OB/Gyn

Question 1

weird abd pain syx
dysuria, dyschezia
nodularity in the posterior cul-de-sac

Answer 1

Endometriosis

Question 2

Infertility work up
severe pain during menses
uterus adherent on the R w/ tenderness on mobilization

Answer 2

Endometriosis

Infertility + chronic pelvic pain + fixed immobile uterus

Question 3

Most common cause of post parutum hemorrhage after a surgical vag deliever (forceps, vacuum)

Answer 3

Genital tract injury (Perineum, vagina or cervix)

must also r/o uterine atony or retained placenta

Question 4

Best way to confirm dx of fibroadenoma?

Answer 4

Bx

Usually do an U/S prior to determine if mass is cystic (FNA) vs solid (bx)

Question 5

Newborn (wks)
presenting with seizure, temporal lobe hemorrhage, no intracranial calcifications
Vertical transmission of?

Answer 5

Herpes

Vertical transmission during delivery

Question 6

Ovarian tumor
Post menopausal woman
Breast tenderness, enlarged uterus

Answer 6

Granulosa tumor
Overproduction of estradiol
Can cause postmenopausal bleeding

Question 7

Pathophys of gestational diabetes

Answer 7

Increased insulin resistance d/t placental somatomammotropin

Question 8

Tx for antiphospholipid syndrome during pregnancy?

Answer 8

LMWH

Warfarin is contra in pregnancy

Question 9

Tx for Her2 breast cancer

Answer 9

Trastuzumab

Question 10

Prior to starting trastuzumab, what needs to be studied?

Answer 10

Echocardiography

Need a baseline of cardiac fxn as trastuzumab is cardio toxic