The fallopian tube is suggested to be the site of origin for high-grade serous ovarian cancer this percent of the time.
70%
According to ACOG, universal screening for hepatitis B should be performed for all pregnant patients by screening for this antigen
Hepatitis B surface antigen
(order surface ag, surface antibody, core antibody triple screen if no documented neg after 18yo, never completed HepB vaccine, known ongoing risk)
This thing found in human serum can cause low level persistent bHCG values without a pregnancy anywhere in the body. The solution urine bHCG!
Heterophilic antibodies
--animal derived antibodies formed during exposure to animal fluids
--cross react with hCG serum ASSAY
--low level (<500 IUml) serum bHCG persistently
--UPT is NEGATIVE!
These are the finalists of the 2023 US open women's and men's singles (must name both)
Coco Guaff
Novak Djokovic
(Courtesy of: TikTok)
Drew Lachey
98 degrees
A) These are the 5 anatomic segments of the fallopian tube.
B) Of these segments the following portion does NOT need to be removed during a risk reducing salpingectomy
A) fimbriae, infundibulum, ampulla, isthmus, intersitium
B) intersitium
Although not common in the United States, this particular type of Hepatitis is commonly transmitted through contaminated water sources in endemic areas and and can cause significant mortality to pregnant patient and neonate
Hepatitis E
These are the 4 most common sites of ureteral injury during a total hysterectomy with BSO
infundibulo-pelvic ligament
uterine artery
uterosacral ligament
inserting into the bladder at time of vaginal cuff closure
These teams all have this conference in common
Southeastern Conference
(Courtesy of: Netflix Untold Swamp Kings)
Justin Timberlake
Nsync
According to ACOG, two studies show that at time of cesarean delivery, bilateral salpingectomy compared to tubal ligation can increase surgical time by this many minutes.
9-13 minutes
--No difference in operative complications, EBL
True of False
Antiretrovirals such as Tenofovir cannot be used to treat pregnant patients with elevated Hep B viral load to decrease vertical transition.
False
Tenofovir is one of the first line treatments.
Consider treatment if: viral load 2000,000 IU/mL in the third trimester.
Both clomiphene citrate and letrozole can be used to induce ovulation. This is the difference in their mechanisms of action. (Name the MOC for clomid vs letrozole)
Clomid: SERM with net anti-estrogenic effect on the APO axis to increase LH, FSH, T
Letrozole: AI that blocks synthesis of estrogen and increases FSH secretion from pituitary

The position of player #5
Hint: Kareem Abdul-Jabbar, Shaquille O'Neal, Nikola Jokic
The Center
(Courtesy of HBO Max: Winning Time The Rise of the Lakers Dynasty)
Joey McIntyre
NKOTB
For all methods of sterilization except postpartum partial salpingectomy, the probability of ectopic pregnancy was greatest in women sterilized before this age.
30 years old
Neonates born to patients who are HepB surface Ag positive should receive Hepatitis B Immunoglobulin within this many hours of life
12 hours
Although not an absolute rule, when performing an emergency cesarean section under local without GETA, lidocaine 1-2% can be given at this rough max mg/kg dose for anesthesia. Both with or without epinephrine.
Lidocaine without epi: 5mg/kg
Lidocaine with epi: 7mg/kg
In April of 2021, twelve of the most powerful European football clubs from the UK, Italy and Spain attempted a coup against their parent association to form a new breakaway competition called the European Super League. The announcement bloomed into an epic war in the world of football. These are at least two of the twelve teams.
Name any 2 of 12
English: Arsenal, Chelsea, Liverpool, Manchester City, Manchester United, Tottenham Hotspur
Italian: Inter Milan, Juventus, Milan
Spanish: Atlético Madrid, Barcelona, Real Madrid
(Courtesy of Apple+: Super League The War on Football)
Rich Cronin
LFO
True or False?
Published in the Green Journal in 4/2023, Wagner et al showed that salpingectomy after vaginal birth was cost effective in reducing ovarian cancer risk compared to bilateral tubal ligation.
True
Salpingectomy was modeled to result in 25 fewer ovarian CA cases, 19 fewer ovarian CA deaths and 116 fewer unintended pregnancies over a "lifetime".
When energy devices are used, salpingectomy can be completed in shorter operative times relative to traditional methods of suture ligation and increase patient satisfaction.
Little is known about the relative effects of salpingectomy on CV risk, osteoporotic risk and other CA or in risk reduction for women with BRCA mutation.
This hepatitis type is the only DNA stranded virus.
Hepatitis B
A: small RNA | B: small DNA virus | C: enveloped SS RNA | D: incomplete viral particle | E: small SS RNA
Most eclamptic seizures are self-limited and magnesium sulfate is used to prevent recurrent convulsions. But, if a convulsion does recur, although a further 2-4 gram MgSO4 bolus is the first line, if MgSO4 cannot be given or has already been bolused twice, it is reasonable to consider one of these three agents.
amobarbital (250mg over 3min)
phenytoin (1250mg at 50mg/min)
thiopental
In cycling (bicycle racing), this is the name given to a rider who rides for the benefit of their team leader rather than trying to win the race themselves. They shuttle food or water to their teammates and shield their leader from wind. Hint: the means "servant" in French.
Domestique
(Courtsey of Neflix: Tour de France Unchained)
Shawn Stockman
Boyz II Men