Rosh (1/3-1/9)

Question 1

Topical medication for vulvodynia

Answer 1

Tricyclic antidepressant

Question 2

HPV vaccine schedule

Answer 2

11-14 y/o – 2 doses 6 to 12 months apart

15-35 y/o – 3 doses at 0, 2, and 6 months

Question 3

Types of malpractice insurance

Answer 3

Claims-made applies while policy in effect

Occurrence applies to any case that occurred while the policy was held

Question 4

Artery associated with vaginal hematoma

Answer 4

Uterine

Question 5

Arteries associated with vulvar hematoma

Answer 5

Pudendal or perineal

Question 6

Endometritis treatment

Answer 6

Gent / clinda or Unasyn if GBS pos

Question 7

Endometritis bugs

Answer 7

Polymicrobial, most common mycoplasma

Question 8

Latency antibiotics

Answer 8

Ampicillin / erythromycin then amoxicillin / erythromycin

Question 9

VIN associated with lichen sclerosis

Answer 9

Differentiated VIN (malignant potential)

Question 10

How long to stop smoking to decrease surgical risk?

Answer 10

4 weeks

Question 11

TB in female genital tract - location

Answer 11

Fallopian tubes, sometimes uterus or endometrium

Question 12

Leiomyosarcoma treatment

Answer 12

Chemo with doxorubicin, docetaxel/gemcitabine, and ifosfamide can improve survival 17-36% in stage 3/4
Radiation does not help

Question 13

Hereditary connection with leiomyosarcoma

Answer 13

Renal cell carcinoma

Question 14

Ppx for cluster headaches

Answer 14

Verapamil

Question 15

Timing of presentation of Bose injury

Answer 15

4-10 days post operatively

Question 16

Green to yellow, thick, sticky breast discharge

Answer 16

Ductal ectasia

Question 17

Four phases of wound healing

Answer 17

Hemostasis, inflammation, proliferation, maturation

Question 18

Topical immunomodulator for high-grade VIN

Answer 18

Imiquimod

Question 19

Pathology of granulosa cell tumors

Answer 19

Coffee bean nuclei and Call-Exner bodies

Question 20

Highest risk factor for abruption

Answer 20

Prior abruption (up to 10 x more likely to recur)

Question 21

Which SERM best promotes bone health?

Answer 21

Raloxifene

Question 22

Nerve roots of femoral nerve

Answer 22

L2-3

Question 23

Hcg criteria for GTN

Answer 23

Rise 10% over three measurements two weeks apart OR stay within 10% for four measurements three weeks apart

Question 24

Likelihood of GTN after molar pregnancy

Answer 24

20% likelihood
75% of those GTN
25% of those choriocarcinoma

Question 25

Partial mole pathology and karyotype

Answer 25

Focal hyperplasia of villi | 69, XXY (maternal X and paternal XY)

Question 26

Complete mole pathology and karyotype

Answer 26

Generalized hyperplasia | 46, XX (both paternal)

Question 27

Treating low-risk GTN

Answer 27

MTX | Dactinomycin if contraindications to MTX

Question 28

Treating high-risk GTN

Answer 28

Cyclophosphamide, etoposide, MTX, dactinomycin, vincristine

Question 29

Length of time on progesterone therapy if treating EIN (minimum)

Answer 29

12 months

Question 30

Oral antibiotics with MRSA coverage

Answer 30

TMP-SMX, clindamycin, rifampin (in combo with other drugs), tetracyclines, linezolid

Question 31

Intra-operative repair of bowel injury

Answer 31

If <1 cm and cold instrument, place interrupted sutures parallel to axis of bowel If >1 cm and/or thermal injury, consider resection and ostomy

Question 32

Modified radical hysterectomy

Answer 32

Stage IA1 and IB1 cervical cancer | Uterus, cervix, upper fourth of vagina, parametria

Question 33

Lynch syndrome genetics and associated cancers

Answer 33

Mismatch repair genes: MLH1, MSH2, MSH6, and PMS2 | Colorectal and ovarian cancers, as well as many others

Question 34

Hereditary colorectal cancer gene

Answer 34

KRAS

Question 35

Genetics of Cowden syndrome

Answer 35

PTEN | Hamartomatous tumors and breast, thyroid, and endometrial cance

Question 36

Li-Fraumeni genetics and associated cancers

Answer 36

TP53 | Sarcomas, breast, adrenal gland

Question 37

Meisosis of egg cells

Answer 37

Arrested in prophase I prior to ovulation. Transition to metaphase II at ovulation (creates 1 polar body). After fertilization, becomes two pronuclei.

Question 38

Contraindication to magnesium

Answer 38

Myasthenia gravis

Question 39

Chronic hep B in pregnancy

Answer 39

If viral load > 2,000,000 at 26-28 wks, then give tenofovir dispoproxil fumarate Infant always gets IgG and immunization

Question 40

BRCA chromosomes

Answer 40

1) 17 | 2) 13

Question 41

Ovulation induction medication with PCOS

Answer 41

Letrozole

Question 42

Normal umbilical artery gas

Answer 42

pH 4.27, base excess -2.7

Question 43

Arterial pH associated with poor outcome

Answer 43

<7.10, deficit of >-12

Question 44

Causes of necrotizing fasciitis

Answer 44

Polymicrobial or Group A Strep

Question 45

Lisinopril in pregnancy

Answer 45

Renal dysfunction, limb contráctiles, craniofacial abnormalities

Question 46

Use for Kielland forceps

Answer 46

Asynclitism and rotation

Question 47

Use for Simpson forceps

Answer 47

Molded head

Question 48

Use for Elliott forceps

Answer 48

Round head

Question 49

Use for Piper forceps

Answer 49

Breech