3/11/13

Question 1

What is the best Tx for placenta accreta?

Answer 1

immediate hysterectomy

Question 2

What uterine layer must be abnormal for the histological Dx of placenta accreta?

Answer 2

decidua basalis

Question 3

What is the difference between placenta accreta and placenta increta?

Answer 3

accreta attaches to the myometrium; increta penetrates it

Question 4

What is placenta percreta?

Answer 4

placenta penetrates serosa, often into the bladder

Question 5

What is the next step in mgmt of a premenopausal pt. w/ low-grade squamous intra-epithelial lesion (LSIL) on Pap smear?

Answer 5

colposcopy (for biopsy)

Question 6

What may be the Dx following colposcopy for LSIL?

Answer 6

HPV inf, CIN 1-3

Question 7

What is the Tx for most types of CIN 1?

Answer 7

observation

Question 8

What are the 3 options for mgmt of a post-menopausal woman w/ LSIL on Pap smear?

Answer 8

colposcopy, reflex HPV testing, or repeat Pap smear at 6 and 12 mos.

Question 9

Why doesn’t colposcopy necessarily need to be performed immediately for LSIL in post-menopausal women?

Answer 9

Lower incidence of HPV in this age group.

Question 10

When is a fetal non-stress test (NST) done?

Answer 10

hi-risk preg starting at 32-34 wks and any preg w/ decreased sensation of fetal movements

Question 11

What are the parameters for a reactive (normal) non-stress test (NST)?

Answer 11

in 20 mins there are at least 2 accelerations at least 15 bpm above baseline and lasting at least 15 sec each

Question 12

What is the most common cause of a non-reactive NST?

Answer 12

sleeping baby

Question 13

What is the first step in case of a non-reactive NST?

Answer 13

vibroacoustic stimulation (in case baby was asleep)