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OB/GYN > Quiz 1 > Flashcards

Quiz 1 Flashcards

1
Q

Transit time in the stomach and small bowel increases by what percent in the second and third trimesters?

A

15-30%

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2
Q

During pregnancy, total body O2 consumption…

A

increases by 20% from nonpregnant levels

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3
Q

By term in a normal singleton pregnancy, maternal blood volume

A

Increases by 35%

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4
Q

When does the increase in circulating maternal blood volume reach its peak during pregnancy?

A

Week 32

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5
Q

During a normal pregnancy, maternal BP…

A

initially decreases to a nadir at 24-32 weeks and then returns to nonpregnant levels by term

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6
Q

At the time of uterine contractions during labor, mean arterial pressure…

A

increases by approximately 10 mmHg

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7
Q

What is chloasma?

A

Change in facial pigmentation during pregnancy

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8
Q

The umbilical blood flow represents about what percent of the combined output of both fetal ventricles?

A

40%

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9
Q

The risk of PE increases by what factor during the puerperium?

A

5.5x

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10
Q

What is the fibrinogen concentration range during pregnancy?

A

300-600 mg/dL

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11
Q

What is the most appropriate biopsy location for a 45-year-old woman with abnormal vaginal bleeding for 5 days and a normal vaginal examination?

A

Endometrium (uterus)

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12
Q

A 25-year-old patient had an IUD inserted last year but no longer feels the string. Which of the following is the most appropriate next step in management?

A

Ultrasonography

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13
Q

What is the most appropriate imaging study in an asymptomatic patient w/ 18-week size fibroids?

A

Transabdominal ultrasonography

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14
Q

A woman presents with signs consistent with leiomyomata uteri. Your next best step is to recommend what test?

A

Hysterosalpingogram

HSG

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15
Q

A 63-year-old woman with 6 months of early satiety and increased abdominal girth has an abdominal fluid wave and a palpable 12 cm right adnexal mass. The next best step would be to perform what test?

A

Diagnostic laparoscopy

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16
Q

“Bloody show” is related to what?

A

Effacement of the cervix

17
Q

What is the optimal time for fetal heart tones during labor?

A

Immediately following a contraction

18
Q

The portion of the fetus that is lowest in the birth canal is defined by what term?

A

Presentation

19
Q

Engagement definition

A

Descent of the bi parietal diameter of the head below the plane of the pelvic inlet

  • ️Occurs days to weeks prior to labor in nulliparous women and at the onset of women in multiparous women
  • ⭐️Suggests the bony pelvis is adequate to allow significant descent of the fetal head
20
Q

Pain during the first stage of labor is due to which of the following events?

A

Dilation of the cervix

21
Q

Best treatment for dyspareunia during the postpartum period

A

Topical estrogen

22
Q

The incidence of postpartum psychosis is approximately…

A

.1-.2%

23
Q

When is the endometrium re-established after delivery?

A

3 weeks

24
Q

What is the weight of fluid lost thru diuresis and loss of Extravascular fluid?

A

5 kg

25
Q

Lochia rapidly decreases after how many days postpartum?

A

2-3

-Can persist for weeks tho

26
Q

Protraction disorders

A

A prolonged latent phase of pregnancy alongside a cervical dilation rate of

27
Q

Which presentation usually converts to a vertex or face presentation?

A

Brow presentation

28
Q

There has been a secondary arrest of dilation when cervical dilation during the active phase of labor stops for at least…

A

2 hours

29
Q

Outlet forceps-assisted vaginal delivery is appropriately considered with the fetal head at what station?

A

At the pelvic floor

30
Q

In high risk cases, intermittent FHR auscultation to monitor fetal well-being should be employed at least how often in the second stage of labor?

A

5 mins

31
Q

A cholesterol/lipid profile should be performed for women w/o risk factors at what interval?

A

Every 5 years after age 45 years

32
Q

Bone marrow density testing is recommended for women w/o risk factors for osteoporosis beginning at what age?

A

65 years

33
Q

What pulmonary measurement is decreased in pregnancy?

A

CO2 pressure

34
Q

During pregnancy, what happens to total body O2 consumption?

A

Increases 20% from nonpregnant levels

35
Q

During labor, what maternal cardiac output changes occur?

A

Increases by 40% from late pregnancy levels

36
Q

When is the optimal time for auscultation of fetal heart tones during labor?

A

Immediately following a contraction

37
Q

Pain during labor is associated with what?

A

Dilation of the cervix

OB/GYN (8 decks)

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