Quiz2

Question 1

quickening occurs at how many weeks gestation?

Answer 1

18-20

Question 2

Congestion and a bluish color of the vagina in early pregnancy?

Answer 2

Chadwick sign

Question 3

Softening of the cervix on PE in early preg

Answer 3

Hegar sign

Question 4

Excluding fetal HR reactivity, the part of biophysical profile considered most imp. is?

Answer 4

Qualitative amniotic fluid level

Question 5

which aspect of amniotic fluid is in calculating the score in a biophysical profile?

Answer 5

Volume

Question 6

The inheritance of Huntington disease is?

Answer 6

AD

Question 7

The inheritance of Marfan Syndrome is?

Answer 7

AD

Question 8

33yo pt, aunt Dx w breast ca. at 49 and her grandfather had lung ca. you recommend?

Answer 8

annual clinical breast exams, no further testing at this time

Question 9

the quad screen adds what marker?

Answer 9

Inhibin A

Question 10

MC complication of CVS?

Answer 10

bleeding

Question 11

what rate of cervical dilation is considered a protraction disorder in nulliparous pts?

Answer 11

less than 1cm per hr

Question 12

for a pt. in active labor, this provides a quantitative measurement of the strength of her uterine contractions

Answer 12

Intrauterine pressure catheter

Question 13

management for prolonged latent phase?

Answer 13

sedation

Question 14

Low forceps-assisted vaginal delivery occurs w the fetal head at what position?

Answer 14

AT the +2 station

Question 15

In high risk cases, intermittent FHR auscultation should be atleast how often during active phase of labor?

Answer 15

every 15mins

Question 16

In high risk cases, intermittent FHR auscultation should be at least how often during secoud phase of labor?

Answer 16

every 5 mins

Question 17

During resuscitation of the newborn, metabolic well-being is best assessed by measurement of?

Answer 17

umbilical cord blood gases

Question 18

acute bilirubin encephalopathy or kernicterus is assoc with total serum bilirubin greater than?

Answer 18

30mg/dL

Question 19

After delivery, infant vital signs should be taken at what interval?

Answer 19

every 30mins until the signs are stable for 2hrs

Question 20

Uterine involution is due to a decrease in the

Answer 20

size of cells in uterine myometrium

Question 21

when is the endometrium re-est. after delivery in most pts?

Answer 21

3rd week

Question 22

Lochia rapidly decreases in amt. over the first ____ days post-partum, but can last several wks

Answer 22

2-3 days

Question 23

passage of placental eschar commonly begins btwn

Answer 23

8-14 days postpartum

Question 24

Abortion is termination of preg before what gestational age?

Answer 24

20wks

Question 25

80% of spontaneous abortions occur by what gestational age? | incidence of clinically recognized spontaneous abortion?

Answer 25

12wks ; 15-25%

Question 26

Recurrent early abortion is assoc w what chance that one parent is an ASx carrier of a Chr abnormality?

Answer 26

3%

Question 27

which location of leiomyomata is most assoc w spontaneous abortion?

Answer 27

submucosal

Question 28

approx what % of threatened abortions proceed to spontaneous abortion?

Answer 28

50%

Question 29

Asherman Sy is confirmed by ? | Tx involoves lysis of the adhesions and with?

Answer 29

hysteroscopy ; | estrogen

Question 30

Postabortal Sy results from

Answer 30

uterine atony

Question 31

etiology for vaginal bleeding in cases of ectopic is?

Answer 31

sloughing of decidua

Question 32

early in preg, quantitative bhCG levels should increase by what % in 48hrs?

Answer 32

66

Question 33

what aspect of preg is the serum progesterone most useful in assessing?

Answer 33

Viability

Question 34

primary risk factor in pts w a cervical ectopic?

Answer 34

h/o D&C

Question 35

tubal pregnancy in what region typically presents later than those in other areas?

Answer 35

isthmic

Question 36

24yo undergoing laprascopy for otherwise unexplained infertility, what are the chances endometriosis will be found in this woman? what is the most likely site?

Answer 36

20%-40%; posterior cul-de-sac

Question 37

a pt. w complete obliteration of the cul de sac by adhesions has?

Answer 37

severe disease

Question 38

if pt with chronic pelvic pain underwent laprascopy, the likelihood that an identifiable cause will be found is approx?

Answer 38

60-70%

Question 39

tender symmetrically enlarged "boggy" uterus suggests?

Answer 39

Adenomyosis

Question 40

Thickening of the adnexa is most consistent with?

Answer 40

PID

Question 41

what med may help treats IBS Sxs?

Answer 41

Hyoscyamine

Question 42

NSAIDs act to reduce?

Answer 42

uterine contractile activity

Question 43

avg age of menopause?

Answer 43

51

Question 44

ovarian fxn requires pulsatile secretion gnRH at what interval?

Answer 44

60-240 mins

Question 45

this hormone stimulates the granulose cells of the primary ovarian follicle

Answer 45

FSH

Question 46

what principle sex steroid is secreted by the granulose cells

Answer 46

estradiol

Question 47

underweight teen runs track, most likely cause of amenorrhea is an abnormality at the level of ?

Answer 47

the hypothalamus

Question 48

in premenstrual Sy, there is a Sx free period of atleast?

Answer 48

1 wk per cycle

Question 49

PMDD occurs in what % of women?

Answer 49

5

Question 50

hormone most likely related to underlying etiology of PMDD?

Answer 50

serotonin

Question 51

first line Tx for managing Sxs of PMS? | what else significantly improves Sxs?

Answer 51

complex carb diet (eliminate fat); | aerobic exercise and oral contraceptives