Old Wall Quiz #1 Flashcards
1
Q
- A 23 year old presents for preconception
counseling for infertility. Family history is
significant for male relatives with azospermia.
Genetic testing should include:
A. Chromosome studies B. Cystic fibrosis screening C. Pre-implantation genetics to avoid an AD condition D. Tay Sachs screening E. Gauchers disease
A
b
2
Q
Which of the following is a FDA approved medication for Osteoporosis treatment that works by increasing osteoblast numbers and stimulating bone formation? A. Calcitonin B. Alendronate C. Recombinant Parathyroid hormone D. Zoledronate E. Denosumab
A
c
3
Q
3. A patient presents with a third trimester ultrasound finding of a maximum vertical pocket of 18 cm. The most likely cause is: A. Normal finding B. Idiopathic C. Hydrops fetalis D. Diabetes E. Thyroid disease
A
b
4
Q
A 44-year-old female undergoes Robotic laparoscopic resection of stage IV endometriosis. Which of the following is most valuable in detecting a gas embolus intraoperatively? A. Hypotension B. Tachycardia C. Cardiac arrythmia D. End tidal CO2 E. Pulse oximetry
A
d
5
Q
When comparing Tamoxifen to Aromatase inhibitors, the most likely specific adverse effect of an Aromatase inhibitor is: A. Deep venous thrombosis B. Hot flushes C. Arthralgia D. Decreased libido E. Vaginal dryness
A
c Arthralgia
6
Q
6. Which of the following best describes the mechanism of action of bisphosphonates? A. Stimulation of osteoblasts B. Inhibition of osteoblasts C. Stimulation of osteoclast resorption D. Inhibition of osteoclast resorption E. Inhibition of osteoblast resorption
A
d
7
Q
A 19-year-old female presents with no breast
or uterine development. Karotype is 46XY, FSH-
47, testosterone is in normal female range. No
gonads are palpable on exam. What is the most
likely diagnosis?
A. 17 alpha Hydroxylase deficiency
B. 17-20 Desmolase deficiency
C. Androgen insensitivity
D. Mullerian agenesis
E. Turners syndrome
A
b
8
Q
- A post menopausal patient has a DEXA and is
found to have a T-score of -3.0. Which of the
following treatments is least likely to result in
bone formation?
A. Alendronate
B. Estrogen
C. Raloxifene
D. Parathyroid hormone
E. Calcitonin
A
b
9
Q
9. Which of the following medications is most likely to result in bone resorption? A. Diuretics B. Calcium channel blockers C. Digoxin D. Lithium E. Insulin
A
d
10
Q
- In a normal pregnancy, what typically
happens to the umbilical artery resistance?
A. Progressively decreases throughout
pregnancy
B. Progressively increases throughout pregnancy
C. Increase only in the first trimester
D. Decreases in the second trimester then
increases in the third trimester
E. Does not change
A
a
11
Q
12. A patient comes to your office after her mother developed ovarian cancer and was found to have the BRCA-1 gene. What is her risk of inheriting the gene? A. 5% B. 10% C. 25% D. 50% E. 100%
A
d
12
Q
- Four days after a TVH a 36 y/o patient
returns to ED complaining of right flank pain,
fever, and a vaginal watery discharge. The next
best step will be:
A. Diagnostic Laparoscopy
B. Renal Ultrasound
C. Percutaneous ureteral stent
D. Ureterneocystotomy
E. Retrograde pyelography with retrograde
ureteral stent
A
e
13
Q
- Several months after a vaginal delivery, your
patient complains of occasional involuntary
passage of air per vagina, she denies vaginal
passage of stool. What is the most appropriate
confirmatory test?
A. Charcoal by mouth
B. Methylene blue rectally
C. Barium enema
D. Sigmoidoscopy
E. Sterile milk douche
A
b
14
Q
16. The most common cause of endometrial bleeding in a post menopausal patient is? A. Atrophic endometrium B. Endometrial carcinoma C. Simple endometrial hyperplasia D. Complex endometrial hyperplasia E. Sarcoma
A
a
15
Q
23. A 17 y/o patient presents to your office with a positive GC test and negative chlamydia. What is the best treatment? A. Ceftriaxone and azithromycin B. Ceftriaxone C. Ampicillin and gentamycin D. Cefixime E. Azithromycin
A
a
16
Q
- Your patient presents for genetic
counseling. She states she has the hemophilia gene. What is the chance one of her sons will have the disease?
A. 0%
B. 25%
C. 50%
D. 75%
E. All of her children will have hemophilia
A
c
17
Q
25. A woman taking combined oral contraceptive pills for three years develops a deep vein thrombosis. The least helpful test in her evaluation is: A. Clotting time B. Protein C C. Protein S D. Antithrombin III E. Anticardiolipin antibody
A
a
18
Q
26. A postmenopausal woman s/p anterior colporrhaphy presents with complaints of stress urinary incontinence. She is found to have a low urethral closure pressure. She is a good candidate for which procedure? A. Retropubic sling procedure B. Kelly plication C. Paravaginal repair D. Repeat anterior colporrhaphy E. Uterosacral ligament suspension
A
a
19
Q
Hormone replacement therapy is known to decrease the incidence of which cancer?
A. Lung B. Thyroid C. Breast D. Colon E. Cervix
A
d
20
Q
29. As compared with the general population, obese woman with Polycystic ovarian syndrome (PCOS) are not at higher risk for: A. Endometrial Cancer B. Hyperlipidemia C. Diabetes mellitus D. Thyroid disease E. Infertility
A
d
21
Q
30. Which uterine anomaly is most likely responsible for recurrent pregnancy loss: A. Didelphys B. Bicornuate C. Unicornuate D. Septate E. Arcuate
A
d
22
Q
- Hypovolemic shock is best characterized
by:
A. Decreased PCWP, Decreased SVR, Decreased CO
B. Decreased PCWP, Decreased SVR, Increased CO
C. Decreased PCWP, Increased SVR, Increased CO
D. Decreased PCWP, Increased SVR, Decreased CO
E. Increased PCWP, Increased SVR, Decreased CO
A
d
23
Q
32. Of the following, tension headache is most characterized by: A. Abrupt onset B. Greater than 4 hours duration C. Nausea D. Aura E. Frontal and occipital location
A
e
24
Q
33. The most likely fetal response to exercise is: A. Decreased variability B. Growth restriction C. Increase in fetal heart rate D. Variable decelerations E. Respiratory alkalosis
A
c
25
Q
35. The most common cause of a shoulder presentation is? A. Prematurity B. Android pelvis C. Placental location D. Fibroid tumors E. Septate uterus
A
a
26
Q
39. What is the first fetal indication of a ruptured uterus? A. Maternal tachycardia B. Abnormal change in fetal heart rate C. Loss of station D. Heavy vaginal bleeding E. Abdominal pain
A
b
27
Q
41. Which of the following is the most significant risk of an amniocentesis? A. Vaginal spotting B. Limb defects C. Pregnancy loss D. PROM E. Chorioamnionitis
A
c
28
Q
45. What is the most likely cause of a persistent or chronic cough? A. Pneumonia B. Bronchitis C. Gastroesophageal reflux disease D. TB E. Peptic ulcer disease
A
c
29
Q
- What is the most serious outcome if a
patient in labor undergoes artificial rupture of membranes (AROM)?
A. Chorioamnionitis
B. Arrest of labor
C. Hemorrhage
D. Umbilical cord prolapse
E. Cesarean section
A
d
30
Q
47. A patient is referred to your office with a diagnosis of Androgen insensitivity syndrome. On physical exam you are most likely to see? A. Temporal balding B. Clitormegaly C. Small uterus D. Blind vaginal pouch E. Tanner 1 stage breasts
A
d
