Nov 22 2020

Question 1

are leiomyomas benign or malignant?

Answer 1

benign

Question 2

why do leiomyomas grow in pregnancy?

Answer 2

increased estrogen and progesterone

Question 3

Presentation of leiomyoma degeneration?

Answer 3

-uterine contractions (due to prostaglandin release), fundal tenderness, tender mass, and leukocytosis

Question 4

Management of a degenerating leiomyoma?

Answer 4

• conservative (pain relief)

- indomethicin for patients <32 weeks gestation

Question 5

Treatment of menopause symptoms?

Answer 5

• topical vaginal estrogen

- hormone replacement therapy

Question 6

what are the contraindications for an iud (both copper and progestin)?

Answer 6

• unexplained vaginal bleeding
• endometrial cancer or cervical cancer
• pregnancy
• gestational trophoblastic disease
• distorted endometrial cavity
• acute pelvic infection

Question 7

what contraindications are specific for the progestin IUD?

Answer 7

• acute liver disease

- acute breast cancer

Question 8

what are the contraindications for the copper iud specifically?

Answer 8

wilsons disease

Question 9

what are the complications of PPROM?

Answer 9

• preterm labour
• intraamniotic infection
• placental abruption
• umbilical cord prolapse

Question 10

risk factors for genito-pelvic pain/penetration disorder?

Answer 10

• sexual trauma
• history of abuse
• lack of sexual knowledge

Question 11

treatment for genito-pelvic pain/penetration disorder?

Answer 11

• kegel exercises

- desensitization

Question 12

what is a normal amount of fetal movements in third trimester?

Answer 12

> 10 in two hours

Question 13

when do you begin apsirin prophylaxis for a woman with previous preeclamspia?

Answer 13

12 weeks gestation

Question 14

what condition may cause a false pos VLDR test?

Answer 14

anti-phospholipid syndrome

Question 15

what blood test may be artificially prolonged in anti-phospholipid syndrome?

Answer 15

aPTT

Question 16

how to treat antiphospholipid syndrome in pregnancy?

Answer 16

LMWH

Question 17

presentation of endometrial polyp?

Answer 17

Usually asymptomatic but can present with painless intermenstrual bleeding

Question 18

treatment for endometrial polyp?

Answer 18

hysteroscopic polpectomy

Question 19

prognosis of post-partum thyroiditis?

Answer 19

Usually self-limited - usually back to normal within a few months

Question 20

treatment of post-partum thyroiditis?

Answer 20

for hyper - beta blockers

for hypo - hormone replacement

Question 21

most common causes of acute cervicitis?

Answer 21

gonorhea and chlamydia

Question 22

how to confirm gonorhea or chlamydia?

Answer 22

NAAT testing - dont gram stain

Question 23

what is pubic symphisis diastisis?

Answer 23

normal in pregnancy - widening of the pubic symphysis during pregnancy to facilitate birth. Driven by increased progesterone and relaxin

Question 24

how does symptomatic pubic symphysis diastisis present?

Answer 24

• difficulty ambulating
• radiating suprapubic pain
• pubic symphisis tenderness
• intact neurologic exam

Question 25

risk factors for pubic symphysis diastisis?

Answer 25

• fetal macrosomnia
• multiparity
• operative vaginal delivery

Question 26

management of symptomatic pubic symphysis diastisis?

Answer 26

• conservative
• nsaids
• physical therapy
• pelvic supports

Question 27

what may cause wernickes encephalopathy during pregnancy?

Answer 27

-hyperemesis gravidarum

Question 28

lab findings of hyperemesis gravidarum?

Answer 28

-hypochlorimec alkalosis, hypokalemia, hypoglycemia and elevated ALTs/ASTs