OB HIGH YIELD (Dr. Villanueva)

Question 1

What causes dextrorotation of the uterus as it becomes bigger?

Answer 1

Rectosigmoid

Question 2

When does the pear-shaped uterus become globular?

Answer 2

12weeks AOG

Question 3

Deep blue-violet color if the cervix caused by increased vascularity

Answer 3

Chadwick’s sigb

Question 4

Softening of the lower uterine segment

Answer 4

hegar’s sign

Question 5

Corpus luteum functions maximally at ….

Answer 5

6-7weeks AOG

Question 6

Expected skin/vascular changes?

Answer 6

Melasma, palmar erythema, montgomery’s gland, stretch marks

Question 7

Px comes in 8mos aog with spider angio… And palmar erythema. What to do?

Answer 7

Reassure patient that it will resolve spontaneously

Question 8

Expected changes in carbohydrate metabolism

Answer 8

Mild fasting hypoglycemia
Postprandial hyperglycemia
Hyperinsulinemia

Question 9

responsible in decrease of insulin sensitivity

Answer 9

Human placental lactogen

Question 10

What causes hypercoagulable state of pregnancy?

Answer 10

Increased clottig factors EXCEPT XI and XIII

Question 11

Murmur heard in pregnancy?

Answer 11

90%

Question 12

Left lateral decubitus will increase cardia output by how much?

Answer 12

1.2L/min (20%)

Because cardinal vessels are on the right

Question 13

Hemorrhoids occur in pregnancy because?

Answer 13

Of increased pressure on the IVC

Question 14

Metabolic change in pregnancy

Answer 14

Respiratory alkalosis – urine is made more alkalinic; facilitates oxygen delivery to the fetus and carbon dioxide removal from the fetus

Question 15

Recommended vaccine for preggies

Answer 15

Influenza

Question 16

If preggie is hbsag positive can you give hep b vaccines?

Answer 16

Yes

Question 17

If preggie got bitten by dog…can you give anti rabies shot?

Answer 17

Yes

Question 18

Tdap is given when?

Answer 18

27-36 weeks

Question 19

Preggie is hbsag and vdrl reactive? How to confirm?

Answer 19

Hep profile and MHA/FTS-Abs

Question 20

What does vdrl stand for?

Answer 20

Venereal disease research lab

Question 21

What does rpr mean?

Answer 21

Rapid…

Question 22

Confirmatory test for hiv

Answer 22

Western blot

Question 23

What are live attenuated vaccines not alliwed for preggies?

Answer 23

All

(Smallpox etc..

Question 24

Most common cause of abortion?

Answer 24

Aneuploidy (MC Triploidy (trisomies 21, 18, 21))

MCCC : Turner’s

Question 25

20weeks, leas than 500gms pregnancy loss

Answer 25

Abortion

Question 26

Miscarriage : bleeding, closed cervix, enlarged uterus

Answer 26

Threatened abortion

Question 27

Miscarriage : bleeding woth watery discharge, hypogastric pain, open cervix, enlarged uterus

Answer 27

Inevitable abortion

Question 28

Miscarriage : profuse bleeding, passage of meaty material, cervix open

Answer 28

Incomplete abortion

Question 29

Miscarriage : hx of bleeding and hypogastric pain, cervix closed

Answer 29

Complete abortion

Question 30

Miscarriage : no bleeding, with n/v, uterus enlarged but smaller for gestational age, closed cervix

Answer 30

Missed abortion

Question 31

Triad of ectopic pregnancy

Answer 31

Amenorrhea, vaginal bleeding, abdominal pain

Question 32

Highest risk for tubal pregnancy

Answer 32

Previous infection :

Question 33

Shoulder pain in a possibly pregnant patient is associated with

Answer 33

Rupture extopic pregnancy

Question 34

Medical Tx for ectopic

Answer 34

Methotrexate

Question 35

Ectopic triad but PT (-)

Answer 35

Ruptured corpus luteum

Question 36

H mole usually diagnosed at which trimester

Answer 36

1st trimester

Question 37

Most common presentation of h mole

Answer 37

Bleeding

Question 38

When can you deliver face presentation via NSVD?

Answer 38

Mental anterior (chin to symphilis bone)

Question 39

What is responsible for increased uterine size? (Hypertrophy vs Hyperplasia)

Answer 39

Hypertrophy