Peer 8 - OB/GYN

Question 1

which route of intercourse is HIV risk least?

Answer 1

oral sex

Question 2

tx of bacterial vaginosis?

Answer 2

metronidazole 500 mg BID x 7 days

Question 3

hallmark sign of placental abruption?

Answer 3

painful vaginal bleeding in later term pregnancy

Question 4

best study to egvaluate iliac veins in right leg for suspected DVT in pregnant woman?

Answer 4

MRI

Question 5

tx of bartholin gland abscess?

Answer 5

drainage from fistulization or marsupialization

Question 6

stats of shoulder dystocia, how common?

Answer 6

1% of vertex deliveries

Question 7

tx of shoulder dystocia?

Answer 7

extreme lithotomy (McRoberts maneuver), ruben maneuver, suprapubic pressure

Question 8

first step with cord prolapse?

Answer 8

elevate the presenting fetal part

Question 9

severe pre-eclampsia can lead to?

Answer 9

ICH, hepatic and splenic hemorrhage, placental abruption, death of fetus

Question 10

tx of ovarian cyst?

Answer 10

if <8 cm unilocular and unilateral can have pain control and discharge

Question 11

if outpatient PID fails, work up includes what?

Answer 11

pelvic ultrasonography

Question 12

tx of uterine prolapse?

Answer 12

outpatient, eventual surgery but start weight loss

Question 13

best emergency contraception at > 120 hours

Answer 13

copper IUD

Question 14

five causes of postpartum hemorrhage?

Answer 14

5 T’s

Tone (uterine atony)
Tissue (retained products of conception)
Traction (uterine inversion)
Trauma (lacerations)
thrombosis (coag disorders)

Question 15

best way to measure fetus after trauma?

Answer 15

cardiotocography - fetal heartbeats and uterine contractions

Question 16

sign of fetal distress?

Answer 16

bradycardia - < 120 bpm

Question 17

initial tx of eclampsia?

Answer 17

mg sulfate

Question 18

time frame for eclampsia?

Answer 18

up to 4 weeks post partum

Question 19

tx of pelvic pain caused by endometriosis?

Answer 19

NSAIDS

oral contraceptive pills