OBGYN

Question 1

What are features of Endometriosis?

Answer 1

Dsypareunia, dysmenorrhea, and dyschezia
Nodular characteristics of anatomy
Mass in GU anatomy; immobile uterus

Question 2

How to treat endometriosis?

Answer 2

1. the pill, GnRH agonist
2. NSAID
3. Resection

Question 3

What characterizes cervical insufficiency?

Answer 3

> 2 prior painless, 2nd trimester (14-27 week) pregnancy loss

Question 4

When is external cephalic version offered?

Answer 4

> = 37 weeks

Question 5

What is the etiology of stress incontinence in older women?

Answer 5

urethral hypermobility

Question 6

What age do we perform chlamydia and other STD screening in sexual active female?

Answer 6

women <25 yo

Question 7

Which contraception cause weight gain?

Answer 7

DMPA or depot medroxyprogeserone acetate

Question 8

What are SE of copper IUD vs progestin IUD?

Answer 8

copper: heavy bleed and dysmenorrhea
progestin: irregular and amenorrhea

Question 9

When and how often to do mammogram?

Answer 9

50-75 yo, q 2 year

Question 10

What differentiate sexual abuse and vaginal foreign bodies in prepubertal girl?

Answer 10

Sexual abuse will have GU trauma.

Both will have vaginal spotting and malodorous discharge

Question 11

What trimester does HELLP occur?

Answer 11

3rd

Associated with HTN, proteinuria, and plt < 100,000

Question 12

Which cm of cervical dilation is consider active phase? during first stage of labor.

Answer 12

6-10 cm; need >1 cm per 2 hr

If less, then it is is labor protraction.

Question 13

What to do in labor protraction?

Answer 13

Oxytocin Injection and amniotomy

Question 14

T score on DXA for osteopenia

Answer 14

-1 to -2.5;

Question 15

Which contraceptives is best for acute uterine bleeding in pre menopausal women?

Answer 15

combination oral contraceptives with high dose estrogen

Question 16

How to treat breast abscess in addition to abx?

Answer 16

needle aspiration

Question 17

What is next step after finding high grade squamous intraepithelial lesion (HSIL) on pap?

Answer 17

Colposcopy or loop electrosurgical excision procedure (LEEP)
LEEP is for woman >25, not pregnant and completed childbearing.

Question 18

What is next step after FNA of breast cyst? if nonbloody vs bloody aspirate

Answer 18

if nonbloody, repeat USN in 4-6 wk

if bloody or nonbloody but recurrent/persistent, do biopsy and further imagining

Question 19

What are absolute contraindications (8) to OCP (E + P)?

Answer 19

migraine w/ aura
>15 cig/day  + >34
HTN
H/o stroke
Breast cancer
Cirrhosis/liver cancer
Major surgery w/ prolonged immobilization
Use < 3 weeks postpartum

Question 20

What is Kleihauer-Betke test? When to use?

Answer 20

To detect and quantify the amount of fetomaternal hemorrhage; to determine how much Rho (D) Ig to be given
Any situation when there is maternal bleed: abruptio placentae