occurs after acrosome reaction
entails removal of a glycoprotein layer
it is a biochemical event of sperm maturation
changes occur in the female genital tract
A. occurs after acrosome reaction
5α-reductase enzyme reduces testosterone to DHT
aromatase enzyme reduces testosterone to estrogen
PSA molecule binds to α1-antichymotrypsin and α2-macroglobulin
none of the above
the membranous
the bladder neck
the bulbous
the external urethral meatus
inferior mesenteric artery
superior mesenteric artery
celiac artery
common iliac artery
intratubular crystal formation might occur
CT cannot reliably confirm the presence of indinavir calculi
stone formation is demonstrated in 80% of patients taking the medication
is a protease inhibitor with poor solubility and significant urinary excretion
bone marrow
skeletal muscles
brown fat
liver
basal cells
intermediate cells
tubulo-columnar cells
neuroendocrine cells
the free form of PSA exists in small proportions in the body, and found mainly in BPH and in the ejaculate
α1- anti chymotrypsin binds to 3 epitopes of the PSA molecule to form a complexed PSA
α2- macroglobulin binds to 5 epitopes of the PSA molecule to form a complexed PSA
the purified PSA molecule has a molecular weight of 90 kDa
bilateral adrenal hyperplasia
pituitary over secretion of ACTH
exogenous administration of glucocorticoids
immune-mediated disease
16
32
64
90
autoimmune disease in 70% of the cases
diagnosed by the rapid ACTH stimulation test
characterized by low serum sodium and high potassium
may coexist with hyperthyroidism and diabetes mellitus
brain stem
C2 C4
S2 - S4
L2 - L4
finasteride
prazosin
silodosin
vardenafil
hypogastric
internal iliac
external iliac
lateral sacral
it is a reduction reaction that converts nitrate to nitrite
nitrazine reagent papers are used to elicit the reaction
it is false negative in diluted urine, on taking vitamin C, and in gram +ve bacteria
the reaction takes 4 minutes to complete
type 1
type 2
type 3
type 4
loop diuretics
thiazide diuretics
potassium sparing diuretics
osmotic diuretics
the most superficial layer of the adrenal cortex
responses to increased potassium levels, renin or decreased renal blood flow
it causes pheochromocytoma
secretes aldosterone
79.54
44.19
84.15
94.25
an aspirate of pelvic urinoma
in untreated end-stage renal failure disease
a sample from a wound drain after pyeloplasty
a sample from suprapubic catheter
prostatic fascia and levator fascia
prostate capsule and prostatic fascia
Denonvilliers fascia and prostate capsule
Denonvilliers fascia and endopelvic fascia
increasing vaginal secretions
decreasing vaginal pH
increasing normal vaginal flora
decreasing bacterial adherence
occurs due to the interaction between the chemical components of the urine and polyvinyl chloride material in the urine bag
it is commonly symptomless
more common in female nursing home residents
commonly implicated bacteria are K. pneumoniae, P. mirabilis, E. coli
ureteral atresia
vesicoureteral reflux
ureteropelvic junction obstruction
ureteral duplication
median sacral artery
inferior phrenic arteries
gonadal arteries
all of the above
seminal vesicles
the prostate
testes
bulbourethral glands
influenced by food and medications
renal stones form at the extremes of pH range
reliable only when measured by 24 hr. urine collection
ranges from 4 7
intermediate mesoderm
mesothelium of celomic cavity
endoderm of the urogenital sinus
somatic ectoderm
the prostate gland
seminal vesicles
epididymi
bulbourethral glands
retinal hemangioblastoma
ureteral atresia
pheochromocytomas
multiple cysts in the pancreas and kidneys
increase in sympathetic discharge
contraction of ischiocavernosa and bulbocavernosa muscles
increase arterial flow and closure of emissary veins
shunting of blood from the dorsal to the central cavernosal artery