UWorld Questions Flashcards

1
Q

Fetal anemia HR tracing

A

sinusoidal

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2
Q

Hemophilia inheritance

A

XR

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3
Q

RUQ pain in PID

A

adhesions onto liver

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4
Q

Urinary problems in menopause

A

due to estrogen deficiency

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5
Q

Levothyroxine dosing in pregnancy

A

increase dose when pregnant

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6
Q

Nystagmus after lots of vomitting

A

Wernicke’s

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7
Q

Oligo definition

A

Single pocket <2

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8
Q

Fetal growth restriction definition

A

<10th percentile

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9
Q

When to send placenta

A

IUFGR (look for infection/infarction)

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10
Q

Exam finding in uterine rupture

A

loss of fetal station

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11
Q

Abdominal pain w/ adnexal mass, absent doppler flow

A

ovarian torsion

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12
Q

Tamoxifin adverse effect

A
endometrial hyperplasia
(agonist in uterus, antagonist in breast)
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13
Q

Dermoid on ovary: US findings

A

hyperechoic mass with calcifications

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14
Q

Normal fetal presentation

A

OA

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15
Q

Oxytocin toxicity

A

similar to ADH (hyponatremic seizures)
uterine tachysystole
hypotension

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16
Q

hcg physiologic role

A

maintain corpus luteum

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17
Q

Gymnast ammenorrhea

A

hypothalamic

decreased GnRH

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18
Q

Tx of GC

A

ceftriaxone + azithro

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19
Q

PID Tx

A

cefoxitin + doxy

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20
Q

Roloxfiine risk

A

thromboembolism

21
Q

Management of gestational trophoblastic disease after D&C

A

watch for 6 months

if beta-hcg goes up within 6 months that cancer

22
Q

What to give when in preterm labor <32 wk

A

Mg, fetal neuroprotection

23
Q

Screening test in secondary amenorrhea

A

prolactin (pituitary)
FSH (primary ovarian insufficiency)
TSH

24
Q

Treatment of anovulation in PCOS

A

clomiphene

selective estrogen antagonist–allows pulsitile GnRH

25
Q

Complication of endometriosis

A

infertility

due to distortion of pelvic anatomy

26
Q

Mainstay of PPROM

A

abx

27
Q

Why are periods irregular during the beginning of mencarche

A

cycles are often anovulatory

28
Q

Erb-Duchenne

A

C5-6

29
Q

Klumpke

A

C8-T1

30
Q

Patients at high risk for aneuploidy screening test

A

cell-free DNA at >10 wk

31
Q

Symmetric vs asymmetric IUGR etiologies

A

symmetric: infections
asymmetric: placental insufficiency ie DM or HTN

32
Q

Progestin challenge test proves what

A

low estrogen

33
Q

Progestin challenge test in PCOS

A

bleeding due to high levels of endometrial proliferation due to high estrogen

34
Q

Granuloma cell tumor symptoms

A

increased estrogen

breast tenderness, postmenopausal bleeding, preccociuos puberty

35
Q

Severe presentation of hydatiform mole

A

preeclampsia with severe features

36
Q

Gastroschisis is associated with using what during 1st trimester

A

NSAIDs

37
Q

Next step in post-menopausal ovarian mass

A

CA-125 for baseline + risk stratification

38
Q

Arrest of labor definition

A

4 hours of no change with adequate contractions (200 Montevideo units)
6 hours of no change with inadequate contractions

39
Q

Preeclampsia fetal complication

A

small for gestational age

preterm labor

40
Q

Tamoxifen tox

A

hot flashes
endometrial hyperplasia/cancer
VTE

41
Q

Why is mittelschmerz an awful name

A

it’s usually just on one side

42
Q

Turner karyotype and anatomy

A

XO

streak ovaries

43
Q

Ash paper around vulva

A

lichen sclerosis

44
Q

Lichen simplex chronicus is due to what

A

chronic itching

45
Q

Increased maternal AFP due to

A

openings
abdominal openings
spinal cord openings
OR multiple gestations

46
Q

Decreased maternal AFP due to

A

aneuploidies

47
Q

Non HPV risk factor for cervical cancer

A

smoking

48
Q

Tx of UTI in early preganncy (E coli)

A

augmentin

cephalexin