World OB 2

Question 1

what reduces mortality and breast cancer in BRCA

Answer 1

hysterectomy w/ salping and OOpherectomy.

no ovaries, less breast cancer.

Question 2

when is PAPP helpful

Answer 2

1st trimester

~13 weeks

Question 3

when can you do amniocentesis

Answer 3

16-20 weeks

Question 4

When is chorionic villus sampling done

Answer 4

10-13 weeks

Question 5

trisomy 21 labs

Answer 5

↑ HcG and Inhibin A

↓ afp, estriol

Question 6

when can you do cell free DNA

Answer 6

over 10 weeks

sensitive and specfic for aneuploidy

Question 7

When you get a + GBS prego test, do you treat then?

Answer 7

Nope. Treat in labor. GBS will grow back super quick

Question 8

At what week # do you use tocolytics?

Answer 8

Before 34 weeks. After that, the harm> bennefit

Question 9

At what age can external cephalic version be done

Answer 9

> 37 weeks

Question 10

what gestational tumor likes to go to lungs

Answer 10

chorio.

Question 11

physical exam finding in ovarian torsion

Answer 11

adnexal mass

Question 12

A short cervical length is a strong predictor for?

Answer 12

preterm labor

Question 13

What mimics HELLP but w/ normal BP?

Answer 13

Acute fatty liver of prego

Question 14

____________ suppresses the mid-cycle surges of LH and FSH.

Answer 14

Danazol, a 17-alpha-ethinyl testosterone derivative

Question 15

Pelvic congestion syndrome is ?

Answer 15

chronic pelvic pain b/c of pelvic varicosities.

chronic dilatation with stasis leading to vascular congestion.

Question 16

Can you use metronidazole in prego

Answer 16

yup- and you should for BV etc

Question 17

How does a dermoid appear on US

Answer 17

calcifications

hyperechoic nodules

Question 18

Endometrioma on US

Answer 18

homogeneous cystic appearance

Question 19

How do you increase fertility in Hypo Pit failure

Answer 19

pulsitile GnRH

Question 20

Most common med for treating UTI in prego

Answer 20

1- nitrofurontin

2- Amoxicillin

3- Cephalexin

Question 21

UTI antibiotics NOT to use in prego

Answer 21

flouroquinilone

TMX- SMT

Question 22

HcG does what to the thyroid

Answer 22

HcG stimulates TSH–> ↑ total thyroid. NORMAL free thyroid b/c estrogen ↑ thy-binders

Question 23

What is the dangerous complication of dermoids?

Answer 23

Torsion

Question 24

When do you conduct oral glucose test in prego

Answer 24

26-28 weeks

Question 25

Heavy bleeding and contraction pain, dilated cerxic, smooth mass, w/ negative HcG

Answer 25

submucous fibroid prolapsing thru cervix

Question 26

Do you screen a prego for toxoplasmosis

Answer 26

yes- if they have symtpoms

NO OTHERWISE

Question 27

Reasons to move to c/s fear of uterine rupture

Answer 27

prior c/s

Extensive fibroid removal

Question 28

What are the maternal complications of abruptio placenta

Answer 28

DIC

Hypovolemic shock

Question 29

OCPs can cause?

Answer 29

Hypertension

Question 30

Where do bartholin cysts occur

Answer 30

4-8 o’clock at base of labia majora

Question 31

Where/what are gartner cysts

Answer 31

anterior vagina cysts

incomplete regression of wolffian ducts

Question 32

1st line treatment for essential HTN of prego

Answer 32

labetalol
methydopa
CC blocker hydralazine

Question 33

Placenta previa must abstain from?

Answer 33

intercourse- risk of hemorrhage