Board Vitals Obstetrics and Gynecology Flashcards
Is liver disease a contraindication to the use of clomiphene citrate?
Yes
Is a history of multiple pregnancies a contraindication to the use of clomiphene citrate?
No
Is abnormal uterine bleeding a contraindication to the use of clomiphene citrate?
Yes
Is heart disease a contraindication to the use of clomiphene citrate?
No
Is an ovarian cyst a contraindication to the use of clomiphene citrate?
Yes
Is hyperlipidemia a contraindication to the use of clomiphene citrate?
No
Is uncontrolled thyroid or adrenal disease a contraindication to the use of clomiphene citrate?
Yes
Is current pregnancy a contraindication to the use of clomiphene citrate?
Yes
Is asthma a contraindication to the use of clomiphene citrate?
No
Is a pituitary tumor a contraindication to the use of clomiphene citrate?
Yes
Is depression a contraindication to the use of clomiphene citrate?
Only outside the United States
Are uterine fibroids a contraindication to the use of clomiphene citrate?
Only outside the United States
At what gestational age should induction of labor be considered for women who are determined to have decreased fetal movement?
More than or equal to 37 weeks and less than 39 weeks.
What condition is lupus anticoagulant associated with?
Antiphospholipid antibody syndrome
What percentage of women with recurrent miscarriages have antiphospholipid antibody syndrome?
10%
What is the risk of malignant complications (choriocarcinoma) after a complete molar pregnancy?
15 - 20%
What is the risk of malignant complications after a partial molar pregnancy?
1 - 5%
Is preterm birth a complication of gonorrhea?
Yes
What percentage of pelvic inflammatory disease is caused by gonorrhea?
40%
What is the treatment of gonorrhea?
Ceftriaxone
Does the treatment of the partners reduce the reinfection rates of gonorrhea?
Yes
Is coinfection of gonorrhea and chlamydia common?
Yes
At what age is PAP screening discontinued?
65 years
Can oral contraceptive pills be started at any time?
Yes
How long the abstain or use back up method if OCPs are started midcycle?
7 days
How long the abstain or use back up method if progestin only contraceptives are started midcycle?
2 days
What is the treatment of severe pelvic inflammatory disease?
- Ceftriaxone plus metronidazole
- Cefoxitin/cefotetan plus doxycycline
Is Fitz-Hugh-Curtis a form of perihepatitis that occurs as a complication of PID?
Yes
Is Fitz-Hugh-Curtis associated with chlamydia or gonorrhea?
Chlamydia
At what age is screening with pap smears started?
21 years
How often is pap smear testing done?
Every 3 years until age 30 years, and then cytology and HPV testing can be done every 5 years.
Which bisphosphonate should a patient with history of Roux-en-Y gastric bypass surgery receive?
IV zoledronic acid
Is age greater than 25 years a risk factor for peripartum cardiomyopathy?
No
Is African descent a risk factor for peripartum cardiomyopathy?
Yes
Is Asian descent a risk factor for peripartum cardiomyopathy?
No
Is maternal alcohol abuse a risk factor for peripartum cardiomyopathy?
No
Is maternal cocaine abuse a risk factor for peripartum cardiomyopathy?
Yes
Is multiple gestations a risk factor for peripartum cardiomyopathy?
Yes
Is diabetes mellitus a risk factor for peripartum cardiomyopathy?
No
What is the next test for patients older than 25 years if their pap smear comes back with atypical squamous cells of undetermined significance?
HPV testing
