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Obgyn > Boards > Flashcards

Boards Flashcards

1
Q

Varicella US findings

A

IUGR, LUmb hypoplasia, microcephaly, micropthalmia

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2
Q

Toxoplasmosis US findings

A

Microcephaly, hydrocephalus, intracranial calcifications

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3
Q

HSV US findings

A

IUGR, micropthalmia, microcephaly, hydranencephaly, hepatosplenomegaly

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4
Q

Rubella US findings

A

IUGR, Cardiac malf (PDA/Septal defect) micropthalmia, hepatosplenomegaly

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5
Q

CMV US findings

A

CALCIFY MY VENTRICLES (CMV) IUGR, cerebral ventriculomegaly, microcephaly, fetal hydrops, chorioretinitis, intracranial calcifications

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6
Q

How much does breastfeeding increase maternal caloric requirements?

A

500 kcal per day

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7
Q

What factors increase in preg

A

FACTOR 8, 10, FIBRINOGEN

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8
Q

WHAT IS IN THE SUPERFICIAL PERINEAL SPACE

A

corpora cavernosa of clitorus, cporpus spongiosum of vestibular tissue, ischiocavernosis, bulbospongiosus, superficial transverse perinei, pundendal vessels and nerves

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9
Q

what ethnic group reqs CBC and Hb electrophoresis in PNL

A

African Descent

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10
Q

Treatment option for IC?

A

Dietary changes, oral pentosan polysulfate, intraveiscal dimetyl sulfoxide

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11
Q

First line treatment for citrate toxicity?

A

Calcium chloride

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12
Q

OCPS exhibit antiandrogenic effects by decreasing ovarian production of????

A

Testosterone (progesterone reduces serum free testosterone and inhib 5 alph reduct)

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13
Q

what contraceptive method can cause a UTI?

A

Diaphragm

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14
Q

Tanner 5 breast and pubic hair, +ovaries, - uterus or vagina.

A

Mullerian Agenesis

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15
Q

Mullerian agenesis is associated with what skeletal abnormality

A

scoliosis

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16
Q

mullerian agenesis inherited in what pattern

A

multifactorial

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17
Q

lynch syndrome has highest risk of which non gyn cancer?

A

colon cancer

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18
Q

lynch syndrome inherited in what pattern

A

autosomal dominant

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19
Q

50% of those with mullerian agenesis also have what other anomaly

A

urinary tract

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20
Q

acceptable screening for colon cancer?

A

FOBT (3 stool samples annually), fecal immunochemical testing annuay, flexible sig q 5 years ) Double contrast barium enema q 5 years

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21
Q

GAIL MODEL relies on

A

age of menarche, parity, age at first birth, BF, age of menopause, limited maternal hx, previous breast biopsies , race, less than 5 years

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22
Q

perinatal transmission rate of Heb B E antigen?

A

90%

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23
Q

how to treat newborns born to HBsAG (hep B carriers)

A

combined immunoprophylaxis (HBIG and HBV vaccine within 12 hrs)

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24
Q

nonhormonal treatment most likely to relieve vasomotor sxs?

A

paroxetine

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25
Q

in case of IUFD, best place to obtain cell culture for genetics?

A

AMNIOTIC FLUIDA

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26
Q

late complication of sacrospinous ligament fixation?

A

anterior vaginal wall prolapse

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27
Q

what US biometric measurement is most sensitive measure of fetal growth?

A

AC

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28
Q

Eval for preg patients with macroadenoma?

A

visual field test every trimester

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29
Q

up to how many days can copper IUD be used for emergency contraception

A

5

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30
Q

most efficacious treatment of APS in preg?

A

low dose ASA plus heparin

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31
Q

best treatment of appendicitis in the third trim ( e.g. 33 weeks)

A

open appendectomy

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32
Q

Formula for odds ratio

A

Cross ratio Ad/cb

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33
Q

What type of virus is HSV

A

double stranded DNA

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34
Q

Most likely malignant component of mature dermoid cyst

A

Squamous cell carcinoma

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35
Q

most common breast malignancy

A

infiltrating ductal carcinoma

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36
Q

Baden Walker 1

A

Descent of uterus to any pt in vagina above hymen

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37
Q

Bade Walker II

A

Descent of uterus up to the hymen

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38
Q

Baden walker III

A

Descent of uterus halfway past the hymen

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39
Q

Baden walker stage IV

A

Total eversion or procidentia

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40
Q

what percent of patients have frank virilization from sertoli-leydig cell tumor

A

35%

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41
Q

US indicated cerclage

A

Prior PTD < 34 wks and CL < 25mm between 16-24 wks

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42
Q

Stage 1 Hypertension

A

SBP 130-139/<80

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43
Q

Stage2 Hypertension

A

Systolic > 140 or diastolic > 90

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44
Q

what factor is most prognostic for survival in vulvar cancer

A

inguinofemoral LN involvement

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45
Q

Most cystic hygromas dx in T1 associated with?

A

aneupoidy- T21

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46
Q

most common complication of burch procedure

A

urinary dysfxn

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47
Q

what is burch procedure?

A

modification of the suprapubic bladder neck suspension by suspending the vaginal wall to cooper’s ligament

48
Q

Risk of vertical transmission with primary HSV

A

30-50%

49
Q

Risk of vertical transmission with recurrent HSV

A

3%

50
Q

what type of vaccine is Gardasil

A

VIRUS LIKE PARTICLES (of the major capsid proteins)

51
Q

The daily caloric req of pregnant patient increases by…?

A

300 kcal

52
Q

most common ADE clopidogrel (plavix) involves which organ system?

A

hematopoietic

53
Q

what muscules are used for kegels?

A

levator ani: pubococcygeus, illiococcygeus, puborectalis

54
Q

75% of cystic hygromas dx in T2 associated with?

A

ANEUPOIDY- 45X

55
Q

premature ovarian failure

A

loss of oocytes and surrounding support cells prior to age of 40

56
Q

How to diagnose POF

A

2 serum FSH > 40 at least 1 mo apart

57
Q

most common complication of uterosacral ligament suspension?

A

ureteral obstruction (11%)

58
Q

MOA Danazol

A

suppresses production of gonadotrophins and some weak androgenic effects

59
Q

what genetic disorder attributed to advanced paternal age

A

neurofibromatosis, achondroplasia

60
Q

Dividing membrane of what size associated with dichorionicity

A

> 2 mm

61
Q

ABO incompatibility

A

A or B blood type in infant born to mother with type O

62
Q

what muscules are used for kegels?

A

levator ani: pubococcygeus, illiococcygeus, puborectalis

63
Q

why is the left leg most common site for DVT

A

right iliac artery crosses the left iliac vein

64
Q

RIsk of T21 in general population

A

1 in 2500

65
Q

where do the deep endopelvic connective tissue support structures converge

A

pericervical ring

66
Q

most common complication of uterosacral ligament suspension?

A

ureteral obstruction

67
Q

what percentage of those with elevated NT have chromosomal defect?

A

1/3

68
Q

what is the lifetime risk of breast cancer in patient with BRCA2

A

75%

69
Q

Dividing membrane of what size associated with dichorionicity

A

> 2 mm

70
Q

Best treatment for thrombotic thrombocytopenic purpura in pregnancy

A

plasmapheresis with FFP replacement

71
Q

what percentage of women with GDM will develop T2DM?

A

50%

72
Q

why is the left leg most common site for DVT

A

right iliac artery crosses the left iliac vein

73
Q

RIsk of T21 in general population

A

1 in 2500

74
Q

how do we treat hyperthyroid in preg?

A

PTU in 1st trimester, Methimazole in 2nd and 3rd

75
Q

what emryopathy associated with methimazole

A

aplasia cutis, choanal and esophageal atresia

76
Q

Most common defect associated with thickened NT and normal karyotype?

A

cardiac

77
Q

late complication of SSLF?

A

anterior vaginal wall prolapse

78
Q

most rare cancers diagnosed in pregnancy

A

thyroid, colorectal, leukemia

79
Q

pentatd of TPP

A

thrombocytopenia, fever, neurologic abnormalities, renal impairment, hemolytic anemia

80
Q

why is left leg the most common site for DVT

A

right ilitac artery crosses the left iliac vein

81
Q

what happens to protein S in pregnancy?

A

Decreases

82
Q

side effects of aromatase inhib

A

hot flush, vag dryness, arthralgias, decreased BM density and increased fracture rates

83
Q

greatness risk factor in wound infection after hyst

A

thickness of subcutaneous layer

84
Q

single most important risk factor for postpartum infection

A

Cesarean delivery

85
Q

most frequent manifestation of congenital CMV

A

intracranial calcifications

86
Q

least likely to be isolated from urinary tract

A

anaerobic

87
Q

when using chemo agent ifosfamade, how do you protect uroepithelium?

A

Mesna

88
Q

what type of peumonia has highest mortality in pregnancy

A

varicella

89
Q

what muscle is responsible for maintaining anal continuence

A

internal anal sphincter

90
Q

what neoplasm causes increased LDH

A

dysgerminoma

91
Q

what muscles make up perineal body

A

superficial transversalis, bulbocavernosis, anal sphincter

92
Q

what thyroid hormone increases in pregnancy

A

free t4

93
Q

when do you measure LFT after starting statin

A

8-12 weeks (then every 6 months)

94
Q

lipid assessment

A

every 5 years starting at age 45

95
Q

fasting glucose test?

A

every 3 years starting at age 45

96
Q

TSH screening?

A

every 5 years starting at age 50

97
Q

most likely side effect of tamoxifen?

A

vasomotor sx

98
Q

which is responsible for vaginal lubrication in sexual response

A

transudate

99
Q

when HBG is < 11 and MCV is >80 what is next step

A

reticulocyte acct

100
Q

when HBG is < 11 and MCV is <80 what is next step

A

serum ferritin and hb electrophoresis

101
Q

HbA2 >3.5%, normal ferritin

A

beta thal

102
Q

HbA2 < 3.5%,

A

Alpha-thal, Hb H disease, chronic anemia

103
Q

intrinsic sphincter deficiency

A

if leakage is seen when pressure < 60 cm H2O (valsalva leak pt pressure)

104
Q

most common sign of uterine rupture attempting VBAV

A

nonreassuring fetal heart tracing

105
Q

earliest spread of epithelial ovarian cancer

A

exfoliation

106
Q

malignant degeneration of mature teratoma most lkely tissue

A

squamous epithelium

107
Q

left ovarian vein drains into

A

left renal vein

108
Q

late term

A

41.0 to 41.6

109
Q

postterm

A

42.0 weeks and beyond

110
Q

MOA of PTU

A

blocks conversion of thyroxine to triiodothyronine

111
Q

MOA of methimazole

A

inhib synthesis of thyroid hormones by blocking oxidation of iodine in thyroid gland

112
Q

if prevalence in a population has changed, what statistical value has changed?

A

predictive

113
Q

aromatase inhib vs tamoxifen, more associated wth

A

bone loss, less hot flush, no risk of endometrial changes

114
Q

paclitaxel side effectsq

A

myleosuppression, hypersensitivity, neurotoxicity

115
Q

histologic feature of endometrial hyperplasia associated with greatest risk of progression to invasive cancer

A

nuclear atypia

Obgyn (3 decks)

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