OB

Question 1

Primary cause of 3rd trimester bleed

Answer 1

placental abruption and previa

Question 2

Classic ultrasound and gross appearance of complete hydatidiform mole

Answer 2

“snowstorm” on ultrasound, “cluster of grapes” on gross

Question 3

Chromosomal pattern of complete mole

Answer 3

46 XX

Question 4

Molar pregnancy containing fetal tissue

Answer 4

partial mole

Question 5

Sx of abruption

Answer 5

continuous PAINFUL bleeding

Question 6

Sx of previa

Answer 6

Self limited PAINLESS bleeding

Question 7

When should vaginal exam be performed if suspected previa?

Answer 7

NEVER

Question 8

Antibiotics w teratogenic fx

Answer 8

Tetracycline, fluoroquinolones, aminoglycosides, sulfonamides

Question 9

medication given to accelerate fetal lung maturity

Answer 9

betamethasone or dexamethasone x 48hrs

Question 10

MCC of post-partum bleed

Answer 10

uterine atony

Question 11

Tx for post-partum hemorrhage

Answer 11

uterine massage, if that fails give oxytocin

Question 12

typical antibiotics for GBS prophylaxis

Answer 12

IV penicillin or ampicillin

Question 13

Patient fails to lactate after an emergency C-section w/ marked blood loss

Answer 13

Sheehan’s syndrome (postpartum pituitary necrosis)

Question 14

uterine bleeding at 18wk gestation, no products expelled, open cervical OS

Answer 14

inevitable abortion

Question 15

uterine bleeding at 18wk gestation, no products expelled, closed cervical OS

Answer 15

threatened abortion