OB/GYN

Question 1

Which of the following is not one of the three phases of the uterine menstrual cycle?  
  Proliferative  
  Secretory  
  Menstruation  
  Ovular

Answer 1

Ovular

The three phases of an uterine menstrual cycle are: proliferative, secretory, and menstruation.

Question 2

Which of the following would not be a normal change in maternal vitals you would expect to see over the course of a pregnancy?
Increase in heart rate by 15/min
Increase in respiratory rate
Decrease in blood pressure by 15 mmHg
Increase in ETCO2

Answer 2

Increase in ETCO2

Minor increases in heart rate and respiratory rate as well as a minor drop in blood pressure are all normal changes expected during pregnancy. The increase in respiratory rate should cause a decrease in ETCO2 levels.

Question 3

What lead III ECG change would you expect to see in a pregnant patient in her third trimester?  
  Absent P-waves  
  Absent T-waves  
  Negative T-waves  
  Negative P-waves

Answer 3

Negative T-waves

As the fetus grows, the diaphragm is pushed superiorly. This often results in minor rotation of the heart upward and to the left. The rotation can cause negative or flattened T-waves as well as minor Left Axis Deviation.

Question 4

Four classifications of hypertensive disorders of pregnancy, also known as toxemia of pregnancy, include: Chronic HTN, Chronic HTN superimposed with preeclampsia, transient HTN, and what?  
  Hypertensive crisis  
  Abruptio placentae  
  Placenta previa  
  Preeclampsia/Eclampsia

Answer 4

Preeclampsia/Eclampsia