AANP U WORLD

Question 1

Post partum depression timeline

Answer 1

4-6 weeks

MUST have >/= 2 weeks of SIGECAPS

Question 2

Treatment of N/V in pregnancy –> 1, 2, 3, 4

Answer 2

Dietary changes
vitamin B6, H1 antihistamine
Oral dopamine and serotonin antagonists

Question 3

N/V with > 5% body weight loss from prepregnancy weight

Answer 3

Hyperemesis gravidarum

Question 4

RF for hyperemesis gravidarum

Answer 4

multiple gestation
migraines
GERD

Question 5

Target BG levels in pregnancy :
Fasting
1 hour postprandial
2 hour postprandial

Answer 5

Fasting -

Question 6

Intrahepatic cholestasis in pregnancy treatment

Answer 6

delivery at 37 weeks
Ursodeocholyic acid
Antihistamines

Question 7

When to screen for asymptomatic bacteriuria in pregnancy

Answer 7

12-16 weeks gestation

Question 8

Does test of cure need to be completed for pregnant people w/ UTI?

Answer 8

yes, 1-2 weeks following treatment

Question 9

magnesium toxicity symptoms

Answer 9

loss of DTR and reduced RR

Question 10

Cervical cancer screening age

Answer 10

> 21

Question 11

Pain w/ in first 2-3 days of menses
N/V/D
Normal pelvic exam

Answer 11

Primary dysmennorhea

Question 12

Annual chlamydia screening in what age group?

Answer 12

< 25 years

Question 13

Pattern of angry irritable mood and argumentative behaviours towards authority. No stealing or aggressive violations of others

Answer 13

ODD

Question 14

DIGFAST mneumonic for mania

Answer 14

Distractibility
Impulsivity
Grandiosity
Flight of ideas
Activity increased
Decreased need for sleep
Talkativeness/pressured speech

Question 15

Adult version of CD that requires evidence before age 15

Answer 15

Antisocial personality disorder

Question 16

A 1 time hep c screening is reccomended for adults ages ___ to ____

Answer 16

18-79 years

Question 17

What is a fibroadenoma?

Answer 17

Benign breast lump commonly occuring in upper outer quadrant, rubbery mobile and well circumscribed that decreases in size after menses
U/S indicated if < 30 years and ? aspiration if > 5 cm or persistent lesions

Question 18

Raw scaly vesicular lesion to nipple and spreads to areola of 1 breast

Answer 18

Pagets disease

Question 19

Diagnosis of pagets disease of the breast

Answer 19

Skin biopsy

Bilateral diagnostic mammogram +/- US

Question 20

Screening for BRCA1 & 2

Answer 20

at 30 yrs or 5-10 years before first diagnosis of breast or ovarian cancer

Question 21

Palpable ovary in menopausal woman

Answer 21

Always abnormal - rule out ovarian cancer –> pelvic/intravaginal ultrasound and referral to gyne

Question 22

When to perform PAP test:

1) during menstrual cycle
2) 10-20 days after menses
3) following douching or intercourse

Answer 22

2)

Question 23

HPV testing

Answer 23

30-65 every 5 years if cotesting w/ HPV or PAP every 3 years if not co-testing

Question 24

For pts age 21-24 w/ LSIL PAP result –>

Answer 24

Repeat PAP in 12 months

Question 25

For pts w/ LSIL 25-29 years

Answer 25

Follow up colposcopy w/ cervical biopsy

Question 26

If endometrial cells are seen in PAP test --> next steps

Answer 26

refer for endometrial biopsy

Question 27

Progestin oral pills how to take | When backup is needed for 48 hours

Answer 27

Same time each day | If missed dose >/= 3 hours

Question 28

CI to oral contraceptives

Answer 28

``` DVT/VTE, smoking > 35 years (> 15 cigarettes per day), migraine w/ aura, hx or current breast ca, uncontrolled HTN (> 160/100), liver disease Known or suspected CVD Known or suspected pregnancy Undiagnosed PV bleeding < 21 days post-partum ```

Question 29

When starting COC how long to use backup

Answer 29

7 days

Question 30

Follow up after starting COC

Answer 30

2-3 months to check BP

Question 31

Missed 1 day of COC

Answer 31

take 2 pills/ double up

Question 32

Missed 2 consecutive days

Answer 32

take 2 pills the next 2 days to catch up and use condoms during current pill cycle

Question 33

Drug interactions w/ COC

Answer 33

anticonvulsants, antifungals, abx - ampicillin/tetracyclines/rifampin, st johns wort - BTB

Question 34

CI to IUD

Answer 34

``` PID Confirmed pregnancy STI Uterine or cervical abnormality (ie. bicornate uterus) Undiagnosed vag bleed Hx of ectopic pregnancy ```

Question 35

What contraceptive should be avoided in women that want to become pregnant in 12 months

Answer 35

Depo provera

Question 36

How long can you wear cervical cap

Answer 36

72 hours

Question 37

How long should diaphragm be left in vagina after intercourse

Answer 37

6-8 hrs

Question 38

What form of contraceptive has higher level of estrogen than COC

Answer 38

patch

Question 39

Ovulation may not occur for few weeks to 12 months after removal of this contraceptive option

Answer 39

Implant

Question 40

How long is implanon/Nexplanon used for

Answer 40

3 years

Question 41

Plan B - how to take if 2 pills and when to follow up

Answer 41

take 1st pill w/ in 72 hours and 2nd pill 12 hours following Evaluate for pregnancy, spontaneous abortion or ectopic pregnancy if normal (expected) menstrual period is delayed for ≥1 week following emergency contraception, or if lower abdominal pain or persistent irregular bleeding develops `

Question 42

Missed abortion

Answer 42

Asymptomatic w/ closed cervix

Question 43

class of medication of flomax/tamosulin

Answer 43

alpha 1 blocker

Question 44

What medication for HTN slow calcium loss by stimulating osteoclasts

Answer 44

HCTZ

Question 45

Normal JVD

Answer 45

< 4 cm

Question 46

ABI score is diagnostic

Answer 46

< 0.9