Practitioner exam review questions Pok Obstetrics and Gynecology

Obstetrics and Gynecology Review Questions
Pok first unit: female reproductive system anatomy
1. The right ovarian artery is a branch of the abdominal aorta (2) the anatomy of the uterus: the uterus of adult length 7 ~ 8cm, width 4 ~ 5cm, thickness 2 ~ 3cm
3. to maintain the normal position the uterus: uterine ligaments and pelvic floor muscle fascia Brackets 4 from the cervix to the pelvic side wall of the ligament is: the main ligament
5. uterine artery from: hypogastric artery 6 is the narrowest part of the uterus: anatomy of the mouth divider 7 is different from the right side of the left ovarian artery ovarian artery, but also can come from: the renal artery 8 uterine isthmus is: between the cervix and uterus narrowest part of the 9. do hysterectomy and unilateral oophorectomy, the cut off of the following best easy to damage the ureter: intrinsic ovarian ligament 10.. maintain the forward position of the uterus is the major ligaments: uterine round ligament
11. iliac arterial blood supply is not directly before the dry branches are: ovary 12 Pelvic diagonal diameter of the normal is: 13cm 14. pelvic outlet diameter: the inside edge of the ischial tuberosity distance between the front 15. pubic arch angle of 90.16. ovary cyst torsion, the composition of the pedicle is: funnel pelvic ligaments, fallopian tubes, ovaries intrinsic ligament 17 cervical anatomy: a cervix into the vagina and vaginal portion of the upper cervical isthmus b Pok bottom of the organization within the mouth
c cervical mucosa with endocrine function d puberty cervical fluid ratio of 1:2 Palace 18: composition of the pelvic floor: a pelvic floor since the beginning, middle and outer layer, the middle basin, also known as the urogenital diaphragm b separated from the anus of the levator muscle and fascia components, is the most important organ support care component c basin urogenital septum and a pair of two layers of fascia, deep transverse perineal muscle, including the outer layer composed of d anus outside the pelvic floor sphincter 19. vulva appears hematoma most vulnerable areas: the labia majora are Weifang Medical examination Man counseling
20. ischial spine between the average diameter is 10cm 21. After the sagittal diameter of the second unit is 9cm
: female reproductive system physiology
1 anovulatory dysfunctional uterine bleeding menopause is best made during the two depends on the length of the menstrual cycle: the length of the proliferative phase 3 menstrual cramps, ovulation occurs 14 days before the next 4 estrogen and progesterone is the precursor androgen 5 estrogen two peaks, peak after ovulation relatively flat 6 the physiological role of progesterone: the cervix is ??closed, reducing mucus thickens, reduce the degree of drawing 7 physiological role of estrogen: the cervix relaxation, mucus secretion, thin, drawing degree of growth of 8 most abundant cervical mucus, stretching the largest fern crystals in the normal menstrual cycle, the highest: ovulation 9 correct menstrual cramps are: estrogen and progesterone withdrawal bleeding in 10 primary ovarian synthesis of estradiol and estrone two kinds of estrogen 11 of axis: a FSH throughout the cycle are generated, but in 1 to 2 days before ovulation there is peak b FSH, LH in the hypothalamus control the secretion of hormones produced by cyclical changes in ovarian c, are directly affected by the hypothalamus and pituitary control d estrogen in the menstrual cycle after ovulation peak performance than the previous flat 12 described sexual cycle: a period of cyclical changes of endometrial clinical manifestations b cyclical changes in the endometrium by ovarian hormones cyclical changes in ovarian c directly affected by the pituitary, hypothalamus control e estrogen on the hypothalamus also produced 13 positive and negative feedback regulation of ovarian function: a ovarian secretion of estrogen and progesterone and androgen b neonatal ovaries contain more than 100,000 c primordial follicles in women’s life is about 400 d follicular maturation and ovulation of ovarian follicular development each month there are several, but only one ovarian follicle ovulation 14 of the menstrual cycle, cervical mucus changes: A female hormone that increases the amount of cervical mucus secretion , thin and transparent so that the cervical mucus estrogen C degrees in more than 10cm D drawing of progesterone in the cervical mucus crystallization gradually blurred E ovulation effects of estrogen on cervical secretion peak 15. endometrial changes in the menstrual cycle: a endometrial functional layer and basal layer of ovarian function b. the impact of cyclical changes in hormone estrogen to endometrial c was d progesterone proliferative changes in the proliferative endometrium into secretory endometrium 16. mechanism of action of sex hormones: A female hormone estradiol is one of the highest biological activity of most of the estrogen B and plasma protein binding, a small portion of the free state have biological activity, in a dynamic balance between estrogen and cell C pulp receptors play a physiological role only after D estrogen and progesterone receptor content increased to 17. androgen adrenal cortex is to produce female A male hormone androgen is the main source of B precursor of the synthetic estrogen-androgen in the maintenance of C female pubic hair, armpit hair play a role in androgen E’s physical development in adolescence have a certain influence in the process 18. estrogens: the vaginal epithelial cell proliferation keratosis 19 progesterone: the vaginal epithelial cell shedding accelerated
third unit Pregnancy physiological
1. After the egg from the ovary, normal fertilization site: tubal isthmus and ampulla junction 2. and when the sperm meets the egg is the sperm capacitation, and has a secondary egg egg mother cell 3 ovarian changes during early pregnancy is characterized by: luteal function in pregnancy after 10 weeks of pregnancy by the placenta to replace
4. no milk secretion in late pregnancy and maternal estrogen and progesterone levels high for 5 synthetic hormones in the placenta, specific b-subunit of human chorionic gonadotropin contains 6 renal blood flow during normal pregnancy, renal cones filtration rate increased by 7. a prerequisite for implantation: a zona pellucida disappeared b syncytiotrophoblast and blastocyst formation of c development of the endometrium must be synchronized d have enough progesterone to support 8 changes in the uterus during pregnancy: A pregnancy at the beginning, before the uterus is the most obvious path B after early pregnancy, uterine isthmus, the most significant softening during late pregnancy C , most of the uterus have different right-hand
D full-term pregnancy can stretch the lower uterine segment to 7 ~ 10cm 9. pregnancy, uterine blood supply: A progress with the pregnancy, uterine artery and utero-placental vascular bed resistance getting lower and lower B left lateral position in late pregnancy uteroplacental blood supply to the best C uterine contraction uterine blood flow decreased
D during pregnancy, uterine artery blood flow in the forward end-diastolic flow has been
10. milk mechanism of the formation and secretion : A female hormone to promote ductal development and progesterone stimulate the development of breast bubble B to generate a large number of estrogen inhibition of milk
C of prolactin in postpartum milk discharge is to promote the main hormone D generated a lot of milk progesterone inhibited 11 on fetal cord blood oxygen tube: A B fetal umbilical vein and inferior vena higher oxygen content of mixed venous blood oxygen content of less C D fetal aorta of fetal pulmonary venous oxygen content less 12. syncytiotrophoblast produces chorionic gonadotropin 13 Direct maternal blood is in contact with the syncytiotrophoblast cells 14. chorionic gonadotropin secretion reached peak time 8 to 10 weeks of pregnancy 15. pituitary hormone secretion in pituitary lactogen during pregnancy increased 16 the latter half of pregnancy, the importance of amniotic fluid Fetal urine is the source of 17 pregnant women to increase blood volume peak time is 32 to 34 weeks pregnant 18 urine pregnancy test for the diagnosis of prolonged pregnancy is easy to fail 19. chorionic gonadotropin role is to maintain the corpus luteum of pregnancy 20. About Pregnancy A period of changes in the endocrine system pituitary gland to increase pituitary lactogen B increases with the progress of pregnancy, to birth the placenta before the large C peak estrogen and progesterone on the hypothalamus and pituitary negative feedback effect, D as gonadotropin secretion placental function and fetal liver and adrenal synthesis of the role of a large number of estriol 21 nipple and areola color, hypertrophy of sebaceous glands on the areola to form a small bulge Montgomery nodules 22. from 12 to 14 weeks pregnant, irregular, painless uterine contractions Braxton Hicks contraction of 23 cord blood tubes: two arteries, one vein
fourth pregnancy diagnosis unit
1. normal pregnancy of 24 weeks, the uterus at the end of the 1 refers to the height of the navel (2) fetal position is first exposed parts of the fetus indicate points with maternal pelvis relationship 3 pregnant women urine pregnancy test, began to appear positive, generally in the last period after 41 to 50 days 4 normal pregnancy at 12 weeks, the end of the uterus to the pubic symphysis 2 to 3 cross-refers to the 5 cephalic is the most common first exposed pillow 6. decide the size of the pelvic inlet plane of the main path line is the anteroposterior diameter of the entrance 7 on abdominal auscultation in pregnant women, maternal heart rate consistent with abdominal aortic sound is noise 9 About placental function A for the transfer of glucose through the placenta to the placenta B diffusion and active transport to absorb amino acids C placental lactogen (HPL) impede pregnant women’s use of a D amino acids on glucose from the maternal plasma concentration may be 10 and the emergence of the earliest of early pregnancy The most important symptoms of menopause, history of 11 early pregnancy diagnosis, B-pipe probe and fetal heart beat of the most accurate 12 first time pregnant women first feel fetal movement is generally 18 to 20 weeks 13. Hegar uterine isthmus levy is soft, cervix does not appear connected with the Palace 14. fetal body axis and the longitudinal axis of the relationship between maternal style as 15 births. indication of fetal first exposed parts of the relationship between point and maternal pelvis called the fetal position 16 of the first plane into the pelvic inlet fetal part of the fetal 17 fetal pelvis of the imaginary plane through the midpoint of the connection on behalf of the pelvic axis text are Weifang Medical
fifth unit test counseling and health care during pregnancy
1. At present, China uses the tube Health (production) is the gestation period of 28 thoughtful post 1 week 2 for the first time prenatal care, pregnancy diagnosis is most appropriate 3 from the lower edge of the pubic symphysis to the sacral promontory on the edge of the midpoint of the range is the corner radius (sacral shame diameter) 4 .. OC T is positive in the test in 10 minutes late more than three consecutive deceleration, fetal heart rate baseline variability 5 times in the following 5 A on human chorionic gonadotropin is produced by the syncytial trophoblastic B test can be due with the luteinizing known as cross-reactions were false-positive C pregnancy 8 to 10 weeks and reached the peak D molar pregnancy in pregnancy after 12 weeks hC G continue to rise 6 mid-pregnancy diagnosis and monitoring A from pregnancy 18 20 weeks pregnant and consciously from about 20 weeks pregnant fetal movement B can hear the fetal heart sounds using auscultation C 20 weeks pregnant can be touched through the abdominal wall matrix D intrauterine pregnancy 22 weeks from the fetal biparietal diameter increased by about a week 0.22cm 7. pelvic diameter A track line between the two iliac spine iliac spine distance B between the outer diameter of the sacral shame 2000ml 27 to oligohydramnios 110 beats / min was a reliable early diagnosis of heart failure 3. to promote heart disease is a major factor in maternal mortality of heart failure and infection in 4 With regard to rheumatic heart disease in pregnant women during delivery processing, the right is the cervix to prevent maternal spurts of 5 pregnant women with severe viral hepatitis oral broad-spectrum antibiotics is the main purpose of the prevention of hepatic coma 5 blood alanine aminotransferase increased, HB sA g positive for viral hepatitis is diagnosed during pregnancy and childbirth in late pregnancy according to phase 6 with acute viral hepatitis, the greatest threat to the mother is prone to develop severe hepatitis, maternal mortality rate of 7 pregnant women with hepatitis, use of vitamin K before the termination of pregnancy 8 is the right of pregnant women in late pregnancy with acute viral hepatitis, and active treatment should be given attention, mainly because of easy development of severe hepatitis, pregnant women, the maternal mortality rate increased 9 viral hepatitis, prothrombin time, in pregnancy and late prevention of postpartum hemorrhage is the main measures of vitamin K, C 10. pregnant 34 weeks, changes in heart palpitations, shortness of breath, heart border slightly expanded, the apex can be heard and �� grade soft systolic heart murmur, shortness of breath 11 of pregnancy, cyanosis , not supine, continued to wet the bottom of the lung sounds, neck vein filling
eleventh unit abnormal delivery
1. on the coordination of uterine contractions weakness is the correct polarity, symmetry, normal, and only weak contraction of 2 . pregnant women in early labor after the fetal head is not Rupen, we should first consider cephalopelvic disproportion 3 first stage is the active phase cervical dilation 3 ~ 10cm 4. The first stage of labor active phase arrest is the expansion of the cervix is ??no longer up to 2 hours more than 5 uncoordinated uterine atony, to put it back in polarity, should be given intramuscular pethidine 6 coordination of uterine inertia. cervix 5cm, no cephalopelvic disproportion, right after the artificial rupture of membranes should be handled oxytocin infusion 7. breech mothers should not be in the first enema during labor 8. hypotonic uterine inertia, the available capacity 9 oxytocin uterine pathology of uterine contraction ring is formed between the upper and lower segments and narrow ring with Palace reduced gradually by 10. A diagonal warp on the pelvic diameter of less than 12cm diameter stenosis before and after the entrance B between ischial tuberosity and the posterior sagittal diameter and less than 15cm diameter of the narrow exit when C is less than 9cm diameter between the ischial spine to the pelvis E narrow pubic arch angle may reflect the width of the pelvic outlet diameter of 11 A diagnosis of narrow entrance of the pelvis before and after long <10cm narrow entrance to the pelvis between the ischial spine C 9cm diameter in the pelvis to the pubic arch D <80. may pelvic outlet pelvic outlet diameter stenosis
E + posterior sagittal part of the normal range by 13 = 15cm. Rupen delay labor after the fetal head, should first be checked by a diagonal path 14. ischial spine inward prominent than women pelvic features 15 head position, the pelvic inlet stenosis (relative) can pilot 16 persistent occiput posterior position, occipital transverse position when the second stage treatment, the right is suspected cephalopelvic disproportion, the appropriate line cesarean section 17 full-term pregnancy, the fetus, chin position, not by the narrow pelvis, vaginal delivery 18 effects rotation of fetal head 19 within the narrow pelvic outlet diameter between the ischial tuberosity after sagittal diameter plus <15cm 20 funnel-shaped pelvis
intertrochanteric diameter and the ischial tuberosity between the diameter is too short 21. latencies from irregular contractions start, after 16 hours cervical dilation to 2cm 22. active extension of eight hours before cervical dilation 3cm, is the cervix has not opened all 23 active period of stagnation of the whole cervix is ??1 hour, 24 fetal head progression-free second prolonged early maternal cervix two hours after the onset of labor contractions have not been giving birth 25 short and weak, intermittent long, slow progress of production of primary uterine inertia 26 the progress of labor to a certain stage, the contractions weakened appear weak secondary uterine inertia uterine contractions to maintain the normal properties of 27, only intermittent long, continuous short, weak and unable to hypotonic uterine inertia 28 uterine contractions loss of normal characteristics, the uterus does not relax when intermittent high tension to expand the cervix uterine inertia 29 open 9cm, 1 hour after the first drop 0.5cm children 30 maternal fetal head slow, irregular contractions five hours, cervix 3 + cm, artificial break After nine hours the cervix membrane 9cm extension
twelfth unit active childbirth complications
1. head position, meconium-stained amniotic fluid ��. Tip of fetal distress (2) the definition of postpartum hemorrhage after the baby is delivered 24 hours, vaginal bleeding more than 500ml 3. amniotic fluid embolism is the first symptoms of acute respiratory failure 4. A stillbirth B PIH pregnant women with hepatitis C amniotic fluid embolism E D IC-prone due to postpartum hemorrhage caused by 5. grab salvage amniotic fluid embolism measures: A anti-anti-respiratory failure, circulatory failure B C D IC and secondary fibrinolysis correct E in the second stage of labor Chengfa Sheng who, under the circumstances by vaginal delivery 6 A late deceleration fetal movement counting B <10 times / 12 hours yellow-green amniotic fluid C D fetal scalp blood pH 7.28 is the performance of fetal hypoxia 7. pathologic contractions ring most commonly in the head disproportion 8 baby is delivered, then a lot of vaginal bleeding, the best approach is immediate manual removal of the placenta, and injectable uterotonics 9 breech pregnancy, fetal distress was diagnosed when fetal movement fetal heart rate acceleration is not obvious, the baseline variability of less than 3 times / min 10 consistent with the early symptoms of amniotic fluid embolism are breathlessness , coughing, cyanosis and other respiratory failure state 11 in the third stage of labor, uterine contractions may cause uncoordinated 12 incarcerated placenta prematurely when the placenta is not stripped squeeze kneading the uterus can cause incomplete placental separation wall 13 and the Palace of ill-defined placenta placental explants abnormal cells into the thirteenth
puerperal
1. mattress disease is defined as the rate of 24 hours of delivery within 10 days after the daily measurement of the table with the mouth four times, two times the temperature reached or exceeded 38 �� 2. the postpartum puerperal infection refers to genital infection, causing local and systemic inflammatory changes in 3 of puerperal infection is bacteria and pathogenic Escherichia coli A major exogenous infection bacteria strain B cones with gold grapes aureus cones strongest C pathogenic mycoplasma and chlamydia is puerperal infection pathogens D chain cones anaerobic bacteria and Escherichia coli mixed infections, abnormal foul odor EB family chain cones bacteria produce toxins and dissolve the organization outside enzyme to pathogenicity, virulence, spread ability can cause the most serious pathogenic infections 4, can produce a variety of toxic substances, resulting in severe sepsis b-hemolytic chain cones bacteria produce endotoxins 5 most likely to occur bacteremia, caused the shock of E. coli infection
fourteenth unit gynecological history and examination
1. reflect ovarian function with ovulation check for the changes in the secretory phase endometrium was 2 Check the highest accuracy of ovarian function method of endometrial biopsy 3. A form of cervical mucus fern after drying urinary estriol determination of crystalline B C changes in the proliferative phase endometrium was D in most of the vaginal cytology of these keratinocytes checks reflect estrogen 4 found that the level of secretion of the uterus Hum concave posterior uterine rectum, uterosacral ligament lesions of the fifteenth unit used triple diagnosis
white lesions of vulva
1. A diagnosis of vulvar white lesion biopsy for histological diagnosis is the most reliable diagnostic B should be based on multi-point biopsy the lesion biopsy should be selected in C chapped skin, ulcers, swelling, induration, and different parts of the rough drawing, before there can be pathological lesions are not classified as a constant E, biopsy not only more subjects, but also to regular follow-up, in order to improve the accuracy of the text are Weifang Medical sixteenth unit test counseling
female reproductive system inflammation
1. condyloma A drug therapy used in the treatment of small lesions in B and 33% used drugs 50% trichloroacetic acid C 5 �� Fu for the vulva, anus week both diseases D immune modulators to enhance anti-viral and immune function E laser, freezing, and other physical therapy (2) A treatment for syphilis is penicillin allergic to penicillin the drug of choice B who used tetracycline, erythromycin C mother with syphilis can be passed to the fetus through the placenta and cause miscarriage, premature birth, stillbirth, pregnancy should be actively treated E so allergic to penicillin can pregnant women use erythromycin, tetracycline hanged 3 leaching of gonorrhea cones mucosal invasion of bacteria to the reproductive, urinary transitional epithelium columnar epithelial mucosa mainly 4 on acquired immune deficiency syndrome Hum A bucket by human immunodeficiency virus-induced B HIV infection is mainly transmitted through sexual intercourse C HIV can directly E Enter the placenta to the fetus infected blood donors with blood products, the same can be pathogenic 5 gonorrhea, syphilis, AIDS is sexually transmitted diseases, our statutory report 6. A warts on the genital warts in sexually transmitted diseases (STD) in the second only to gonorrhea genital warts B major pathogens of HPVC HPV infects epithelial cells, with vulvar cancer, cervical cancer incidence and the E immune function effects of estrogen can make the rapid development of lesions 7 polymerase chain reaction (PC R) with or without diagnosis of chlamydia infection is the most sensitive 8 due to Chlamydia trachomatis infection in childbirth will lead to neonatal infection, drug treatment during pregnancy should be active, is the preferred treatment 9 with or without chlamydial infection is diagnosed, the following Which checks the most sensitive PC R 10. Hom on human immunodeficiency virus (HIV) infection rarely show clinical signs of infection in the sexual organs, non-specific symptoms, difficult to diagnose, so the detection of HIV antibodies is necessary for diagnosis 11. About Syphilis Syphilis is a systemic disease of infectious disease 12 venereal disease laboratory test can be used for qualitative and quantitative tests, easy operation, high sensitivity, fast results, the most widely used 13 A description of gonorrhea gonorrhea is currently taking place the highest rate of STD B cream cones after the bacteria in vitro under two hours in the dry Zao general disinfectants that inactivate C rapidly inactivated with soap can make E gonorrhea can survive in wet conditions longer than 14 endometrial predilection sites of gonorrhea 15. The clinical manifestations of gonorrhea: B early limited reproductive tract gonorrhea urinary tract, manifested as urinary frequency, dysuria, dysuria, purulent vaginal discharge yellow cream cones C bacteria spread upward along the reproductive tract mucosa, lead to urinary tract next to the pancreatitis, bartholinitis, neck inflammation D gonorrhea can cause endometritis up, acute salpingitis, tubal ovarian cysts, pelvic abscess, peritonitis and even toxic shock E cream cones bacteria can be blood line spread …

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