Board Prep Questions > Exam 1 > Flashcards

Exam 1 Flashcards

(58 cards)

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1
Q

Which of the following findings on microscopy would indicate a patient has desquamative inflammatory vaginitis?

Eosinophils, Parabasal cells, clue cells, RBC, Hyphae

A

Parabasal cells

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2
Q

Non-pregnant patients with bacterial vaginosis are at an increased risk of various infections of the female reproductive tract EXCEPT

PID, HIV, HSV2, Yeast vaginitis, Vaginal cuff cellulitis

A

Yeast vaginitis

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3
Q

Which of the following is the most common cause of hemolytic disease of the newborn?

ABO, RH D, Lewis (Le-a), Kell, or Rh E incompatibility

A

ABO incompatibility

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4
Q

Which of the following is the most potent androgen?

Dihydrotestosterone, DHEA, DHEAS, Androstenidone, Free testosterone

A

Dihydrotestosterone

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5
Q

Which of the following is the most common side effect of Flutamide?

Voiding dysfunction, Hyperkalemia, Diarrhea, HA, Dry skin

A

Dry skin

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6
Q

The most common type of non-proliferative breast lesion is?

Idiopathic, breast cyst, fibrocystic changes, fat necrosis, fibroadenoma

A

Breast cyst

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7
Q

Non-proliferative or proliferative - breast cysts

A

Non-proliferative

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8
Q

Non-proliferative or proliferative - Ductal ectasia

A

Nonproliferative

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9
Q

Non-proliferative or proliferative - Fibroadenoma

A

Nonproliferative

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10
Q

Non-proliferative or proliferative - Ductal hyperplasia

A

Proliferative without atypia

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11
Q

Non-proliferative or proliferative - Fibroadenoma

A

Proliferative without atypia

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12
Q

Non-proliferative or proliferative - Intraductal papilloma

A

Proliferative without atypia

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13
Q

Non-proliferative or proliferative - Sclerosis adenoma

A

Proliferative without atypia

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14
Q

Non-proliferative or proliferative - Radial scars

A

Proliferative without atypia

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15
Q

When using a Z-score to evaluate a 22-year-old for bone loss, which value is clinically significant for osteoporosis?

A

-2

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16
Q

Prolactin is produced and secreted by which cells in the pituitary gland?

Thyrotropes, Somatotrophs, Gonadotrophs, Lactotrophs, Superventricular nucleus

A

Lactotrophs

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17
Q

Of the following antibodies, which one is not frequently encountered

D, Le-a, Le-b, I, Cw

A

Cw

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18
Q

What is the primary placental estrogen?

Estradiol, Estrone, Estriol, Esterol, Ethinyl estradiol

A

Estriol

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19
Q

A 26-year-old presents with primary infertility. Of all the following baseline diagnostic tests, which one is least likely warranted?

Hysterosalingogram, AHM, semen analysis, LH monitoring, EMB

A

EMB

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20
Q

When taking OCPs, all the following serum globulins are increased by hepatic production under the influence of the estrogen component, EXCEPT

Anti-thrombin III, factor VI, factor X, fibrinogen

A

Anti-thrombin III

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21
Q

All of the following are treatments for Lichen plants EXCEPT

Cyclosporine, systemic corticosteroids, hydroxyquinoline, methotrexate, estrogen cream

A

Estrogen cream

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22
Q

All of the following are findings associated with Swyer’s syndrome EXCEPT:

Normal stature and phenotype, lack of secondary sex characteristics, high FSH, elevated testosterone levels, mutation of the SRY gene

A

Elevated testosterone levels

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23
Q

In a patient who has been sensitized, the most precise method to evaluate a pregnancy affected by alloimmunization is

Middle cerebral artery dopplers, KB test, Ristocetin co factor activity, Rosette screen, Coombs test

A

MCA dopplers

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24
Q

Which of the following is an example of a direct maternal death?

Aortic stenosis complicated by pregnancy, uterine rupture exsanguination, MCA death, sickle cell anemia related death, maternal death from mitral valve stenosis

Study These Flashcards
A

Uterine rupture exsanguination

25
While attempting to deliver the fetal head in a breech presentation at 28 weeks, you note head entrapment in the cervix. What is the next best step? Terbutaline, Piper forceps, Prague maneuver, Intravenous nitroglycerin, Duhrssen incision
Duhrssen incision
26
The US finding consistent w stage III twin-to-twin transfusion is Absent or reverse end diastolic flow, demise of one infant, fetal hydrops, amniotic fluid less than 2cm, nonvisualization of the bladder
Absent or reverse end diastolic flow
27
Zoledronate is contraindicated in which of the following conditions Renal failure, GERD, peptic ulcer dz, liver dz, recent DVT
Renal failure
28
A cephalohematoma is located btw Periosteum and aponeurosis, Skull and periosteum, Skin and galea aponeurosis, Bone and dura matter
Skull and periosteum
29
Which of the following thrombophilias cannot be tested during pregnancy? Antithrombin III deficiency, Protein S dz, Protein C dz, Factor V Leiden mutation, Prothrombin G20210A
Protein S dz
30
A 35y/o G4P4 presents to the ED following an episode of syncope. She has a known h/o AUB. Her hgb is 8.2g/dL and her vital signs are stable. What is the best step in management? Administer crystalloids, perform D&C, set up endometrial ablation, transfusion, IM DMPA
Transfusion
31
A 34y/o presents w heavy menses despite OCP’s for 6mo. US shows a 1.1cm endometrial echo complex and normal ovaries. What is the next best step? Discontinue OCPs, Insert IUD, start TXA during menses, EMB, D&C
EMB
32
Which of the following is most strongly suggestive of adenomyosis on pelvic sono? Myometrial cysts, myometrial calcifications, thickened endometrium, hyperechoic masses
Myometrial cysts
33
A 16y/o presents w sudden right sided pelvic pain, NV. HR is 105, temp is 100.6F, and urine hCG is neg. What is the best management if you are suspecting ovarian torsion? Admit for pain management, detorsion by laparoscopy, emergency laparotomy and oophorectomy, Doppler US exam, CT scan of pelvis w contrast
Detorsion by laparoscopy
34
Which of the following is the first line management for the tx of orgasmic disorders? Sexual skills training, Bupropion, Testosterone patch, Flibisarin (Addyi), Low dose systemic Estrogen
Sexual skills training
35
A 23-year-old presents with an elevated 17-OHP level. What is the primary treatment? Finasteride, Corticosteriods, Clomiphene citrate, Spironolactone, OCPs
Corticosteroids
36
All of the following are anatomical causes for occult stress urinary incontinence EXCEPT? Hypermobility of the urethra, loss of the intra-abdominal urethra, loss of urethral vehicle angle, increase in bladder capacity
Increases in bladder capacity
37
Which of the following medications can increase your risk of endometrial hyperplasia? Clomiphene citrate, tamoxifen citrate, anastrozole, raloxifene, ospemifene
Tamoxifen citrate
38
Which of the following medications has been shown to reduce vertebral fractures in patients w BRCA 1 mutation? Calcitonin, PTH, Bisphosphomates, Raloxifene, Denosumab
Raloxifene
39
A 72-year-old post menopausal woman undergoes a TAHBSO and lymph node bx for endometrial CA. Pathology shows grade II adenocarcinoma w myometrial invasion less than 50%. Nodes negative. What is the best management? Observation, Vaginal estrogen, Vaginal brachytherapy, Pelvic Radiation, Chemotherapy
Vaginal brachytherapy
40
The communication model AIDET includes all the following EXCEPT: Acknowledge, Assessment, Introduce, Duration, Explanation
Assessment
41
Which of the following is not part of the basic prenatal laboratory panel? Blood type and RH, Rubella, Hepatitis, Syphilis, H/H
Hepatitis
42
A patient at 38 weeks presents w a fetal demise, which of the following diagnostic tests is most necessary in the evaluation? Torch titers, Thrombophilia evaluation, KB test, Urine toxicology
Thrombophilia evaluation
43
A 7y/o presents w labial adhesions, white plaques and papules. She has a known h/o sexual abuse. What is the best tx? Clinda 2%, Bx, Observation, Steroid cream, Laser ablation
Steroid cream
44
Which of the following is not a maternal risk factor for macrosomia? Pregest DM, Pre-pregnancy obesity, Dyslipidemia, Pre-preg steroid use, Prior macrosomic newborn
Pre-preg steroid use
45
Which of the following methods of contraception is contraindicated in women w obesity? Contraceptive patch, Etonorgesterol ring, OCP, Cooper T IUD, No methods are contraindicated
No methods contraindicated
46
Which of the following is the teratogenic window for warfarin during pregnancy? 4-6 wks, 6-12 wks, 12-16 wks, 12-20 wks, Warfarin is teratogenic all trimesters
6-12 wks
47
Which of the following patients is most likely going to have a successful TOLAC? Twin gestation, BMI >40, Gest age >40 wks, Macrosomic infant, Previous CDx2
Twin gestation
48
Which of the following is the best test to monitor a patient undergoing ovulation induction w Follistim (recombinant human FSH)? Urinary LH rise, Rise in basal body temp, increase in serum progesterone, increase in serum estradiol levels, measurement of hCG levels
Increase in serum estradiol levels
49
Which of the following medications for the tx of hirsuitism is an androgen receptor agonist? Spironolactone, Flutamide, Finasteride, Eflornithine, Oral Contraceptives
Flutamide
50
Which of the following is the most likely predisposing event in a neonate w GBS sepsis? Chorioamnionitis, Abruption, Cerebral palsy, Preterm labor, Prelabor ROM
Chorioaminionitis
51
While performing a sacrospinous ligament suspension, you encounter a large gush of blood while passing your Capio suture through the ligament. Which vessel was injured? Inferior gluteal, Iliolumbar, Uterine, Genital Femoral, External iliac
Inferior gluteal
52
Which of the following mechanism of action best describes Mirabegron? Muscle paralytic, M2 receptor blocker, M3 receptor agonist, Beta-agonist, Beta-antagonist
Beta-agonist
53
All the following are to be discontinued prior to TAHBSO Except Ibuprofen, ASA, Saw palmetto, Warfarin, Regular insulin
Regular insulin
54
In females, what does the metanephros ultimately form? Uterus, kidney, Vagina, Embryonic remnants, Fallopian tubes
Kidney
55
Which of the following gives rise to the chorionic structures that transport oxygen and nutrients btw the fetus and mother? Villous trophoblast, Intersitial trophoblast, Extravilous trophoblast, Endovascular trophoblast
Villous trophoblast
56
At term, what is the average PCO2 in the umbilical artery? 20, 30, 40, 50, 80
50mmHg
57
What is the best way to identify a genetic abnormality in a stillborn fetus? .Autopsy, Karotype, Maternal cell-free DNA, Chromosomal microarray analysis, Fluorescent in situ hybridization
Chromosomal microarray analysis
58
Holoprosencephaly is likely associated w which numerical chromosomal abnormality? Trisomy 13, Trisomy 16, Trisomy 18, Trisomy 21
Trisomy 13
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