OB

Question 1

what is the best imaging for the pelvis

Answer 1

US&raquo_space; CT

Question 2

When do you do a endometrial biopsy

Answer 2

evaluate uterine lining for hyperplasia/carcinoma

Usually done in > 45 yo with abnormal bleeding

Question 3

Why are post menopausal women always peeing themselves

Answer 3

estrogen receptors are expressed on pelvic floor muscles

Question 4

do you treat asymptomatic UTI in pregos?

Answer 4

YES! otherwise you will get pylo

Question 5

What is an episiotomy

Answer 5

a cut between rectum and vagina

Question 6

what is uterine atony

Answer 6

a fatigued uterus that will not contract and becomes boggy

most common cause of postpartum hemorrhage

Question 7

what can cause uterine atony

Answer 7

prolonged labor
induction of labor
operative vaginal delivery 
big baby (8.8lbs)

Question 8

what prego stuff can cause DIC

Answer 8

preeclampsia
sepsis
amniotic fluid embolism

Question 9

What are the first two steps to treat uterine atony

Answer 9

1- bimanual massage

2- oxytocin

Question 10

Who can you not give carboprost to?

Answer 10

asthma patients

Question 11

What will lithium do to babies

Answer 11

cardiac defects- 1st trimester

goiter/ transient neuromsk dysfx- 2nd and 3rd

Question 12

what causes craniofacial defects, neural tube defects, and genital abnormalities in babies

Answer 12

anticonvulsants

carbamazipine and valporate

Question 13

What are the routine vaccines in prego

Answer 13

TDap and inactivated Flu

Question 14

Results from underlying DCIS or invasive breast

cancer. Eczematous patches on nipple

Answer 14

Paget disease of breast

Question 15

unilateral bloody nipple discharge

intraductal

Answer 15

breast papilloma

Question 16

what girly cancer does HPV cause

Answer 16

squamous cell

Question 17

what cancer does diethylstilbestrol cause

Answer 17

clear cell adenocarcinoma of vagina and cervix

hooded cervix will be seen

Question 18

when d we start paps

Answer 18

age 21

Question 19

side effects of birth control pills

Answer 19

clotting
break through bleeding
htn

Question 20

when do mammograms start

Answer 20

age 50 +

Question 21

how do you ddx endometriosis

Answer 21

laparoscopy

Question 22

what does dopamine do to prolactin

Answer 22

Da inhibits prolactin

Question 23

what stimulates prolactin

Answer 23

TRH and serotonin

Question 24

how is mag metabolized

Answer 24

renal

renal failure = mag tox

Question 25

Three stages of labor

Answer 25

1- dilation of cervix from 0-10

2- delivery of baby

3- delivery of placenta

Question 26

what is latent stage of labor

Answer 26

0-6 cm

Question 27

what os active stage of labor

Answer 27

6-10 cm

Question 28

define HELLP

Answer 28

complication of preeclampsia

thrombocytopenia, micro hemolytic anemia, ↑ LFTs

caused by systemic inflammation

Question 29

what is a reactive baby stress test

Answer 29

> 2 acceleration in 20-40 minutes

Question 30

what is a biophysical profile

Answer 30

non stress test + ultrasound

amniotic volume
fetal tone, breathing, movement

normal= 8-10 points

Question 31

What are the most common causes of young healthy Amenorrhea

Answer 31

prolactin- oma
TSH- dysfx
FSH- premature ovarian failure

Question 32

Is insulin resistance required for PCOS ddx?

Answer 32

no
Polycystic ovary
hyperandrogenism* most important
oligomenorrhea

Question 33

Most common cause of ovulatory dysfunction

Answer 33

PCOS

Question 34

metabolic syndrome includes

Answer 34

3 of the following:

130/85
35" + waist 
fasting glu over 100
HDL under 50 
TG over 150