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Question 1

Negative contraction stress test

Answer 1

No late or sig variable decels

Question 2

Postitive contraction stress test

Answer 2

late decels after 50% or more contractions

Question 3

equivocal contraction stress test

Answer 3

FHR decels occurring in the presence of contractions more frequent than Q2min or lasting longer than 90 sec

Question 4

unsatisfactory contraction stress test

Answer 4

fewer than 3 contractions in 10 min or uninterpretable

Question 5

after one twin dies in monochorionic twins what is the risk of neurologic injury and death to the other twin

Answer 5

neurologic injury - 18%

death - 15%

Question 6

after one twin dies in dichorionic twins what is the risk of neurologic injury and death to the other twin

Answer 6

Neurologic injury - 1%

Death- 3%

Question 7

which mullarian anomaly is most common among patients with recurrent pregnancy loss

Answer 7

septate uterus

Question 8

cervical cancer staging IA1 vs IA2 vs IB1-3

Answer 8

IA1 stromal invasion < 3mm
IA2 >3mm <5mm in depth

IB1: >5mm depth and < 2cm greatest dimensions
IB2: 2-4 cm
IB3: > 4 cm

Question 9

cervical cancer stage II

Answer 9

Invades beyond the uterus, but has not extended onto the lower third of the vagina or to the pelvic wall

Question 10

cervical cancer stage III

Answer 10

Involves the lower third of the vagina (A) and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney (B) and/or involves pelvic and/or paraaortic lymph nodes (C)

Question 11

Cervical cancer stage IV

Answer 11

Carcinoma has extended beyond the true pelvis or has involved (biopsy proven) the mucosa of the bladder or rectum

Question 12

surrogate decision maker

Answer 12

decision made for an incapacitated patient by a family or close friend who is not legally appointed

Question 13

what is postmaturity syndrome

Answer 13

decreased subcutaneous fat
lack of vernix
lack of lanugo
mec
oligo

occurs in 15-20% postterm pregnancies

Question 14

recommended intake of vit D in pregnancy

Answer 14

600 IU

1000-2000 if deficient

Question 15

neg low dose dexamethosone suppression test with positive high dose

Answer 15

pituitary adenoma

Question 16

clinical dx criteria for APLS

Answer 16

• Arterial or venous thrombotic event
• ≥1 unexplained deaths of morphologically normal fetuses after the 10th week of gestation by ultrasound or direct examination of the fetus
• ≥1 premature births of a morphologically normal neonate < 34 weeks gestation because of eclampsia or severe preeclampsia or recognized features of placental insufficiency
• ≥3 unexplained consecutive spontaneous abortions < 10 weeks gestation with maternal anatomic or hormonal abnormalities and paternal and maternal chromosomal causes excluded

Question 17

risk of need for additional surgery for endometriosis after TLH if ovary is left

Answer 17

30%

Question 18

what is the embryologic origin of the distal 2/3 of the vagina

Answer 18

urogenital sinus

Question 19

what is the embryologic origin of the proximal 1/3 of vagina

Answer 19

paramesonephric ducts

Question 20

how does blood pressure differ from brachial artery to uterine artery in pregnancy

Answer 20

During pregnancy, the growing uterus can compress the great vessels in the abdomen when the patient lies in the supine position. This can cause hypotension and decreased blood flow to the uterus.

uterine BP is lower than brachial. Left lat decubitus can correct

Question 21

BRCA1 & 2 chromosomes

Answer 21

1- Chromosome 17

2 - Chromosome 13

Question 22

how long should you try conservative management for a bowel obstruction

Answer 22

5 days

Question 23

NYHA functional classification system

Answer 23

1 - no symptoms
2- slight limitations of physical activity (can walk 2 blocks)
3. marked limitations in activity, comfortable at rest
4- symptoms with all physical activity and at rest

Question 24

what infections are most associated with preterm birth

Answer 24

BV prior to 16 wks > N. gonorrheae > asym bacteriuria

Question 25

muscles of the perineal body

Answer 25

superficial transverse perineal musc, bulbocavernosus musc, external anal sphincter

Question 26

what is the most important when managing a pt with pulm htn in labor

Answer 26

maintain preload in order to perfuse the lungs (keep hypervolemic)

Question 27

endometriosis scoring system

Answer 27

Stages 1-IV (IV worst)
points for implants based on location and superficial vs deep

highest points for deep invasion (20 pts) and complete obliteration of the cul-de-sac (40 pts)

Question 28

best treatment for a complicated UTI

Answer 28

oral cipro

complicated = associated with an underlying condition DM, immunosuppression, or renal transplant

Question 29

what are the high risk factors per ACOG for PPH

Answer 29

• Abnormal placentation: previa, accreta, increta, and percreta
• Abnormal vital signs: tachycardia, hypotension
• Bleeding at the time of admission
• Coagulation defect
• Hematocrit less than 30
• History of previous postpartum hemorrhage

Question 30

How long does it take postpartum for the uterus to completely involute to prepregnancy size

Answer 30

4 wks

Question 31

what is the false positive rate of a NST

false negative?

Answer 31

55-90%

negative: 0.2-0.65

Question 32

what are common complications of presacral neurectomy

Answer 32

constipation and urinary retention (usually self resolved after 1-2 wks urinary retention, and 6 wks constipation)

Question 33

most common complication of IVF

Answer 33

multiple gestations

Question 34

latzko procedure

Answer 34

repairs vesicovaginal fistulas via vaginal route with multilayers. Has highest rates of successful closure 80-90%

Question 35

incidence of shoulder dystocia in pts with DM and birth weight > 4500g

Answer 35

20-50%

Question 36

what is the risk of an underlying malignancy in the surrounding areas of atypical ductal hyperplasia

Answer 36

30%

Question 37

what is a contraindication to entry at palmers point

Answer 37

hx of splenectomy