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Wall Quizzes > Wall Quiz #11 > Flashcards

Wall Quiz #11 Flashcards

1
Q 
Which of the following is the antibiotic treatment for Listeria Monocytogenes in patients allergic to penicillin and Bactrim?
A. Gentamycin
B. Vancomycin
C. Ampicillin
D. Imipenem
E. Expectant management
A

B. Vancomycin

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2
Q 
A patient presents to your office 5 days after unprotected intercourse and is requesting emergency contraception. What is her best option?
A. Estrogen
B. Levonorgestrel
C. Oral contraceptives 
D. Lupron
E. Ulipristal acetate
A

E. Ulipristal acetate

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3
Q 
Gestational transient hyperthyroidism also may be associated with:
A. Pre-eclampsia
B. Immature teratoma
C. Gastroschisis
D. Molar Pregnancy 
E. Acute fatty liver of pregnancy
A

D. Molar Pregnancy

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4
Q 
One month after a radical hysterectomy a patient develops a vesico-vaginal fistula. What is the next best step?
A. Foley catheter
B. Ureter - ureter anastomosis 
C. Ureteroneocystostomy
D. Urethral reconstruction
E. Excision
A

A. Foley catheter

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5
Q 
Two days after a difficult vaginal hysterectomy, a 52-year-old states she is having trouble flexing her hips. Which nerve root is responsible for this finding?
A. L2-4 
B. L3-4 
C. L4-S2 
D. T12 
E. T11
A

A. L2-4

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6
Q 
Established cofactors of HPV’s progression to cancer include all of the following EXCEPT:
A. Tobacco use
B. Multiparity
C. Age at first full term pregnancy 
D. Oral contraceptives
E. Condom use
A

E. Condom use

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7
Q 
Which of the following appears to be a major risk factor for periductal mastitis?
A. Smoking
B. Lactation
C. Oral contraceptives
D. Chronic breast stimulation 
E. Multiple needle biopsies
A

A. Smoking

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8
Q

A 52-year-old asymptomatic female has a 6 cm ovarian mass with thin internal septations, and a solid projection. Serum CA- 125 is 9. Previous ultrasound 3 months ago revealed the mass to be 2.0 cm. The next best step in evaluation is:
A. Laparoscopic biopsy of adnexal mass
B. Computed tomography scan
C. Expectant management with serial Ca-125
D. Transvaginal aspiration of cyst
E. Laparotomy with surgical staging by oncology

A

B. Computed tomography scan

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9
Q 
A 16-year-old presents with primary amenorrhea and hematometra. Which of the following conditions is likely?
A. Pelvic inflammatory disease 
B. Recent pelvic radiation
C. Foreign body
D. Transverse vaginal septum 
E. Cervical stenosis
A

D. Transverse vaginal septum

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10
Q 
A 52 year old G2P2 on HRT is scheduled for a revision of her gastric bypass due to an anastomotic leak. When should she discontinue her HRT prior to surgery?
A. Continue HRT 
B. 2 weeks
C. 4 weeks
D. 6 weeks
E. 8 weeks
A

A. Continue HRT

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11
Q 
In patients with intravesicular endometriosis, what is the first line of management?
A. Surgical excision
B. Bladder instillation with heparin 
C. Hormonal suppression
D. Laser ablation/vaporization
E. Partial cystectomy
A

C. Hormonal suppression

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12
Q 
Which of the following is an example of a categorical/discrete variable?
A. Temperature 
B. Parity
C. Height
D. Weight
E. Waist circumference
A

B. Parity

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13
Q 
An 18-year-old G0 is post-op from a Strassman metroplasty. Which Mullerian anomaly was repaired?
A. Transverse vaginal septa 
B. Vaginal atresia
C. Bicornuate uterus
D. Imperforate hymen
E. Unicornate uterus
A

C. Bicornuate uterus

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14
Q 
A 27-year-old G1P1 West African patient presents to the ED on PPD 17. She has fatigue, cough, and dyspnea with exertion. Exam shows rales at both lung bases. An echocardiogram reads: “Ejection Fraction: 42%”. What is the most important next step in management?
A. Reassurance
B. Diuretic
C. EKG
D. Repeat echocardiogram in 6 weeks 
E. Beta-Blockers
A

B. Diuretic

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15
Q

All of the following are adverse late effects of radiation treatment in gynecologic cancer survivors EXCEPT:
A. Situational depression
B. Fistula formation
C. Fibrosis and stenosis of the vaginal canal
D. Intestinal obstruction
E. Stenosis of the bladder

A

A. Situational depression

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16
Q 
All of the following can be treated with topical Imiquimod EXCEPT:
A. Actinic keratosis
B. VIN differentiated
C. Basal cell carcinoma
D. Genital condyloma
E. VIN usual type
A

B. VIN differentiated

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17
Q 
All of the following are risk factors for placenta accreta EXCEPT:
A. Placental abruption
B. Maternal age greater than 35 
C. Uterine artery embolization 
D. Placenta previa
E. Increased MSAFP levels
A

A. Placental abruption

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18
Q

What is the recommended weight gain per week in the 2nd and 3rd trimester for an obese gravida?
A. Lose 0.25 lb/wk
B. Lose 0.5 lb/wk
C. No change as long as fetus is growing
D. Gain 0.5 lb/wk
E. Gain 1lb/wk

A

D. Gain 0.5 lb/wk

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19
Q

Which of the following is NOT a contraindication for neuraxial techniques for regional analgesia?
A. Platelet count of less than 70,000/microliter
B. History of space occupying brain lesions
C. Low dose aspirin use
D. History of increased intracranial pressure
E. Heparin doses greater than 10,000 units daily

A

C. Low dose aspirin use

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20
Q

All of the following steps are recommended for hospital emergency preparedness EXCEPT:
A. Appoint a disaster coordinator
B. Lock down admissions when at capacity
C. Establish rapid credentialing of MDs to augment work force
D. Cancel or minimize elective procedures
E. Enforce employment guidelines for employees calling in sick

A

B. Lock down admissions when at capacity

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21
Q 
A 62-year-old post menopausal woman presents with a complaint of 5 UTI’s in the past year. She admits to her infections resolving with antibiotics. Which of the following medications should you recommend?
A. Estradiol vaginally
B. Antibiotic prophylaxis
C. Antibiotic for 7 days
D. Raloxifene hydrochloride 
E. Tolterodine tartate
A

B. Antibiotic prophylaxis

22
Q 
Which of the following is least likely associated with Listeria Monocytogenes?
A. Influenza like symptoms 
B. Eggs
C. Meningitis
D. Pneumonia
E. Cantaloupe
A

B. Eggs

23
Q

Your postpartum EBL is now 1100 g. You have Pitocin running and started bimanual. You order a medication and the RN states the patient has asthma.
Which of the following medications is contraindicated?
A. Misoprostol
B. Methergine
C. Carboprost
D. Dinoprostone
E. Pitocin

A

C. Carboprost

24
Q 
What is the most common presentation of a patient with VAIN?
A. Patient has no symptoms 
B. Dyspareunia
C. Pruritis
D. Watery discharge
E. Postcoital bleeding
A

A. Patient has no symptoms

25
Q 
What is the most common sex chromosome aneuploidy?
A. Trisomy 21
B. Klinefelter's syndrome (47 XXY) 
C. Trisomy 18
D. Turner syndrome (45X)
E. Trisomy 13
A

B. Klinefelter’s syndrome (47 XXY)

26
Q

Which of the following is the most reliable predictor of survival for patients with breast cancer?
A. Axillary lymph nodes
B. Tumorsize
C. Histology
D. Stage at diagnosis
E. The presence of estrogen and progesterone receptors

A

D. Stage at diagnosis

27
Q 
What is the most common cause of keratoconjunctivitis in adult women?
A. Gonococcus
B. Streptococcus 
C. HSV
D. Adenovirus
E. Staphylococcus
A

D. Adenovirus

28
Q 
The addition of which of the following medications may significantly improve efficacy in the management of early pregnancy loss?
A. Methotrexate 
B. Ulipristal
C. Heparin
D. Mifepristone 
E. ASA
A

E. ASA

29
Q

Which of the following is the mechanism of action of heparin?
A. Inhibits adenosine bisphosphate
B. inhibits vitamin K synthesis of calcium dependent clotting factors
C. Inactivation of thrombin
D. inhibition of factor V
E. Activity is in extrinsic pathway

A

C. Inactivation of thrombin

30
Q 
Which of the following antibiotics are recommended if a full thickness injury to the small intestine occurs with dissection during a hysterectomy?
A. Metronidazole
B. Clindamycin
C. Piperacillin
D. No antibiotic needed
E. Repeat dose of Cefazolin
A

D. No antibiotic needed

31
Q 
Which of the following contraceptive methods is most effective for an adolescent?
A. Condoms
B. Combined oral contraceptives
C. Vaginal ring contraceptive
D. Etonorgesterol implant
E. Depot medroxyprogesterone (DMPA)
A

D. Etonorgesterol implant

32
Q 
What is the most common predisposing factor for the development of adult respiratory distress syndrome?
A. Bacterial sepsis
B. Amniotic fluid embolism
C. Fat embolism
D. Pulmonary edema
E. Ovarian hyperstimulation syndrome
A

A. Bacterial sepsis

33
Q 
What is the most common cause of cuff cellulitis?
A. Streptococcus aureus 
B. Trichomonas 
C. Gardnerella vaginalis 
D. Bacteroides 
E. Peptostreptococcus
A

C. Gardnerella vaginalis

34
Q 
What is the best first line treatment for suspected carpel tunnel syndrome during pregnancy?
A. Injection of steroids
B. Wrist splint
C. NSAIDS
D. Diuretics
E. Surgery
A

B. Wrist splint

35
Q 
What is the most common cause of duodenal ulcer in women over 30 years old?
A. Stress
B. Alcohol abuse
C. Tobacco abuse
D. Infection
E. NSAID use
A

D. Infection

36
Q 
Which organ system may be compromised in Fetal Alcohol Syndrome?
A. Cardiac 
B. Renal 
C. Skeletal 
D. CNS
E. Gastrointestinal
A

D. CNS

37
Q 
Which are the least likely lymph nodes involved with cervical cancer?
A. Hypogastric
B. Inguinal
C. Presacral
D. Paraaortic
E. External iliac
A

B. Inguinal

38
Q 
Which of the following is the most cost-effective laboratory test recommended for the evaluation of hyperandrogenism?
A. Total testosterone
B. 17-hydroxyprogesterone
C. Free androgen index
D. Non SHBG- bound testosterone
E. DHEA-S
A

A. Total testosterone

39
Q 
A pregnant patient presents to the ED unresponsive with the following labs (labs provided). In addition to supplementation with glucocorticoids, what else should be replaced?
A. Insulin
B. Hydrocortisone 
C. Prednisone 
D. Thyroxine 
E. Growth hormone
A

D. Thyroxine

40
Q 
Which of the following heart sounds is most likely auscultated during pregnancy?
A. S2 split
B. S1 split
C. S3
D. Diastolic murmur 
E. S4
A

B. S1 split

41
Q 
A 16-year-old presents with primary amenorrhea and abdominal pain. You suspect an outflow tract obstruction. Which of the following is most helpful prior to surgery?
A. Intravenous pyelogram
B. MRI
C. Laparoscopy
D. Trans-perineal U/S
E. CT scan abdomen
A

B. MRI

42
Q 
Which antitumor metabolite must be administered carefully by IV injection because of extravasation leading to skin necrosis and ulceration?
A. Actinomycin D
B. Bleomycin
C. Carboplatin
D. Doxorubicin
E. Etoposide
A

D. Doxorubicin

43
Q

Which of the following is the treatment of Stage IIB squamous cell cervical cancer?
A. Radical hysterectomy and node dissection
B. Simple hysterectomy
C. Chemotherapy
D. External radiation, brachytherapy and cisplatin
E. Intra and extra cavity radiation

A

D. External radiation, brachytherapy and cisplatin

44
Q 
Your patient has presented to the ED PPD#5, she has a severe headache, focal neurological deficits and altered consciousness. What is the most likely cause?
A. Adenoma
B. Craniopharyngioma
C. Subarachnoid hemorrhage
D. Thunderclap headache
E. Prolactinoma
A

C. Subarachnoid hemorrhage

45
Q 
While performing a hysteroscopy the CRNA states they see signs of Pulmonary Edema. Which solution are you most likely using?
A. Sorbitol
B. Normal Saline
C. CO2
D. Glycine
E. Dextran 70
A

B. Normal Saline

46
Q 
A patient presents status post vaginal hysterectomy for CIN III with persistent spotting. A 0.5 cm violaceous raised lesion is seen on the cuff. What is the most likely cause?
A. Granulation tissue
B. Gartner's duct cyst
C. Adenosis
D. Prolapsed fallopian tube 
E. Endometriosis implant
A

A. Granulation tissue

47
Q 
Which of the following tests can identify major chromosomal aneuploidies as well as submicroscopic changes that are too small to be detected by conventional karyotyping?
A. Chromosomal microarray analysis 
B. Fluorescence in situ hybridization 
C. Preimplantation genetic diagnosis 
D. Molecular DNA testing
E. Cell Free DNA testing
A

A. Chromosomal microarray analysis

48
Q 
A history of which of the following clinical findings would suggest osteoporosis?
A. Back pain
B. Joint tenderness
C. Tooth loss
D. Loss of height
E. Wrist pain
A

D. Loss of height

49
Q 
All of the following fetal effects are most likely seen with the use of an angiotensin receptor blocker (ARB) during pregnancy EXCEPT:
A. Renal tubular dysplasia
B. Fetal limb contractures
C. Fetal skull ossification defects 
D. Cardiac anomalies
E. Hypoplastic lung development
A

D. Cardiac anomalies

50
Q 
Patient presents to the ED with severe headache and her blood pressure is 175/105 mmHg. She had a vaginal delivery about 5 weeks ago. Exam shows a blue vaginal lesion. What is the most important next step in evaluation?
A. CT scan abdomen 
B. Biopsy of lesion 
C. MRI of the brain 
D. LDH level
E. Chest X-Ray
A

C. MRI of the brain

Wall Quizzes (12 decks)

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