Rosh (12/22-1/2)

Question 1

Nerve injury and deficit from hip flexion or deep retractors

Answer 1

Femoral and sciatic - anesthesia of anterior and medial thigh, inability to extend knee

Question 2

Nerve injury with lymph node dissection

Answer 2

Obturator - inability to adduct thigh

Question 3

Nerve injury from compression of lateral knee

Answer 3

Peroneal - foot drop

Question 4

Vulvar injury

Answer 4

Peroneal - vulvar pain

Question 5

Torch - deafness, cataracts, cardiac disease, purpura, hepatosplenomegaly

Answer 5

Rubella

Question 6

Torch - skeletal abnormalities, maculopaoular rash, pseudoparalysis

Answer 6

Syphilis

Question 7

Torch - intracranial calcifications, hydrocephalus, chorioretinitis

Answer 7

Toxoplasmosis

Question 8

Torch - microcephaly, intracranial calcifications, ocular anomalies, hypertonia. / spasticity

Answer 8

Zika

Question 9

Torch - periventricular intracranial calcifications, thrombocytopenia, sensorineural hearing loss, hepatosplenomegaly, microcephaly

Answer 9

CMV

Question 10

Vacuum placement

Answer 10

Along sagittal suture, 4 cm in front of posterior fontanelle

Question 11

Cause of both venous and arteria thromboembolism

Answer 11

Antiphospholipid syndrome

Question 12

Clinical manifestations of antiphospholipid

Answer 12

VTE, RPL, delivery of a normal fetus <34 wga due to preeclampsia or placental insufficiency

Question 13

What part of bowel is most sensitive to radiation?

Answer 13

Terminal ileum

Question 14

How many days after embryo transfer can it be seen on ultrasound?

Answer 14

23 days

Question 15

Venous drainage of ovary

Answer 15

Left to renal vein

Right to IVC

Question 16

Contraindications to mifepristone

Answer 16

Porphyria or CKD

Question 17

Pelvis shape with OT

Answer 17

Platypoid

Question 18

Pelvis type with OP

Answer 18

Anthropoid

Question 19

Delivery timing for accreta

Answer 19

34 to 35.6 wga

Question 20

Oligo / poly / severe poly

Answer 20

AFI <5 cm, DVP <2 cm
AFI >23 cm, DVP >8 cm
AFI >34 cm, DVP >15 cm (amnio reduction if symptomatic)

Question 21

Screening labs for VWF

Answer 21

Factor VIII activity
Plasma VWF antigen
Plasma VWF activity

Question 22

Timing of conception after bariatric surgery

Answer 22

12 to 18 months

Question 23

Serum markers associated with risk of abruption

Answer 23

Increased HCG or AFP, decreased PAPP-A

Question 24

Serum marker associated with NTDs

Answer 24

AFP

Question 25

Timing of delayed PPH

Answer 25

24 hours to 12 weeks after delivery

Question 26

Management of infant of an HIV positive mother

Answer 26

Zidovudine ppx for 4-6 weeks

Question 27

Delivery planning for HIV with viral load >1000

Answer 27

C-section at 38 wga, preceded by zidovudine 3 hours in advance

Question 28

Impact of testosterone on endometrium

Answer 28

Atrophy