Repro 5

Question 1

Delivery maneuver where the woman hyperflexes and abducts hips towards the abdomen without and then with suprapubic pressure.

Answer 1

McRoberts maneuver

Question 2

This is the rotation of the fetal shoulders 180 degrees to prevent shoulder dystocia.

Answer 2

Woods corkscrew maneuver.

Question 3

What are some treatment options for DM in pregnancy?

Answer 3

Insulin first line

Glyburide or Metformin are relatively safe as well.

Question 4

Ovarian cysts of what size can be managed supportively?

Answer 4

Cyst < 8 cm are functional and usually spontaneously resolve.

Repeat US after 1-2 cycles.

Question 5

Marker for ovarian cancer?

Answer 5

CA-125

Question 6

Overgrowth of Gardnerella vaginalis.

Malodourus vaginal discharge.

Copious, thin, homogenous, grayish-white vaginal discharge, pH> 4.5

Positive whiff-amine test (fishy odor)

Clue cells on wet mount

Answer 6

BV

Question 7

Copious frothy yellow-green vaginal discharge, cervical petechiae.

Microscope shows mobile protozoan trophozoites.

Answer 7

Trichomoniasis

Question 8

Tx for BV

Answer 8

Metronidazole x 7 days or clindamycin

Partners don’t need tx.

Question 9

Tx for Trichomoniasis

Answer 9

Metronidazole

Partners must be treated.

Question 10

Tx for Candida vaginal infection?

Answer 10

Fluconazole

Question 11

small pustule will form at the site of inoculation and progresses to multiple, painful ulcerations with sharply demarcated purulent bases. Also associated with painful inguinal lymphadenopathy, termed a bubo, which is unilateral, large, painful, fluctuant and may become suppurative.

Answer 11

Haemophilus ducreyi

Gram-negative coccobacillus

Question 12

A widening and softening of the uterus that occurs normally during early pregnancy.

Answer 12

Hegar’s sign

Question 13

Obese PCOS patients pursuing pregnancy should do what before starting Clomiphen or Metformin?

Answer 13

Lifestyle changes of loosing weight.