4/2/13

Question 1

What are the 3 characteristic stages of the fetal heart rate pattern after rupture of an umbilical vessel?

Answer 1

tachycardia, bradycardia, sinusoidal pattern

Question 2

What does an Apt test do?

Answer 2

differentiates fetal from maternal blood

Question 3

Is the bleeding of abruptio placenta of maternal or fetal origin?

Answer 3

maternal

Question 4

What predisposes to umbilical artery rupture upon rupture of membranes?

Answer 4

vasa previa

Question 5

What is the reason for amenorrhea of lactating mothers?

Answer 5

prolactin suppresses GnRH secretion

Question 6

What does human placental lactogen (hPL) do?

Answer 6

causes insulin resistance and lipolysis in mother to increase FA to fetus

Question 7

What kind of oral contraceptive pills may be used by lactating mothers?

Answer 7

progestin-only

Question 8

Why are combination oral contraceptive pills contraindicated in lactating mothers?

Answer 8

may decrease milk production and pass into milk

Question 9

What 3 drugs could each be used to Tx asymptomatic bacteriuria in a preg pt? how long do you treat?

Answer 9

nitrofurantoin, amoxicillin, or 1st gen cephalosporin; 7 days

Question 10

Defibe dysfunctional uterine bleeding (DUB).

Answer 10

heavy vaginal bleeding in the absence of structural or organic disease

Question 11

What is the most common cause of DUB?

Answer 11

anovulation

Question 12

What is the mgmt of choice for uncontrolled bleeding in DUB?

Answer 12

hi-dose estrogen

Question 13

What is indicated when DUB is Dxed in women over 35?

Answer 13

endometrial biopsia

Question 14

What cardiac valvulopathy classically presents in preg?

Answer 14

mitral stenosis

Question 15

What is the initial screening test for gestational diabetes?

Answer 15

1-hr, 50 gram oral glucose tolerance test

Question 16

On the 50-gr OGTT, a blood sugar below ___ mg/dL rules out gestational diabetes.

Answer 16

140

Question 17

What test is done if the 1-hr, 50-gr OGTT is above 140 mg/dL?

Answer 17

3-hr, 100-gr OGTT

Question 18

A fasting glucose above ___ is diagnostic of gestational diabetes following a positive screening test.

Answer 18

95 mg/dL

Question 19

Above what blood glucose value is a 3-hr, 100-gr OGTT considered positive at 3 hrs?

Answer 19

> 140 mg/dL

Question 20

What kind of cancer is clear cell cancer of the vagina or cervix?

Answer 20

adenocarcinoma