Pedgyn Exam Questions

- Pyloric stenosis:
	- US diagnosis
	- surgical therapy
	-
	-

- from what weak chorionic villi sampling

- breast lump suspicious for malignancy after MG and US. Next step?
	- core-cut biopsy
	- MRI
	- surgical diagnosis
	-

- fetal circulation:
	- there are 1 A. + 1 V. umbilicalis
	- the ventricles are connected by foramen ovale
	- excessive deoxygenated blood bypasses liver through ductus verus [they meant ductus venosus......]
	- A. umbilicalis brings oxygenated blood from placenta to fetus

- mature placental villus:
	- contains no vessels
	- thin vascularized [exactly written like this]

- ductus arteriosus:
	- closes due to prostaglandin levels
	- closes within 2 days [?]
	- closes within 6 months [?]

- ductus Botalli connects:
	- LV and A. umbilicalis [?]
	- RV and pulmonary vein [?]
	- pulmonary artery and A. subclavia
	- [something else weird]

- what is special about human child growth?
	- marked sex difference
	- big catchup in puberty
	- "quiet" period of childhood growth

- regulation of puberty:
	- LH, FSH directly stimulate androgen/estrogen receptors in periphery
	- prolactin induces breast growth, [sth. else] pubic hair growth, etc. etc.
	-
	-

- (true) pubertas praecox:
	- suppressed/low LH, FSH
	- high estrogen
	- can be due to adrenal tumor
	- Klinefelter sy

-at 4 months, average length of child

- at 6 months [?], average weight

- psychomotor development, what an 8-month-old child [?] does NOT:
	- insert toys to mouth
	- pull itself up and walks few steps
	- fixates objects with eyes

- child abuse is:
	- slap with hand
	- stroke with object
	- hit with fist
	-

- Morbus Hirschsprung is:
	- agangliosis of colon

- impending abortion is called in latin:
	- abortus imminens
	- abortus incipiens
	- abortus missed

- manifestation of Meckel's diverticle:
	- enterorrhagia
	- abdominal pain
	- vomiting

- Fallot tetralogy:
	- dextroposition of aorta
	- RV hypertrophy
	- cyanosis
	- hypoxemic spells

- infant feeding:
	- at 4 months can introduce solid bites
	- breastfed children need vit. D supplemenatation
	- breastfed children need vit. C supplemenatation
	- not possible to give meat and fish as meshed food to children

- infant period ends:
	- with 1st birthday
	- with introduction of solid food

- in girls, first sign of puberty:
	- pubic hair growth
	- breast growth
	- growth acceleration

- most frequent cause of 2° amenorrhea:
	- anorexia nervosa
	-

- 2° amenorrhea is physiological:
	- pregnancy
	- after bilateral ovarectomy
	- [2 wrong answers]

- question about sandwich model of human growth

- best way to diagnose urge incontinence:
	- i.v. urography
	- x-ray
	- MRI
	- dynamic uroflowmetry [or something like that]

- preterm ablation of placenta is:
	- in 3rd phase of delivery
	- in any phase of delivery
	- in pregnancy or 1st phase of delivery
	- in pregancy, 1st or 2nd phase of delivery

- if mother is positive for GBS, we:
	- recommend C-section
	- give antibiotics [...] until 24 h after delivery
	- give antibiotics after rupture of membranes
	- give antibiotics after rupture of membranes or start of uterine contractions, until child is born

- APGAR score measures:
	- breathing, heart rate, [...] and maturity
	- breathing, heart rate, [...], sucking, response to stimuli
	- [some other weird things]