Kaplan

Question 1

Are non-vertex fetus delivered by c-sec or vb

Answer 1

c-sec

Question 2

can a breech baby be born vaginally?

Answer 2

yes if >2000g

Question 3

What has a tendency to rupture during pregnancy that can kill mom?

Answer 3

Visceral Aneurysms

Question 4

Negative RPR and painless ulcer is

Answer 4

Lymph venereum

Question 5

water under bridge is?

Answer 5

ureter under the uterine artery from internal iliac artery

Question 6

Hypotonia, epicanthal folds, nuchal skins xs, single traverse crease, clinodactyly of 5th finger is?

Answer 6

Downs (21)

Question 7

Spina bifida diagnosis, that is the dose of FA?

Answer 7

4mg daily

Question 8

how does pregnancy affect migraines and PUD?

Answer 8

Improves both

Question 9

Warfarin, OCP, Tetracycline. Are these ok in pregnancy?

Answer 9

No

Question 10

Normal FA dose in pregnancy is?

Answer 10

0.4 mg

Question 11

How do you examine vaginal discharge for STIs?

Answer 11

microscopic eval

Question 12

75 with vaginal bleed. step 1?

Answer 12

historoscopy

Question 13

TX for osteoporosis?

Answer 13

Estrogen, Bisphos, Calcium, exercise

Question 14

SE of raloxifene?

Answer 14

Hot flashes

Question 15

bloody discharge needs to always be examined, especially in what population?

Answer 15

peds

Question 16

If a lesion or cyst occurs 2x, what needs to be done?

Answer 16

open biopsy or FNA

Question 17

what is the MOA of lueprolide?

Answer 17

GnRH agonist

Question 18

menorrhagia can be best treated (even with clots) with?

Answer 18

OCPs

Question 19

intermenstrual pain for years is due to

Answer 19

Mittelschmerz - menses was 2 weeks ago

Question 20

46,XX and completely paternal is?

Answer 20

complete hydatiform mole

Question 21

complete hydatiform mole will show how on US?

Answer 21

grape-like

Question 22

Physical examination shows a girl with short stature. She has a webbed neck, and a high arched palate.

Answer 22

Turner syndrome, 45, 0X

Question 23

intrauterine growth retardation with multiple organ abnormalities. Many fetuses do not survive

Answer 23

Trisomy 18, Edward

Question 24

rhogam is administered when?

Answer 24

28 weeks and at 72 hours post birth

Question 25

What test determines how much blood a mother loses in Rh incompatability

Answer 25

Kleihauer-betke

(little baby) test

Question 26

What medication can reduce the risk of endometrial cancer?

Answer 26

OCP

Question 27

Normal TSH and high total T4. Do they need meds?

Answer 27

No

Not PPT if preg

Question 28

What meds relax the uterus

Answer 28

Tocolytics (INMT)

Question 29

if hemoglobin is less than 10 in menses, what could the patient have?

Answer 29

vWF,

Question 30

MXT MOA beside reducing folate?

Answer 30

prostoglandin induced uterine contractrions

Question 31

Non-sexual pt with acute pain after procedure may have a…

Answer 31

uterine rupture

Question 32

what can you give a neoante with an agpar of 1?

Answer 32

naloxone - stop resp distress

Question 33

when can you do an amniocentesis?

Answer 33

2nd trimester

Question 34

withdrawl bleeding after progesterons is due to what?

Answer 34

exogenous estrogen

Question 35

can raloxifene treat and prevent osteoporosis?

Answer 35

Yes

Question 36

How do you treat cord prolapse?

Answer 36

C-section, elevate fetal head into Trendelenburg (knee to chest) from cord , Tocolytics

Question 37

Patient education post birth

Answer 37

breast pain, fever, PE signs or sxs, mood

Question 38

Trauma in pregnancy. What are the steps?

Answer 38

ABC, watch from vena cava compression, fetal HR.