OBGYN

Question 1

how treat endometriosis?

Answer 1

• NSAIDs
• OCP
• GnRH agonists
• surgical resection

Question 2

in women < 35, when check HPV?

Answer 2

if get ASCUS or LSIL on pap

Question 3

HSIL on pap - what next?

Answer 3

colpo or LEEP

Question 4

HSIL on pap - what is pt at risk for?

Answer 4

CIN2 or CIN3

Question 5

most common cause of pathologic nipple discharge?

Answer 5

papillary tumor (papilloma)

Question 6

papilloma - malignant?

Answer 6

usually NOT, but assoc w/atypia, ductal carcinoma in situ

Question 7

sarcoma botryoides - what is it?

Answer 7

embryonal rhabdomyosarcoma, presents in infancy/early childhood as cluster-of-grapes nodules protruding from vagina

Question 8

mullerian agenesis - what is missing?

Answer 8

• proximal 2/3 of the vagina missing

- all of uterus missing (or have just rudimentary uterus)

Question 9

endometriosis - physical exam findings?

Answer 9

• fixed, immobile uterus
• rectovaginal nodularity
• adnexal mass

Question 10

neural tube defects - risk factors?

Answer 10

• inadequate folate

- carbamazepine use

Question 11

adolescent pregnancy - assoc w/which risks to baby?

Answer 11

• LBW
• gastroschisis
• omphalocele
• preterm birth
• perinatal death

Question 12

elevated alpha fetoprotein on maternal screening - suspicious for what?

Answer 12

neural tube defect

Question 13

contraindications to combined OCPs?

Answer 13

• smoking >15 cigarettes per day AND age >35
• BP >160/100
• migraine w/aura
• heart disease
• DM w/end organ damage
• hx of thromboembolic dz
• APLAS
• hx stroke
• breast cancer
• cirrhosis or liver cancer
• major surgery w/long immobilization

Question 14

combined OCPs decrease risk of which cancers?

Answer 14

• ovarian

- endometrial

Question 15

newborn w/hepatosplenomegaly, purpuric lesions, sensorineural hearing loss + periventricular calcifications - dx?

Answer 15

congenital CMV

Question 16

newborn w/hepatosplenomegaly, purpuric lesions, sensorineural hearing loss + intracerebral calcifications - dx?

Answer 16

congenital toxoplasmosis

Question 17

cataracts, purpura, PDA, sensorineural hearing loss - dx?

Answer 17

congenital rubella

Question 18

primary maternal HSV contracted during pregnancy - effects on fetus?

Answer 18

• hydrops fetalis

- fetal demise

Question 19

ascending HSV infection during labor - effects on fetus?

Answer 19

• vesicular lesions
• meningitis
• disseminated dz

Question 20

newborn w/ hepatomegaly, jaundice, rhinitis - dx?

Answer 20

congenital syphilis

Question 21

HELLP - 1st line of therapy?

Answer 21

magnesium for seizure pps

Question 22

HELLP - tx if fulminant hepatic disease?

Answer 22

plasma exchange

Question 23

when to do parental karyotyping?

Answer 23

after 3 spontaneous abortions

Question 24

bipolar mania in pregnancy - which medication is safe?

Answer 24

haldol

Question 25

lithium - what birth defect?

Answer 25

Ebstein anomaly

Question 26

endometriosis - treatments?

Answer 26

1. NSAIDs
2. OCPs
3. progestin-only
4. GnRH analogs (leuprolide)
5. danazol (synthetic androgen)
6. surgery

Question 27

stress incontinence - causes?

Answer 27

• decreased urethral sphincter tone

- urethral hypermobility

Question 28

urge incontinence - causes?

Answer 28

• detrusor hyperactivity

Question 29

overflow incontinence - causes?

Answer 29

• impaired detruor contractility

- bladder outlet obstruction

Question 30

HIV PEP regimen?

Answer 30

• tenofovir
• emtricitabine
• raltegravir

Question 31

hep B PEP after assault?

Answer 31

• hep B vaccine +/- hep B immune globulin

Question 32

PEP for STDs after assault?

Answer 32

• azithro
• ceftriaxone
• flagyl

Question 33

HIV PEP can be offered up to how long after assault?

Answer 33

72 h