OB-GYN BUZZ 2

Question 1

vulvar ulcerr that’s characterized by linear “knife cut” ulcers

Answer 1

Crohn’s disease

Question 2

next step after an ASC-US pap smear result

Answer 2

HPV testing to determine if a coposcopy is needed

Question 3

procedure of choice for removal of stones in pregnant patients

Answer 3

lithotripsy

Question 4

hCG values in pregnancy

Answer 4

normal: <2 IU/L
Negative: <5 IU/L
indeterminate: 5-25 IU/L
Positive: >25 IU/L

Question 5

ENDOMETRIAL CANCER RISK FACTORS

Answer 5

obesity
diabetes
PCOS

chronic anovulatioan
early menarch
late menopause
nulliparity
infertitility

tamoxifen use
family hx of HNCC
HTN (association only) 📌

Question 6

respiratory changes during pregnancy

Answer 6

increase in tidal volume
increased respiratory drive due to progestoerone
TLC unchanged 📌

Question 7

drug taken during pregnancy that increases the risk of cleft lip

Answer 7

topiramate

Question 8

% of pregnancies complicated by PROM that will go into spontatneous labor in the absence of obstetric intervetion

Answer 8

50% within 12 hours
70% within 24 hours
85% within 48 hours
95% within 72 hours

Question 9

criteria for medical management of ectopic pregnancy

Answer 9

stable patient
b-hCG > 1,500 IU/L
Size < 3.5 cm
AOG < 6 weeks
no fetal heart rate

Question 10

theories of endometriosis

Answer 10

1. Retrograde menstruation
2. Metaplasia
3. Lymphatic and Vascular Metastasis
4. Iatrogenic dissemination
5. Immunologic changes
6. Genetic predisposition

Question 11

metaplasia theory of endometriosis

Answer 11

metaplasia of the coelomic epitheliumor proliferation of embryonic rests
-the coelomic epithelium retains the ability for multipotential development

examples

• decidual reaction of isolated areas of peritoneum during pregnancy
• endometriosis in prepubertal girls
• in women with ocngenital absence of the uterus
• in men (rarely)
• ovarian endometriosis?

Question 12

lymphatic and vascular metastasis theory of endometriosis

Answer 12

remote areas

• spinal column
• nose
• forearm
• thigh
• lungs

Question 13

cytokine DECREASED in endometriosis

Answer 13

IL-13

Question 14

risk of Asian women for endometriosis

Answer 14

ninefold

Question 15

vesicles in pregnancy

Answer 15

herpes gestationis

Question 16

pruritic nodules in pregnancy

Answer 16

prurigo getationis

Question 17

excoriations in pregnancy

Answer 17

cholestasis

Question 18

pustular eruptions in pregnancy

Answer 18

impetigo herpetiformis

Question 19

m/c anomaly in seizure

Answer 19

cleft lip and palate

2nd: cardiac anomalies

Question 20

presenting diameter in vertex presentation

Answer 20

suboccipito-bregmatic diameter

Question 21

presenting diameter in face presentation

Answer 21

submento-bregmatic diameter

Question 22

presenting diameter in brow presentation

Answer 22

occipito-mental diameter

Question 23

first sonographic evidence of pregnancy

Answer 23

gestational sac
as early as 4-5 weeks

yok sac: 5.5 weeks
embryo with heart motion: 6 weeks

Question 24

most common kideney stones in pregnant and management for kidney stones

Answer 24

calcium phosphate

LASER lithotripsy
-definitive

alt: stenting

Question 25

endometrial CA’s most important prognostic factor

Answer 25

histologic grade

Question 26

heart sounds

Answer 26

DOPPLER
-as early as 10 weeks

STETH

• 80% 20 weeks
• 100% 22 weeks