OBGYN

Question 1

What is the first line treatment for endometriosis?

Answer 1

NSAIDs + OCP’s

Others: progesterone, GnRH analogs, danazol, surgery

Question 2

Dx:

Upper extremity adduction, internal rotation, promated forearm, Asymmetric Moro reflex

Answer 2

Erb-Duchenne palsy - C5-C7 injury

Question 3

How is hashimoto thyroiditis managed in pregnancy?

Answer 3

Hypothyroidism

• -increase levothyroxine by 30%
• -measure TSH every 4 weeks

Question 4

What time period is need to dx post partum depression?

Answer 4

> /=2weeks

Question 5

What are the two first line medications for mastitis?

Answer 5

most common organism = S aureus

• -Dicloxacillin
• -Cephalexin

Question 6

What is a 16 year old G1P0 pt at 10 weeks gestation at a higher risk for?

Answer 6

Preterm birth
Low birth weight
Perinatal Mortality
Omphalocele
Gastroschisis

Question 7

What type of type of contraceptive should be used in a pt with antiphospholipid lipid syndrome with high flow menstrual cycles?

Answer 7

progestin-only contraception

Question 8

Dx? Mgmt? risk of?
36 yr old at 13 weeks with painless vaginal spotting
US shows crescent, hypoechoic area between the gestational sac and uterus, consistent with a hematoma

Answer 8

Subchorionic hematoma

• Expectant management
• higher risk for spontaneous abortion