TrueLearn Facts

Question 1

Where is most effective cervical block?

Answer 1

4 o’clock; 8 o’clock (which is immediately lateral to the insertion of the uterosacral liqaments into the uterus, where the Frankenhauser plexus lies)

Question 2

What are key features of Noonan Syndrome ?

Answer 2

1) Pulmonic Stenosis (most important) 2) Short Stature 3) Intelectual Disability 4) Pectus Deformity 5) Coagulation Defects 6) Renal Abnormalities 7) Lymphatic Dysplasia 8) Characteristic Facial features

Question 3

What is the following condition: shifting location of pain, deep dyspareunia, postcoital pain, and exacerbation of pain after prolonged standing with radiological findings of pelvic varicosities (dilated uterine and ovarian veins)

Answer 3

Pelvic Congestion Syndrome There is no definitive diagnostic criteria, diagnosis of exclusion

Question 4

What is treatment for maternal listeriosis?

Answer 4

1 week of ampicillin and gentamicin; diagnosed on blood cultures

Question 5

Fetus & placenta develop abscesses.. sign of?

Answer 5

Listeriosis Early Onset: multiple organs & presents as diffuse neonatal sepsis/stillbirth Late Onset: meningitis after an uncomplicated prenatal & delivery course

Question 6

Gestational Age –> Development : 5th Week –> 6th Week –> 7th Week –> 8th Week –> 11th Week –>

Answer 6

5th Week –> Neural Plate Appears 6th Week –> Heart 7th Week –> Head & Face 8th Week –> Eyes 11th Week –> Genitalia

Question 7

[insert photo of Hydrops Fetalis] What is this? What causes it?

Answer 7

Parvovirus B19 Hydrops Fetalis

Question 8

Complete Mole, Karyotype is:

Answer 8

46,XX or 46,XY

Question 9

Partial Mole, Karyotype is:

Answer 9

69,XXX or 69,XXY

Question 10

Ureteroneocystostomy vs. Ureteroureterostomy is utilized when injuries occur to what part of ureter?

Answer 10

Ureteroneocystostomy = lower 1/3 Ureteroureterostomy = upper 1/3

Question 11

What is a Maylard Incision?

Answer 11

involves transecting all layers of abdomen and muscle, 3-8cm above pubic symphysis

Question 12

Rate of Underlying Leiomyosarcoma of Myoma?

Answer 12

0.05%, 1/2,000

Question 13

SIRS vs. Sepsis vs. Septic Shock

Answer 13

SIRS: 2 out of 4 criteria (elevated WBC, febrile, >90 HR, >20 RR)

Sepsis: SIRS + Source of Infection

Septic Shock: Sepsis + Hypovolemia + Unresponsiveness

Question 14

Findings of Adenomyosis on TVUS include:

Answer 14

1) Globally enlarged uterus; 2) heterogenous myometrial texture; 3) anterior/posterior uterine wall appearing thicker than its counterpart; 4) small myometrial echogenic cysts; 4) small myometrial echogenic cysts; 5) striated projections extending from the endometrium into the myometrium; 6) ill-defined endometrial echo

Question 15

What is indication for history-indicated cerclage?

Answer 15

placed at 13-14 wks gestation and is appropriate in a patient with a clear history of cervical insufficiency (painless cervical dilation in the mid-second trimester)

Question 16

What is indication for physical exam-indicated cerclage?

Answer 16

Painless cervical dilation in the mid-second trimester (1-4cm), she is a candidate for a physical examination indicated cerclage. This is not restricted to women with a history of a prior preterm birth. Evidence in this situation is extremely limited and is based on only one small randomized controlled study and retrospective studies. Thus, this is a “rescue” cerclage in hopes of prolonging the pregnancy. These limited studies suggest that the patient gains, on average, 4 weeks of gestation with a physical exam indicated cerclage

Question 17

What is an ultrasound-indicated Cerclage?

Answer 17

Patient has cerclage placed because of a shortened cervical length discovered on TVUS. Only patients with a prior preterm delivery at <34 wks and a cervical length <25mm found on ultrasonography between 16-24wks are candidates for an ultrasound indicated cerclage

Question 18

In DIC what blood levels are elevated? what decreased?

Answer 18

DIC:

Elevated: aPTT, PTT, PT, D-dimer

Decreased: Platelets, Plasma Fibrinogen, Factor V, Factor VIII

Question 19

After initial treatment with good hygiene, weight loss, and warm compresses, what medications could be offerred to someone with recurrent Hidradenitits suppurativa?

Answer 19

Topical Clindamycin or Oral Tetracycline

Question 20

How do you diagnose Metabolic Syndrome in Women?

Answer 20

Any 3 of 5 traits:

1) Abdominal Obesity, defined as waist circumference >35 in (88cm)
2) Serum Triglycerides >150/drug treatment for elevated Triglycerides
3) Serum HDL <50 or on treatment for low HDL
4) Blood Pressure >130/85 or on treatment
5) Fasting plasma glucose >100 or on treatment

Question 22

What is estimated average blood flow to uterus at term ?

Answer 22

500cc/min