OB/GYN

Question 1

what constitutes a “reactive” nonstress test?

Answer 1

• in 20 minutes there are:
  
  • 2 or more heart rate accelerations that peak at
  • 15 beats per minute or greater
  • and last at least 15 seconds

Question 2

What does a “reactive” nonstress test indicate?

Answer 2

adequate fetal oxygenation and requires no additional fetal monitoring

Question 3

stages of labor

Question 4

complications that may occur in the first trimester in a fetus of a diabetic mother?

Answer 4

• heart defects
• neural tube defects
• small left colon syndrome
• limb defects
• spontaneous abortion

Question 5

complications that may occur in the second trimester in a fetus of a diabetic mother?

Answer 5

• respiratory distress
• macrosomia
• hyperglycemia and hyperinsulinemia

Question 6

what are 2 big complications overall of gestational or pre-gestational diabetes?

Answer 6

• respiratory distress
• macrosomia

Question 7

which form of contraception can cause hypertension?

Answer 7

oral contraceptive pills

Question 8

what are some contraindications to treatment of menopause iwth estrogen?

Answer 8

• breast cancer
• coronary artery disease
• endometrial cancer
• liver disease
• thromboembolism

Question 9

in patients with no contraindications to estrogen, what is first line therapy for treatment of menopause?

Answer 9

menopausal hormone therapy:

• intact uterus?
  
  • yes= estrogen+progesterone
  • no=estrogen only

Question 10

in patients with contraindications to estrogen, what is second line therapy for treatment of menopause?

Answer 10

paroxetine (SSRI)

Question 11

difference between SLE and preecclampsia?

Answer 11

SLE has joint pain and malar rash

Question 12

what is asherman syndrome?

Answer 12

the development of intrauterine adhesions (synechiae), caused by scarring and. obliteration of endometrial tissue (intrauterine surgery)

Question 13

when is a pt at risk for developing asherman syndrome?

Answer 13

when getting a D&C with active intrauterine infection (septic abortion)

Question 14

abnormal, localized outpouching of the urethral mucosa that can collect urine, resulting in inflammation of the surrounding tissue

Answer 14

urethral diverticulum

Question 15

signs and sx of urethral diverticulum

Answer 15

• dysuria
• post void dribbling
• dyspareunia
• tender anterior vaginal wall mass

Question 16

premenopausal woman (30’s-40’s) who has regularly spaced periods with random bleeding in between?

Answer 16

endometrial polyp

Question 17

single, friable mass on labia majora with irritation and intermittent bleeding

Answer 17

vulvar squamous cell carcinoma; increased risk factors include HPV 16 & 18 and

Question 18

pt in labor has acute onset of CNS overactivity sx (perioral numbness, metallic taste, tinnitus, and generalized clonic-tonic seizures). what caused this?

Answer 18

local anesthetic systemic toxicity from analgesic used in epidural

Question 19

inpatient treatment of PID

Answer 19

IV cefoxitin or cefotetan + oral doxycycline

Question 20

outpatient treatment for PID

Answer 20

IM ceftriaxone + oral doxycycline

Question 21

increased maternal serum AFP indicates:

Answer 21

• open neural tube defects
• abdominal wall defects (gastroischesis, omphaloceole)
• multiple gestation

Question 22

decreased maternal serum AFP indicates:

Answer 22

• down syndrome
• trisomay 18

Question 23

screening intrapartum profile for down syndrome:

Answer 23

• low AFP
• increased inhibin A

Question 24

screening intrapartum profile for trisomy 18:

Answer 24

• decreased AFP
• normal inhibin A

Question 25

palpable breast mass in adolescent. next step?

Answer 25

reassurance and reexamination after next menstrual cycle

Question 26

palpable breaset mass in someone <30 years old. next step?

Answer 26

US

Question 27

palpable breast mass in someone >30 years old. next step?

Answer 27

mammogram

Question 28

woman in parimenopause has missed her period and has fatigue, enlarged uterus size, etc. what do you do next?

Answer 28

get hCG; perimenopausal women can still get pregnant

Question 29

pt presents inpreterm labor <32 gestation. what do you give her?

Answer 29

magnesium sulfate (fetal neuroprotection) and indomethacin (tocolysis)

Question 30

when is indometahcin contraindicated in prgnancy and why?

Answer 30

after 32 weeks, can cause premature PDA closure

Question 31

when should betamethasone be give to prevent neonatal respiratory distress syndrome?

Answer 31

when pt is giving birth at less than 37 weeks gestation

Question 32

woman over 50 presents with new onset constipation, nausea, early satiety, bloating, lower abdominal pain what should you rule out?

Answer 32

ovarian cancer; get pelvic US

Question 33

ANY TIME A WOMAN WITH A PERIOD (EVEN PERIMENOPAUSAL) HAS NAUSEA/VOMITING/FATIGUE WHAT TEST SHOULD YOU GET FIRST?

Answer 33

PREGNANCY TEST

Question 34

patients with gestational diabetes mellitus should get what test post partum?

Answer 34

2 hour glucose tolerance test; at increased risk for getting DM2

Question 35

what is intrauterine growth restriction and what can cause it?

Answer 35

IUGR=fetl withg less than 10th percentile; caused by maternal or fetal or placental conditions that prevent the fetus from meeting its growth potential.

assisted reproductive technologies are a known cause