Boards

Question 1

Varicella US findings

Answer 1

IUGR, LUmb hypoplasia, microcephaly, micropthalmia

Question 2

Toxoplasmosis US findings

Answer 2

Microcephaly, hydrocephalus, intracranial calcifications

Question 3

HSV US findings

Answer 3

IUGR, micropthalmia, microcephaly, hydranencephaly, hepatosplenomegaly

Question 4

Rubella US findings

Answer 4

IUGR, Cardiac malf (PDA/Septal defect) micropthalmia, hepatosplenomegaly

Question 5

CMV US findings

Answer 5

CALCIFY MY VENTRICLES (CMV) IUGR, cerebral ventriculomegaly, microcephaly, fetal hydrops, chorioretinitis, intracranial calcifications

Question 6

How much does breastfeeding increase maternal caloric requirements?

Answer 6

500 kcal per day

Question 7

What factors increase in preg

Answer 7

FACTOR 8, 10, FIBRINOGEN

Question 8

WHAT IS IN THE SUPERFICIAL PERINEAL SPACE

Answer 8

corpora cavernosa of clitorus, cporpus spongiosum of vestibular tissue, ischiocavernosis, bulbospongiosus, superficial transverse perinei, pundendal vessels and nerves

Question 9

what ethnic group reqs CBC and Hb electrophoresis in PNL

Answer 9

African Descent

Question 10

Treatment option for IC?

Answer 10

Dietary changes, oral pentosan polysulfate, intraveiscal dimetyl sulfoxide

Question 11

First line treatment for citrate toxicity?

Answer 11

Calcium chloride

Question 12

OCPS exhibit antiandrogenic effects by decreasing ovarian production of????

Answer 12

Testosterone (progesterone reduces serum free testosterone and inhib 5 alph reduct)

Question 13

what contraceptive method can cause a UTI?

Answer 13

Diaphragm

Question 14

Tanner 5 breast and pubic hair, +ovaries, - uterus or vagina.

Answer 14

Mullerian Agenesis

Question 15

Mullerian agenesis is associated with what skeletal abnormality

Answer 15

scoliosis

Question 16

mullerian agenesis inherited in what pattern

Answer 16

multifactorial

Question 17

lynch syndrome has highest risk of which non gyn cancer?

Answer 17

colon cancer

Question 18

lynch syndrome inherited in what pattern

Answer 18

autosomal dominant

Question 19

50% of those with mullerian agenesis also have what other anomaly

Answer 19

urinary tract

Question 20

acceptable screening for colon cancer?

Answer 20

FOBT (3 stool samples annually), fecal immunochemical testing annuay, flexible sig q 5 years ) Double contrast barium enema q 5 years

Question 21

GAIL MODEL relies on

Answer 21

age of menarche, parity, age at first birth, BF, age of menopause, limited maternal hx, previous breast biopsies , race, less than 5 years

Question 22

perinatal transmission rate of Heb B E antigen?

Answer 22

90%

Question 23

how to treat newborns born to HBsAG (hep B carriers)

Answer 23

combined immunoprophylaxis (HBIG and HBV vaccine within 12 hrs)

Question 24

nonhormonal treatment most likely to relieve vasomotor sxs?

Answer 24

paroxetine

Question 25

in case of IUFD, best place to obtain cell culture for genetics?

Answer 25

AMNIOTIC FLUIDA

Question 26

late complication of sacrospinous ligament fixation?

Answer 26

anterior vaginal wall prolapse

Question 27

what US biometric measurement is most sensitive measure of fetal growth?

Answer 27

AC

Question 28

Eval for preg patients with macroadenoma?

Answer 28

visual field test every trimester

Question 29

up to how many days can copper IUD be used for emergency contraception

Answer 29

5

Question 30

most efficacious treatment of APS in preg?

Answer 30

low dose ASA plus heparin

Question 31

best treatment of appendicitis in the third trim ( e.g. 33 weeks)

Answer 31

open appendectomy

Question 32

Formula for odds ratio

Answer 32

Cross ratio Ad/cb

Question 33

What type of virus is HSV

Answer 33

double stranded DNA

Question 34

Most likely malignant component of mature dermoid cyst

Answer 34

Squamous cell carcinoma

Question 35

most common breast malignancy

Answer 35

infiltrating ductal carcinoma

Question 36

Baden Walker 1

Answer 36

Descent of uterus to any pt in vagina above hymen

Question 37

Bade Walker II

Answer 37

Descent of uterus up to the hymen

Question 38

Baden walker III

Answer 38

Descent of uterus halfway past the hymen

Question 39

Baden walker stage IV

Answer 39

Total eversion or procidentia

Question 40

what percent of patients have frank virilization from sertoli-leydig cell tumor

Answer 40

35%

Question 41

US indicated cerclage

Answer 41

Prior PTD < 34 wks and CL < 25mm between 16-24 wks

Question 42

Stage 1 Hypertension

Answer 42

SBP 130-139/<80

Question 43

Stage2 Hypertension

Answer 43

Systolic > 140 or diastolic > 90

Question 44

what factor is most prognostic for survival in vulvar cancer

Answer 44

inguinofemoral LN involvement

Question 45

Most cystic hygromas dx in T1 associated with?

Answer 45

aneupoidy- T21

Question 46

most common complication of burch procedure

Answer 46

urinary dysfxn

Question 47

what is burch procedure?

Answer 47

modification of the suprapubic bladder neck suspension by suspending the vaginal wall to cooper's ligament

Question 48

Risk of vertical transmission with primary HSV

Answer 48

30-50%

Question 49

Risk of vertical transmission with recurrent HSV

Answer 49

3%

Question 50

what type of vaccine is Gardasil

Answer 50

VIRUS LIKE PARTICLES (of the major capsid proteins)

Question 51

The daily caloric req of pregnant patient increases by...?

Answer 51

300 kcal

Question 52

most common ADE clopidogrel (plavix) involves which organ system?

Answer 52

hematopoietic

Question 53

what muscules are used for kegels?

Answer 53

levator ani: pubococcygeus, illiococcygeus, puborectalis

Question 54

75% of cystic hygromas dx in T2 associated with?

Answer 54

ANEUPOIDY- 45X

Question 55

premature ovarian failure

Answer 55

loss of oocytes and surrounding support cells prior to age of 40

Question 56

How to diagnose POF

Answer 56

2 serum FSH > 40 at least 1 mo apart

Question 57

most common complication of uterosacral ligament suspension?

Answer 57

ureteral obstruction (11%)

Question 58

MOA Danazol

Answer 58

suppresses production of gonadotrophins and some weak androgenic effects

Question 59

what genetic disorder attributed to advanced paternal age

Answer 59

neurofibromatosis, achondroplasia

Question 60

Dividing membrane of what size associated with dichorionicity

Answer 60

>2 mm

Question 61

ABO incompatibility

Answer 61

A or B blood type in infant born to mother with type O

Question 62

what muscules are used for kegels?

Answer 62

levator ani: pubococcygeus, illiococcygeus, puborectalis

Question 63

why is the left leg most common site for DVT

Answer 63

right iliac artery crosses the left iliac vein

Question 64

RIsk of T21 in general population

Answer 64

1 in 2500

Question 65

where do the deep endopelvic connective tissue support structures converge

Answer 65

pericervical ring

Question 66

most common complication of uterosacral ligament suspension?

Answer 66

ureteral obstruction

Question 67

what percentage of those with elevated NT have chromosomal defect?

Answer 67

1/3

Question 68

what is the lifetime risk of breast cancer in patient with BRCA2

Answer 68

75%

Question 69

Dividing membrane of what size associated with dichorionicity

Answer 69

>2 mm

Question 70

Best treatment for thrombotic thrombocytopenic purpura in pregnancy

Answer 70

plasmapheresis with FFP replacement

Question 71

what percentage of women with GDM will develop T2DM?

Answer 71

50%

Question 72

why is the left leg most common site for DVT

Answer 72

right iliac artery crosses the left iliac vein

Question 73

RIsk of T21 in general population

Answer 73

1 in 2500

Question 74

how do we treat hyperthyroid in preg?

Answer 74

PTU in 1st trimester, Methimazole in 2nd and 3rd

Question 75

what emryopathy associated with methimazole

Answer 75

aplasia cutis, choanal and esophageal atresia

Question 76

Most common defect associated with thickened NT and normal karyotype?

Answer 76

cardiac

Question 77

late complication of SSLF?

Answer 77

anterior vaginal wall prolapse

Question 78

most rare cancers diagnosed in pregnancy

Answer 78

thyroid, colorectal, leukemia

Question 79

pentatd of TPP

Answer 79

thrombocytopenia, fever, neurologic abnormalities, renal impairment, hemolytic anemia

Question 80

why is left leg the most common site for DVT

Answer 80

right ilitac artery crosses the left iliac vein

Question 81

what happens to protein S in pregnancy?

Answer 81

Decreases

Question 82

side effects of aromatase inhib

Answer 82

hot flush, vag dryness, arthralgias, decreased BM density and increased fracture rates

Question 83

greatness risk factor in wound infection after hyst

Answer 83

thickness of subcutaneous layer

Question 84

single most important risk factor for postpartum infection

Answer 84

Cesarean delivery

Question 85

most frequent manifestation of congenital CMV

Answer 85

intracranial calcifications

Question 86

least likely to be isolated from urinary tract

Answer 86

anaerobic

Question 87

when using chemo agent ifosfamade, how do you protect uroepithelium?

Answer 87

Mesna

Question 88

what type of peumonia has highest mortality in pregnancy

Answer 88

varicella

Question 89

what muscle is responsible for maintaining anal continuence

Answer 89

internal anal sphincter

Question 90

what neoplasm causes increased LDH

Answer 90

dysgerminoma

Question 91

what muscles make up perineal body

Answer 91

superficial transversalis, bulbocavernosis, anal sphincter

Question 92

what thyroid hormone increases in pregnancy

Answer 92

free t4

Question 93

when do you measure LFT after starting statin

Answer 93

8-12 weeks (then every 6 months)

Question 94

lipid assessment

Answer 94

every 5 years starting at age 45

Question 95

fasting glucose test?

Answer 95

every 3 years starting at age 45

Question 96

TSH screening?

Answer 96

every 5 years starting at age 50

Question 97

most likely side effect of tamoxifen?

Answer 97

vasomotor sx

Question 98

which is responsible for vaginal lubrication in sexual response

Answer 98

transudate

Question 99

when HBG is < 11 and MCV is >80 what is next step

Answer 99

reticulocyte acct

Question 100

when HBG is < 11 and MCV is <80 what is next step

Answer 100

serum ferritin and hb electrophoresis

Question 101

HbA2 >3.5%, normal ferritin

Answer 101

beta thal

Question 102

HbA2 < 3.5%,

Answer 102

Alpha-thal, Hb H disease, chronic anemia

Question 103

intrinsic sphincter deficiency

Answer 103

if leakage is seen when pressure < 60 cm H2O (valsalva leak pt pressure)

Question 104

most common sign of uterine rupture attempting VBAV

Answer 104

nonreassuring fetal heart tracing

Question 105

earliest spread of epithelial ovarian cancer

Answer 105

exfoliation

Question 106

malignant degeneration of mature teratoma most lkely tissue

Answer 106

squamous epithelium

Question 107

left ovarian vein drains into

Answer 107

left renal vein

Question 108

late term

Answer 108

41.0 to 41.6

Question 109

postterm

Answer 109

42.0 weeks and beyond

Question 110

MOA of PTU

Answer 110

blocks conversion of thyroxine to triiodothyronine

Question 111

MOA of methimazole

Answer 111

inhib synthesis of thyroid hormones by blocking oxidation of iodine in thyroid gland

Question 112

if prevalence in a population has changed, what statistical value has changed?

Answer 112

predictive

Question 113

aromatase inhib vs tamoxifen, more associated wth

Answer 113

bone loss, less hot flush, no risk of endometrial changes

Question 114

paclitaxel side effectsq

Answer 114

myleosuppression, hypersensitivity, neurotoxicity

Question 115

histologic feature of endometrial hyperplasia associated with greatest risk of progression to invasive cancer

Answer 115

nuclear atypia