4/1/13

Question 1

In which tissues is Raloxifene an antagonist of estrogen receptors?

Answer 1

breast, vagina

Question 2

In whch tissues is raloxifene an agonist of estrogen receptors?

Answer 2

bone

Question 3

What is the single most common cause of postpartum hemorrhage?

Answer 3

uterine atony

Question 4

According to UWorld, what Rh Ab titer indicates that a mother is already sensitized and RhoGAM will do no good?

Answer 4

> or= 1:6

Question 5

Which α-, β-blocker is used for htn in preg?

Answer 5

labetalol

Question 6

On which tissues does tamoxifen have an agonist effect on estrogen receptors?

Answer 6

bone, endometrium (partial agonist)

Question 7

What is the best Tx for SCC of the vagina that is Stage I or II and less than 2 cm in size?

Answer 7

surgical resection

Question 8

What is the best Tx for vaginal SCC that is Stage I or II and greater than 2 cm?

Answer 8

radiation

Question 9

What should be done to Tx vaginal SCC that is Stage III or IV or greater than 4 cm?

Answer 9

combo chemo

Question 10

Marked pruritis and increased total bile acids in the 2nd or 3rd trimester of preg should make you suspect what (when viral hepatits is excluded)?

Answer 10

intrahepatic cholestasis of preg

Question 11

What must a patient avoid during metronidazole therapy?

Answer 11

alcohol (disulfiram-like rxn)

Question 12

What is the most accurate way of estimating fetal weight by US in cases of suspected fetal growth restriction (FGR)?

Answer 12

abdominal circumference

Question 13

If a young woman presents with a breast lump and no obvious signs of malignancy, what can be done to assess if benign before US or FNA?

Answer 13

reassess after menstrual period

Question 14

What is the differential (2) for htn before 20 wks of gestation?

Answer 14

chronic htn or molar preg

Question 15

What ominous fetal heart rate pattern is characteristic of vasa previa?

Answer 15

sinusoidal

Question 16

What symptoms usually precede uterine rupture?

Answer 16

hyperventilation, agitation, and tachycardia

Question 17

Define intrauterine fetal demise (IUFD)?

Answer 17

fetal death after 20 wks but before labor

Question 18

What happens to hCG levels following IUFD?

Answer 18

they remain elevated (ongoing placental production)

Question 19

_______ can result from infection of the retained products of conception in the case of missed, incomplete, inevitable, or elective abortions.

Answer 19

Septic abortion

Question 20

All pts w/ secondary amenorrhea should receive what 3 tests?

Answer 20

preg test, prolactin, FSH

Question 21

Why is FSH higher than LH in premature ovarian failure?

Answer 21

slower clearance

Question 22

What is the primary goal of colposcopy during pregnancy?

Answer 22

exclude invasive cancer

Question 23

What is the single most prevalent preventable cause of IUGR (FGR) in the U.S.?

Answer 23

smoking