OBGYN 1

Question 1

risk factors for cervical insufficiency

Answer 1

LEEP procedure
cone biopsy of cervix
prior obstetrical trauma
multiple gestation
Mullerian anomalies
history of preterm birth or 2nd trimester pregnancy loss

Question 2

risk factors for abrupt placentae

Answer 2

maternal trauma
chronic HTN or preeclampsia or eclampsia
maternal smoking
maternal cocaine use
history of external cephalic version

Question 3

risk factors for uterine rupture

Answer 3

multiparity
advanced maternal age
previous c section or myomectomies

Question 4

risk factor for polyhydramnios

Answer 4

fetal malformations and genetic disorders
maternal DM
multiple gestastion
fetal anemia

Question 5

sxs of abrupt placentae

Answer 5

hemorrhage
uterine tenderness
contractions
cool extremities

Question 6

management of hemorrhagic shock due to abruptio placentae

Answer 6

fluid resuscitation with crystalloids

left lateral decubitus position

Question 7

timing of giving anti-D Ig

Answer 7

28-32 weeks if Rh neg mom

and within 72 hrs of delivery if Rh positive infant of Rh neg mom

Question 8

gold standard for evaluating cervix for possible cervical incompetence

Answer 8

transvaginal ultrasound

Question 9

indications for tamoxifen (SERM)

ADR of tamoxifen

Answer 9

indications:

• prevent breast cancer
• adjuvant tx of breast cancer

ADRs:

• hot flashes
• venous thromboembolisms
• endometrial hyperplasia and ca

Question 10

indications for raloxifene (SERM)

ADR of raloxifene

Answer 10

indications:

• prevent breast cancer
• postmenopausal osteoporosis

ADRs:

• hot flahses
• venous thromboembolism

Question 11

palpable breast mass, next step in less than 30 year old vs over 30 year old

Answer 11

less than 30: ultrasound

over 30: mammo and ultrasound

Question 12

complications of placental abruption

Answer 12

DIC
hypovolemic shock
hypoxia of fetus
preterm delivery

Question 13

definition of large for gestational age

Answer 13

more than 4 kg

Question 14

maternal hyperglycemia in 1st trimester affects fetus in what ways

Answer 14

congenital anomalies

• congenital heart defects
• NTD
• small left colon syndrome

spontaneous abortion

Question 15

to confirm dx of ectopic pregnancy…

Answer 15

pos hCG

transvaginal ultrasound shows adnexal mass and empty uterus

Question 16

process in HELLP syndrome that causes RUQ or epigastric pain

Answer 16

liver swelling and dissension of hepatic capsule

Question 17

all women should be screened for what STDs

and what STDs should be screened for ppl with high risk

Answer 17

syphilis (with RPR or VDRL)
HIV
Hep B

chlamydia
gonorrhea
Hep C

Question 18

normal internal female genitalia
clitoromegaly
high FSH/LH, low estrogen
delayed puberty
polycystic ovaries

Answer 18

aromatase deficiency

Question 19

early puberty
delayed menarche
cafe au lait spots
polyostotic fibrous dysplasia
autonomous endocrine hyperfunction

Answer 19

McCune Albright syndrome

Question 20

how to confirm intrauterine fetal demise

Answer 20

real time ultrasound

Question 21

next step after induction of labor of intrauterine fetal demise

Answer 21

get autopsy of fetus and placenta to figure out why fetal demise occurred

Question 22

indications for c section

Answer 22

breech
non reassuring fetal heart tracing
history of multiple c sections
less than 32 weeks pregnant and unfavorable cervix

Question 23

when need to do corticosteroids for fetal lung maturity

Answer 23

under 34 weeks

Question 24

cause of low back pain in 3rd trimester

Answer 24

lumbar lordosis

relaxation of ligaments supporting pelvic girdle

Question 25

how many weeks can you start external cephalic version

Answer 25

37 weeks

Question 26

CI to external cephalic version

Answer 26

hyperextended head
oligohydramnios
placental abnormalities
fetal or uterine anomaly
multiple gestations

Question 27

what diabetes meds can be given to pregnant patients

Answer 27

insulin
metformin
glyburide

Question 28

mothers with DM in second and third trimesters have babies with what complications

Answer 28

polycythemia
organomegaly
birth injugies like brachial plexus, clavicle, asphyxia
hypoglycemia

Question 29

some supportive treatments for hyperemesis gravidarum

Answer 29

ginger

pyridoxine B6

Question 30

definition of arrest of labor

Answer 30

at least 6 cm dilated with ruptured membranes and one of the following

• no cervical change for 4 hours with adequate contractions
• no cervical change for 6 hours without adequate contractions