OBGYN

Question 1

teratogen causing clear cell adenocarcinoma of vagina

Answer 1

diethylstilbestrol

Question 2

teratogen causing phocomelia (limb malformation)

Answer 2

thalidomide

Question 3

teratogen causing fingernail hypoplasia, craniofacial abnormalities, dev delay

Answer 3

phenytoin

Question 4

quad screen: low AFP, low estriol, high hCG, high inhibin

Answer 4

Trisomy 21

Question 5

quad screen: low AFP, low estriol, low hCG

Answer 5

Trisomy 18 (Edward)

Question 6

tx hyperthyroidism in pregnancy

Answer 6

1st 1/3: PTU

2/3 & 3/3: methimizole (risk of aplasia cutis in 1/3)

Question 7

SAB with uterine bleeding, no POC expulsion, closed os

Answer 7

threatened

tx: pelvic rest, f/u U/S

Question 8

SAB with uterine bleeding, no POC expulsion, open OS

Answer 8

inevitable

Question 9

SAB with uterine bleeding, partial POC expulsion, open OS

Answer 9

incomplete

tx: D&C if <12 weeks

Question 10

FHT early deceleration

Answer 10

fetal head compression (continue to monitor labor)

Question 11

prophylaxis for h/o preeclamsia

Answer 11

ASA starting at 12 weeks