NBME #3 Flashcards Preview

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Flashcards in NBME #3 Deck (24):
1

Per the NBME, what is the "most serious" complication of an infected Bartholin gland abscess with cellulitis past the site of infection?

Necrotizing fasciitis (even more so than sepsis)

2

What does fetal fibronectin indicate?

That preterm labor is likely (it leaks from the uterus into the vagina)

3

What test is predictive of IUFD in a woman with preeclampsia?

Doppler of the umbilical artery

4

The Kleihauer-Betke acid elution test shows _______________.

how much fetal blood has entered the mother (which can predict likelihood of Rh-antibody development)

5

Which test is used to see if the mom has antibodies?

Indirect Coombs (her plasma on another's RBCs)

6

If a woman has a total hysterectomy, how long does she need cervical cancer screening?

• If no abnormal Pap smears in the past, then stop screening.
• If there is a history of cervical cancer, then continue for 20 years.

7

What is the difference between fibrocystic change and a fibroadenoma?

• Fibroadenoma is a benign tumor that is responsive to estrogen.
• Fibrocystic change are cysts that are not proliferative. They are more often bilateral.

8

One of the only effective prophylactic measures for UTI prevention in women is ____________.

voiding after coitus

9

The uterus of a woman with cervical stenosis may be ______________.

enlarged and tender

10

A rigid and tender abdomen could be a sign of what obstetric emergency?

Placental abruption

11

Which drug is superior in the prophylaxis of osteoporosis, alendronate or calcitonin?

Alendronate

12

In addition to the classic description of thick discharge, vaginal candidiasis can also present as ____________.

no discharge with erythematous vaginal walls

13

Movement above ___º above the plane of the body is diagnostic of urethrocele.

30

14

___________ during labor can cause apnea, hypotension, and cyanosis.

Amniotic fluid embolism

15

Polyhydramnios and skin thickening are suggestive of ______________.

hydrops fetalis

16

Having "no cervix on palpation" and a baby visible in the vaginal canal are signs suggestive of ____________.

an incompetent cervix

17

Heavy menstrual bleeding can be treated with cyclic ___________.

progesterone

18

The most common type of cervical cancer is _____________.

squamous cell carcinoma

19

What is a common cause of hyaline membrane disease in newborns?

High insulin states

20

A woman comes in with hyperemesis. What lab is important in evaluating the severity of her symptoms?

Urinary ketones

21

If a woman has no presenting part in labor, what test can you do to help determine the proper next step in management?

Ultrasound

22

Endometritis is most often a ____________ infection.

polymicrobial

23

Granulosa cell tumors often present with large ____________.

uterus (because of the estrogen)

24

Young women should be screened for which STI?

Chlamydia

Decks in Women's Care Class (52):