OB GYNE

Question 1

First line for Dysmenorrhea

Answer 1

NSAIDS

Question 2

Female unable to conceive after 15 months
- husband normal sperm
- female, regular menses
Next step?

Answer 2

Order luteal phase progesterone level - will confirm ovulation
If normal, order hysterosalpingogram

TSH, T4 and prolactin levels if no ovulation

Question 3

Tamoxifen (SERM)
Risk?
Benefits?

Answer 3

Increase risk of endometrial cancer
Increases leg cramps
Increase thromboembolic events
Increase vasomotor symptoms

Benefits:
Decrease bone fracture

Question 4

Copper IUD preferred over Mirena in px with?

Answer 4

Severe Cirrhosis: Associated with Hepatocellular carcinoma

Question 5

Pregnant female @ 39 weeks AOG with HTN

MGT?

Answer 5

Admit and induce labor after 37 weeks

Question 6

G1P0 14 WKS.
What test to do?
When to do 1 ht GTT?
When to do Group B strep?

Answer 6

• Do UA and Urine culture every visit
• Do GTT at 24-28 wks
• Do Group B strep between 35 -37 weeks

Question 7

31 y/o female with GDM.

Advantage of treatment?

Answer 7

• will decrease Pre eclampsia!

GDM will give LGA, shoulder dystocia, Maternal preeclampsia!

Question 8

Post partum… Meds that are C. I. If:

1. Asthma
2. HTN

Answer 8

1. Carboprost(hemabate)

2. Methylergonovine

Question 9

When to give Tdap?

Answer 9

Every pregnancy between 27wks - 36 wks

Question 10

FBS for a pregnant lady?

Answer 10

95

Question 11

Antibiotic that is contraindicated in breastfeeding bec it can elevate bilirubin?

Other antibiotic not for breastfeeding?

Answer 11

Bactrim

Cipro- dur to joint development

Question 12

Pregnant with mild persistent asthma. What controller is good?

Answer 12

Bedesonide

Question 13

Maximum valdity of GBS sceen?

Answer 13

5 weeks only

Question 14

Vaginal discharge that is whitish with pH of < 4.5. Dx?

If discharge is greyish and pH is >4.5?

If yellowish, frothy and pH is > 4.5?

Answer 14

• cadidiasis - tx with fluconazole(diflucan)
• BV- tx with Metronidazole(flgy)
• trichomonas