quiz 6

Question 1

Babies born prematurely in the US account for what percent of all perinatal mortality?

Answer 1

75%

Question 2

MOA of magnesium sulfate?

potential complications?

Answer 2

competes w Ca for entry into cells ;

maternal flushing, HA, resp depression at high doses

Question 3

MOA of ritodrine or terbutaline when admin. in management of preterm labor?
a possible complication?

Answer 3

increases cAMP in cells which decreases free Ca;

anxiety

Question 4

when used in management of preterm labor, Indocin blocks the production of?

Answer 4

PG

Question 5

25yo is being treated for preterm labor w Nefedipine, a possible complication is..

Answer 5

decrease in uteroplacental blood flow

Question 6

which tocolytic agent is considered to have highest degree of safety?

Answer 6

mag sulfate

Question 7

for a pt. w a h/o preterm delivery, what has been shown to most sign. decrease risk of preterm delivery in NEXT preg?

Answer 7

weekly intramuscular progesterone supplem

Question 8

source of leukocytosis of greatest concern?

abdomen mildly tender, WBC of 15,000 next step?

Answer 8

chorioamnionitis ;

amniocentesis

Question 9

most appropriate technique to evaluate cervical length?

Answer 9

U/S

Question 10

best indicator of intrauterine infection assoc w premature rupture of membranes

Answer 10

bacteria on gram stain of amniotic fluid

Question 11

PROM presents a sign risk of pulm hypoplasia and skeletal malformations before what gestational age ?

Answer 11

22wks

Question 12

delivery is gen recommended when PROM occurs after how many wks

Answer 12

34

Question 13

PROM occurs at 30wks, fetus is breech, next step in management?

Answer 13

Admin of corticosteroids

Question 14

major categories central to the WHO classification system of endometrial hyperplasia?

Answer 14

cytologic atypia, and glandular/stromal architecture

Question 15

cmplx hyperplasia histo

Answer 15

increased gland to stroma ratio giving a “crowded” or “back to back” appearance

Question 16

stage of endometrial ca that invades part of the bladder and periaortic LNs

Answer 16

IVA

Question 17

tumor limited to the uterus invading greater than 50% of the myometrium, with cervical stromal involvement

Answer 17

IIB

Question 18

tumor was carcinoma in situ w one focus of adenosquamous carcinoma limited to upper 1/3 of vagina

Answer 18

IIIB

Question 19

postmenopausal bleeding, pelvic pain, a rapidly enlarging uterus, should have strong index of suspicion for?

Answer 19

uterine sarcoma

Question 20

stage 2 carcinoma of the ovary

Answer 20

growth inv one or both ovaries w pelvic extension

Question 21

stage 4 carcinoma of the ovary

Answer 21

growth inv one or both ovaries w distant mets

Question 22

fxnal ovarian cysts are defined as

Answer 22

anatomic variations

Question 23

Coelomic epithelium gives rise to what ovarian neoplasm?

approx what % of these are benign?

Answer 23

serous cystadenoma;

70%

Question 24

when a child or adolescent presents w an ovarian neoplasm, the MC type is?

Answer 24

benign cystic teratoma

Question 25

brenner cell tumors may be assoc w?

Answer 25

mucinous tumors

Question 26

which ovarian tumor has highest malignant potential?

Answer 26

serous cystadenoma

Question 27

malignant ovarian epithelial cell tumors spread primarily by?

Answer 27

direct extension w/in the peritoneal cavity

Question 28

what is the primary surgical approach inv in Tx of ovarian carcinoma?

Answer 28

cytoreductive surgery or “tumor debulking “

Question 29

MC virilizing ovarian tumor

Answer 29

Arrhenoblastoma

Question 30

fallopian tube carcinoma that has extended to uterus would be stage?

Answer 30

2

Question 31

Meigs syndroma- ascites, R pleural effusion and ?

Answer 31

ovarian fibroma

Question 32

dysmaturity Syndrome is most assoc w?

Answer 32

umbilical cord comrpession

Question 33

macrosomia fetus weighs atleast?

cesearan considered if weight is more than?

Answer 33

4000-4500g;

4500-5000g