ObGyn Randa

Question 1

In bilateral ovarian abscess initially we give ________ and if
the abscesses have not resolved we go for laparotomy.

Answer 1

Iv antibiotics then as 2nd line we perform drainage

Question 2

perihepatitis form of ascending RUQ pain, tenderness, & LFT elevation

Answer 2

Fitz-hugh Curtis syndrome

Question 3

Meigs syndrome with a triad of

Answer 3

ascites, adnexal mass, and pleural effusion.

Question 4

___ ovarian cysts are hypoechoic.

Answer 4

Benign

Question 5

Black colored mass in labia majora is

Answer 5

melanoma

Question 6

Trauma in vagina with no abuse is

Answer 6

furuncle

Question 7

Lymph drainage of fundus of uterus is through

Answer 7

paraaortic lymph nodes

Question 8

a vaginal lesion that bleeds to touch and is dark.

Answer 8

Caruncle

Question 9

The peak of ovulation happens ____ hours after the LH surge.

Answer 9

24-36

Question 10

PID treatment

Answer 10

Ceftriaxone IM + doxycycline oral +/-

metronidazole orally.

Question 11

MCC of postpartum and CS fever is

Answer 11

endometritis

Question 12

vaccines should be given pre-conception.

Answer 12

varicella; measle, mumps, rubella (most important)

Question 13

In asthmatics avoid ___ F2 alpha as a uterotonic agent

Answer 13

carboprost

Question 14

safe antiepileptics in pregnancy

Answer 14

Lamotrigine or Levetiracetam, carbamazepine

Question 15

for women who is breastfeeding and does not want children for two years.

Answer 15

Depoprovera injections

Question 16

Primary amenorrhea with full development of secondary sexual characteristics is

Answer 16

transverse vaginal septum.

Question 17

Polyhydramnios causes a risk of _______ which may lead to fetal bradycardia.

Answer 17

cord prolapse

Question 18

Oxytocin most common adverse effect is _______ which may lead to fetal bradycardia

Answer 18

uteroplacental hypoperfusion (insufficiency)

Question 19

RH immunoglobulin should be given routinely within ____ of delivery to all RH negative anti-D negative women who deliver an RH positive baby.

Answer 19

72 hours

Question 20

The treatment of PCOS (Stein Leventhal syndrome) is divided into three categories:

Answer 20

• Among the tests for PCOS is checking for glucose and lipid profile
• Cycle control = Lifestyle modification by OCP
• Infertility = clomiphene citrate+/- Metfromin +/- weight loss
• ovarian drilling Hirsutism = OCP, spironolactone

Question 21

Contraindications to ECV are:

Answer 21

• placenta previa
• previous classical cesarean delivery so contraindicated vaginal delivery ( not all CS are classical there are types)

Placental abruption

Question 22

a maculopapular non-pruritic rash

Painless ulcer

Answer 22

Syphilis

Question 23

Ectopic pregnancy triad:

Answer 23

amenorrhea, unilateral abdominal/pelvic pain & vaginal bleeding

Question 24

Previous placenta abrupta is the strongest risk factor for another one and the 2nd strongest RF is ____

Answer 24

HTN

Question 25

Most common type of fibroids is

Answer 25

intramural

Question 26

High blood pressure that develops after week 20 in pregnancy and goes
away after delivery.

Answer 26

Gestational Hypertension

Question 27

Symptoms include high bp and proteinuria.

Answer 27

Preeclampsia

Question 28

Women who have high blood pressure (over 140/90) before pregnancy, early in
pregnancy (before 20 weeks), or continue to have it after delivery.

Answer 28

Chronic Hypertension

Question 29

The discriminatory zone of β-HCG (to visualize gestational sac) is ____ mIU/mL with
transvaginal ultrasonography, up to ____ mIU/mL with multiple gestates [2], and _____
mIU/mLwith abdominal ultrasonography

Answer 29

1500-1800; 2300

6000-6500

Question 30

green frothy fishy vaginal discharge, motile flagella on wet mount microscopy

Answer 30

trichomoniasis

Question 31

Mastitis (presents as _________) is with

Answer 31

redness not a mass +/- fever; Cephalexin

continue breast feeding with the other breast

Question 32

Cornu drains into _____ lymph node.

Answer 32

superficial inguinal

Question 33

Vaginal discharge due to chlamydial infection is treated with

Answer 33

azithromycin

Question 34

Fetal heart rate most heard at ____ if cephalic (vertex), at ____ if breech

Answer 34

lower quadrants v

upper quadrants b

Question 35

Cerclage should be considered if cervical length is _____ by vaginal sonography prior to 24 weeks
and prior preterm birth at <34 weeks’ gestation.

Answer 35

<25 mm

Question 36

Pregnant in second trimester with open cervical os we do cervical cerclage at ____ at level of internal os

Answer 36

14-16 weeks