OB GYN

Question 1

dx and treatment for hyperemesis gravidarum

Answer 1

dx: check bhcg and US to r/o molar. evaluate labs

tx: vit B6, doxylamine, promethazine
metoclopramide or ondansetron if severe

Question 2

Non stress test

Answer 2

FHR- doppler

reactive: 2 accels >15 bmp >15 sex in 20 min

Question 3

contraction stress test

Answer 3

FHR- doppler during mom contractions

pos: late devels >50% of the contractions

Question 4

BPP

Answer 4

uses US

assess tone, breathing, movement, amniotic fluid vol, NST

Question 5

umbilical artery doppler velocimetry used when what suspected

Answer 5

IUGR

Question 6

DM tested when in pregnancy and how

Answer 6

24-28 weeks

1. screen: 1 hr 50 g glucose challenge test
2. confirm: oral 3 hr 100 g glucose tolerance test

Question 7

most common cause of prolonged second stage of labor

Answer 7

fetal malposition

Question 8

causes and dates of symmetric vs asymmetric fetal growth restriction

Answer 8

symmetric: 1st tri- chromosome abnl, infection
asymmetric: 2nd, 3rd tri- utero-placental abnl (HTN), malnutrition

Question 9

how to determine whether to do misopristol or suction curettage for inevitable abortion

Answer 9

hemodynamically stable: misopristol

unstable: suction curretage

Question 10

treatment for asx endometriosis

Answer 10

nothing, observe

Question 11

lactation suppression managment

Answer 11

NSAIDs, ice packs, avoid nipple stimulation

Question 12

does toxic shock syndrome include palms and soles?

Answer 12

yes

Question 13

sudden pelvic pain with known ovarian mass should make you think of

Answer 13

ovarian torsion

Question 14

braxton hicks contraction characteristics

Answer 14

mild irregular contractions

no cervical change

Question 15

prognosis of erb palsy from shoulder dystocia

Answer 15

most spontaneously recover in 3 months

Question 16

most effective way of preventing HIV vertical transmission

Answer 16

triple HAART therapy

Question 17

when is c-section indicated over oxytocin for arrest of active labor

Answer 17

no cervical change >4 hrs + adequate contractions

no cervical change >6 hrs + inadequate contractions

Question 18

what is this: normal internal female genitalia, external virilization, undetectable estrogen, high T

Answer 18

aromatase deficiency

Question 19

how does CAH differ from aromatase deficiency

Answer 19

same normal internal, ambiguous external

but also electrolyte abnormalities- hyponatremia

Question 20

McCune-Albright syndrome

Answer 20

cafe au lait spots
polyostotic fibrous dysplasia
autonomous endocrine function

precocious puberty

Question 21

ovarian hyperthecosis

Answer 21

virilization in post-menopausal women

insulin resistance

Question 22

classic vs nonclassic CAH

Answer 22

classic: newborn girl with ambiguous genitalia and adrenal insufficiency
nonclassic: late onset, androgen excess

Question 23

21 alpha hydroxyase def characteristcis

Answer 23

increased: 17 hydroxy-progesterone, renin
decreased: K, cortisol

hypotension, virilization

Question 24

11 beta hydroxylase def labs

Answer 24

decreased: aldosterone, K, renin, cortisol

hypertension, virilization

Question 25

17 alpha hydrozylase characteristics

Answer 25

hypertension

XY: psuedo hermaphrodite

XX: lack secondary sex dev

decreased: K, cortisol

Question 26

fetal demise diagnosis confirmed how

Answer 26

US

Question 27

first step to determine preterm labor

Answer 27

transvaginal US- measure cervical length

Question 28

treatment for preterm labor with short cervix in people with hx of preterm labor vs without hx

Answer 28

with hx: cerclage

without hx: vaginal progesterone- quiescence

Question 29

when is quad screen done

Answer 29

15-22 weeks- but not diagnostic!

Question 30

when is cell free DNA done?

Answer 30

> 10 weeks

Question 31

maternal complications of abruptio placenta

Answer 31

DIC

hypotension

Question 32

umbilical cord prolapse associated with

Answer 32

breech/malpresentation

abnl fetal heart rate tracing