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Obstetrics > JAAPA > Flashcards

JAAPA Flashcards

1
Q

The condition of mood swings known as the “baby blues”…

A

all of the above (is mild & transitory, resolves in the first 10 days of the infant’s life, & is not accompanied by suicidal ideation)

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2
Q

In many cases, postpartum psychosis is a manifestation of…

A

bipolar disorder

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3
Q

Approximately 6-9% of postpartum women develop…

A

thyroiditis

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4
Q

The most commonly used tool to screen for postpartum depression is the…

A

Edinburgh Postnatal Depression Scale (EPDS)

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5
Q

To establish the diagnosis of major depressive disorder, one of the five symptoms must be…

A

anhedonia

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6
Q

For treatment of postpartum depression, the first-line choice is…

A

selective serotonin reuptake inhibitor

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7
Q

Which statement is correct about preconception counseling?

A

Women who live in rural areas are more likely to delay preventive and prenatal care than women in non-rural settings

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8
Q

According to studies, which of the following is a result of having a brief preconception counseling session during a primary care visit?

A

Patients had increased knowledge of the importance of folic acid

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9
Q

Which statement is correct about substance use and pregnancy?

A

Illicit substance use during pregnancy is associated with stillbirth and prematurity

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10
Q

In women who smoke during pregnancy, which of the following is the most likely effect?

A

placenta previa

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11
Q

Which actions are most important to include during a primary care visit for a woman who is interested in conceiving soon?

A

Screen for diagnosed diseases, change or stop medications that are teratogenic

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12
Q

Which of the following is a risk factor for group B streptococcal disease?

A

History of a sibling with group B streptococcal disease

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13
Q

Which of the following is a rare manifestation of neonatal group B streptococcal infection in the first 24 hours of life?

A

apnea

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14
Q

Which statement is correct about preventing group B streptococcal infection?

A

Proper maternal screening procedures include culture of swabs from the vagina and rectum

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15
Q

What is the antibiotic treatment of choice for IAP in a mother with no known drug allergies without suspected chorioamnionitis?

A

penicillin G

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16
Q

Which evaluation approach is most appropriate for asymptomatic neonates with adequate maternal IAP?

A

observation for 48 hours after delivery

17
Q

The best dental management approach for women who are vomiting is to…

A

A) Rinse afterward with 1tsp baking soda in a cup of water

18
Q

Pyogenic granulomas are most often found on the…

A

C) Gingiva

19
Q

A common symptom of gingivitis is…

A

D) Bleeding when brushing (not totally sure on this answer, could also be red and swollen gums but the bleeding when brushing is word-for-word so more likely in our consensus)

20
Q

To avoid compression of the inferior vena cava during the third trimester, women receiving dental treatment should be positioned…

A

Angled to their left side

21
Q

What bacterium causes dental caries and is believed to be primarily transmitted by mothers to children?

A

Streptococcus mutans

22
Q

Studies have found that amalgam exposure during pregnancy is associated with…

A

None of the above

23
Q

What is the definition of infertility?
A. Inability to conceive after 1 year of frequent, unprotected intercourse
B. For women over age 40 years, the inability to conceive after 1 year of frequently unprotected intercourse
C. For couples of any age, the inability to conceive after ruling out all causes through completion of an exhaustive evaluation of tubal and uterine patency, ovulatory dysfunction, and semen analysis
D. There is no consensus on the definition of infertility; sound clinical judgement is used to determine if a couple is infertile as opposed to having trouble conceiving

A

A

24
Q

Which is the most appropriate initial test for evaluating suspected male infertility?
A. Genetic testing for chromosomal abnormalities
B. Scrotal ultrasound
C. Semen analysis
D. Serum FSH, LH, and prolactin

A

C

25
Q

In a woman with regular menstrual cycles, which test should be ordered first to confirm the presence or absence of ovulation?
A. Serum progestin level 7 days before expected menses (usually day 21)
2. Hysterosalpingogram
3. Progesterone challenge
4. Transvaginal ultrasound for presence of follicular development

A

A

26
Q

A couple (both under age 35 years) has been diagnosed with unexplained infertility (subfertility) after an extensive workup. Which is an appropriate management strategy at this time?
A. Gonadotropin and antiestrogen therapy in the man for 1 year
B. Low glycemic-index diet and metformin in the woman
C. No therapy is recommended until a definite source of infertility has been identified in either partner
D. Ovulation stimulation

A

D

27
Q 
In the United States, what is the most commonly used form of assisted reproductive technology?
A. Expectant management
B. IVF
C. Intrauterine insemination
D. Ovulation stimulation
A

B

28
Q 
About how many pregnant patients experience first-trimester bleeding?
A. Fewer than 5%
B. 10% 
C. 25%
D. More than 50%
A

C

29
Q 
In evaluating a patient with first-trimester bleeding, which laboratory test is most useful for correlating the findings on transvaginal ultrasound?
A. Complete blood cell count
B. Qualitative beta-hCG
C. Quantitative beta-hCG
D. Rh factor
A

C

30
Q

Which statement is correct about emergent causes of first-trimester bleeding?
A. Ectopic pregnancy occurs at a rate of about 2% in women who have received assisted reproductive technologies
B. A patient with septic abortion usually presents with pelvic and abdominal pain, bleeding, and fever
C. Radiologic description of a snowstorm appearance or cluster of grapes is pathognomonic for complete abortion
D. In gestational trophoblastic disease, the quantitative beta-hCG often is well below what would be expected given the patient’s LMP

A

B

31
Q

Which of the following is a contraindication for methotrexate use in patients with ectopic pregnancy?
A. Evidence of ectopic rupture
B. Gestational sac less than 3.5 cm
C. Initial beta-hCG levels of less than 5,000 mIU/mL
D. Concurrent use of folic acid

A

A

32
Q

Which statement is most consistent with spontaneous abortion?
A. Loss of fetus after 24 weeks gestation
B. Common risk factors include poorly controlled diabetes and renal disease
C. Chromosomal abnormalities are present in more than 75% of fetuses spontaneously aborted in the first trimester
D. A threatened abortion occurs in the first trimester with cervical dilation and an open cervical os

A

C

33
Q

What is the strongest risk factor for postpartum depression?
A. Previous history of depression and anxiety
B. Age
C. Race or ethnicity
D. Social factors such as income

A

A

34
Q

Which statement is correct about cortisol?
A. Prolonged stress causes lower levels of cortisol
B. Low cortisol levels cause the brain to be more susceptible to depression
C. Higher cortisol levels are needed for cognitive and emotional processing
D. Age is positively associated with cortisol secretion during depression

A

D

35
Q

In order to diagnose postpartum depression, when must symptoms begin?
A. Depression symptoms begin before conception but worsen throughout pregnancy
B. Depression symptoms start during pregnancy or within 4 weeks postpartum
C. Depression symptoms start 2 to 5 days after delivery but resolve within 2 weeks
D. Depression symptoms start more than 4 weeks after delivery

A

B

36
Q 
Which is the most effective way nonpharmacologic treatment for postpartum depression?
A. CBT
B. In-home visits by a nurse
C. Peer support
D. Talk therapy with a nurse
A

A

37
Q 
What is the first-line pharmacologic therapy for most patients with postpartum depression?
A. Amitriptyline
B. Bupropion 
C. Mirtazapine
D. Sertraline
A

D

Obstetrics (14 decks)

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