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Question 1

tubal ligation is assoc. w/ a dec. in what cancer risk?

Answer 1

ovarian

Question 2

OCPs linked to incr. risk of what cancer?

Answer 2

breast (lower dose pills do not have the same association)

Question 3

antiphospholipid antibodies assessment in pregnancy

Answer 3

anticardiolipin / beta-2 glycoprotein antibody status, PTT, and Russell viper venom time

Question 4

what is latest wk in pregnancy where we can do manual vacuum aspiration

Answer 4

12 wks (99%)

Question 5

when is max anemia?

Answer 5

34 wks

Question 6

common causes of acute pulm edema

Answer 6

tocolytics, cardiac disease, fluid overload, pre-eclampsia

Question 7

which ureter gets more dilated in pregnancy?

Answer 7

R > L (sigmoid colon cushions)

Question 8

recommended weight gain in pregnancy if BMI 18.5-24.9

Answer 8

25-35 lbs

Question 9

BMI > 30

Answer 9

11-20 lbs

Question 10

BMI < 18.5

Answer 10

28-40 lb

Question 11

valproic acid defects

Answer 11

neural tube defects, hydrocephalus, craniofacial malformations

Question 12

vulvectomy?

Answer 12

invasive squamous cell carcinoma (>3.5 cm)

Question 13

when to do cervical conization?

Answer 13

1) ECC positive
2) can’t r/o cancer w/ biopsy
3) discrepancy b/w pap + colpo
4) poorly visualized biopsy

Question 14

1st trimester combined test

Answer 14

1st trimester nuchal translucency, PAPP-A, beta-hCG (85% detection rate)

Question 15

triple screen

Answer 15

2nd trimester AFP, beta-hCG, unconjugated estradiol (69% detection rate)

Question 16

quad screen

Answer 16

AFP, b-hcg, estradiol, inhibin (2nd trimester, 81%)

Question 17

non-high risk folic acid rec

Answer 17

0.4 mg/day

Question 18

high-risk folic acid dose recommendation

Answer 18

4 mg through 1st trimester

Question 19

what is the drug of choice for cont. anticoag?

Answer 19

low molecular weight heparin

Question 20

What is the CAH deficiency?

Answer 20

21-hydroxylase (build up on 17-hydroxyprogesterone, which becomes androgens)

Question 21

nL age range of menarche?

Answer 21

9-17 yo

Question 22

renal anomalies co-occurence with Mullerian agenesis

Answer 22

25-35%

Question 23

when to induce preg if abortion?

Answer 23

> 20 wks

Question 24

max med management of abortion

Answer 24

9 wks

Question 25

d&c abortion max # of wks

Answer 25

16 wks