Board Vitals Obstetrics and Gynecology Flashcards

1
Q

Is liver disease a contraindication to the use of clomiphene citrate?

A

Yes

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2
Q

Is a history of multiple pregnancies a contraindication to the use of clomiphene citrate?

A

No

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3
Q

Is abnormal uterine bleeding a contraindication to the use of clomiphene citrate?

A

Yes

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4
Q

Is heart disease a contraindication to the use of clomiphene citrate?

A

No

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5
Q

Is an ovarian cyst a contraindication to the use of clomiphene citrate?

A

Yes

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6
Q

Is hyperlipidemia a contraindication to the use of clomiphene citrate?

A

No

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7
Q

Is uncontrolled thyroid or adrenal disease a contraindication to the use of clomiphene citrate?

A

Yes

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8
Q

Is current pregnancy a contraindication to the use of clomiphene citrate?

A

Yes

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9
Q

Is asthma a contraindication to the use of clomiphene citrate?

A

No

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10
Q

Is a pituitary tumor a contraindication to the use of clomiphene citrate?

A

Yes

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11
Q

Is depression a contraindication to the use of clomiphene citrate?

A

Only outside the United States

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12
Q

Are uterine fibroids a contraindication to the use of clomiphene citrate?

A

Only outside the United States

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13
Q

At what gestational age should induction of labor be considered for women who are determined to have decreased fetal movement?

A

More than or equal to 37 weeks and less than 39 weeks.

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14
Q

What condition is lupus anticoagulant associated with?

A

Antiphospholipid antibody syndrome

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15
Q

What percentage of women with recurrent miscarriages have antiphospholipid antibody syndrome?

A

10%

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16
Q

What is the risk of malignant complications (choriocarcinoma) after a complete molar pregnancy?

A

15 - 20%

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17
Q

What is the risk of malignant complications after a partial molar pregnancy?

A

1 - 5%

18
Q

Is preterm birth a complication of gonorrhea?

A

Yes

19
Q

What percentage of pelvic inflammatory disease is caused by gonorrhea?

A

40%

20
Q

What is the treatment of gonorrhea?

A

Ceftriaxone

21
Q

Does the treatment of the partners reduce the reinfection rates of gonorrhea?

A

Yes

22
Q

Is coinfection of gonorrhea and chlamydia common?

A

Yes

23
Q

At what age is PAP screening discontinued?

A

65 years

24
Q

Can oral contraceptive pills be started at any time?

A

Yes

25
Q

How long the abstain or use back up method if OCPs are started midcycle?

A

7 days

26
Q

How long the abstain or use back up method if progestin only contraceptives are started midcycle?

A

2 days

27
Q

What is the treatment of severe pelvic inflammatory disease?

A
  • Ceftriaxone plus metronidazole
  • Cefoxitin/cefotetan plus doxycycline
28
Q

Is Fitz-Hugh-Curtis a form of perihepatitis that occurs as a complication of PID?

A

Yes

29
Q

Is Fitz-Hugh-Curtis associated with chlamydia or gonorrhea?

A

Chlamydia

30
Q

At what age is screening with pap smears started?

A

21 years

31
Q

How often is pap smear testing done?

A

Every 3 years until age 30 years, and then cytology and HPV testing can be done every 5 years.

32
Q

Which bisphosphonate should a patient with history of Roux-en-Y gastric bypass surgery receive?

A

IV zoledronic acid

33
Q

Is age greater than 25 years a risk factor for peripartum cardiomyopathy?

A

No

34
Q

Is African descent a risk factor for peripartum cardiomyopathy?

A

Yes

35
Q

Is Asian descent a risk factor for peripartum cardiomyopathy?

A

No

36
Q

Is maternal alcohol abuse a risk factor for peripartum cardiomyopathy?

A

No

37
Q

Is maternal cocaine abuse a risk factor for peripartum cardiomyopathy?

A

Yes

38
Q

Is multiple gestations a risk factor for peripartum cardiomyopathy?

A

Yes

39
Q

Is diabetes mellitus a risk factor for peripartum cardiomyopathy?

A

No

40
Q

What is the next test for patients older than 25 years if their pap smear comes back with atypical squamous cells of undetermined significance?

A

HPV testing