QUESTION BANK Flashcards
WHICH OF THE FOLLOWING IS NOT AN INDICATION OF SEVERE PREGNANCY-INDUCED HYPERTENSION?
A. UPPER ABDOMINAL PAIN
B. OLIGURIA
C. CREATININE 0.6 MG/DL
D. FETAL GROWTH RESTRICTION
C. CREATININE (>1.2 MG/DL)
IN WHICH PRESENTATION IS THE FETAL HEAD PARTIALLY FLEXED AND A LARGE ANTERIOR FONTANEL PRESENTING?
A. VERTEX
B. FACE
C. BROW
D. SINCIPUT
D. SINCIPUT
DURATION OF PREGNANCY IS MOST CORRECTLY MEASURED CLINICALLY BY WHICH OF THE FOLLOWING UNITS?
A. NUMBER OF WEEKS, ROUNDED TO THE NEAREST WHOLE WEEK SINCE THE FIRST DAY OF LMP
B. COMPLETED WEEKS SINCE FIRST DAY OF LMP
C. COMPLETED WEEKS SINCE ESTIMATED DATE OF CONCEPTION
D. NUMBERS OF WEEKS ROUNDED TO THE NEAREST WHOLE WEEK SINCE THE ESTIMATED DATE OF CONCEPTION
B. COMPLETED WEEKS SINCE FIRST DAY OF LMP
HOW MANY WEEKS AFTER ABORTION DOES OVULATION USUALLY OCCUR?
A. 2 TO 3 WEEKS
B. 4 TO 5
C. 5 TO 6
D. 6 TO 7
A. 2 TO 3 WEEKS
A 43 YR-OLD WOMAN COMES TO THE OFFICE COMPLAINING OF INVOLUNTARY URINE LOSS. LOSS OF URINE OCCURS CONTINUOUSLY DAY AND NIGHT ALONG WITH PELVIC PRESSURE. RESIDUAL VOLUME IS 450 ML.
A. GENUINE INCONTINENCE
B. BYPASS INCONTINENCE
C. OVERFLOW INCONTINENCE
D. MOTOR URGE INCONTINENCE
C. OVERFLOW INCONTINENCE
OVERFLOW INCONTINENCE OCCURS UNIQUELY WHEN INTRAVESICAL PRESSURE FROM AN OVERDISTENDED HYPOTONIC BLADDER EXCEEDS URETHRAL PRESSURE.
A PRIMIGRAVIDA AT 16 WEEKS BY LMP HAS A FUNDAL HEIGHT AT UMBILICUS. SHE HAS ABNORMALITY ELEVATED LEVELS OF MS-AFP AND B-HCG. YOU:
A. SCHEDULE A SONOGRAM TO RULE OUT MULTIPLE GESTATION
B. ARE CONFIDENT IT’S DOWN’S SYNDROME
C. DIAGNOSE PATIENT AS HAVING MOLAR PREGNANCY
D. ADMIT PATIENT AND WATCH OUT FOR VARIABLE DECELERATIONS
A. SCHEDULE A SONOGRAM TO RULE OUT MULTIPLE GESTATION
THE COMBINATION OF FUNDUS LARGER THAN DATES AND ABNORMALLY ELEVATED LEVELS OF MS-AFP AND B-HCG SUGGESTS MULTIPLE GESTATION.
A 19 YR-OLD PRIMIGRAVIDA AT 32 WEEKS’ GESTATION COMES TO THE OFFICE FOR A ROUTINE PRENATAL VISIT. HER BP IS 150/95 MMHG. HER PREVIOUS BPS HAVE BEEN 120/70 MMHG RANGE. 2 HOURS LATER: WHILE RECEIVING IV MGSO4 THERAPY, HER RR HAVE DECREASED FROM 20-5 RPM. FINDINGS ARE CONSISTENT WITH
A. GESTATIONAL HTN
B. MILD PREECLAMPSIA
C. SEVERE PREECLAMPSIA
D. ECLAMPSIA
E. MAGNESIUM TOXICITY
E. MAGNESIUM TOXICITY
ANTIDOTE FOR MAGNESIUM TOXICITY IS IV CALCIUM GLUCONATE.
A 60 YR-OLD WOMANS VISITS YOUR CLINIC WITH COMPLAINTS OF PELVIC PRESSURE AND ABDOMINAL FULLNESS. HER LMP WAS 3 YRS AGO. BPE AND IVP ARE NORMAL. STAGING EXPLORE LAP IS PERFORMED. YOU FIND STAGE 1A OVARIAN CA. WHAT IS THE BEST INTERVENTION IN THIS CASE?
A. START PATIENT ON CHEMOTHERAPY IMMEDIATELY
B. PERFORM TAH-BSO ONLY
C. PERFORM TAH-BSO AND INFRACOLIC OMENTECTOMY
D. CYTOREDUCTIVE DEBULKING WILL SUFFICE
B. PERFORM TAH-BSO ONLY
HISTOLOGY SUGGESTS THE CA IS CONFINED TO THE OVARY BUT THE 5-YR SURVIVAL RATE IS ONLY 80%.
POTENTIAL SITES FOR URETERAL INJURY DURING ABDOMINAL HYSTERECTOMY WITH BILATERAL SALPIGO-OOPHORECTOMY INCLUDE ALL OF THE FOLLOWING EXCEPT:
A. TRANSACTION OF THE ROUND LIGAMENT
B. TRANSACTION OF UTERINE ARTERIES
C. TRANSACTION OF CARDINAL LIGAMENTS
D. TRANSITION OF INFUNDIBULOPELVIC LIGAMENTS
E. NONE
A. TRANSACTION OF THE ROUND LIGAMENT
IN GENERAL, URETERS DO NOT TRAVEL NEAR THE ROUND LIGAMENT, IN A PELVIS WITH NORMAL ANATOMY.
A 40 YR-OLD G4P3 WOMAN COMES TO THE E.R. COMPLAINING OF VAGINAL BLEEDING, PELVIC PAIN, FLANK PAIN, FOUL-SMELLING DISCHARGE AND DISORIENTATION. HER PAST MEDICAL HISTORY IS SIGNIFICANT FOR 3 NSVDS AND 1 MISCARRIAGE. IN ADDITION, SHE DID HAVE A HISTORY OF ABNORMAL PAP SMEARS APPROX. 3 YEARS EARLIER. WHAT INITIAL LAB WORK-UP MUST BE DONE?
A. COMPLETE METABOLIC PANEL
B. COMPLETE BLOOD COUNT
C. B-BHCG LEVELS
D. URINALYSIS
E. ALL OF THE ABOVE
E. ALL OF THE ABOVE
DIFFERENTIALS INCLUDE PID, MISCARRIAGE, DUB, CERVICAL LESIONS (INCLUDING CERVICAL CA), UTI LEADING TO PYELONEPHRITIS. CBC & COMPLETE METABOLIC PANEL ARE IMPORTANT BECAUSE PATIENT ALREADY HAS DISORIENTATION
