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  • Question 1 - Which one of the following features is associated with Turner's syndrome? ...

    Incorrect

    • Which one of the following features is associated with Turner's syndrome?

      Your Answer: Hirsutism

      Correct Answer: Primary amenorrhea

      Explanation:

      Turner syndrome patients present with primary amenorrhea. These ladies have non functional or streak ovaries and they cant conceive. Their genetic traits is 45X. They have a shielded chest, webbed neck and low height. These patients suffer from primary amenorrhea.

    • This question is part of the following fields:

      • Embryology
      23.5
      Seconds
  • Question 2 - The best confirmatory test for Turner's syndrome is done by: ...

    Correct

    • The best confirmatory test for Turner's syndrome is done by:

      Your Answer: Chromosomal analysis (Karyotyping)

      Explanation:

      Standard karyotyping is the best confirmatory test for the diagnosis of Turner syndrome among patients who have some doubtful clinical presentations. It is done on peripheral blood mononuclear cells.

    • This question is part of the following fields:

      • Embryology
      24.7
      Seconds
  • Question 3 - Androgen insensitivity syndrome is characterised by which one of the following karyotypes? ...

    Incorrect

    • Androgen insensitivity syndrome is characterised by which one of the following karyotypes?

      Your Answer: 47XXY

      Correct Answer: 46XY

      Explanation:

      Genetically, patients suffering from androgen insensitivity syndrome are 46XY. They are males but insensitive to male hormones i.e. androgens.

    • This question is part of the following fields:

      • Embryology
      28.2
      Seconds
  • Question 4 - How many days after fertilisation does the morula form? ...

    Incorrect

    • How many days after fertilisation does the morula form?

      Your Answer: 6

      Correct Answer: 4

      Explanation:

      When there are about 12-32 blastomeres, the developing human is referred to as morula. It enters the uterine cavity around the 4th day after fertilization.

    • This question is part of the following fields:

      • Embryology
      7.5
      Seconds
  • Question 5 - Ootidogenesis refers to which process during Oogenesis? ...

    Incorrect

    • Ootidogenesis refers to which process during Oogenesis?

      Your Answer: Growth and maturation

      Correct Answer: 1st and 2nd Meiotic Divisions

      Explanation:

      During the early fetal life, oogonia proliferate by mitosis. They enlarge to form primary oocyte before birth. No primary oocyte is form after birth. The primary oocyte is dormant is the ovarian follicles until puberty. As the follicle matures, the primary oocyte completes its first meiotic division and gives rise to secondary oocyte. During ovulation the secondary oocytes starts the second meiotic division but is only completed if a sperm penetrates it. This 1st and 2nd meiotic division is known as ootidogenesis.

    • This question is part of the following fields:

      • Embryology
      14.2
      Seconds
  • Question 6 - The second meiotic division of the oocyte is normally completed: ...

    Incorrect

    • The second meiotic division of the oocyte is normally completed:

      Your Answer: At the stage of the primary follicle

      Correct Answer: After the sperm penetrates the secondary oocyte

      Explanation:

      Upon penetration, if all is normally occurring, the process of egg-activation occurs, and the oocyte is said to have become activated. This is thought to be induced by a specific protein phospholipase c zeta. It undergoes its secondary meiotic division, and the two haploid nuclei (paternal and maternal) fuse to form a zygote.

    • This question is part of the following fields:

      • Embryology
      29.2
      Seconds
  • Question 7 - What is the life span of the corpus luteum in days? ...

    Incorrect

    • What is the life span of the corpus luteum in days?

      Your Answer: 26-30

      Correct Answer: 14-16

      Explanation:

      After the release of the oocyte, the theca and the granulosa cells form the corpus luteum which undergoes extensive vascularization for continued steroidogenesis. Progesterone is secreted by the luteal cells and is synthesized from cholesterol. The luteal phase lasts for 14 days and if implantation does not occurs the corpus luteum starts to degenerate. As B-HCG produced by the implanted embryo maintains it and without it luteolysis occurs.

    • This question is part of the following fields:

      • Embryology
      17
      Seconds
  • Question 8 - The external carotid artery develops from which pharyngeal arch? ...

    Incorrect

    • The external carotid artery develops from which pharyngeal arch?

      Your Answer: 2nd

      Correct Answer: 1st

      Explanation:

      The maxillary arteries and the external carotid arteries develop from the first pharyngeal arch. The stapedial arteries arise from the second, the common carotid artery and the internal carotid arteries from the third and the arch of the aorta and the right subclavian artery from the forth arch.

    • This question is part of the following fields:

      • Embryology
      12.5
      Seconds
  • Question 9 - Regarding implantation, how many days after fertilisation does it typically occur? ...

    Correct

    • Regarding implantation, how many days after fertilisation does it typically occur?

      Your Answer: 8

      Explanation:

      Fertilization usually occurs in the fallopian tubes after ovulation. The zygote moves through the fallopian tube and implants in the endometrium about 7-9 days after fertilisation, or 6-12 days after ovulation.

    • This question is part of the following fields:

      • Embryology
      7.3
      Seconds
  • Question 10 - Commonest cause of precocious puberty is: ...

    Correct

    • Commonest cause of precocious puberty is:

      Your Answer: Idiopathic

      Explanation:

      Precocious puberty can be defined as secondary sexual characteristics that occur before the age of 8 years in females and 9 years in males. In 80-90% of individuals it is idiopathic. Other causes include CNS anomalies and tumours, increased exposure to sex hormones/steroids, pituitary gonadotrophin secreting tumours and ovarian tumours etc.

    • This question is part of the following fields:

      • Embryology
      14.9
      Seconds
  • Question 11 - Which of the following hormones is secreted by the corpus luteum in a...

    Incorrect

    • Which of the following hormones is secreted by the corpus luteum in a non pregnant state?

      Your Answer: LH

      Correct Answer: Progesterone

      Explanation:

      The corpus luteum is formed from the granulosa cells of the mature follicle. The structure functions as a transient endocrine organ which secretes mainly progesterone with additional secretion of oestradiol and inhibin, which serve to suppress FSH levels. In the event of no pregnancy, the corpus luteum stops producing progesterone and degenerates into the corpus albicans.

    • This question is part of the following fields:

      • Embryology
      27.5
      Seconds
  • Question 12 - Regarding the closure of the ductus arteriosus (DA) after birth which of the...

    Incorrect

    • Regarding the closure of the ductus arteriosus (DA) after birth which of the following most accurately describes the mechanisms leading to closure of the DA?

      Your Answer: Increased arterial pO2, increased bradykinin & increased Prostaglandin E2

      Correct Answer: Increased arterial pO2, increased bradykinin & decreased Prostaglandin E2

      Explanation:

      Normal closure of the ductus arteriosus (DA) is brought about by a number of mechanisms. Upon delivery the new born babies first breath inflates the lungs and this causes a rise in pO2. Oxygen is known to cause constriction of the DA in vivo and in vitro. In addition the decreased vascular resistance means the pressure within the lumen of the DA drops aiding closure. In addition on inflation of the lungs, the lungs produce bradykinin which stimulates smooth muscle constriction of the ductus. The most important factor is thought to be the drop in Prostaglandin E2. Prostaglandin E2 maintains patency of the Ductus in the unborn child but after birth is metabolised in the lungs and its levels fall rapidly within 3 hours of birth.

    • This question is part of the following fields:

      • Embryology
      37.6
      Seconds
  • Question 13 - A Bicornuate uterus is due to which of the following? ...

    Correct

    • A Bicornuate uterus is due to which of the following?

      Your Answer: Abnormal fusion and reabsorption of the paramesonephric ducts

      Explanation:

      A Bicornuate uterus (heart shaped) is the result of abnormal fusion and reabsorption of the paramesonephric ducts during embryogenesis. Mullerian agenesis typically results in failure to form a uterus. Mullerian duct fusion abnormalities can cause a bicornuate malformation. PKD-1 gene abnormalities are associated with PCOS. Crossed fused ectopia result in Horseshoe kidney.

    • This question is part of the following fields:

      • Embryology
      7.5
      Seconds
  • Question 14 - All of the following are features of Turner's syndrome except: ...

    Incorrect

    • All of the following are features of Turner's syndrome except:

      Your Answer: The girls are of short stature

      Correct Answer: The ovaries are usually well developed

      Explanation:

      Turner syndrome patients have malfunctioning or streak ovaries due to which they can never conceive. It affects females, who will have a short stature, widely spaced nipples, webbed neck and karyotyping shows 45XO.

    • This question is part of the following fields:

      • Embryology
      36.7
      Seconds
  • Question 15 - From which germ cell layer does the GI tract initially develop? ...

    Incorrect

    • From which germ cell layer does the GI tract initially develop?

      Your Answer: Paraxial Mesoderm

      Correct Answer: Endoderm

      Explanation:

      The GI tract forms from the endoderm. The endoderm grows laterally and then ventrally finally folding on its self to form the gut tube.

    • This question is part of the following fields:

      • Embryology
      5.5
      Seconds
  • Question 16 - The external carotid artery develops from which pharyngeal arch? ...

    Correct

    • The external carotid artery develops from which pharyngeal arch?

      Your Answer: 1st

      Explanation:

      The external carotid develops from the 1st arch. The common and internal carotid develop from the 3rd arch.

    • This question is part of the following fields:

      • Embryology
      11.3
      Seconds
  • Question 17 - All of the following statements are true regarding Turner's syndrome except? ...

    Incorrect

    • All of the following statements are true regarding Turner's syndrome except?

      Your Answer: Are usually less than 5 feet tall

      Correct Answer: The streak ovaries should be removed surgically due to 25% tendency to be malignant

      Explanation:

      Girls with Turner’s syndrome (45,X) are not at risk for malignancy. Patients with feminizing testicular syndrome with XY chromosome composition and patients with mixed gonadal dysgenesis are at risk for malignancy, and bilateral gonadectomy is performed.

    • This question is part of the following fields:

      • Embryology
      32.9
      Seconds
  • Question 18 - The 7th cranial nerve develops from which pharyngeal arch? ...

    Incorrect

    • The 7th cranial nerve develops from which pharyngeal arch?

      Your Answer: 1st

      Correct Answer: 2nd

      Explanation:

      The 7th Cranial nerve is the facial nerve. The facial nerve develops from the second pharyngeal arch.

    • This question is part of the following fields:

      • Embryology
      10.2
      Seconds
  • Question 19 - At what age does meconium first appear in the fetal terminal ilium? ...

    Correct

    • At what age does meconium first appear in the fetal terminal ilium?

      Your Answer: 10-16 weeks gestation

      Explanation:

      Meconium first appears in the fetal ilium at 10-16 weeks.

    • This question is part of the following fields:

      • Embryology
      4.7
      Seconds
  • Question 20 - Ootidogenesis refers to which process during Oogenesis? ...

    Correct

    • Ootidogenesis refers to which process during Oogenesis?

      Your Answer: 1st and 2nd Meiotic Divisions

      Explanation:

      Oogonium become Primary Oocyte via Growth/Maturation. This process is called oocytogenesis Primary Oocyte undergoes 2 meiotic divisions to become Ootids. This process is called Ootidogenesis Ootids differentiate into Ovum

    • This question is part of the following fields:

      • Embryology
      15.5
      Seconds
  • Question 21 - In the non-pregnant state which of the following hormones is secreted by the...

    Correct

    • In the non-pregnant state which of the following hormones is secreted by the corpus luteum?

      Your Answer: Progesterone

      Explanation:

      The Corpus Luteum is a temporary endocrine structure that secretes two steroid hormones: 1. Progesterone (17a Hydroxyprogesterone) and 2. Oestradiol. The corpus luteum also secretes Inhibin A. In the menstrual cycle if fertilisation doesn’t occur the corpus luteum stops secreting progesterone and degenerates into a corpus albicans. If fertilisation occurs hCG signals the corpus to continue progesterone production and it is then termed the corpus luteum graviditatis

    • This question is part of the following fields:

      • Embryology
      42.4
      Seconds
  • Question 22 - Which one of the following statements is true regarding the development of external...

    Incorrect

    • Which one of the following statements is true regarding the development of external genitalia?

      Your Answer: The genital tubercles form the labia minora

      Correct Answer: The genital fold forms the scrotum in males

      Explanation:

      Genital folds lead to the formation of the scrotum in males while in females they form the posterior labial commissure. Genital tubercles form the labia majora whereas the tubercle itself becomes the mons pubis. The labia minora is formed by the urogenital folds.

    • This question is part of the following fields:

      • Embryology
      30.3
      Seconds
  • Question 23 - All of the following may result from a bicornuate uterus except: ...

    Incorrect

    • All of the following may result from a bicornuate uterus except:

      Your Answer: Retained placenta

      Correct Answer: Congenital anomalies of the baby

      Explanation:

      Literature review shows that bicornuate uterus is associated with increase risk of spontaneous abortion in about 36% of patients. There is also an increased risk of preterm birth, malpresentation and fetal growth retardation.

    • This question is part of the following fields:

      • Embryology
      24.7
      Seconds
  • Question 24 - Which structure is the primary mechanism for shunting blood away from the fetal...

    Incorrect

    • Which structure is the primary mechanism for shunting blood away from the fetal pulmonary circulation?

      Your Answer: Ductus Arteriosus

      Correct Answer: Foramen Ovale

      Explanation:

      Blood enters the right atrium of the fetal heart and most passes through the foramen ovale into the left atrium. From there it is pumped through the aorta. The foramen ovale is the major structure for bypassing the fetal pulmonary circulation. Some of the blood in the right atrium does enters the right ventricle and then into the pulmonary artery however most of this passes through the ductus arteriosus into the aorta thus bypassing the fetal pulmonary circulation.

    • This question is part of the following fields:

      • Embryology
      29.5
      Seconds
  • Question 25 - Several mechanisms have been proposed as to what causes closure of the Ductus...

    Incorrect

    • Several mechanisms have been proposed as to what causes closure of the Ductus Arteriosus (DA) at Parturition. Which of the following is the most important in maintaining the patency of the DA during pregnancy?

      Your Answer: Progesterone and Oestrogen

      Correct Answer: PGE2

      Explanation:

      Prostaglandin E1 and E2 help maintain the patency of the DA during pregnancy. PGE2 is by far the most potent and important. It is produced in large quantities by the placenta and the DA itself.

    • This question is part of the following fields:

      • Embryology
      18.8
      Seconds
  • Question 26 - Levels of which of the following hormones are increased in ovarian dysgenesis? ...

    Incorrect

    • Levels of which of the following hormones are increased in ovarian dysgenesis?

      Your Answer: Progesterone

      Correct Answer: Pituitary gonadotropins

      Explanation:

      There is marked elevation of FSH and LH in ovarian dysgenesis, produced by the pituitary.

    • This question is part of the following fields:

      • Embryology
      10.2
      Seconds
  • Question 27 - Branches V2 and V3 of the trigeminal nerve develop from which pharyngeal arch?...

    Incorrect

    • Branches V2 and V3 of the trigeminal nerve develop from which pharyngeal arch?

      Your Answer: 4th

      Correct Answer: 1st

      Explanation:

      Trigeminal nerve has three divisions, the first is the ophthalmic division that does not originate from any of the pharyngeal arches, the second and third divisions, namely, the maxillary and the mandibular region develop from the first pharyngeal arch.
      Pharyngeal Arches:
      1st = Trigeminal V2 & V3 (CN V)
      2nd = Facial (CN VII)
      3rd = Glossopharyngeal (CN IX)
      4th and 6th = Vagus (CN X)

    • This question is part of the following fields:

      • Embryology
      10.5
      Seconds
  • Question 28 - Normal physiological gut herniation occurs at how many weeks gestation? ...

    Incorrect

    • Normal physiological gut herniation occurs at how many weeks gestation?

      Your Answer: 3 weeks

      Correct Answer: 8 weeks

      Explanation:

      At about 8-12 weeks gestation, normal physiological herniation of the fetal bowel occurs. The midgut protrudes into the base of the umbilicus, and undergoes a 90-degree anticlockwise rotation. When the abdominal cavity enlarges enough to fit the developing midgut, the intestines undergo another 180-degree rotation before returning to the abdominal cavity.

    • This question is part of the following fields:

      • Embryology
      56.9
      Seconds
  • Question 29 - Which one of the following statements is true regarding androgen insensitivity syndrome? ...

    Incorrect

    • Which one of the following statements is true regarding androgen insensitivity syndrome?

      Your Answer: Phenotypically they are female but with undeveloped breasts

      Correct Answer: They have no uterus

      Explanation:

      Androgen insensitivity syndrome means that patients are phenotypically males but they are resistant or insensitive to male androgen hormones. They do not have a uterus. Due to insensitivity to androgens these patients often have female traits but their genetic makeup is of male, 46XY.

    • This question is part of the following fields:

      • Embryology
      20.7
      Seconds
  • Question 30 - All of the following features are associated with congenital uterine malformations except: ...

    Incorrect

    • All of the following features are associated with congenital uterine malformations except:

      Your Answer:

      Correct Answer: Pregnancy induced hypertension

      Explanation:

      Congenital uterine abnormalities are associated with an increased risk of spontaneous abortions, preterm delivery of the foetus, fetal growth retardation and malpresentation.

    • This question is part of the following fields:

      • Embryology
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Embryology (13/29) 45%
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