OBGYN

Question 1

adenomyosis

Answer 1

> 40 yo

• chronic pelvic pain
• dysmenorrhea
• heavy bleeding
• bulky, globular, boggy, tender uterus

Question 2

rx for pubic symphysis diastasis

Answer 2

supportive

Question 3

Modifiable risk factors for osteoporosis

Answer 3

smoking
↑↑↑ ETOH
sedentary

Question 4

Thyroid changes in prego

Answer 4

• ↑ Total T4 (from ↑ TBG)
• Free T4- unchanged
• ↓TSH (suppressed by hCG)

Question 5

Chorioamnionitis

Answer 5

Baby is still in!
common in PROM
maternal fever and >1 of:

-uterine tenderness
maternal/fetal tachycardia
- malodorous fluid
- purulent discharge

Question 6

prolonged rupture of membranes is defined as?

Answer 6

> 18 hours between rupture and birt

Question 7

Chorioamnionitis rx

Answer 7

• delivery
• -not an indication for c/s in and of itself
• abx
• antipyretics

Question 8

Outpatient rx for PID

Answer 8

IM ceftriaxone

PO doxycycline

Question 9

Preterm labor definition

Answer 9

contractions AND cervical changes prior to 37 weeks

Question 10

Definitive way to ddx endometriosis

Answer 10

laparoscopy

Question 11

High grade squamous intraepithelial lesions on pap?

Answer 11

concerning for sever neoplasia (CIN2 or CIN3)

needs immediate colposcopy* or loop excision

*even in prego. Then loop if + for invasive cancer

Question 12

Trichloroacetic acid therpay

Answer 12

rx for genital warts from HPV 6 or 11

Question 13

What if you cant get the trasformation zone visualized on colposcopy

Answer 13

do an endocervical curettage

Question 14

Dysgerminoma

Answer 14

ovarian tumor in women under 30

makes LDH/ hCG

Question 15

Granulosa cell tumor

Answer 15

malignant estrogen secreting

in kids may present as precious puberty

Question 16

Most common benign ovarian neoplasm

Answer 16

serous cystadenomas

Question 17

Base line testing before starting trastuzumab

Answer 17

• Treats HER2+ breast ca
• Risk of cardio toxicity
• Need base line echo w/ periodic echos for monitoring

Question 18

Baseline testing for anastrozole

Answer 18

• Rx for postmenopausal ER+ breast ca
• Aromatase inhibitor
• Inc risk of osteoporosis, base line bone density scan

Question 19

Every ovarian mass work up in postmenopausal woman gets?

Answer 19

Ca-125 level

pelvic ultrasound

Question 20

Cervical mucus plug

Answer 20

• barrier to ascending infections in prego
• brown/ red/ yellow thick mucus
• typically shed before labor

Question 21

Receptor prognosis in breast cancer

Answer 21

HER2- bad

ER/ PR- good

Question 22

Stress incontinence MOA

Answer 22

urethral hypermobility

Question 23

Postpartum woman with enlarged uterus, irregular vaginal bleeding, pulm symptoms, and infiltrates on cxr

Answer 23

suspect choriocarcinoma

check b-hCG

Question 24

Diabetic neuropathy incontinance

Answer 24

overflow

bladder scan shows markedly increased post void volume (> 150)