Thursday 20 December 2012

Lesson 2 ( Embryology)



Lesson 2 (Embryology)

1.Mesonephric(Wolffian) ducts:
a.is present in the female embryo
b.forms the processus vaginalis
c.forms the epoophoron
d.forms the testis
e.does not respond to testosterone unless it is converted to dihydrotestosterone

2.the human oocytes
a.at ovulation is smaller than the human sperm.
b.commences its first meiotic divison at the age of puberty
c.contains a haploid number of chromosomes as a secondary oocyte
d.is connected to surrounding granulosa cells by microvilli
e.develops from the germinal epithelium of ovary

3.the urogenital ridge give rise to
a.the urinary bladder
b.the fallopian tube
c.the ureter
d.the cervix
e.the vulva

4.during embryological development
a.there are four umbilical vessel
b.the inferior parathyroid gland develops from the third pharyngeal pouch
c.the adrenal cortex and medulla develop frpm the mesoderm
d.the physiological umbilical hernia is reduced by the end of the tenth intrauterine week
e.the caudal end of the neural tube closes earlier than the cranial end

5 Structures developing from the mesoderm include
a.spleen
b.liver
c.heart
d.serous membrane
e.the lens of the eye

6.regarding spermatogenesis in the human
a.the whole process take about 70-80 days
b.spermatogonia divide by meiosis
c.the sperm move actively along the seminiferous tubules
d.one spermatogonium give rise to four spermatids
e.the mid piece of the mature sperm is rich in mitochondria

7.in early human development
a.fertilization normally occurs in the ampullary part of fallopian tube
b.implantation occurs 2-3 days post fertilization
c.implantation occurs at stage of blastocyst
d.the second meiotic division of sperm is completed after fertilization
e.the yolk sac develops within the inner cell mass

8.the amniotic fluid
a.is more alkaline than blood
b has increased bilirubin concentration with increased gestation
c.contains glial cells in the presence of open neural tube defects
d.does not contain fibrinogen
e.has increased insulin concentration with increased gestation

9.the vagina :
a.develops partially from urogenital sinus
b.recanalize at 20 weeks post conception
c.may be absent in the presence of ovaries
d.has a pH of 5 in the first few days of life
e.may be completely absent in the presence of uterus

10.in the fetal circulation
a.the ductus arteriosus develops from the left sixth pharyngeal arch artery
b.the ductus venosus carries deoxygenated blood
c.there is high pulmonary vascular resistance
d.there is low placental vascular resistance
e.the pulmonary blood flow is about 25% of cardiac output

discussion date:21/12/2012
venue:L/R segamat

Saturday 15 December 2012

Lesson 1 MRCOG part 1



Anatomy question
1.contents of rectus sheath include:
a. the external oblique muscle
b.inferior epigastric artery
c.subcostal nerve
d.pyramidalis muscle
e.musculophrenic artery

2.inferior vena cava:
a.is joined by left ovarian vein
b.is retroperitoneal
c.lies behind the third part of duodenum
d.pierces the diaphragm through the same opening as azygos vein
e.Lies in front of medial border of right psoas major muscles

3.Inferior epigastric artery
a.lies lateral to deep inguinal ring
b.originates from internal iliac artery
c.Anastomoses with branch of internal thoracic artery
d.pierces of fascia transversalis
e.passes in front of arcuate line

4.boundaries of femoral ring include:
a.Femoral vein
b.femoral artery
c.lacunar ligament
d.inguinal ligament
e.pectineal ligament

5.Muscle attached to perineal body include:
a.Bulbo-spongiosus muscle
b.ischio cavernosus muscle
c.external anal sphinchter
d.deep transverse perineal muscle
e.Pubo-coccygeus part of levator ani muscle

6.Following ligation of internal iliac artery collateral circulation is established through anastomosis between
a.inferior vesical and superior vesical arteries
b.superior gluteal and inferior gluteal arteries
c.uterine and ovarian arteries
d.middle haemorrhoidal and superior haemorrhoidal arteries
e.ilio-lumbar and lumbar arteries

7.the lumbar vertebra:
a.the foramen transversarium in the transverse process
b.articular facet at the tip of transverse process
c.three primary centres of ossification
d.medial and lateral rotatory movement
e.multifidus muscle attached to mammillary process

8.in the female breast:
a.is mesodermal in origin
b.overlies the serratus anterior muscle
c.consist of 15-25 lobes
d.extends from 2nd to the 6th rib in midclavicular line
e.has lymphatic connection between both sides


9.spinal subarachnoid spaces
a.contains cerebro spinal fluid
b.is transverse by ligamentum denticulatum
c.terminates at level of fifth lumbar vertebra
d.is crossed by fibrous processes connecting the pia mater to arachnoid mater
e.communicates with subarachnoid space of posterior cranial fossa

10.Right uterine artery:
a.is a branch of internal iliac artery
b.crosses under the ureter
c.anastomoses with the ovarian artery in broad ligament
d.runs along the anterior surface of body of uterus
e.passes through the deep inguinal ring





REF BOOK: MRCOG part 1 success Manual by khaldoun w.sharif

CME HO and class for HO



CME timetable for HO 2012-2013
Date

topic
presenter
mentor
5 December 2012
PPH
Dr Hakimah
Dr Zharif
12 December
2012
Perinatal mortality
Dr Fahmiza
Dr Azreen
19 December
2012
PIH, ECLAMPSIA,PREECLAMPSIA
Dr.Hamraa
Dr Naziha
26 December
2012
Perinatal mortality
Dr.Syuhadah
Dr.Iza
2 January 2013
Chorioamnitis,PPROM,PROM
Dr Iqbal
Dr Thenmolee
9 January
2013
Perinatal mortality
Dr Hakimah
Dr Zharif
16 January
2013
Anaemia in Pregnancy
Dr Muzamil
Dr Noribah
23January 2013
Perinatal mortality
Dr.Hamraa
Dr Naziha
30 January
2013
Twin pregnancy,TTTS,selective IUGR
Dr.syuhadah
Dr.Iza
6 February
2013
Perinatal mortality
Dr.Iqbal
Dr Thenmolee
13 February
2013
GDM
Dr.Fahmiza
Dr.Azreen
20 February
2013
Perinatal mortality
Dr Muzamil
Dr Noribah
27 February
2013
Cord prolapsed,cord presentation
Dr Hakimah
Dr.Zharif
6 March
2013
IOL


13 March
2013
LSCS


20 March 2013
Ectopic pregnancy


27 March 2013
Miscarriage


3 April
2013
IUD,FSB,MSB,Early neonatal death


10 April
2013
Ovarian cyst,Ovarian cancer


17 April
2013
Uterine inversion,placenta abruption,


24 April
2013

Rhesus negative


1 May
2013
Uterine fibroid,uterine cancer


8 May
2013
Placenta praevia,placenta accrete
Placenta percreta


15 May
2013
HPV,Cervical cancer,HVS


22 May
2013
Chickenpox in pregnancy,Maternal pyrexia







Class for HO
Date
Tutor (MO & Specialist)

17 December 2012 ( 3 pm )
Dr Noribah & Dr Nachi-
Ultrasound
14 January
2013
Dr Zharif & Dr Hussein
CTG
11 February
2013
Dr  Naziha & Dr Fatimah
Ultrasound
11 March
2013
Dr Azreen & Dr Nachi
CTG
15 April
2013
Dr Iza& Dr Hussein
Ultrasound

*All Ho Compulsory to attend Ultrasound class and CME
All CME must seen by mentor the day before presentation