Ob/Gyn

Question 1

Women with in utero exposure to diethylstilbestrol (DES) are at greatest risk of developing clear cell _______ of the _______.

Answer 1

Adenocarcinoma; vagina or cervix

Question 2

What is the first test that should be performed in a pt w/hyperemesis gravidarum?

Answer 2

Quantitative β-hCG

Question 3

When do β-hCG levels peak in pregnancy? What is the serum(?) concentration at that time?

Answer 3

10 weeks

100,000 mIU/mL

Question 4

Until what gestational age are the products of conception called an embryo?

Answer 4

10 weeks

Question 5

What is the difference between gestational age (GA) and the developmental age (DA)?

Answer 5

GA = DA + 2 wks

Question 6

A preterm delivery is one that falls in between what gestational ages?

Answer 6

24-37 wks

Question 7

What’s Nagele’s rule for determining the estimated date of confinement (delivery)?

Answer 7

LMP - 3 mos + 7 days

Question 8

What happens to cardiac output during preg?

Answer 8

Increases by 30-40%

Question 9

During preg, cardiac output is first increased by an increase in _______ and then maintained by an increase in _______.

Answer 9

Stroke volume; heart rate

Question 10

What happens to BP during preg?

Answer 10

Decreases

Question 11

How is the pregnancy drop in BP most likely mediated?

Answer 11

Progesterone relaxes smooth muscle

Question 12

At what gestational age does hype remedies gravidarum occur?

Answer 12

Weeks 4-10

Question 13

What happens to total lung capacity (TLC) during preg?

Answer 13

Decreases 5%

Question 14

What happens to tidal volume (Vt) during preg?

Answer 14

Increases 30-40%

Question 15

What happens to RR during preg?

Answer 15

No change

Question 16

What happens to minute ventilation during preg?

Answer 16

Increases 30-40%

Question 17

PaCO2 decreases to ___ mmHg by 20 wks.

Answer 17

30

Question 18

What mediates the increased respiratory drive?

Answer 18

Progesterone

Question 19

What is a common (60-70%) respi complaint in preg?

Answer 19

Dyspnea

Question 20

In hyperemesis gravidarum, women lose greater than ___% of their prepared body weight.

Answer 20

5

Question 21

2 common GI complaints in preg.

Answer 21

GE reflux and constipation

Question 22

What are the 2 reasons for GE reflux in preg?

Answer 22

Prolonged gastric emptying and decreased LES tone

Question 23

What is the reason for constipation in preg?

Answer 23

Decreased colonic motility –> increased water absorption

Question 24

What is the effect of preg on GFR?

Answer 24

Increases 50%

Question 25

During the latent stage of labor, the cervix _______ more than it _______.

Answer 25

effaces; dilates

Question 26

How dilated is the cervix when the patient reaches active labor?

Answer 26

4 cm

Question 27

How quickly should the cervix of a nulliparous woman dilate in the active phase of labor?

Answer 27

> /= 1.2 cm/hr

Question 28

How quickly should the cervix of a woman who had had at least one vaginal delivery dilate during the active stage of labor?

Answer 28

> /= 1.5 cm/hr

Question 29

What is it called if a woman is >4 cm dilated, but dilation is slower than normal?

Answer 29

Protraction of active phase

Question 30

Define arrest of the active phase.

Answer 30

Non-progress of active labor for 2 hrs