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boards one-liners > GYN one-liners > Flashcards

GYN one-liners Flashcards

1
Q

What is the recommended blood glucose target level to decrease risk of surgical site infection in all patients?

A

200 mg/dL

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2
Q

What is the risk of adenocarcinoma in-situ of the cervix with negative margins?

A

10%

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3
Q

What is the risk of adenocarcinoma of the cervix with negative margins?

A

1%

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4
Q

How much will the hemoglobin & hematocrit improve after transfusion of 1 unit PRBC?

A

Hgb 1 g/dL, Hct 3%

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5
Q

What is the definitive treatment for wound dehiscence?

A

Surgical debridement and fascial closure

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6
Q

What is the definitive treatment for necrotizing fasciitis?

A

Surgical debridement

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7
Q

What nerve is most likely injured in a procedure involving candy cane stirrups?

A

Peroneal nerve

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8
Q

What is the gold standard for diagnosis of pulmonary embolism?

A

Pulmonary angiography

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9
Q

In a low risk 50 year old woman undergoing hysterectomy, what should be used for thromboprophylaxis?

A

Pneumatic compression stockings, or unfractionated heparin prior to surgery and Q12hr until discharge, or LMWH prior to surgery and Qday until discharge

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10
Q

What is the most appropriate test if a ureteral injury is suspected after hysterectomy?

A

Retrograde pyelogram

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11
Q

What are the most common location of ureteral injury?

A

When ligating infundibular-pelvic ligament (transecting ovarian blood supply); transecting uterine artery; transecting uterosacral ligaments, and at the vaginal cuff angles

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12
Q

From which artery does the superior vesicle artery originate?

A

The internal iliac

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13
Q

Injury of which nerve causes neuropathy and paresthesia down the lateral aspect of the thigh?

A

Lateral femoral cutaneous nerve

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14
Q

What is the first line treatment for C. Difficile colitis?

A

Metronidazole PO TID for 10-14 days

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15
Q

When do the majority of laparoscopic injuries occur?

A

At surgical entry

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16
Q

When should vitamin K antagonists be stopped prior to surgery?

A

5 days prior

17
Q

What is the chance of bowel herniation through a trocar site?

A

1%

18
Q

What is the best treatment for a post-operative ileus?

A

Conservative management with bowel rest and IVF

19
Q

How much does combination OCPs increase the risk of VTE?

A

4x

20
Q

What percentage of women with postmenopausal bleeding will have endometrial cancer?

A

1-14%

21
Q

What is the rate of vaginal cuff dehiscence after hysterectomy?

A

<1%, but it is higher in total laparoscopic/robotic hysterectomy (around 4%)

22
Q

What is the most appropriate evaluation in a woman with atypical glandular cells on pap?

A

Colposcopy with biopsy, ECC, and EMB for women > 35 and with risk factors for endometrial cancer

23
Q

What nerve provides sensory branches to the labia?

A

Ilioinguinal

24
Q

What is the discriminatory value (the hCG value at which vaginal ultrasound should detect an intrauterine pregnancy)?

A

The range is 1500-3000, depending on quality of vaginal US and patient characteristics

25
Q

What is the most likely complication of D&C?

A

Hemorrhage

26
Q

Which HPV does the 9-valent HPV vaccine cover?

A

6, 11, 16, 18, 31, 33, 45, 52, 58

27
Q

The Gardasil 9 vaccine covers what percentage of HPV related cervical, vaginal, vulvar, and anal cancers?

A

90%

28
Q

What is the most common complication of a blood transfusion?

A

Febrile non-hemolytic transfusion reaction

29
Q

What pre-op antibiotics are recommended for hysterectomy if the patient has anaphylaxis to penicillin?

A

Gentamicin and clindamycin

Metronidazole plus gentamicin or quinolone

30
Q

What is the most effective method of female sterilization?

A

Postpartum partial salpingectomy

31
Q

If a patient has two procedures scheduled during the same anesthesia and a different surgeon is performing the second procedure, does a second time-out have to be performed prior to the start of the second procedure?

A

Yes

32
Q

What study is recommended, if a patient presents several months after a surgical procedure with a suspected retained sponge?

A

CT scan

33
Q

If a patient undergoes a failed medical termination with evidence of continued fetal viability, should she continue the pregnancy?

A

No

34
Q

The FDA has approved the use of Mifepristone for a medical termination up to how many days of gestation?

A

70 days

35
Q

In an elective termination, should prophylactic antibiotics be administered?

A

Yes

36
Q

What is the maximum diameter of a simple, clear cyst in a postmenopausal woman that may warrant further evaluation?

A

Greater than 10 cm

boards one-liners (6 decks)

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