Mock Exam Part 2, #76-90

Question 1

a surgical emergency that requires prompt diagnosis to preserve ovarian function

Answer 1

Ovarian torsion

Question 2

Risk factors for ovarian torsion

Answer 2

• pregnancy due to enlarged corpus luteum
• presence of large ovarian cysts or tumors
• polycystic ovaries
• chemical induction of ovulation (ovarian hyperstimulation syndrome)
• tubal ligation

Question 3

most common ultrasonographic finding associated with torsion

Answer 3

ovary >4 cm in size due to cyst, tumor, or edema

Question 4

most common CT finding of ovarian torsion

Answer 4

an enlarged ovary >4.0 cm

Question 5

Ovarian torsion may occur at any age in both pre- and postmenarchal girls but is increased in

Answer 5

One year old
Menarche
Pregnancy

Question 6

Major Risk Factors for Ectopic Pregnancy

Answer 6

Si ECTA, isang prosti, nagka-STI at PID, mahilig siyang manigarilyo. Nabuntis siya kahit may IUD, ectopic pregnancy, pero nagpa-abort at uminom ng Misoprostol. Ayaw na niya mabuntis kaya nagpa-Ligate,

Noong 35 to 44y/o siya, gusto na niya magka-anak, kaya nagpa-IVF siya

Question 7

Mass and free fluid UTZ finding has ____% risk for Ectopic Pregnancy

Answer 7

97%

Question 8

Hepatorenal free fluid in UTZ has ____% Risk of ectopic pregnancy

Answer 8

100%

Question 9

First-line treatment for asymptomatic bacteriuria and simple cystitis is

Answer 9

either
amoxicillin, 500 milligrams PO two to three times daily for 3 to 7 days
Or
cephalexin, 500 milligrams two to four times daily for 3 to 7 days

Question 10

most common non- sinus tachycardia in women of childbearing age

Answer 10

Paroxysmal supraventricular tachycardia SVT

Question 11

most common cause of pregnancy-related acute myocardial infarction

Answer 11

Spontaneous coronary artery dissection

Question 12

leading cause of maternal morbidity and mortality in industrialized nations as well as developing countries

Answer 12

Venous thromboembolism includes deep venous thrombosis (DVT) and pulmonary embolism

Question 13

DVT in pregnant women is more often left-sided and is more commonly found in

Answer 13

proximal iliofemoral veins

Question 14

What is the first-line imaging technique in DVT?

Answer 14

Compression duplex US with color flow Doppler

Question 15

first- line diagnostic test of choice for Pulmonary Embolism in pregnant

Answer 15

CT pulmonary angiography

Question 16

Treatment of venous thromboembolism in pregnancy

Answer 16

unfractionated heparin
or
low-molecular-weight heparin

Neither crosses the placental barrier

Question 17

most common cause of vaginitis in acutely symptomatic women

Answer 17

BACTERIAL VAGINOSIS

Question 18

second most common cause of infectious vaginitis

Answer 18

Candida

Question 19

Chronic hypertension in pregnancy is defined as a
- systolic blood pressure _______ mm Hg or a
- diastolic blood pressure _______ mm Hg
- that existed ___________
- is diagnosed _____________
- persists longer than ___________

Answer 19

• systolic blood pressure ≥140 mm Hg or a
• diastolic blood pressure ≥90 mm Hg
• that existed prior to pregnancy,
• is diagnosed before the 20th week of gestation,
• persists longer than 12 weeks after delivery

Question 20

Severe chronic hypertension is systolic blood pressure _________ or diastolic presure _________

Answer 20

> 160 mm Hg

> 110 mm Hg

Question 21

is the first-line agent for chronic hypertension in pregnancy.

Answer 21

Labetalol
starting dose of 100 mg PO twice a day, and the usual maintenance dose is 200 to 400 mg PO twice a day

Question 22

Gestational hypertension is

Answer 22

hypertension present only after the 20th week of pregnancy or in the *immediate postpartum ** without proteinuria**

Question 23

Admission considerations for tubo-ovarian abscess

Answer 23

Question 24

Common Complications Related to Major Gynecologic- Abdominal Surgery

Answer 24

Question 25

Acute mastitis and abscesses in nonlactating women are often seen in women with

Answer 25

Diabetes
Obesity
Smoker

Question 26

Severe features of preeclampsia

Answer 26

• Systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥110 mm Hg on 2 occasions at least 4 hours apart while the patient is on bed rest
• Thrombocytopenia (<100,000 platelets/mL)
• Impaired liver function (liver enzymes levels increased to twice normal)
• persistent right upper quadrant/epigastric pain unresponsive to medication and not accounted for by a different diagnosis)
• Progressive renal insufficiency (serum creatinine >1.1 mg/dL or doubling of creatinine level without other renal disease)
• Pulmonary edema
• Cerebral or visual disturbances

Question 27

Remarks on pelvic examination for patients undergoing fertility treatment

Answer 27

defer the pelvic examination until consulting with the gynecologist, due to possibility of rupturing enlarged ovarian follicles

Question 28

Expected color changes in nitrazine paper test in testing for amniotic fluid

Answer 28

Amniotic fluid (pH 7.0 to 7.4) will turn the paper to dark blue.
Vaginal fluid (pH 4.5 to 5.5), the paper remains yellow

Flase positive in presence of blood, lubricant, Trichomonas vaginalis, semen, or even cervical mucus

Question 29

Following laparoscopy, some patients experience shoulder or upper abdominal pain due to the presence of carbon dioxide bubbles trapped between the liver and diaphragm. This discomfort persists in a signifi cant percentage of patients even 48 hours post-surgery. What additional symptoms and signs should you particularly concerned about when assessing post-laparoscopy patients with such pain and tenderness?

Answer 29

Fever, nausea, vomiting, and altered bowel sounds