Jan 1 2020

Question 1

A patient in labour has a CTG showing category III tracings. She is at 6 cm dilated and there are no changes in response to change of position or oxygen. Next step?

Answer 1

C-section

Question 2

can you do an assisted delivery in someone <10 cm dilated?

Answer 2

no

Question 3

typical presentation of benign ovarian tumours?

Answer 3

bilateral adnexal massess

Question 4

Management of benign ovarian tumours during pregnancy?

Answer 4

observance and expectant management. Should resolve after birth wihen bhcg levels drop.

Question 5

how many a women in pregnancy with a benign ovarian tumour present?

Answer 5

increased acne and male hair growth - from increased androgens secreted by the tumour (luteoma, sertoli-leydig tumours)

Question 6

which is the most significant risk for future bone fracture?

Answer 6

previous fragility fracture

Question 7

after birth, should the uterus be palpable above the umbilicus?

Answer 7

No - this indicates uterine atony

Question 8

which uterotonic agent is contraindicated in patients with asthma?

Answer 8

carboprost

Question 9

which uterotonic agent is contraindicated in patients with hypertension?

Answer 9

methylergonovine

Question 10

Next step in a patient with high clinical suspician for a venous sinus thrombosis but a normal CT?

Answer 10

head MR venography

Question 11

when should syphilis screening in pregnancy be performed?

Answer 11

the first prenatal visit

Question 12

patients in homes built before ___ are at significant risk for lead exposure

Answer 12

1978