03-09 Uworld

Question 1

IUP usually seen at what BhCG level?

Answer 1

1500-2000

Question 2

tx for vulvar lichen sclerosus

Answer 2

superpotent topical corticosteroids (clobetasol)

Question 3

female external w/ male internal genitalia, virilization at puberty

Answer 3

5-alpha-reductase def (impaired T->DHT)

Question 4

female external w/ male internal genitalia, breast dev @ puberty

Answer 4

androgen insensitivity syndrome (defective androgen receptor)

Question 5

hyperemesis gravidarum w/ AMS, nystagmus, gait ataxia

Answer 5

wernicke encephalopathy (thiamine deficiency)

Question 6

abortion: no VB, closed os, no cardiac activity or empty sac

Answer 6

missed abortion

Question 7

abortion: VB, closed os, cardiac activity

Answer 7

threatened abortion

Question 8

abortion: VB, dilated os, products of conception felt above os

Answer 8

inevitable abortion

Question 9

abortion: VB, dilated os, some products of conception remain

Answer 9

incomplete abortion

Question 10

erythematous plaques w/in inguinal + axillary folds

Answer 10

intertrigo - candida overgrowth - tx w/ topical azoles

Question 11

hyperemesis gravidarum causes: __pH, __HCO3, __PaCO2

Answer 11

inc pH, inc HCO3, inc PaCO2

Question 12

claw hand w/ ipsilateral horner syndrome after delivery

Answer 12

klumpke palsy (C8, T1)

Question 13

tx for postpartum endometritis

Answer 13

clindamycin + gentamicin

Question 14

tx for pts w/ prior HSV/active HSV

Answer 14

if prior: antivirals at 36 wks

if active during labor: c-section

Question 15

call-exner bodies (rosette pattern)

Answer 15

granulosa cell tumor

Question 16

PPROM <34 wks, uncomplicated

Answer 16

expectant management, latency abx, steroids, fetal surveillance

Question 17

F w/ nml internal genitalia + external virilization + undetectable estradial/estrone

Answer 17

aromatase deficiency

Question 18

initial eval for secondary amenorrhea (>3mo in women w/ prev reg menses)

Answer 18

Upreg, prolactin, FSH, T, TSH