My Truelearn

Question 1

What percent of cardiac output does the uterus receive at term?

Answer 1

17%

Question 2

Define metabolic syndrome

Answer 2

-waist circumference greater than 88 cm
-Triglycerides greater than 150 or on medication
-HDL less than 50 or on medication
-blood pressure greater than 130/85 or on medication
-fasting glucose greater than 100

Question 3

Conditions for which pneumoncoccal vaccination is recommended before age 65

Answer 3

Alcoholism
COPD/asthma – lung disease
Chronic heart disease
Diabetes

Question 4

Medications that worsen urinary incontinence

Answer 4

Diuretics
Ace inhibitors
Haloperidol

Question 5

Excoriations with live sensation on palpation, describe describes what disease of vulva

Answer 5

Lichen simplex chronicus

Question 6

White coalescing, atrophic, papules distorting normal anatomy in the anal genital region, describes what disease of the vulva

Answer 6

Lichen sclerosis

Question 7

Autosomal recessive disorder caused by mutation in the beta globin gene

Answer 7

Sickle cell disease

Question 8

Rate of postpartum hemorrhage

Answer 8

4% of vaginal deliveries
6% sections

Question 9

Risk for type two diabetes

Answer 9

Age
Hypertension
PCOS
History of gestational diabetes
History of LGA, greater than 4100 g
Obesity
Black, Hispanic, Pacific Islander, Native American, Asian

Question 10

Way ovarian cancer spreads (two names)

Answer 10

Exfoliation of cells
Transcoelomic

Question 11

Most frequently encountered non-Rhesus anti-body and pregnancy

Answer 11

Lewis

Question 12

Pre-term birth rate in the US

Answer 12

10.2% in 2019

Question 13

Sub clinical thyroid impacts which value – TSH or free T4

Answer 13

TSH

Question 14

GBS positive asymptomatic untreated mothers have what risk that the newborn will develop early onset GBS sepsis

Answer 14

1-2 percent

Question 15

Lung parameters that remain unchanged at term

Answer 15

Vital capacity

Question 16

Lung parameters that are increased at term

Answer 16

Tidal volume
Inspiratory capacity
Inspiratory reserve volume

Question 17

Lung parameters that decrease at term

Answer 17

Expiratory reserve volume
Residual volume
Functional residual capacity

Question 18

Pulmonary function testing effects of pregnancy on FEV 1

Answer 18

No change in pregnancy

Question 19

Pulmonary function testing effects of pregnancy on FVC

Answer 19

No change

Question 20

Pulmonary function testing effects of pregnancy on FEV 1/FVC

Answer 20

No change

Question 21

Pulmonary function testing effects of pregnancy on peak expiratory flow rate

Answer 21

No change

Question 22

Rate of vertical transmission of HSV with primary outbreak at time of delivery

Answer 22

40–80%

Question 23

Rate of vertical transmission of HSV with a recurrent outbreak at time of delivery

Answer 23

1.3-3%

Question 24

Risk of a uterine rupture in a woman with a history of a single low transverse hysterotomy scar

Answer 24

0.5%

Question 26

Risk of uterine rupture in a woman with two prior low transfers hysterotomy

Answer 26

One – 2%

Question 27

Risk of uterine rupture after a classical C-section

Answer 27

10%

Question 28

Prevalence of a disease is associated with what statistic

Answer 28

Positive predictive value and negative predictive value

Question 29

Associated cancers with BRAC1

Answer 29

Prostate and pancreas

Question 30

Cancers associated with BRCA2

Answer 30

Prostate Pancreas Melanoma

Question 32

What type of vaccine is the HPV vaccine?

Answer 32

Viral capsid protein

Question 33

Iota benign features

Answer 33

Unilocular cyst Solid component less than 7 mm Acoustic shadowing Smooth multilocular tumor No blood flow on Doppler

Question 34

Iota malignant features on ultrasound

Answer 34

Irregular solid tumor Ascites Greater than four papillary structures Solid component greater than 10 mm High color flow on Doppler

Question 35

Ultrasound findings of unilocular, hypoechoic cyst with diffuse, low level echoes and ground glass appearance

Answer 35

Endometrioma

Question 36

Ultrasound findings of partially echogenic mass with echogenic calcified components

Answer 36

Dermoid/teratoma

Question 37

Ultrasound findings of large multiloculated cystic mass with numerous thin

Answer 37

Mucinous cystadenoma

Question 38

Ultrasound findings of simple, thin, walled, anechoic cyst

Answer 38

Simple functional cyst

Question 39

Ultrasound criteria for PCOS of ovary

Answer 39

12 molecules on the periphery Volume greater than 10

Question 40

Stratification of risk of employ in high intermediate or low after first trimester. High risk offered invasive diagnostic testing, intermediate offered second trimester screening. Low risk offered no more screening

Answer 40

Contingent sequential screening

Question 41

First and second trimester screening completed results only given after second trimester screen results are back

Answer 41

Integrated screening

Question 42

Quad screening done between what gestational age

Answer 42

15+0–22+6

Question 43

What is tested in a quad screen?

Answer 43

AFP Estriol Hcg Inhibin A

Question 44

Stratified screening of high risk or low risk. High risk goes on to have diagnostic test testing in the second trimester. Low risk goes on to have quad screen in second trimester.

Answer 44

Step wise sequential screening

Question 45

Reasons for MRI for breast cancer screening

Answer 45

-History of chest radiation 10-30 -Age 25-29 with brac gene -20 percent life time risk -First degree relative with breast cancer gene mutation but pt untested 

Question 46

Phase one of parturition

Answer 46

Contractile unresponsivness Cervical softening

Question 47

Phase 2 of parturition

Answer 47

Uterine preparedness for labor Cervical ripening

Question 48

Phase 3 of partirition

Answer 48

Uterine contraction Cervical dilation Fetal and placenta expulsion

Question 49

Phase 4 of parturition

Answer 49

Uterine involution Cervical repair Breastfeeding

Question 50

Side effect of using PTU and pregnancy

Answer 50

Hepatotoxicity

Question 51

Side effect of using methimazole and pregnancy

Answer 51

Aplastia cutis Esophageal atresia Choanal atresia