2017 - Final XLS in CSV form - Sheet1

Question 1

What does treatment of GDM improve?

Answer 1

Lower rates of macrosomia

Question 2

What is the most likely cause of fetal Macrosomia?

Answer 2

Prepregnancy obesity

Question 3

Which ultrasound parameter predicts placenta accreta most accurately?

Answer 3

Lacunae

Question 4

What is the best method to determine heart rate in the first trimester?

Answer 4

M- Mode

Question 5

If maternal thyroid function is well controlled but fetus develops goiter. What test should you do?

Answer 5

Check maternal Thyroid Peroxidase Antibody; Thyroglobulin Antibody; Thyroid Stimulating Hormone Receptor Antibody (All synonyms for TSI)

Question 6

When does fetal movement increase the most in a 24 hour period?

Answer 6

At night

Question 7

After cardiac arrest, when should delivery ideally occur ?

Answer 7

Within 5 minutes (If spontaneous circulation does not occur within 4 mins of effective CPR)

Question 8

What mutation happens in Duchenne Muscular Dystrophy?

Answer 8

Deletion of Exons (X-L-Recessive)

Question 9

What is the mutation in Osteogenesis Imperfecta? Inheritance?

Answer 9

COL1A1 and COL1A2 (autosomeal dominant)

Question 10

What is the mutation in Spinal Muscular Atrophy? Inheritance?

Answer 10

SMN1

Question 11

What are the branches of the Internal Iliac Artery?

Answer 11

Midline structures and GiOPi
 Gluteal (Inferior)
 Obturator
 Pudendal (internal)
 Vagina
 Uterus
 Vesical
 Rectal (middle)
 Umbilical

Posterior Division: I love sex
Iliolumbar
Lateral Sacral
Superior Gluteal

Question 12

What is the most effective anticoagulation for patients with mechanical heart valves?

Answer 12

Warfarin

Question 13

Best medication for anticoagulation in pregnancy?

Answer 13

Lovenox

Question 14

How do you differentiate betweem TTTS and TAPS?

Answer 14

MCA Dopplers (MCA PSV >1.5MoM in one twin and <0.8 MoM in the other twin )

Question 15

What is more convincing situation to intubate, hypoxemia or hypercapnea?

Answer 15

Hypercapnea

Question 16

Which Interleukin is antiinflammatory

Answer 16

IL10

Question 17

When is CVS not recommended?

Answer 17

In cases of Isoimmunizatio/Alloimmunization (NAIT, Kell, Rh)

Question 18

What is the most common symptom after a lumbar puncture ?

Answer 18

Headache that gets worse with standing/sitting and better with laying flat

Question 19

How do you diagnose NAIT?

Answer 19

In a baby with unexplained ICH or thrombocytopenia
1. test mom for platelet antibodie
2. if positive, test maternal and paternal antigens
NAIT = If Mom is antibody positive and dad is homozygous positive for that antigen
or if dad is heterozygous (test the fetus)

Question 20

What is the risk of NAIT in a subsequent pregnancy?

Answer 20

If father’s antigen zygosity determines he is homozygous: 100% risk
Heterozygous: 50% risk

Question 21

What product (of Aldosterone and testosterone) is increased in 21 hydroxylase deficiency, 17 hydroxylase deficiency and 11 hydroxylase deficiency

Answer 21

Follow the 1’s 1 = increase, BP - T
21 = BP down, Testosterone Up
17 = BP up, Testosterone down
11 = BP up, Testosterone up

Question 22

What are the criteria for pre-eclpamsia with severe features?

Answer 22

1. BP: >160 systolic or >110 diastolic x 2, atleast 4 hours apart
2. Plt <100,000
3. ↑ LFTs + severe RUQ/epigastric pain 4. Cr > 1.1 or doubled 5. Pulmonary edema 6. New-onset headache not responsive to meds 7. Visual distubances

Question 23

What is the treatmet for TB?

Answer 23

1. Rifampin
2. Isonoazid
3. Pyrazinamide
4. Ethambutal

Question 24

Which TB treatment is teratogenic? What does it do?

Answer 24

Streptomycin is contraindicated - as it is associated with hearing loss

Question 25

What is the best study design to look at a disease and link to a risk factor? Example: smoking and cancer

Answer 25

Case control: | Compares a group with disease to a group without and looks back at risk factor

Question 26

Which medications to treat SLE are teratogenic?

Answer 26

Mycophenolate Mofetil and Cyclophosphamide

Question 27

What is the most common complication of SLE on pregnancy?

Answer 27

1. Pre-eclampsia (8-20%) | 2. PTD (spont and indicated - 20-50%) - Not spontaneous PTB

Question 28

If a preterm baby develops respiratory distress after delivery and Preductal SpO2: 90%, post ductal: 70%. What is the diagnosis?

Answer 28

Persistent fetal circulation (Ductus arteriosus) or PPHN (same thing)

Question 29

What are the abnormalities with acute fatty liver of pregnancy?

Answer 29

↑ LFTs, uric acid, billirubin , Ammonia | ↓ Platelets, ↓ Glucose

Question 30

Which adrenergic receptors are present on the myometrium?

Answer 30

1. α1: ↑ Phospholipase C -> ↑Protein Kinase C & Calsium 2. β2: ↑ Adenylyl Cyclase -> ↑ CAMP --> ↑ Protein Kinase A

Question 31

What effects on lipids does Depot Provera have?

Answer 31

↑ LDL | ↓ HDL No change in triglycerides

Question 32

What is the most likely diagnosis of fetus with enlarged bladder?

Answer 32

Posterior uretheral valves is most common cause of bladder outlet obstruction

Question 33

What is the most common placental mass?

Answer 33

Chorioangioma - has color flow , associated with Polyhydramnios (60%) and IUGR (20%)