2

Question 1

when do women start getting paps every 5 years instead of 3?

Answer 1

age 30

Question 2

herpes test is sensitive or specific

Answer 2

specific

so high false negative rate

Question 3

CO increases by what in pregnancy

Answer 3

up to 33%

Question 4

what is the most common met for metastatic trophoblastic molar pregnancy

Answer 4

lungs

Question 5

how much weight should women gain in pregnancy

Answer 5

underweight (BMI <18.5): 28-40 lbs

normal weight (BMI 18.5-25): 25-35 lbs

overweight (BMI 25-30): 15-25 lbs

obese (BMI >30): 11-20 lbs

Question 6

what tests should you give african americans for testing for sickle cell trait

Answer 6

hemoglobin electropheresis and CBC

Question 7

diseases associated with ashki jews

Answer 7

tay sachs
neimann-pick
gaucher
fanconi
cystic fibrosis
Canavan
bloom syndrome

Question 8

fetuses with diabetic moms increased risk for

Answer 8

CNS and CV anomalies

Question 9

chorionic villous sampling tests for

Answer 9

chromosomal abnl

CF

Question 10

which screen has the highest detection rate for downs syndrome

Answer 10

cell free DNA screen

Question 11

percent risk of fetal loss with chorionic villous sampling

Answer 11

1% (not related to prior miscarriages)

Question 12

most common disease of mental retardation

Answer 12

fragile x syndrome

Question 13

most common indication for hysterectomy vs peripartum hysterectomy

Answer 13

1) fibroids

2) placenta accreta

Question 14

diagnosis of placenta accreta

Answer 14

US: clear zone, lacunae, interruption of bladder lines

MRI

elevated second trimester MSAFP

Question 15

manage placenta accreta

Answer 15

ceserean hysterectomy 34-37 weeks

ureteral stents, balloon occlusion used for internal iliac arteries

Question 16

diagnose vasa previa

Answer 16

transvaginal US

Question 17

risk factors vasa previa

Answer 17

bilobed, succenteriate, or low lying placenta

multifetal pregnancy

IVF

Question 18

which weeks optimal for delivery if woman has chronic HTN

Answer 18

38-39 weeks

Question 19

risk factors for preeclampsia

Answer 19

nulliparity
age >35
connective tissue disorders
HTN
diabetes
renal damage
obesity
multiple gestations

Question 20

proteinuria qualifications in preeclampsia

Answer 20

> 300 mg on 24 hour collection
0.3 mg/dL on protein: Cr ratio
+1 on dipstick

Question 21

diagnosis of preeclampsia

Answer 21

140/90 +any of the following:

proteinuria
platelet <100,000
Cr>1.1
AST/ALT doubled
pulm edema
cerebral or visual changes

Question 22

which week of delivery if preeclampsia

Answer 22

37 weeks

Question 23

diagnosis of severe preeclampsia

Answer 23

> 160/110 on two occasions four hours apart + the other features mentioned

Question 24

BP goes up or down usually in pregnancy

Answer 24

down (so dont confuse lowered BP in hypertensive people)

Question 25

are teratomas more malignant in men or women

Answer 25

men