OBGYN questions

Question 1

Treatment for disseminated gonococcal infection

Answer 1

Ceftriaxone 1 g IV a.m. plus azithromycin 1 g as a single dose. Uncomplicated can I come infection requires only 250 g

Question 2

Timeline for pre-clamp Sia

Answer 2

Usually in the late 2nd to 3rd trimester and up to seven days postpartum

Question 3

How to differentiate hyper emesis gravidarum from other diagnoses

Answer 3

Abdominal tenderness. If tennis consider appendicitis cholecystitis etc.

Question 4

Anabiotic treatment for mastitis

Answer 4

First line is dicloxacillin. Other options are Augmentin or cephalexin. If narcissist specked it maybe clindamycin or Bactrim

Question 5

At what size are are follicular cysts a problem

Answer 5

Greater than 3 cm is considered pathological. Torsión is associated with cysts that are greater than 5 cm

Question 6

Common complications of follicular cyst and corpus luteum cyst’s

Answer 6

Follicular cyst most commonly rupture During sex or otherwise. If the corpus luteum cyst rupture it can cause life-threatening hemorrhage.

Question 7

Most common cause of initial postpartum hemorrhage versus delayed postpartum hemorrhage

Answer 7

Initial earth in 24 hours is uterine atony. Delayed or after 24 hours who is retained products of conception

Question 8

Disposition for Fitz

Hue Kurtis syndrome

Answer 8

Discharge with outpatient anabiotic’s

Question 9

Indications for admission for pelvic inflammatory disease

Answer 9

Pregnancy, severe disease/unstable, to ovarian abscess, and failed outpatient treatment after 72 hours.

Question 10

Pregnancy, severe disease/unstable, to ovarian abscess, and failed outpatient treatment after 72 hours.

Answer 10

She likely has retained price of conception cost vasovagal reaction.

Question 11

She likely has retained price of conception cost vasovagal reaction.

Answer 11

Evaluate the cervical Us for retained productsof conception

Question 12

I didn’t hemodynamic instability and fetal distress, what is the most dreaded complication of placental abruption?

Answer 12

DIC

Question 13

List all the tools we have at our disposal for controlling postpartum hemorrhage

Answer 13

First thing is oxytocin. Second line as misoprostol, carboprost, methyl are giving, Tranexqmic acid. 10 miles physical treatment such as packing, Foley insertion, checking with our suspected price of conception, embolization by IR and finally surgical treatment like DNC and hysterectomy

Question 14

Features of Braxton-Hicks contractions

Answer 14

Irregular, improve with movement or certain positions, localized to the front of the abdomen, not associated with cervical dilation or face meant

Question 15

What are the main tocolytics?

Answer 15

Magnesium sulfate. Indomethacin. Beta agonist such as terbutaline but they have a risk of maternal pulmonary edema and cardiac ischemia. Lastly nifedipine.

Question 16

When do you use tocolytics?

Answer 16

Using took a loser controversial. Consult with OB. They can be used to delay birth for about 48 hours to get a time for corticosteroids to work. And for transfer the patient to a high-risk MFM unit

Question 17

When to use abx and tocolytics?

Answer 17

And preterm premature rupture of membranes less than 34 weeks.

Question 18

Rates of cord prolapse by presentation

Answer 18

Incomplete breach has umbilical cord prolapse about 10% of the time, complete breach about 5%, Frank breach about .4 and vertex about .14%

Question 19

When to give HIV prophylaxis for sexual assault?

Answer 19

Although this is based on patient preference and case by case basis, the CDC recommends PEP prophylaxis for patients assaulted by multiple assailants, known HIV positive assailant, and less than 72 hours from the assault

Question 20

Describe the different maneuvers for shoulder dystocia

Answer 20

The first is Mcriberts maneuver with hyper flexed knees and hips. Then suprapubic pressure, then Woods corkscrew maneuver, the Rubin maneuver, the Gaskin maneuver. Deliver the posterior arm also known as Jacquemir maneuver.

Question 21

Describe the rubin maneuver

Answer 21

You place your hand on the on the babies back, rotate the shoulders about 30° until it is off center with the mothers pelvis, and then squish the shoulders from behind to make them adduct that’s reducing the overall diameter of the shoulders