Onlinemeded-GYN

Question 1

ovarian tumor high LDH

Answer 1

dysgerminoma (germ cell tumor)

Question 2

schiller duval bodies

Answer 2

yolk sac tumor

Question 3

TOA bugs/tx

Answer 3

GC/CT, vaginal flora; tx w/ IV abx (cefoxitin + doxy + metronidazole) -> drain if abx don’t work

Question 4

+ qtip test

Answer 4

stress incontinence (urethral hypermobility)

Question 5

stress incontinence tx

Answer 5

kegels/lifestyle -> surgery (sling vs urethral bulking)

Question 6

tx for urge incontinence

Answer 6

oxybutynin (anticholinergic), mirabegron (B3 agonist)

Question 7

tx for overflow incontinence

Answer 7

bethanecol (+ intermittent cath) - muscarinic agonist

Question 8

goal sugars in GDM

Answer 8

<95 fasting, <140 1hr postprandial, <120 2hrs

Question 9

GDM dx 1hr gtt

Answer 9

> 140

Question 10

GDM dx 3hr gtt

Answer 10

fasting >90
1hr >180 
2hr >155
3hr >140 
(need 2 to be +)

Question 11

assessment for fetal anemia

Answer 11

transcranial (MCA) doppler

Question 12

tx for hepB+ mom

Answer 12

C/S, HepB IVIG + vax to baby @ delivery

Question 13

transmission of HIV/HepB to baby

Answer 13

can’t cross placenta - through blood/blood (vertical)

Question 14

tx for baby to HIV+ mom (high viral load)

Answer 14

C/S

Question 15

tx for baby to HIV+ mom w/ undetectable viral load

Answer 15

vaginal delivery

Question 16

TORCH infections

Answer 16

Toxo
other (syphilis, zika)
Rubella
CMV 
HSV

Question 17

baby w/ brain calcifications, ventriculomegaly, seizures

Answer 17

congenital toxo

Question 18

targetoid lesions on palms + soles

Answer 18

secondary syphilis

Question 19

baby w/ saddle nose, rhinorrhea, hutchinsons teeth, sabor shins

Answer 19

congenital syphilis (2nd/3rd tri)

Question 20

baby w/ petechiae, purpura, cataracts, congenital heart defects, deafness

Answer 20

congenital rubella (blueberry muffin)

Question 21

tx for mom w/ primary or secondary HSV

Answer 21

acyclovir; C/S

Question 22

baby w/ IUGR, preterm, blindness

Answer 22

congenital HSV

Question 23

high titer level in Rh(-) mom

Answer 23

anti-D >1:32 -> fetal MCA doppler (high velocity = bad)

Question 24

w/u for 3rd tri bleeding

Answer 24

vitals, hgb, plt, coags, phys, fetal NST/US

Question 25

painless/painful 3rd tri bleeding

Answer 25

painless = placenta (previa) 
painful = uterus (rupture, abruption)

Question 26

tx for placenta previa/ vasa previa

Answer 26

urgent c/s

Question 27

tx for uterine rupture

Answer 27

crash c/s

Question 28

risk factors for placental abruption

Answer 28

HTN, cocaine, trauma

Question 29

next step after failed NST

Answer 29

BPP: NST, AFI, (>5) breathing, movement, tone (8-10 is good)

Question 30

1st tri screening

Answer 30

nuchal translucency, PAPP-A, hCG

Question 31

precocious puberty w/u

Answer 31

bone age -> GnRH stim -> central (tumor or constitutional) vs peripheral (CAH or tumor)

Question 32

delayed puberty w/u

Answer 32

bone age, FSH, LH:
high FSH, LH (karyotype)
low FSH, LH (prl, TSH, etc)

Question 33

amenorrhea w/ nml axis, nml anatomy

Answer 33

anorexia
pregnancy
imperforate hymen

Question 34

amenorrhea w/ nml axis, abnml anatomy

Answer 34

mullerian agenesis (nml T)
AIS (high T)

Question 35

amenorrhea w/ anml axis, nml anatomy

Answer 35

kallmans (low FSH, LH)
craniopharyngioma (low FSH, LH)
turners (high FSH, LH)

Question 36

kallmans pathophys

Answer 36

hypothal dysfunction

Question 37

no secondary sex characteristics + low FSH/LH

Answer 37

kallmans or craniopharyngioma

Question 38

w/u for secondary amenorrhea

Answer 38

upreg, TSH, prolactin -> then FSH, LH, E + P