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CanQB > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Lady with erosive cervical ulcer? Next step

A

Punch biopsy

If shows micoroinvasions = cone Bx

If shows invasive carcinoma = Rx

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2
Q

Next step if Pap smear shows ASCUS?

A

HPV DNA

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3
Q

T/F: can’t see fetal contents till 9wk GA

A

T

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4
Q

< 8 Wk + vaginal bleed + B-hCG 1500 + US not helpful?

A

Repeat B-HCG in 48hr

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5
Q

When to suspect uterine rupture during labor?

A

Fetal bradycardia

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6
Q

Rx hyperthyroidism in preggo?

A

PTU 1st trimester

MMI 2-3 trimesters

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7
Q

High a-FP in preggo? Next step

A

US

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8
Q

T/F: Nulliparity is risk of PROM

A

F

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9
Q

Risks of PROM?

A 
Hx of PROM 
Multi parity 
STD
Vag bleed
Cervical incompetence 
Smoking during preg
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10
Q

Rx breast augmentation in nursing mom?

A

Frequent feeds 8-12x/d

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11
Q

T/F: clubfoot ass w/ oligohydramnios

A

T

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12
Q

Emergency contraception in Hx of DVT/PE?

A

Copper IUD

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13
Q

Best Dx endometriosis

A

Laparoscopy

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14
Q

Endometriosis triad

Other Sx?

A

Infertility
Dysmenorrhea
Dyspareunia

+
Constipation / painful defecation
Dysuria

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15
Q

Pelvic Exam of endometriosis

A

Adnexal mass (chocolate cyst)

Nodular broad ligament / ureteosacral

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16
Q

MC site of ectopic preg

A

Ampulla

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17
Q

When should a intrauterine preg appear clearly on US?

A

B-hCG > 1500

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18
Q

Suture for perianal laceration esp postpartum?

Why?

A

3-0 polyglactin

Decrease wound dehiscence + pain

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19
Q

Preggo is +Rh D-Ag

What happen to fetus?

A

Baby at risk of hemolysis if titter > 1:65

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20
Q

AGUS on pap indicate?

Next step?

A

CIN

All gets a colposcopy
If > 35 Yrs = colposcopy + endometrial sample

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21
Q

No preg + high B-hCG?

A

Uterine choriocarcinoma
Or
Molar preg / Hydatidiform mole

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22
Q

Preg + vag bleed + adnexal tenderness

A

Ectopic

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23
Q

Rx of PID

A

Cefoxitin + doxy

Or

Clinda + genta

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24
Q

Onset of postpartum thyroiditis

A

2-6 mo post delivery

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25
Q

T/F: ovaries are palpable in postmenopausal women

A

F

If can palpate = US to r/o ovarian mass

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26
Q

MCC of vulvar Ca in < 50

A

HPV

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27
Q

Tumors w/ high b-hCG

A

Molar preg / choriocarcinoma

Seminoma
Germ cell tumor
Teratoma (rare)
Islet cell

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28
Q

Risk for candida vaginitis

A 
Hot weather 
Tight clothes 
Poor hygiene 
Infrequent diaper / underwear change 
Abx 
Preg
DM
Steroids
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29
Q

MC site of endometriosis

A

Ovaries > post cul-de-sac > ligaments

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30
Q

Preggo at 1st trimester + ovarian cyst

Dx?

A

Corpus luteal cyst

Produces hormones in 1st trimester the resolves

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31
Q

Effect of OCP on Ca?

A

Protects against ovarian + endometrial

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32
Q

Preggo + HSV?

A

Acyclovir (B)

No C/S unless active lesions during labor

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33
Q

While inserting IUD pt BP drops + pale + loses consciousness

A

Vasovagal attack

Place in recumbent position

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34
Q

Preggo exposed to HBV but HBsAg-ve?

A

Give Ig + vaccine!

IP could be long!

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35
Q

T/F: menopause Sx peak around 51 then subside

A

T

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36
Q

Preggo in labor but baby not engaged?

A

US to determine presentation

If breech = C/S

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37
Q

Rx of bacterial vaginosis in preggo?

A

Oral clinda or metro BID for 7days

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38
Q

T/F: Metro is safe throughout preg

A

F

Contraindicated in 1 trimester ONLY

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39
Q

T/F: topical clinda is safe in preg

A

F

Bad in 2-3 trimester => premature birth

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40
Q

Preggo w/ chlamydia trachomatis Rx?

A

Azithromycin

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41
Q

Head:Abdo ratio > 1 indicates?

A

Asymmetrical IUGR

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42
Q

Deficient hormones in Sheehan’s syndrome?

A

FSH, LH, ACTH, TSH, GH, prolactin

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43
Q

Preggo + anti phospholipid syndrome Rx?

A

ASA + Heparin

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44
Q

Teratogenic effect of isotretinoin

A

Microcephaly MC

CVS = tetralogy of fallot, ASD, VAD, aortic

No ear / small ear

Parathyroid gland

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45
Q

T/F: nulliparity increases risk of cervical ca

A

F

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46
Q

Risks of cervical Ca

A

HPV 16+18

Early sex

Smoking

Multiple partners

+/- OCP long term

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47
Q

PID + fever 39 Rx?

A

Hospitalize

IV cefoxitin + doxy for 2wk

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48
Q

Swelling in labia minora?

A

Bartholian cyst

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49
Q

What’s a bartholian cyst?
Sx?
Dx?
Rx?

A

Mucus filled cyst at sides of vagina (minora or migora)

ASx
If big = irritates + hurts
If infected = painful + red

Dx: clinical

Rx: none if asymptomatic

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50
Q

Bartholian Abscess Rx?

A

Incision and insertion of word cath to prevent recurrence

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51
Q

Preggo in labor + 28wk GBS screen -ve + ProROM

Rx?

A

None

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52
Q

Dx cervical incompetence

A

TVUS

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53
Q

Normal UA findings in preggo? Why?

A

Glucosuria

Inc GFR 50%

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54
Q

T/F: if vaginal ring expelled from vagina > 3hr, a backup must be used

A

T

Backup for 7 days

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55
Q

T/F: vaginal ring can be used for maximum of 3 mo

A

F

3wks then 1wk off to allow for withdraw bleeding

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56
Q

OCP risk of PE/DVT population

A

Hx of DVT/PE

Smoker > 35

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57
Q

BMS + mood swings impairing function

Dx
Rx

A

Premenstrual dysphoric disorder

Rx SSRI (Fluox or setraline)

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58
Q

Baby in labor + early decelerations

Next step

A

Observe

Re-evaluate q2hr

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59
Q

Cause of early deceleration in NST of baby in labor

A

Head compression

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60
Q

Fetal vessel with highest O2 sat

A

Umbilical vein

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61
Q

Imaging w/ highest radiation to preggo

A

Fluoroscopic enema > IV pyelogram > spinal films > V/Q scans > CXR

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62
Q

< 8 girl + grape like vaginal lesion

A

Sarcoma Botryoides

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63
Q

2ry amenorrhea + no preg

MC abnormal hormone

A

FSH => anorexia,PCOS, hypothyroid, Cushing’s, pituitary

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64
Q

What herbs proven to help dysmenorrhea / PMS

A

Fish oil
Vit E
Thiamine
Low fat vegetarian diet

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65
Q

T/F: untreated Chlamydia causes PID + infertility

A

T

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66
Q

If pt has chlamydia how long should they wait till have sex?

A

7 days

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67
Q

If Pt Dx with chlamydia what sexual partners should she inform

A

All partners 2 mo before Dx

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68
Q

What’s urethral Syndrome

A

Dysuria + pyuria
-ve Cx
No response to Bactrium or nitrofurantoin

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69
Q

UTI Sx
Not responsive to Rx
-ve urine Cx

Dx?
Cause?
Rx?

A

Urethral Syndrome

Chlamydia or ureaplasma

Rx = Doxy or fluoro

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70
Q

T/F: having pre-eclampsia increases risk of HTN

A

True

HTN + Stroke 4x
IHD 2x

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71
Q

< 5cm asymptomatic ovarian cyst in premenopausal?

Next step

A

Rep US in 8-12 wk

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72
Q

Ovarian cyst in postmenopausal?

A

CA-125

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73
Q

Periods in leiomyomas?

A

Hypermenorrhea or menorrhagia

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74
Q

Preggo w/ PID?

A

Hospitalize for IV cefoxitin + oral azithromycin

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75
Q

Mg sulfate toxicity in pre-eclampsia?

A

D/C the Ca gluc

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76
Q

Mg sulfate toxicity

Dose?
Sx?

A

> 4mg /dl

Sx:
No DTR
Low RR
Hemorrhage

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77
Q

Rx of exercise oligomenorrhea in well-nourished F?

A

Inc calorie intake to match energy expenditure

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78
Q

Complication of repetitive PID (>3)?

A

Ectopic preg

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79
Q

Mom receives meperidine during labor
Born baby has resp depression?

Next step

A

Dry skin
Clear airway
Naloxone IM
Oxygen

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80
Q

Effect of ketamine on baby?

A

Resp depression

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81
Q

Best measure of fetal age

A

Crown-rump > 13 wk

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82
Q

T/F: Multiparty protects against preeclampsia

A

T

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83
Q

T/F: DM increases risk of preeclampsia

A

T

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84
Q

ASCUS on Pap smear?

A

Rep smear at 6-12

Or
HPV DNA

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85
Q

MC indication for amniocentesis

A

Old mom

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86
Q

ProPROM complication

A

Abruptio placenta

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87
Q

MCC of UTI in preggo

A

E. coli

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88
Q

When to use 5 sticks LH test?

A

Periods length - 17 is starting day!

If 28 - 17 start on day 11

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89
Q

When does post part I’m visit occur

A

6 wk post delivery

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90
Q

When to give preggo Rhogam

A

28 wk + 72hrs of delivery

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91
Q

When to do triple screen for preggo

A

15-18 (2 trimester)

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92
Q

When to do OGTT for preggo

A

24-28 wks

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93
Q

< 35 F + heavy irregular periods + otherwise normal

Rx?

A

Abnormal uterine bleed

Combined oral contraceptive

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94
Q 
Diff abortions 
Missed
Threatened 
Inevitable 
Incomplete 
Complete
A 
- Missed:
Closed OS
No bleeding 
No fetal heart 
Empty pole if > 8wk on US
  • Threatened:
    Closed OS
    Bleeding
    + fetal heart
  • Inevitable:
    Open OS
    Bleeding
  • Incomplete:
    Open OS
    POC in uterus + vagina
  • Complete:
    Close OS
    Empty uterus + vagina
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95
Q

Trisomy 21 + 18 triple test

A 
21:
Low AFP
Low estriol 
High hCG
High inhibin

18:
All low

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96
Q

High LH + FSH in amenorrhea

A

Ovarian problem

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97
Q

Preggo not immunized against HBV?

A

Vaccine + IG now

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98
Q

Preggo w/ rubella ab titer < 10 IU/mL

A

Can’t vaccine!
Stay away from sick
Vaccine after delivery

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99
Q

Stress test results:

  1. Variable decelerations
  2. Early decelerations
  3. Late decelerations
A
  1. Cord compression
  2. Head compression

3 placental insufficiency

100
Q

Patient on St. John’s + 5-HTP + meperidine at risk of?

A

Serotonin syndrome

101
Q

Physiological galactorrhea after breast-feeding lasts up to?

A

2 YRs

102
Q

T/F: steroids in Preterm labor decrease risk of Necrotizing enterocolitis

A

T

103
Q

PE in preggo Rx

A

IV heparin for 5-10 days

SunQ heparin for rest of preg

104
Q

Pap smear abnormal => colposcopy unsatisfactory => ?

A

Conization

105
Q

Metronidazole + Alcohol

A

Cause disulfiram like reaction

106
Q

T/F: partner of bacterial vaginosis pt must be Rx

A

F

107
Q

MC complication of epidural anesthesia in preggo

A

Mom hypotension

108
Q

Recommended Ca for preggo + nursing

A

1000-1300 mg/d

109
Q

T/F: A preggo shouldn’t travel in 1 trimester

A

F

Last 4 wks of preg

110
Q

Monitor Mg sulfate toxicity

A

Creatinine

DTR + RR

111
Q

How soon can urine b-hCG detect preg

A

10-25 IU/L

7 day of conception

112
Q

Trichomoniasis vaginitis Rx

A

Metronidazole

113
Q

Rx of menstrual migraine

A

NSAIDs

114
Q

Most dangerous period during preg for teratogenicity

A

3-8wk organogenesis

115
Q

How to tell baby presentation leopold’s?

  1. Vertex
  2. Transverse
  3. Compound
  4. Breech
A
  1. Vertex
    Cephalic pole at symphysis
  2. Transverse:
    No pole at symphysis
  3. Breech:
    No pole at symphysis
    Back along side
    Hard at RUQ
116
Q

Oligohydramnios associations

A 
Renal agenesis (fetal)
Placental insufficiency
117
Q

T/F: IUD for ER contraception in nulliparous

A

F
Not proffered!
Only used in women who wants to keep the device.

Morning after pill better

118
Q

T/F: all preggos get flu vaccine

A

T

Regardless of trimester

119
Q

What decreases iron absorption?

A

Antacids
Soy protein
Tannin (tea)

120
Q

What improves iron absorption.

A

Vit C

Ascorbic acid

121
Q

35 Y + Smoker + needs contraception

A
  • heavy periods = etonogestrol implants

- normal periods = IUD

122
Q

Sx of fetal alcohol

A 
Mental retardation 
Flat philtrum 
Thin upper lip
IUGR
CNS Sx (microcephaly, agenesis of brain parts)
Hearing loss
123
Q

MC measure of age in 2 trimester?

A

Biparietal diameter

124
Q

Rx of cervical gonorrhea

A

IM ceftriaxone Once

125
Q

T/F: hormonal replacement Rx prevents against breast Ca

A

F

126
Q

T/F: hormonal replacement prevents CRC

A

T

127
Q

Gold standard of ovarian torsion

A

Doppler

128
Q

Risks for uterine prolapse

A

Multiparity
Smoking
Large baby
Postmenopausal

129
Q

Rx of endometritis

A

Genta + clinda

130
Q

copper IUD MOA?

A

Spermicidal

131
Q

T/F: forceps delivery causes facial nerve

A

T

132
Q

T/F: forceps > vacuums

A

True success rate of forceps is higher

133
Q

Benefit of vacuum vs forceps

A

Vacuums cause less peroneal tears

134
Q

HTN drug cause IUGR in preg

A

Atenolol + propranolol

135
Q

Absolute contraindication to vaginal delivery after C/S

A

Vertical incision.

136
Q

Complete hydatidifom chromosomes

A

Paternal diploid

137
Q

Incomplete hydaitiform mole chromosome

A

Triploid
2 sets paternal
1 maternal

69 xxx

138
Q

What infection screened in preggo at 35-37 wks

A

GBS

139
Q

MC indication for amniocentesis

A

Old mama (>35Yrs)

140
Q

Why give a preggo Rhogam?

A

Prevent hemolytic disease of newborn in 2nd baby

141
Q

Screen + confirm thalassemia

A

Screen => CBC + smear

Confirm => Hg electrophoresis

142
Q

Friable well defined cervical lesion in a young asymptomatic pt?

A

Pap smear + colposcopy

143
Q

Post mastectomy for breast Ca surveillance

A

Hx + PE q3-6 mo for 3 yrs
The q6-12 mo for 2 yrs
Then annual.

144
Q

Medroxyprpgestrone inj vs OCP for migraine

A

Inj improve migraine

145
Q

MC SE of mydroxyprogestrone inj?

A

Amenorrhea or irregular periods

146
Q

T/F: IM flu vaccine for preggo protects baby for 6 mo

A

T

147
Q

T/F: nasal flu vaccine is indicated in preg

A

No

It’s live vaccine

148
Q

Fetal fibronectin levels indicate?

A

Assess risk of preterm labor

Higher lever higher risk
Inc 7-10 days before labor

149
Q

MOA of plan B ER contraception (Levonorgestrel)

A

Inhibits ovulation

150
Q

Types of twin preg:
Division before D4 of fertilization?

During 4-8?

Drying 8-12?

After 12?

A

Before 4: diamniotic dichorionic.

4-8: diamniotic monochromatic

8-12: monoamniotic, monochromatic

> 12: conjoined

151
Q

Cocaine use in preg results in?

A

Placental insufficiency
Premature labor
Premature delivery
IUGR

152
Q

Repetitive decelerations in otherwise healthy mom + OK delivery

A

1st left lateral position, O2, D/C oxytocin

Didn’t help => C/S

153
Q

1st line in N/V of preg

A 
Diet +/- acupressure 
Eat slowly 
Small amounts q1-2hr
eat before or as soon as feel Hungary (avoid empty stomach)
Snack before getting out of bed
154
Q

Cervical procedure contraindicated in preg

A

Endocervical curettage

155
Q

Painless bright red bleeding in preg > 24wk

A

Placenta previa

156
Q

T/F: estrogen in postmenopausal protects form vertebral fracture

A

T

157
Q

MC mom cause of IUGR

A

HTN

158
Q

APGAR score

A

A Activity = flex (1) or active (2)

P pulse = <100 (1) or >100 (2)

G Grimace = grimace (1) or cough/sneeze (2)

A appearance = blue (0) acral (1) pink (2)

R respiration = irregular / weak cry (1) or strong (2)

159
Q

T/F: carcinoma in situ of cervix indicates C/S

A

F

160
Q

Indications for C/S in preg?

A

Placenta previa
Fetal distress
Genital herpes
Prior urethropexy

161
Q

Preg w/ G-DM on diet control FPG 110 / 6.1

Next step

A

Start insulin short + basal

162
Q

MC location of endometriosis

A

Ovaries

163
Q

What to do in stable preg at 37wk w/ mild pre-eclampsia?

A

Vagina exam + Bishop score

If > 9 = vaginal delivery
< 9 = ripening agents then labor

164
Q

Dx PE in preg

A

V/Q scan

165
Q

Euthyroid in preg (labs)
T4
Free T4
T3RU resin uptake

A

High T4
Normal Free T4
T3 uptake low

166
Q

Rx hot flashes in menopause

A

SSRI

167
Q

When is chorionic villus smapling done?

A

Wk 10-13

168
Q

If newborn test HIV +ve on ELISA? Next step

A

HIV1/2 assay (western blot)

Or PCR

169
Q

What age fetus quickens

A

Multi 18 wk

Primi 20-21 wk

170
Q

Placenta previa by US at 20 wk?

Next step

A

Rep US at 3rd trimester

171
Q

T/F: c. Trachomatis infection ass w/ dysuria + frequency

A

F

172
Q

Uterine whorl-shaped lesions on US?

A

Leiomyomas

173
Q

T/F: uterine leiomyomas suppressed by estrogen

A

F

Estrogen stimulates their growth

174
Q

Rx of gestational intrahepatic cholestasis

A

Ursodeoxycholic acid

175
Q

What’s black cohosh? Used for?

A

Actea racemosa

Used Rx menopause Sx

176
Q

T/F: no need for PAP smear after total abdominal hysterectomy

A

T

177
Q

When to stop Pap smears

A

At 70

If last 3 test were normal

178
Q

If preggo got into accident what position should be kept at till spinal injury r/o

A

Supine w/ uterus manually deflected laterally

179
Q

How to examine lower abdominal / pelvic mass in a young virginal girl?

A

Rectal exam

180
Q

Post D/C + amenorrhea put pain at time of periods + no flow w/ progesterone challenge

A

Asherman syndrome

181
Q

What’s asherman syndrome?

Sx?
Rx?

A

Scar tissue and adhesions in uterus after procedure esp. D/C.

No or minimal flow on periods
PMS Sx present
Miscarriage or infertility

Surgically cut adhesions

182
Q

MCC of DIC in preg

A

Abruptio placenta

183
Q

Most accurate way to Dx retained placenta

A

Inspect fetal placenta

See large vessels beyond edge

184
Q

T/F: sulfonamide contraindicated in 3rd trimester

A

T
Safe early
Bad late

185
Q

Sx of bacterial vaginosis

A

Amsel criteria

PH > 4.5
Clue cells
Wiff test (fishy odor)
Homogenous discharge

186
Q

T/F: 90% of immediate post parting hemorrhage is uterine atony

A

T

187
Q

Rotterdam criteria for PCOS

A
  1. Oligo/amenorrhea
  2. Clinical / lab androgenism = hirsutism, acne
  3. US = cystic ovaries
188
Q

Major oncotic protein in fetus?
Where’s it made?
When is peak value reached?

A

AFP

By fetal liver

Highest fetal serum concentrations at 12-14 wks.

Highest maternal serum levels at 13-24 wks.

189
Q

Rx cervical chlamydia with single does?

Rx vaginal chlamydia with single does?

A

Urethral / cervical: azithro 1 g PO

Vaginal:
Metro

190
Q

MC Sx of vulvar ca

A

Pruritus

191
Q

T/F: gonorrhea can be treated with metro vaginal cream

A

F

192
Q

T/F: public health should be notified for every vaginal gonorrhea

A

T

193
Q

What maternal protein usually elevated in normal preg

A

Cholesterol

194
Q

What protein decrease in normal preg?

A

Albumin = dilution

HCO3 = high renal execration

Fasting glucose (10-20%) = inc storage tissue

Creatinine = (50% drop)

195
Q

During preg lactation is suppressed by?

A

Estrogen

196
Q

Is palmar erythema sign of preg?

A

Yes

197
Q

T/F: WBC count is decreased in preg

A

F

198
Q

Sever headache + epigastric pain + HTN preggo?

A
  • Sever preeclampsia

Needs Mg sulfate + delivery

199
Q

Rx urethral chlamydia

A

Doxycycline

200
Q

Rx cause erythema nodosum

A

OCP

201
Q

Rx of hot flushes if can’t take estrogen?

A

Clonidine

SSRI

202
Q

Leiomyoma in preg Rx

A

Observe + vaginal delivery

203
Q

Rx of fibroids

A

OCP
GnRH

Best: myomectomy, hysterectomy, endometrial ablation

204
Q

Fibroids in preg

A

Bigger

205
Q

Fibroids in menopause

A

Smaller

206
Q

When to do intracytoplasmic sperm inj?

A

Low sperm motility

Low sperm count

207
Q

Benefits of amniocentesis

A

Chromosomal anomalies

NTD

Metabolic error

208
Q

Investigations before starting >40 on OCP

A

Pap smear
BMI
FPG

209
Q

Drugs cause galactorrhea

A

Resperidone

Cimetidine

Verapamil

Morphine

210
Q

T/F: nasal body temperature used for Dx infertility

A

T

211
Q

T/F: hystroscopy is initial test to Dx infertility

A

F

212
Q

Rx post partum thyroiditis

A

BB

213
Q

T/F: hypothyroidism causes galactorrhea

A

T

214
Q

1st step in abnormal uterine bleed (<40 Yrs)

A

TVUS

215
Q

Rx of asymptomatic uterine fibroids?

A

Expectant / observation

216
Q

MC presentation of twin preg

A

Vertex/vertex

217
Q

Migraine Rx contraindicated in preg

A

Ergotamine

218
Q

Why is ergotamine contraindicated in preg

A

Vasoconstriction = low placental flow = IUGR

219
Q

Lacy white rash on genital mucosa

A

Lichen planus

220
Q

Preg + HTN + no proteinuria

A

G HTN

221
Q

T/F: placental abruption is Sx of placenta previa

A

T

222
Q

T/F: placenta previa ass w/ fetal malformation

A

T

223
Q

Indication of tocolytic use

A
  • preterm

- immature fetus + intact membrane + cervix <4

224
Q

Contraindication to tocolysis

A

Twins gestation one IUFD

Chorioamnionitis

34 wks

Maternal HTN, heat disease

Congenital anomaly

Bleeding

225
Q

T/F: IUD contraindicated in smoking

A

F

226
Q

T/F: Copper IUD contraindicated in Wilson’s disease

A

T

227
Q

Internal iliac branches

A

Anterior + posterior divisions

Posterior = superior gluteal, iliolumbar, lateral sacral.

Anterior = interior pudendal (middle + inferior rectal), uterine, superior + inferior vesical, vaginal.

228
Q

Preg exposed to rubella.

Next sept?

A

Test rubella IgG ab

+ => immune

  • => rep in 2-3 wk if + pt is exposed
229
Q

T/F: rubella Ig isn’t recommended to preg exposed to rubella

A

T

230
Q

Absolute contraindication to hormonal replacement Rx

A

Acute/sever liver disease

Undiagnosed vaginal bleed

Venous thrombosis

Breast/uterine Ca

231
Q

Acid base disturbance in hyperemesis gravidarum

A

Metabolic acidosis + alkalosis

232
Q

MCC of jaundice in preg

A

Acute viral hep

233
Q

Dx Criteria for molar preg

A

US = snowstorm

234
Q

How to calculate length of menstrual cycle

A

Days from beginning of one period to the next

235
Q

Other name for vaginal candidiasis

A

Moniliasis

236
Q

Rx pyelonephritis in preg

A

IV ceftriaxone

237
Q

STI + mucous discharge

A

Chlamydia

Rx doxy or azithromycin

238
Q

Fleshy exophytic lesion on urethral meat is ?

Age?

A

Caruncle

Postmenopausal F

Dx clinical if hematuria = cystoscope

239
Q

2 stage labor + baby face presentation

A

SVD

No C/S or assisted delivery

240
Q

MC site of endometriosis outside pelvis

A

Liver

241
Q

Dx placenta previa

A

TVUS

242
Q

Cause of vaginismus

A

Involuntary contractions

243
Q

Retinal change in preeclampsia

A

Spasm of arterioles

244
Q

Rx of Sever HTN in preg

A

Labetalol IV
Nifodipine oral
Hydralazine IV

245
Q

14 + no period + no 2ry sexual + low FSH / LH

A

Wait

Mostly constitutional delay

246
Q

Rx of symptomatic uterine prolapse

A

Vagina hysterectomy

CanQB (16 decks)

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