An obese 45 year old female pateint with an elevated temperature comes to the physicians
office complaining of nausea and intermittent, acute pain in the right upper quadrant of the
abdomen during the past 2 days. She has a 24 hour history of gallstones. Which of the following
structures has most likely been obstructed by a gallstone?
a. Cystic Duct
b. Left Hepatic Duct
c. Common Bile Duct
d. Pancreatic Duct
e. Right Hepatic Duct
. A 22 year old primigravida recently emigrated from the Dominican Republic has a normal
vaginal delivery. The infant is phenotypically male but has hypospadias and a small phallus. The
testes are well developed but reisde in the inguinal area. His physical exam including blood
pressure is otherwise normal. Serum testosterone level is within normal limits. A karyotype is
performed and shows 46 XY. Which of the following enzymes is most likely deficient in this
patient?
a. Aromatase
b. 5a-reductase
c. DHEA sulfatase
d. 17-hydroxylase
e. 21-hydroxylase
As part of her twice a week workout routine, a 26 year old woman does an exercise in which
she sits in a machine with her legs together and then opens her legs against lateral resistance
provided by the machine. The nerve responsible for this type of movement is the:
a. Superior Gluteal Nerve
b. Obturator Nerve
c. Deep Peroneal Nerve
d. Sciatic Nerve
e. Femoral Nerve
A young couple presents with concerns that they have not been able to conceive a child.
Physical exam of the 22 year old husband reveals mild obesity, gynecomastia, and decreased
facial and axillary hair. He has male genitalia, but penile length is decreased and the testes are
small. Chromosomal analysis reveals the XXY pattern of Kleinfetler syndrome. Which of the
following is the principal androgen responsible for transforming undifferintiated external genitalia
in the fetus into male external genitalia?
a. Andeostenedione
b. Testosterone
c. Androsterone
d. Mūllerian-inhibiting substance (MIS)
e. Dihydrotestosterone
, 47. A male gubernaculum helps to pull the testes from the posterior abdominal wall to the
labioscrotal swelling, in the female what does the gubernaculum become?
a. Broad ligament and round ligament
b. Round ligament of uterus and round ligament of ovary
c. Mesosalpinx and mesovarium
d. Round ligament of ovary and mesosalpinx
e. Round ligament of uterus and mesometrium
48. A 30 year old woman presents to her physician’s office with swelling in her right cheek and
increased salvation. She is diagnosed with a parotid gland tumor. The increased salivary flow
rate caused by the tumor would cause what changes in salivary electrolyte levels?
a. A
b. B?
c. C
d. D
e. E
A 68 year old woman with hematemesis has heartburn and stomach acid pain. An endoscopy
showed inflammation involving the gastric body and antrum as well as a small gastric ulcer.
Biopsies were positive for H pylori. H pylori damages the gastric mucosa primarily by increasing
mucosal levels of which of the following?
a. NSAIDs
b. Gastrin
c. Ammonium
d. Pepsin
e. Bile Salts
A 56 year old woman slipped and fell on her outstretched hand on a wet floor. She experienced
a severe pain at the wrist, and over her right collar bone. On examination at the ER, there were
both swelling and tenderness in her right anatomical snuffbox, dorsal deviation of the distal part
office complaining of nausea and intermittent, acute pain in the right upper quadrant of the
abdomen during the past 2 days. She has a 24 hour history of gallstones. Which of the following
structures has most likely been obstructed by a gallstone?
a. Cystic Duct
b. Left Hepatic Duct
c. Common Bile Duct
d. Pancreatic Duct
e. Right Hepatic Duct
. A 22 year old primigravida recently emigrated from the Dominican Republic has a normal
vaginal delivery. The infant is phenotypically male but has hypospadias and a small phallus. The
testes are well developed but reisde in the inguinal area. His physical exam including blood
pressure is otherwise normal. Serum testosterone level is within normal limits. A karyotype is
performed and shows 46 XY. Which of the following enzymes is most likely deficient in this
patient?
a. Aromatase
b. 5a-reductase
c. DHEA sulfatase
d. 17-hydroxylase
e. 21-hydroxylase
As part of her twice a week workout routine, a 26 year old woman does an exercise in which
she sits in a machine with her legs together and then opens her legs against lateral resistance
provided by the machine. The nerve responsible for this type of movement is the:
a. Superior Gluteal Nerve
b. Obturator Nerve
c. Deep Peroneal Nerve
d. Sciatic Nerve
e. Femoral Nerve
A young couple presents with concerns that they have not been able to conceive a child.
Physical exam of the 22 year old husband reveals mild obesity, gynecomastia, and decreased
facial and axillary hair. He has male genitalia, but penile length is decreased and the testes are
small. Chromosomal analysis reveals the XXY pattern of Kleinfetler syndrome. Which of the
following is the principal androgen responsible for transforming undifferintiated external genitalia
in the fetus into male external genitalia?
a. Andeostenedione
b. Testosterone
c. Androsterone
d. Mūllerian-inhibiting substance (MIS)
e. Dihydrotestosterone
, 47. A male gubernaculum helps to pull the testes from the posterior abdominal wall to the
labioscrotal swelling, in the female what does the gubernaculum become?
a. Broad ligament and round ligament
b. Round ligament of uterus and round ligament of ovary
c. Mesosalpinx and mesovarium
d. Round ligament of ovary and mesosalpinx
e. Round ligament of uterus and mesometrium
48. A 30 year old woman presents to her physician’s office with swelling in her right cheek and
increased salvation. She is diagnosed with a parotid gland tumor. The increased salivary flow
rate caused by the tumor would cause what changes in salivary electrolyte levels?
a. A
b. B?
c. C
d. D
e. E
A 68 year old woman with hematemesis has heartburn and stomach acid pain. An endoscopy
showed inflammation involving the gastric body and antrum as well as a small gastric ulcer.
Biopsies were positive for H pylori. H pylori damages the gastric mucosa primarily by increasing
mucosal levels of which of the following?
a. NSAIDs
b. Gastrin
c. Ammonium
d. Pepsin
e. Bile Salts
A 56 year old woman slipped and fell on her outstretched hand on a wet floor. She experienced
a severe pain at the wrist, and over her right collar bone. On examination at the ER, there were
both swelling and tenderness in her right anatomical snuffbox, dorsal deviation of the distal part
