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OBGYN > UWorld Questions > Flashcards

UWorld Questions Flashcards

1
Q

Clinical features of hyperemesis gravidarum?

A

Severe, persistent vomiting
Fluid & electrolyte abnormalities (e.g. ketonuria)
>5% loss of pre-pregnancy weight

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2
Q

Clinical features of molar pregnancy?

A

Central heterogeneous mass with numerous cystic spaces and no fetal pole
Ovaries are enlarged with multilocular cystic appearance
Abnormal bleeding +/- passing of hydropic tissue
HG
Hyperthyroidism

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3
Q

Treatment of molar pregnancy?

A

Uterine evacuation with suction curettage

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4
Q

Gestational Diabetes screening?

A

24-28 weeks

1 hour OGTT => if >140 then 3 hour OGTT

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5
Q

Risk factors lactational mastitis?

A 
Inadequate milk drainage:
Replacing nursing with formula or pumped milk
Weaning
Pressure on duct
Cracked/clogged nipple pore
Poor latch
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6
Q

Treatment for lactational mastitis?

A

Analgesia
Frequent breastfeeding or pumping
Antibiotics (Staph aureus)

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7
Q

Characteristics of complete AIS?

A 
Normal breast development
Absent uterus and upper vagina (2/2 anti-Mullerian hormone)
Cryptorchid testes
Absent axillary & pubic hair
Karyotype 46XY
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8
Q

Characteristics of Mullerian agenesis?

A 
Normal breast development
Absent or rudimentary uterus & upper vagina
Normal ovaries
Normal pubic hair
46XX
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9
Q

Characteristics of 5a-reductase deficiency?

A

Ambigious genitalia at birth

Male internal urogenital tract (2/2 anit-Mullerian hormone)

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10
Q

Ulcer difference with HSV and H.ducreyi?

A

HSV: shallow ulcers

H.ducreyi: deep ulcers

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11
Q

Sequence of antepartum fetal testing?

A

Non-stress test
Biophysical Profile OR Contraction Stress Test
CST => only if no contraindication to labor

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12
Q

Indication for umbilical artery doppler?

A

Growth restriction

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13
Q

Consequences of group ABO incompatibility?

A

Can get hemolytic disease of the newborn, but much less severe than Rh(D) incompatibility

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14
Q

Clinical presentation of Sheehan’s?

A 
Failure of lactation
Lethargy, weight gain, fatigue
H/o bleeding during delivery
Sparse pubic hair
Dry skin
Delayed tendon reflexes
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15
Q

Clinical presentation of placental abruption?

A

Constant abdominal/uterine pain
Vaginal bleeding
Increased uterine tone
Fetal distress

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16
Q

Clinical presentation of chorioamnionitis?

A

Maternal and fetal tachycardia
Maternal fever
Uterine tenderness

17
Q

Main risk factor of tamoxifen?

A

Endometrial cancer (partial estrogen receptor agonist in endometrium)

18
Q

Management of preterm labor

A

Tocolysis
Corticosteroids
MgSO4 (neuroprotection)

19
Q

What does fetal fibronectin show?

A

Separation of placenta => preterm labor

Unnecessary in a patient with regular contractions

20
Q

When to give progesterone supplementation?

A

16-36 weeks in women with singleton pregnancy and history of preterm birth

No role in ACTIVE management of preterm labor

21
Q

Clinical presentation of postpartum endometritis?

A

Fever > 38
Uterine tenderness
Foul smelling lochia
Leukocytosis

22
Q

Treatment for endometritis?

A

Clindamycin and gentamicin

23
Q

Characteristics of ruptured ectopic pregnancy?

A

Abdominal, cervical, adnexal tenderness
Intrabdominal bleeding => syncope, hypotension, tachycardia
Referred shoulder pain
Urge to defecate

24
Q

STI treatments?

A

Chlamydia: Azithromycin
Gonorrhea: Ceftriaxone
HSV: Acyclovir
Trichomonas: Metronidazole

25
Q

What are the Amsel criteria?

A

For bacterial vaginosis (3 of 4):

  1. Thin, gray-white vaginal discharge
  2. Vaginal pH > 4.5
  3. Positive “whiff” test => add KOH to vaginal discharge and amine/fishy smell
  4. Clue cells = bacteria adhered to epithelial cells
26
Q

Risk factors for chorioamnionitis?

A

Premature Rupture of Membranes
Intrauterine instrumentation
STIs
Prolonged labor

27
Q

Clinical presentation of amniotic fluid embolism?

A

Cardiogenic shock
Hypoxemic respiratory failure
DIC
Coma/seizures

28
Q

B-hCG cut-offs for ultrasound?

A

> 1500 for transvaginal US

>6500 for abdominal US

29
Q

First line drugs for hypertension in pregnancy?

A

Methyldopa
Labetalol
Hydralazine
Nifedipine

OBGYN (5 decks)

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