O&G

Question 1

Primary causes of third trimester bleeding

Answer 1

Placental abruption & placenta previa

Question 2

Classic ultrasonography and gross appearance of complete hydatidiform mole

Answer 2

USS: snowstorm

Gross ex: cluster of grapes appearance

Question 3

Chromosomal pattern of a complete mole

Answer 3

46,XX

Question 4

Molar pregnancy containing fetal tissue

Answer 4

Partial mole

Question 5

Symptoms of placental abruption

Answer 5

Continuous, painful vaginal bleeding

Question 6

Symptoms of placenta previa

Answer 6

Self limited, painless vaginal bleeding

Question 7

When should a vaginal exam be performed with suspected placenta previa?

Answer 7

Never

Question 8

Teratogenic antibiotics?

Answer 8

Tetracycline
Fluoroquinolones
Aminoglycosides
Sulphonamides

Question 9

Medication given to accelerate fetal lung maturity

Answer 9

Betamethasone or dexamethasone x 48hrs

Question 10

The most common cause of postpartum haemorrhage

Answer 10

Uterine atony

Question 11

Treatment for postpartum haemorrhage

Answer 11

Uterine massage

If massage fails give oxytocin

Question 12

Typical antibiotics for Group B strep (GBS) prophylaxis

Answer 12

IV penicillin or ampicillin

Question 13

A patient fails to lactate after an emergency C-section etc marked blood loss

Answer 13

Sheehan’s syndrome (postpartum pituitary necrosis)

Question 14

Uterine bleeding at 18 weeks gestation; no products expelled; cervical os open

Answer 14

Inevitable abortion

Question 15

Uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed

Answer 15

Threatened abortion

Question 16

The first test to perform when a woman presents with amenorrhoea

Answer 16

b-HCG

Most common cause of amenorrhoea is pregnancy

Question 17

Term for heavy bleeding during and between menstrual periods

Answer 17

Menometorrhagia

Question 18

Cause of amenorrhoea with normal prolactin, no response to estrogen-progesterone challenge, and history of D&C

Answer 18

Asherman syndrome

Question 19

Therapy for polycystic ovarian syndrome

Answer 19

Weight loss & OCPs

Consider metformin

Question 20

Medication used to induce ovulation

Answer 20

Clomiophene citrate

Question 21

Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding

Answer 21

Endometrial biopsy

Question 22

Indications for medical treatment of ectopic pregnancy

Answer 22

Patient stable;

Unruptured ectopic pregnancy of <3.5cm at <6 weeks gestation

Question 23

Medical options for endometriosis

Answer 23

OCP, danazol, GnRH agonists

Question 24

Laparoscopic findings in endometriosis

Answer 24

Powder Burma & chocolate cysts

Question 25

Most common location for an ectopic pregnancy

Answer 25

Ampulla of oviduct

Question 26

Diagnosis and follow up of leiomyoma

Answer 26

Ultrasonography

Question 27

Natural history of leiomyoma

Answer 27

Regresses after menopause

Question 28

A patient has increased vaginal discharge and petechia patches in the upper vagina and cervix

Answer 28

Trichomonal vaginitis

Question 29

Treatment for bacterial vaginosis

Answer 29

Oral metronidazole

Question 30

Most common cause of bloody nipple discharge

Answer 30

Intraductal papilloma

Question 31

Contraceptive methods that protect against PID

Answer 31

OCP & barrier contraception

Question 32

Unopposed oestrogen is contraindicated in which cancers?

Answer 32

Endometrial & ER + breast cancers

Question 33

A patient presents with recent PID & RUQ lain

Answer 33

Consider Fitz-Hugh-Curtis syndrome

Question 34

Breast malignancy presenting as itching, burning, and erosion of the nipple

Answer 34

Pager disease

Question 35

Annual screening for women with a strong family history of ovarian cancer

Answer 35

Ca-125 and TVUS

Question 36

A 50 year old woman leaks urine when laughing or coughing. | Non surgical options?

Answer 36

Kegel exercises, oestrogen, pessaries for stress incontinence

Question 37

A 30 year old woman has unpredictable urine loss. Examination is normal. Medical options?

Answer 37

Anticholinergics (oxybutinin) or b-adrenergics (metaproterenol) for urge incontinence

Question 38

Lab values for suggestive of menopause

Answer 38

Raised serum FSH

Question 39

Most common cause of female infertility

Answer 39

Endometriosis

Question 40

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow up evaluation?

Answer 40

Colposcopy & endocervical curettage

Question 41

Breast cancer type that increases the future risk of invasive carcinoma in both breasts?

Answer 41

Lobular carcinoma in situ