June

Question 1

When to start dexa scans

Answer 1

Age 65.

Earlier if postmenopausal and *hx Etoh abuse, current tobacco use, hx hip fx, RA, wt <127#

Question 2

Amniotic fluid embolism triad

Answer 2

Hypoxia, hypotension, coagulopathy

Question 3

If you only take one ovary for endometriosis treatment, what’s the chance of needing second operation?

Answer 3

30%

Question 4

When does the fetal thyroid begin making thyroid hormone?

Answer 4

12 weeks.
If you’re hyperthyroid before then = maternal complications leading to PTD and miscarriage
Hypothyroid = low IQ and low birth wt

Question 5

First line Medical treatment for interstitial cystitis

Answer 5

Amitriptyline or pentosan polysulfate sodium

Question 6

How much does daily suppressive therapy for known genital HSV reduce recurrences?

Answer 6

70 to 80%.

Also decreases sexual transmission by approximately 50%

Question 7

Septic shock from septic abortion, acute pyelonephritis, chorioamnionitis, or endometritis is usually caused by what organism?

Answer 7

E. coli. Although klebsiella and Proteus can also cause sepsis

Question 8

After treatment for gonorrhea how long do people have to wait until they have sex? What is the treatment regimen? What would be partner treatment if partner is not present at visit?

Answer 8

Seven days with no sex. Treat with ceftriaxone and azithromycin. Partner treatment with 400 mg cefiximine PO and 1 g of azithromycin

Question 9

What test order for a fetal demise: seven.

Answer 9

CBC, KB, parvovirus B 19 IgG and IgM, syphilis, lupus anticoagulant, anti-cardiolipin antibodies, TSH

Question 10

Beth surgical option for pelvic congestion syndrome

Answer 10

Ovarian vein embolization works 89 to 100% of the time. Hysterectomy plus or minus. Surgical ligation of the ovarian vein can help 75% of patients.

Question 11

Hyperemesis gravidarum can affect your thyroid how?

Answer 11

Transient bio chemical hyperthyroidism. HCG overstimulates a TSH receptor leading to increased free T4. No treatment is recommended for this. Don’t even test thyroid levels unless you’re worried about hyperthyroidism.

Question 12

What is the most common cause of hyperthyroidism in pregnancy?

Answer 12

Graves’ disease. Causes 95% of hypothyroidism and pregnancy. Signs & symptoms include: goiter, exophthalmos, pretibial myxedema, weight loss, palpitations, hypertension. You need to treat

Question 13

How do you treat local anesthetic toxicity?

Answer 13

Intralipid. Give it IV. It decreases the active drug. However, you still need to treat symptoms related to lidocaine toxicity like seizures and allergic reactions separately

Question 14

What is a beta three receptor agonist used to treat urinary urgent incontinence?

Answer 14

Mirabegron.

Question 15

What are four examples of antimuscarinics they can treat urinary urge incontinence?

Answer 15

Fesoteradine, oxybutynin, solifenacin, tolterodine.

Question 16

What is the inheritance pattern for PKU?

Answer 16

Autosomal recessive. That’s why it’s in genetic screening because it’s unknown if someone can pass on. Most conditions on screening panels are autosomal recessive