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Anatomy and Histology

1) Which of the ff is formed through Intramembranous ossification?


Skull, Femur, Fracture, Humerus
2.) Not true about Tibialis anterior muscle- Everts the foot
3.)Cubital tunnel syndrome nerve affected- ulnar nerve
4.) Which of the ff drains into the Azygos- Brachial Vein
5.) Muscle that closes the mandible - Masseter
6.) Innervates the Nasopharynx - CNV (2)
7.) Increase of Band cells denotes what? - infection?
8.)Which of the ff is a motor tract? - Vestibulospinal
9.) Does not contribute to Hyaline cartilage formation? Collagen, Chondroitin sulfate, Elastin, ?
10.) Function of Organ of Corti- Hearing
11.) Structure found w/in the epidermis- hair follicle, pacinian, sebaceous gland, blood vessels?
12.) MC position of the Uterus-Anteroverted anteroflex
13.) Connection of middle ear and inner ear?
a. round window b. oval window c. tymphanic membrane d. stapes
14.) Portal circulation shunt- Spleenic to renal
15.)True about of the Interosseus membrane of the leg?
16.) Function of Axillary nerve
17.) Supplies the SA node- RCA
18.) Structure that can be found in the anterior mediastinum? Thymus
19.) Structures not included in the Carotid sheath? Platysma
20.) True about the Subphrenic Space?
21.) Ureter Nerve innervation - T12-L2
22.) False statement about the Kidney? It is peritoneal organ
23.) Which of the ff does not drain blood in the Superficial inguinal nodes answer? Uterus
24.) Drains the Falx Cerebri - Superior Sagittal Vein
Ureter relation
25.) Branch of ICA- Opthalmic artery
26.) Branch of ECA
27.) Not a border of the Hesselbach triagle
28.) Which of the ff. does supply the Prostate Gland ?Testicular artery
29.) Structure not found w/in theHepatoduodenal ligament
30.)Myofibrolast like cells in the Pancreas- Stellate cells
31.)Question about the intercalated ducts of the Pancreas- Exocrine function
32.)Macrophage in the cartilage -Histocytes
33.)Not considered a Connective tissue not
a. Blood b. Cartilage c.Bone d. Lymph
34.)Which of the ff body parts contains Apocrine glands? Armpit
35.) FemoralNerve- extend the hip and flex the knee
36.) Structure that passes theough the Foramen Ovale- CNV(5)
37.)Rich in K+- Inner ear
38.) Orbicularis oris- sphincter of the mouth
39.) Not true of the fx of PTH? Hypocalcemia and Hyperphosphatemia
40.) Osteoclast- bone resorption

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41.) Equivalent of Cremasteric fascia - internal oblique
42.) Spongy urethra
43.) Membranous urethra
44.) Macula densa fuction
45.) Skin- Stratified squamous
46.) Shape of cells in the Thyroid in Hyperthyroid state- Tall columnar
47.)Structure unique to the Thymus gland but fx still unknown? Hassals corpusle
48.) Branch of Hepatic Artery - Cystic artery
49.) Vertebra with no costovertebral joint (C5)
50.) Efferent limb of Gag reflex CN IX and CN CX
51.) Afferent limb of pupillary reflex - Optic nerve
52.) Efferent limb of pupillary reflex - Oculomotor
53.) Superior rectus innervated by Oculumotor
54.) Superior rectus function
55.) Horner syndrome
56.) Pudendal nerve both passes through the great and lesser sciatic foramen
57.) “Widower maker” - LAD
58.) Zona glomerulosa- most superficial layer of Adrenal Cortex
59.) Regulation of HPO axis - Negative feedback
60.) Kuppfer Cells- Monocyte in the Liver
61.) Aortic regurgitation location- R 2nd intercostal
62.) Branch of SMA - Inferior pancreatiocoduodenal
63.) Which of the ff patient can you collect urine via Suprapubic approach - infant
64.) Life span correctly matched -B lymphocytes age- 6 weeks
65.) Artey ligated during gynecologic surgery? Uterine?
66.) Relation of Left renal artery, it is posterior to which of the ff except? IVC, spleenic vein, left
renal vein, pancreas
67.) Spared from occlusion of RCA- Anteroapical, Anterolateral, Posterolateral, ?
68.) Where can you find rete pegs? Epidermis
69.) Common bile duct - union of cystic and common hepatic duct
70.) Esophageal anatomy question
Sphincter ng bibig. Options: Risorius, Zygomatico Facial, may isa pa po at Orbicularis Oris
-Gag reflex afferent both 9 and 10, what's the eff
-3 questions on pupillary light reflex (yeheheesss)
-Dark cells with potassium chever
-Cubital fossa kung anong nerve chuchu po
-Composition of Common hepatic duct
-San daw po makikita yung Hassel's corpuscle kahit indicated sa question na unknown ang fxn
huhu (Thymus, spleen at may 2 pa na di ko maalala)
-Ano daw po makikita sa epidermis? Hair follicle lang naaalala ko po sa options
-Apocrine sweat glands san daw po makikita? Sa palms, sa armpit, body or head
-Ano daw po yung sa airway na for respi, arteriole at? Nalimot ko po eksakto pala
-Madaming Histo huhuhu
-walang question po regarding sa dermatomes, vertebral level
-San daw po nagagawa ang hormones chever sa ant pit? Pars intermedia, Pars chever, basta puro
pars po. Pars pahirapan kami :(((

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-San daw galing yung estrogen po na hindi chever ng HPO axis: Gonadotropin RH, Follicular
chever, Estradiol at may isa pa pong option sa Cholesterol ata yun
-Ano daw po yung kinucut kapag ilaligate ang patient na artery/vessel?

Notes:
- No Hernia questions
- No Liver sigments and lung segments questions
- Questions about Ureter- Innervation, relation to vessels and structures, what prevents reflux
- Common bile duct (2-3 questions)
- Can’t remember the questions but they are the answer Arcuate line, flexor hallucis longus,
estrogen binding hormone, external intercostals, dartos fascia

Leg Med

Yung wala po sa Handout and discussion:


-#1 Search warrant: choices: written chever from the pres, written chever from a judge, written
chever
2 ⃣Leg Med
Yung wala po sa Handout and discussion:
-#1 Search warrant: choices: written chever from the pres, written chever from a judge, written
chever from a military head/director, oral order from ...
-Almond eyes, pale complexion, prominent cheek bone: Mongolian (Solis page 46)
-1 OB case po na nagsabi na possible NSD but the doctor went for CS. Anong issue daw po?
Choices: Overtreatment- Qualitative, Overtreatment-Quantitative, tapos 2 more na di ko maalala
-Callous sa thumb anong work: Mason (Solis page 48 na nalimot ko, shoemaker sinagot ko. Grrrrr)
-Yung about sa IQ but not in values. "Wanting in memory" ang nasa question. I've checked Solis
page 641 it's idiot pala. Huhu (I thought Feeble)
-Mtd where breath used to analyzed alcohol: Chemical method (Solis page 709)

Nasa handout/discussion:
-Feeling ng patient equal sya sa Doctor nya chever chever. Choices: Active-passive, guidance-
cooperation, mutual participation (Topnotch page 2)
-Madami po ang questions na about autopsy, histology, histopathology
-Questions about Marbolization, Algor Mortis, Cunnilingus, exit wounds, around 2-3 questions ng
difference ng post mortem and ante mortem wounds, Liabilities, yung nakaiwan ng something
habang nag oopera (na di ginamit ang res ipsa loquitor but yung Common knowledge, galing ng
tanong!!!! Topnotch page 4), Damages imposed on physician to serve as correction (Exemplary
damages Topnotch pag 5), question regarding burden of evidences (Topnotch page 3)
-A lot of questions po regarding sa love nila kunwari yung statues, and iba pa di ko na maalala
-(this one di ko mafigureout po) Another OB case stating na pregnant po sya tapos lumaklak ng
something at nagsubok magpakamatay. Hindi sya namatay (waw, strong gurllll) pero naabort the
bebe, ano daw po ang kaso nya? Choices: No case, abortion, suicide or abortion and suicide
-Question po sa Incestious chever kaso no choice regarding na until 4th degree chuchu.
-Question abt commission or fee splitting. This one's tricky kasi ang term is "refer" sa question and
ano daw tawag sa ganun na fee kung bibigyan ka ng pera nung pinag"refer"an mo. Choices:

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retainer, straight, referral, dichotomous. Trickkkky! If they don't know what dichotomous means
-Dactylograpgy is: art and study of recording fingerprints chever
-Question na when blood accumulates in the most dependent portions but wala kasi ang post
mortem, livor morties and cadaveric lividity sa choices. Ang meron is Suggilation kaya baka
mamiss ng iba (Topnotch handout page 25)
-Surgeon and Resident na nagkamali ang resident surgeon. Choices: Borrowed servant,
ostensible, etc. no captain of the ship na choice so borrowed servant??
-Not enough yung samplex if yun lang po. Topnotch handout is enough but kung katulad ko po na
"panghatak" sana ang habol sa Leg Med, Solis is good. I've "scanned" (as in scanned) Solis
kasabay ng samplex to ratio on my own for some extra points that I wanted to have for the boards
sana panghatak kasi po :)) Yaz naman! (gusto ko po talaga kasi mag-Lawyer Hahaha)

Biochem

-3 questions on Kwash vs Marasmus (2 easy, yung isa nahirapan ako kasi ano daw yung di
makikita sa Kwashiorkor: edema, anemia, cachexia at isa pa, Cachexia po ba? Haha)
-Well fed vs Fasting (Halos lahat yun nagmamatter) hindi sya as is na ibibigay kaya kailangan ng
sobrang alam mo para saan ang pathways and kung anong mga chever
-Merong mahabang question regarding sa isang magaling na patient na tinakbo sa ER, 45 lang
yung sugar pero no C peptide: meaning? Tama po ba na meaning nun is overdose ng insulin? Kasi
c peptide makikita lang sa hindi synthetic insulin? (Haha waaaaw. Nag-iisip ako) choices: overdose
ng insulin med, carcinoma of something. Basta 2 choices na carcinoma and 1 na hindi
-Sa alcoholic daw po nandun yung NAD na once maconvert yung Alcohol sa chever magiging
NADH, ano daw po sya? Cofactor, coenzyme-prosthetic, coenzyme-Cosubstrate or apoenzyme?
-Ano daw po yung template for protein synth? (tricky. Muntik na ang 1 point Hehe messenger RNA,
Mitochondrial rna tapos yung 2 na maalis mo na po which is trna at rrna)
-Ano daw po di nakikita sa RNA: d-ribose, uracil, C chever at isang hy.... chuchu na feeling ko ito
sagot hahaha kasi di ko alam
-2 points po yung sa Aneplerotic chuchu. Huhuhu Ano po ba yun? Pinagcompare ko sila, mahirap
pa rin idecipher and di ko maalala eksakto na sinagot ko po sa dalawa kasi magkaiba po ng tanong
and options
-Yung irrev step daw po na proof bakit di talaga pwede magamit yung chuva as chuva or di na
pwede bumalik something
Choices: Pruv dehy, Pyruv Kinase, di ko maalala po yun 2
-All Muco daw po is recessive except: Hunter (X linked)
-Transfer chever of Copper: Hemosiderin, Ceruloplasmin plus 2 options pa po (Transferrin and
Hemoglobin I think yung 2) I checked this, it's Ceruloplasmin wuhoooo

Pathology
-#7 May pictureeee. Sabi po sa question check the last page for photo reference. Though buti na
lang Sickle cell lang yun pero paano kung tinopak sila at iba at mas marami next time huhu
-Q wave
-Starting #47 stem questions. Halos wala pong "buzz words" though for example imbes na Warthin
chever for Measles, syempre multinucleated chuchu po.

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-1 case may nakanote na bloody diarrhea, with flask shaped na ulcer. Okay okay!
-Limit na 'to dahil sumabog utak ko po sa Patho. I kenat. I kenat. Pass pass pass. Lord!

1.) Condition wherein Smudge cells are present? CLL


2.) Condition wherein Clue Cells are present except? Beta Thalassemia, Alpha Thalassemia,
Sickle Cell, G6PD def (answer)
3.) @synulein are present in? Lewy Body Dementia
4.) Hemorrhagic cystitis causes - Cyclophosphamide
5.) Hemorrhagic cystitis Pathology
6.) Amoebiasis Flask shaped ulcer pathology
7.) Amoebiasis mode of Liver Abscess formation (penetrateion splanchic vessel)
8.) Barrett Esophagus
9-11.)Phyllodes 3 questions- Morphology - 3 questions all verbatim from Robbins
- The larger lesions often have bulbous protrusions due to the presence of nodules of proliferating
stroma covered by epithelium.
- Phyllodes tumors are distinguished from fibroadenomaa on the basis of higher cellularity, higher
mitotic rate, nuclear pleomorphism, stromal overgrowth, and infiltrative borders.
- Most phyllodes tumors are lowgrade; these occasion ally recur locally but do not metastasize
12-14.)Fibroadenoma 3 questions din
- The epithelial component is hormonally responsive and there is typically an increase in size due
to lactational changes during pregnancy.
- The delicate and often myxoid stroma resembles normal intralobular stroma.
- In older women, the stroma typically becomes densely hyalinized and the epithelium atrophic.
15.)True about Islet cell tumor -90% are benign
16.)Distal acinar ephysema- Spontaneous
pneumothorax
17.) Question about Pulmonary Hamartoma
18.) Hepatitis A patholgy - not sure since all answers are not even in Robbins but I answered
Apoptosis, Chromatin aggregation
19.)True about HIV- Antiretroviral can be given in pregnant parents
20-22.) Case about Trisomy 21
- MC chromosomal defect in Down Syndrome - meiotic nondisjunction
- MC cardiac defect in Down Syndrome - endocardial cushion defects
- True statement about Down Syndrome - abnormal immune response
23.) Myocardial Infarction pathology (timeline and morphology)
24-26.)Questions about Atheresclosis
- Hemodynamic disturbance and Hypercholesterolemia
- LDL accumulates not HDL
- Characteristic of modified LDL
27.) EGFR- MapKinase
28.) Pain mediator- Prostaglandin vs Bradykinin, both are correct but I chose Prostagladin
29.) Sounds heard in smaller airways? Wheeze vs Rhonchi, I answered Wheeze,
30.) Sounds heard in medium airways? Rhonchi vs Wheeze, I answered Rhonchi
31-34.) SLE 4 questions
- Fundamental defect in SLE- (unknown) always answer Idiopathic or unknown

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- Autoantibodies present in SLE - Antiphospholipid antibodies
- LE cell- The LE cell is any phagocytic leukocyte (blood neutrophil or macrophage) that has
engulfed the dena-tured nucleus of an injured cell
- Patterns in SLE- AntiDsDNA and AntiSm most specific
35-37.)Minimal change disease 3 questions
- True of Mophology (characterized by diffuse effacement of foot processes of visceral epithelial
cells)
- True statement (A characteristic feature is its usually dramatic response to corticosteroid therapy)
- True statement abt prognosis (the long-term prognosis for patients is excellent, and even
steroiddependent disease usually resolves when children reach puberty)
38.)Cause of Mechanical obstruction in esophagus - stenosis
39-40.)Case Mallory weiss tears 2 questions
- Mechanism of injury (Normally, a reflex relaxation of the gastroesophageal musculature precedes
the antiperi-staltic contractile wave associated with vomiting. It is speculated that this relaxation
fails during prolonged vomiting)
- Morphology (The roughly linear lacerations of Mallory-Weiss syndrome are longitudinally oriented
and range in length from millimeters to several centimeters)
41.)GERD mechanism of injury (The most common cause of gastroesophageal reflux is transient
lower esophageal sphincter relaxation)
42-44.)Case Measles 3 questions
- Other name (Rubeola)
- Morphology of Koplik spots (marked by necrosis, neutrophilic exudate and neovascularization)
- Morphology of Measles Rash (dilated skin vessels, edema, and mononuclear perivascular
infiltrate)
45-46.) Case Chicken pox 2 questions
- Morphology of Rash (Intraepithelial vesicles with intranuclear inclusions in epithelial cells at the
base of the vesicles.
- True statement (bacterial superinfection of vesicles that are ruptured by trauma may lead to
destruction of the basal epidermal layer and residual scarring)
47-48.) Condyloma acuminata 2 questions, one is about Morphology the other I can’t remember
49-50.)Case about Carbon monoxide poisoning 2 questions

Notes:
- Patho is one of the hardest (maybe the hardest) exams in our batch
- A lot of cases and cascading questions
- Morphology questions are directly lifted from Robbins, Verbatim
- Most of the questions are in double negative format so you have to find the True statement or
sometimes you have to choose the False statement so read carefully the questions.

Surgery
-Hayoooop! Sobrang mas ok pa kaysa sa Leg Med. Basic halos nilabas. Covered ibang subjects.
-2-3 questions abt ERAS
-Case abt Pheochromocytoma: 3 questions under this. Yung drug, yung class ng drug and yung
diagnostic test
-Question Ideal needle and another for a good incision. Mahirap sa umpisa kasi "punyeta pati 'to?"
But you can eliminate at isa lang matitira. Sa needle kasi yung sabi is B. Blunt needle to avoid

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trauma (ugh? True ba? Haha so matic)
-Cystolithopexy: Idk but choices are vesical stones, kidney stones and 2 more wc I cannot recall
-4-5 questions abt Surgical Site Infection
-A question abt sa OR (na nasa choice is dapat daw open ang theatrical door para maavoid ang
infection -- wc we all know dapat closed yun, so again, matic)
-A question abt sciatic nerve
-There's this statement na mahaba regarding maneuver na yung wrist chever ganern punan nyo na
lang ang kakulangan ko haha (Sorry! Ito di ko alam) choices: Tinnel's, Phalen's, Tunnels and 1 I
cannot recall (I opted to choose Phalen's kasi cool. Haha but yun lang kasi naaalala ko)
-Ahhhh. This made me feel better after that Pharma. Wheew!
-3-5 questions abt Pancre

Pharma

-May law pa dun (sorry! Di ko nasilip ulit bago lumabas ng room)


-Around 5pts yung mga prophylaxis bago surgery. Like sa vagina chuva, Thyroid, etc
-Gabapentin
-Ramoxifen???
-Mountain sickness
-2 questions on pregnant with Malaria. No choice of Quinine

IM

- Case Based, Questions directly lifted from Harrisons


A.) 2 cases about Pulmonary Abscess
- Major risk factor - Aspiration
- True statement cause of abscess - colonization of the gingival crevices by anaerobic bacteria or
microaerophilic streptococci (especially in patients with gingivitis and periodontyal disease)
- Pathogens present in Primary Lung abscess (Anaerobes, Bacteroides & microaerophilic
streptococci) except Stap
- True statement regarding diagnostic imaging ( CT permits better defini-tion and may provide
earlier evidence of cavitation

B.) Case about Pericarditis


- MC cause- viral?
- Pathogenesis of Chronic Pericarditis (the basic physiologic abnormality in patients with chronic
constrictive pericarditis is the inability of the ventricles to fill because of the limitations imposed by
the rigid, thickened pericardium)
- Definitive treatment for Chronic pericarditis (Pericardial resection)

C.) Case about Angina


- True statement about duration of Stable Angina (Angina is usually crescendo-decrescendo in
nature typically lasts 2 to 5 min)t,

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- DOC for stable angina - Nitroglycerin

D.) Case about Osteoarthritis (4 questions)


- Risk factors (Joint vulnerability and joint loading are the two major factors contributing to the
development of OA)
- Role of Joint capsule & ligaments as joint protectors (Joint capsule and ligaments serves as joint
protectors by providing a limit to excursions, thereby fixing the range of joint motion)
- Question about systemic risk factors
- Question about the synovial fluid

E. Case about Septic Arthritis


- I cant recall the questions but they focus on the pathogens, diagnostic modalities of choice and
definitive treatment

F. Case about AML


- Question about Physical findings (except format) and common Hematologic presentation at
diagnosis (Anemia)

G. Case about Acute Peritonitis


- Causes (except format)

H.) Napkin Ring- Transverse Colon and Descending Colon

I.) SJS and TEN Cases

J.) Schizophrenia Case


- Do not give Dopamine agonists drugs like Bepireden
-

Prev Med

1. Levels of Prevention (2 questions)


2.) Referral System (1 question)

3.) NTP Guidelines (5-6 questions)


- Role of PhilHealth
- Target Population of NTP
- One question About Treatment
- One question about TB referral
- Don’t disregard TB kahit paulit-ulit mo yan nababasa, read the Guidelines espedially the first
pages of it, dun umikot mga tanung, at isang questions lang ang lumabas sa Treatment

4.) Dengue (4-5 questions)


- Questions were focus on the pathogenesis and clinical manifestations of Dengue, most are in the
except format

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5.) Antimicrobial Stewardship (3 questions) I listed all drugs for future references)
- Monitored antibiotic ( 3rd Gen cephalosporin, Quinolones, Aminoglycosides, Clindamycin)
- Restricted drugs (4th Gen Cephalosporin, Aztreonam, Carbalenems, colistin, Vanco, Linezolid, All
IV antifungal except Fluconazole
- ARSP reportable pathogens (Stap aureus, Strep pneumoniae, E. Coli, N.gonorrhea,
Pseudomonas) except, all of the fr choices are included so iwan kung anung tamang sagot)

6.) Cohort, Cross-sectional and Case Control


- Study this Three, halos dito umikot mga tanung sa BioStat, 10 questions in total last part of our
exam
- Odd ratio- Cohort
- RR- Case control

7.) Distribution, Determinant, Application


- Don’t forget to read CDC Principles of Epidemiology, since 5 questions were directly taken from
this, inaba lang ang subjects sa case.

8.) Health Models (1 question)

- Download the NTP Guidelines (latest), Dengue Guidelines, Antibiotic Stewardship Program, and
Philhealth Law.
- No Family Med related questions like APGAR, CEA, Genogram, Etc
- Study Vaccines... Lumalabas sya kahit saan

Micro

-Simula po yata 40 or 50 stem questions na per 3 items


-May 2 cases na the same (1 about sa Influenza A yung nagcause ng Pandemic, 1 about sa bloody
diarrhea with some rbc little wbc)
-Case about isang vendor na natusok ng shellfish, Options: Vibrio and etc. more likely Vibrio
naman po. Next question is anong agar: TCBS, next question po ay di ko na maalala at di ko
gustong alalahanin kasi di ko po nasagot kaya di ko maalala Heheh
-Case about diarrhea na non-bloody tapos nung nagIV ng antibiotic gumaling agad. Options: E coli,
Sal, Shig, Campylo
-Marami pong questions regarding sa kung anong nagbibigay nung invasiveness ng ganito chuchu
-Ano daw po most probable na mangyayari sa endocervix sa N gono at Chlamydia. Choices:
Endocervicitis, Vaginitis, Salpingitis at di ko maalala yung isa po

Physio
-5 questions on Vaccines
Wc of the ff is/are active
Wc of the ff is/are passive
Choices (same)
I BCG
II Hep B

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III
-Question: W/C is/are produced by the kidneys
I Activate Vit D
II Secrete
III Secrete
Choices (not exactly pero ganyan po halos lay out ng tanong sa Physio)
A - I and II
B-
-Only 1 item out of 1,500 questions na samplex and answerable pa po sya: T-wave Huhuhu.
-Basic concepts pero dahil nagsamplex gaming ako the night before and by heart ang 1,500
questions, ayun. Nasa hand-out halos lahat, if wala, nabanggit po ni Doc Broli kaya recall talaga
and attend ng class ang key lalo sa hindi samplex
-Ang weird kasi honestly answerable po sya kahit na nakafocus ako sa samplex na 1,500 items.
Sayang lang kasi sana mas nabalikan ko yung main HO. Helpful po yung L-Lamon, V-Vuchog,
harap fan, likod jacket. Nakaeliminate ako ng mga choices for 2 items. Hehe! Good talaga yung
lecture parang nagsasalita si Doc Broli habang nagsasagot ako pero malabo ang salita sa ibang
parts kaya di ko masagutan (di ko maalala yung sinasabi ni Doc sa ibang parts. Hehehe)

OB

Myoma degeneration- ano daw most common tas ano daw kapag nag present sya sa acute ap ba
yun??
Yung case ni ateng nagpprenatal checkup na ang daming abortion etc hahaha
Asherman syndrom commonly daw ay sec to what? -abortion

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