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Obstetrics & Gynecology actual exam-2024 with question and answers What is the most common ovarian malignancy in women <30 years - CORRECT ANSWEROvarian Germ Cell Tumor Clinical manifestation: Pelvic pain due to rapid expansion --> Hemorrhage or $20.39
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Obstetrics & Gynecology actual exam-2024 with question and answers What is the most common ovarian malignancy in women <30 years - CORRECT ANSWEROvarian Germ Cell Tumor Clinical manifestation: Pelvic pain due to rapid expansion --> Hemorrhage or
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Obstetrics & Gynecology actual -2024 with ques
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Obstetrics & Gynecology Actual -2024 With Ques
Obstetrics & Gynecology actual exam-2024 with question and answers
What is the most common ovarian malignancy in women <30 years - CORRECT ANSWEROvarian Germ Cell Tumor
Clinical manifestation:
Pelvic pain due to rapid expansion --> Hemorrhage or necrosis
85% - Pelvic pain + Pelvic m...
What are the 3 phases of Lymphogranuloma Venereum - CORRECT
ANSWERLYMPHOGRANULOMA VENEREUM
Chlamydia trachomatis
Three phases
1. Primary Infection - Shallow painless ulcer
2. Secondary infection - Bubo (painful adenopathy) + Groove Sign (enlarge matted
tender LN)
3. Tertiary - multiple draining sinuses + fistula with extensive destruction of genital and
anorectal region
Treatment
1. Doxycycline 100mg BID for 21 days
What causes the enlargement of the uterus? - CORRECT ANSWER1. Hormonal -
Estrogen + Progesterone (Hypertrophy)
2. Pressure exerted by fetal contents (Stretching)
Which layer of the uterine musculature forms the majority of the uterine wall?
What is the configuration of uterine myocytes and what is its function? - CORRECT
ANSWERMiddle layer - Dense network of muscle fibers and vessels
Internal layer - Sphincter like fibers
Outer hood-like Layer - Arches over fundus and extends into various ligaments
*Configuration of myocytes: Figure of 8 to allow contraction after delivery and constrict
penetrating vessels to halt bleeding
, What is responsible for dextrorotation of the uterus? - CORRECT
ANSWERRectosigmoid - By the end of 12 weeks, uterine ascent allows for dextrotation
of the uterus due to the rectosigmoid on the left
What arteries supply the placenta and lose contractility during vasodilation? -
CORRECT ANSWERSpiral Arteries
What hormones act to dilate the spiral arteries? - CORRECT ANSWER1. Estrogen
2. Progesterone
3. Activin
4. Placenta Growth Factor
5. Vascular Endothelial Growth Factor (VEGF)
Signs of Pregnancy:
1. Cervical mucus shows poor crystallization as a result of Progesterone
2. Seen on glass slide as an arborization of ice-crystals. What is the cause and the
sign?
3. Endocervical gland hyperplasia and hypersecretory appearance that is difficult to
differentiate from atypical glandular cells
4. Purplish coloring of the cervix, vulva, and vagina - CORRECT ANSWER1. Beading --
> Poor crystallization due to progesterone
2. Ferning --> Due to amniotic leakage
3. Arias-Stell Reaction
4. Chadwick Sign --> Due to greater vascularity and hyperemia of skin and muscles in
perineum
Changes in the ovaries
1. Slightly elevated clear or red patches that easily bleed seen just beneath the ovarian
surface
2. Hormone secreted by corpus luteum, decidua, placenta, brain, heart, and kidney to
assist in remodeling of reproductive tract connective tissue to accommodate labor
3. Bilateral moderately enlarged cystic ovaries due to elevates serum hCG - CORRECT
ANSWER1. Decidual Reaction - Slightly elevated patches seen just beneath the ovarian
surface; Stimulated by progesterone
2. RELAXIN - Remodeling of reproductive tract connective tissue to accommodate labor
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