NBME #3

Question 1

Per the NBME, what is the “most serious” complication of an infected Bartholin gland abscess with cellulitis past the site of infection?

Answer 1

Necrotizing fasciitis (even more so than sepsis)

Question 2

What does fetal fibronectin indicate?

Answer 2

That preterm labor is likely (it leaks from the uterus into the vagina)

Question 3

What test is predictive of IUFD in a woman with preeclampsia?

Answer 3

Doppler of the umbilical artery

Question 4

The Kleihauer-Betke acid elution test shows _______________.

Answer 4

how much fetal blood has entered the mother (which can predict likelihood of Rh-antibody development)

Question 5

Which test is used to see if the mom has antibodies?

Answer 5

Indirect Coombs (her plasma on another’s RBCs)

Question 6

If a woman has a total hysterectomy, how long does she need cervical cancer screening?

Answer 6

• If no abnormal Pap smears in the past, then stop screening.
• If there is a history of cervical cancer, then continue for 20 years.

Question 7

What is the difference between fibrocystic change and a fibroadenoma?

Answer 7

• Fibroadenoma is a benign tumor that is responsive to estrogen.
• Fibrocystic change are cysts that are not proliferative. They are more often bilateral.

Question 8

One of the only effective prophylactic measures for UTI prevention in women is ____________.

Answer 8

voiding after coitus

Question 9

The uterus of a woman with cervical stenosis may be ______________.

Answer 9

enlarged and tender

Question 10

A rigid and tender abdomen could be a sign of what obstetric emergency?

Answer 10

Placental abruption

Question 11

Which drug is superior in the prophylaxis of osteoporosis, alendronate or calcitonin?

Answer 11

Alendronate

Question 12

In addition to the classic description of thick discharge, vaginal candidiasis can also present as ____________.

Answer 12

no discharge with erythematous vaginal walls

Question 13

Movement above ___º above the plane of the body is diagnostic of urethrocele.

Answer 13

30

Question 14

___________ during labor can cause apnea, hypotension, and cyanosis.

Answer 14

Amniotic fluid embolism

Question 15

Polyhydramnios and skin thickening are suggestive of ______________.

Answer 15

hydrops fetalis

Question 16

Having “no cervix on palpation” and a baby visible in the vaginal canal are signs suggestive of ____________.

Answer 16

an incompetent cervix

Question 17

Heavy menstrual bleeding can be treated with cyclic ___________.

Answer 17

progesterone

Question 18

The most common type of cervical cancer is _____________.

Answer 18

squamous cell carcinoma

Question 19

What is a common cause of hyaline membrane disease in newborns?

Answer 19

High insulin states

Question 20

A woman comes in with hyperemesis. What lab is important in evaluating the severity of her symptoms?

Answer 20

Urinary ketones

Question 21

If a woman has no presenting part in labor, what test can you do to help determine the proper next step in management?

Answer 21

Ultrasound

Question 22

Endometritis is most often a ____________ infection.

Answer 22

polymicrobial

Question 23

Granulosa cell tumors often present with large ____________.

Answer 23

uterus (because of the estrogen)

Question 24

Young women should be screened for which STI?

Answer 24

Chlamydia