopic appearance of the specimen is shown for your evaluation. Which of the following is the most likely genetic background for the described pathology?")
- A.
Fertilization of the normal ovum with two sperms
- B.
Reduplication of the ovum haplotype without fertilization
- C.
Fertilization of the normal ovum with one sperm
- D.
Fertilization of the empty ovum with two sperms
- E.
Fertilization of the normal ovum with one sperm with subsequent reduplication of sperm haplotype
- 2.A 29-year-old Caucasian woman in the third trimester of her first pregnancy develops persistent headaches and swelling of her legs and face. Early during her pregnancy a physical examination was unremarkable; however, now her blood pressure is 165/110 mm Hg, and urinalysis reveals proteinuria. Which of the following is the most likely diagnosis?
- A.
Preclampsia
- B.
Eclampsia
- C.
Gestational trophoblastic disease
- D.
Nephrotic syndrome
- 3.
![A 21-year-old African American woman acutely develops lower abdominal pain and vaginal bleeding. While in the bathroom she passes a cast of tissue composed of clot material and then collapses. She is brought to the hospital, where physical examination reveals a soft, tender mass in the right adnexa and pouch of Douglas. Histologic examination of the specimen passed in the bathroom reveals blood blots and endometrial tissue shown below for your evaluation. Which of the following conditions is most likely present in this individual?]( "A 21-year-old African American woman acutely develops lower abdominal pain and vaginal bleeding. While in the bathroom she passes a cast of tissue composed of clot material and then collapses. She is brought to the hospital, where physical examination reveals a soft, tender mass in the right adnexa and pouch of Douglas. Histologic examination of the specimen passed in the bathroom reveals blood blots and endometrial tissue shown below for your evaluation. Which of the following conditions is most likely present in this individual?")
A 21-year-old African American woman acutely develops lower abdominal pain and vaginal bleeding. While in the bathroom she passes a cast of tissue composed of clot material and then collapses. She is brought to the hospital, where physical examination reveals a soft, tender mass in the right adnexa and pouch of Douglas. Histologic examination of the specimen passed in the bathroom reveals blood blots and endometrial tissue shown below for your evaluation. Which of the following conditions is most likely present in this individual?- A.
Aborted intrauterine pregnancy
- B.
Hydatidiform mole
- C.
Ectopic pregnancy
- D.
Endometrial hyperplasia
- 4.A 24-year-old woman, gravid 3, para 2, presents with the chief complaint of some lower abdominal pain accompanied by a small amount of vaginal bleeding. She is 16 wk pregnant and has been healthy throughout the pregnancy. She does not smoke cigarettes, drink alcohol, or use illicit drugs. Abdominal examination is normal. Pelvic examination reveals that the internal cervical os is closed. Which of the following is the most likely diagnosis?
- A.
Complete abortion
- B.
Threatened abortion
- C.
Incomplete abortion
- D.
Inevitable abortion
- 5.
![The image represents an endometrial biopsy obtained from a 28-year-old pregnant Asian woman with unexpectedly rapidly enlarging uterus.
Which of the following chromosomal set is most likely to be found in the cells of this lesion?]( "The image represents an endometrial biopsy obtained from a 28-year-old pregnant Asian woman with unexpectedly rapidly enlarging uterus.
Which of the following chromosomal set is most likely to be found in the cells of this lesion?")
The image represents an endometrial biopsy obtained from a 28-year-old pregnant Asian woman with unexpectedly rapidly enlarging uterus. Which of the following chromosomal set is most likely to be found in the cells of this lesion?- A.
46YY
- B.
46XX, both sets are paternal
- C.
69XXX, one set is maternal and two are paternal
- D.
69XXY, one set is paternal and two are maternal
- 6.
- A.
Placenta previa
- B.
Invasive hydatidiform mole
- C.
Abruptio placentae
- D.
Eclampsia
- 7.A 23-year-old African American woman in her second trimester of pregnancy complains of unilateral right leg swelling that has worsened over the past two days. The patient reports a history of a pelvic inflammatory disease and two miscarriages. Physical examination reveals a markedly swollen, cyanotic, warm and tender right leg, distended superficial veins and calf-pain when the foot is passively dorsiflexed. Which of the following is the most likely diagnosis?
- A.
Lymphedema
- B.
Elephantiasis
- C.
Cellulitis
- D.
Deep venous thrombosis
- 8.A 37 year old Bahamian female of African descent presents as a new patient into your office. She has been pregnant 4 times. Her first pregnancy was terminated. Subsequently she has had 2 full term singleton pregnancies and one set of twins born at 34 weeks. Her Gravida and Para would be described as:
- A.
G3 P214
- B.
G4 P2103
- C.
G4 P214
- D.
G3 P3013
- 9.
- A.
Abruptio placenta
- B.
Early labor with bloody show
- C.
Ecclampsia
- D.
Complete placenta previa
- 10.
- A.
Placenta accreta
- B.
Placenta previa
- C.
Abruptio placentae
- D.
Bloody show
- 11.Mrs. Jones just delivered twin baby boys at 35 weeks gestation. The boys are healthy and doing well. She has had 2 previous term deliveries. The gravity and parity would be documented as:
- A.
G4 P2204
- B.
G3 P2204
- C.
G4 P4004
- D.
G3 P2104
- 12.A 37-year-old woman in the fourth month of pregnancy is diagnosed with aggressive ovarian cancer. Her physician advises immediate surgery to remove her ovaries. The woman wants to deliver her baby and has read on the internet that she will have an abortion if her ovaries are removed. She comes to your office for a second opinion. You recommend that
- A.
She postpone the surgery until after the birth of her child
- B.
She postpone the surgery until the third trimester of her pregnancy
- C.
She immediately have the surgery with post-operative progesterone supplements
- D.
She immediately have the surgery with estrogen supplements
- E.
She immediately have the surgery with no hormonal steroid supplements
- 13.
- A.
It selectively constricts uterine arteries
- B.
It causes endothelin release in uterine vascular bed
- C.
It increases platelet aggregation in uterine vascular bed
- D.
It activates the coagulation cascade in uterine capillaries
- E.
It causes powerful uterine contracture
- 14.
- A.
Thromboxane A2
- B.
Dinoprostone
- C.
Oxytocin
- D.
Ergonovine
- E.
Albuterol
- 15.A 33-year-old woman, who was 31 weeks pregnant, was admitted to the obstetrical unit with ruptured membranes. The patient was treated with terbutaline, to delay premature labor, and with another drug to accelerate maturation of the fetal lungs, so decreasing the incidence of neonatal respiratory distress syndrome. Which of the following drugs was most likely administered?
- A.
Progesterone
- B.
Ethinyl estradiol
- C.
Dexamethasone
- D.
Ergonovine
- E.
Dinoprostone
- F.
Fludrocortisone
- 16.A 25-year-old primipara was admitted to the obstetrical unit for labor induction because of a postdate pregnancy. An IV infusion of oxytocin was started. The activation of which of the following signaling pathways most likely mediates the therapeutic efficacy of this drug?
- A.
CAMP synthesis
- B.
Phosphoinositide hydrolysis
- C.
CGMP synthesis
- D.
Tyrosine residue phosphorylation
- E.
Gene transcription
- 17.During stage 3 of labor, the placenta separates at which layer from the uterus?
- A.
Spongy layer of the decidua basalis
- B.
At the chorionic plate
- C.
Between the chorion and the amnion
- D.
Between the smooth chorion (chorion leave) and the decidua parietalis
- E.
At the umbilical cord
.JPG "A 21-year-old African American woman acutely develops lower abdominal pain and vaginal bleeding. While in the bathroom she passes a cast of tissue composed of clot material and then collapses. She is brought to the hospital, where physical examination reveals a soft, tender mass in the right adnexa and pouch of Douglas. Histologic examination of the specimen passed in the bathroom reveals blood blots and endometrial tissue shown below for your evaluation. Which of the following conditions is most likely present in this individual?")
.JPG "The image represents an endometrial biopsy obtained from a 28-year-old pregnant Asian woman with unexpectedly rapidly enlarging uterus.
Which of the following chromosomal set is most likely to be found in the cells of this lesion?")
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