2/23/13

Question 1

What do you call the flat, vlevety lesions of secondary syphilis that appear on the genitals?

Answer 1

condylomata lata

Question 2

What happens to genital warts when you apply acetic acid?

Answer 2

they turn white

Question 3

What are the 2 main indications for a biophysical profile (BPP)?

Answer 3

hi-risk preg or non-reactive fetal non-stress test

Question 4

What are the 5 parameters assessed in the biophysical profile?

Answer 4

• non-stress test
• tone
• movements
• breathing movements
• amniotic fluid volume

Question 5

What is a normal score in the BPP?

Answer 5

8-10

Question 6

What result will give a score of 2 for fetal tone in the BPP?

Answer 6

flexion or extension of an extremity

Question 7

What will earn a scre of 2 for fetal breathing movements on the BPP?

Answer 7

at least 20 sec in 30 min

Question 8

What will earn a score of 2 for amniotic fluid volume on the BPP?

Answer 8

a single pocket greater than 2 cm in the vertical axis

Question 9

What will earn a score of 2 for non-stress test on the BPP?

Answer 9

reactive

Question 10

What should be done if the BPP is 6 at >37 wks gestation?

Answer 10

consider delivery of baby

Question 11

What should be done if BPP is 6 at <37 wks gestation?

Answer 11

repeat stress test in 24 hrs

Question 12

A BPP of 6 plus _______ at < or = 32 weeks requires delivery.

Answer 12

oligohydramnios

Question 13

For any BPP score of __ or less at greater than 26 weeks of gestation, requires immediate delivery of the fetus.

Answer 13

4

Question 14

What is the appropriate Tx for pts w/ endometrial hyperplasia w/o atypia?

Answer 14

cyclical progestins and repeat biopsy in 3-6 mos

Question 15

Screen all pregnant women for syphilis, okay?

Answer 15

Okay!