OB

Question 1

excessive/inadequate preg weight gain?

Answer 1

excessive: > 1.g kg/mo
inadequate:

Question 2

how much wt gain if underweight and preg?

Answer 2

12-18kg

Question 3

how much wt gain if normal wt and preg?

Answer 3

11-16kg

Question 4

how much wt gain if overwt and preg?

Answer 4

7-11 kg

Question 5

how much wt gain if obese and preg?

Answer 5

7 kg

Question 6

folic acid supplementation amts in preg?

Answer 6

0.4 mg/d if no hx of NTD

4 mg/d if hx

Question 7

recommended supplementation in preg?

Answer 7

folic acid
iron
calcium
vit d and B12 if vegetarian

Question 8

renal flow change in preg?

Answer 8

increases 25-50%

Question 9

GFR change in preg?

Answer 9

increases to 50 and then plateaus

Question 10

HR change in preg?

Answer 10

increases 20%

Question 11

BP change in preg

Answer 11

decreases 10% by 34wks GA, then back to normal

Question 12

stroke vol change in preg?

Answer 12

increases until 19wks, then plateaus

Question 13

cardiac output change in preg?

Answer 13

rapid rise by 20% then gradual 10% rise by 28 wks

Question 14

pulm changes in preg?

Answer 14

tidal volume increases 30-40%
minute volume increases 40%
expiratory reserve decreases

RR and VC unchanged

Question 15

hematologic changes in preg?

Answer 15

increase in blood volume by 50% (2nd tri)
hematocrit decreases
fibrinogen increases

Question 16

what prenatal testing at first visit?

Answer 16

CBC, Rg, type and screen
UA and cx, rubella, HBV, RPR/VDRL, gonorrhea and chlamydia, PPD, HIV, Pap

HbA1c and sickle testing if needed
genetic screening if indicated

Question 17

when do triple screen?

Answer 17

9-14 weeks

Question 18

what’s on triple screen?

Answer 18

PAPP-A
nuchal translucency
bHCG

Question 19

when do quad screen?

Answer 19

15-22 weeks

Question 20

what’s on quad screen?

Answer 20

MSAFP
estriol
HCG
inhibin A

Question 21

when do anatomic screen?

Answer 21

18-20 weeks

Question 22

when do GDM screen?

Answer 22

24-28 weeks

Question 23

when do RhoGAM for Rh- women?

Answer 23

28-30 weeks

Question 24

when do GBS screen?

Answer 24

35-40 weeks

Question 25

when to repeat G/C, HIV, RPR tests in preg screening?

Answer 25

34-40 weeks if high risk

Question 26

quad screening in Downs?

Answer 26

MSAFP and estriol DECREASED | inhibin and HCG INCREASED

Question 27

quad screening in trisomy 18?

Answer 27

everything down

Question 28

timing of CVS vs amniocentesis?

Answer 28

CVS: 10-12 weeks amnio: 15-20 weeks

Question 29

risks of CVS?

Answer 29

1% risk of fetal loss | limb defects if done at

Question 30

risks of amniocentesis?

Answer 30

PROM chorioamnionitis fetal-maternal hemorrhage

Question 31

indications for amnio?

Answer 31

>35 yo at delivery abnl quad screen Rh-sensitized pregnancy L:S or phosphatidylglycerol detection

Question 32

when do CS for HIV+ preg?

Answer 32

VL > 1000

Question 33

toxo ppx in preg?

Answer 33

spiramycin in 3rd tri

Question 34

marked variability in FHR?

Answer 34

(> 25 bpm) | fetal hypoxia

Question 35

sinusoidal variability in FHR?

Answer 35

serious fetal anemia

Question 36

early decels mean?

Answer 36

head compression

Question 37

late decels mean?

Answer 37

uteroplacental insufficiency

Question 38

variable decels mean?

Answer 38

cord compression

Question 39

how many accels in normal NST?

Answer 39

> 2

Question 40

positive oral glucose challenge test?

Answer 40

>140 | --> then get 3 hr OGTT

Question 41

tx HTN in preg?

Answer 41

no ACEi or diuretics (uterine ischemia) | --> methyldopa, labetalol, nifedipine

Question 42

picket fence fever post partum?

Answer 42

septic pelvic thrombophlebitis dx: BCx and CT tx: ABx and anticoag

Question 43

marker of epithelial ovarian tumor?

Answer 43

CA-125

Question 44

marker of endodermal sinus ovarian tumor?

Answer 44

AFP

Question 45

marker of embryonal carcinoma ovarian tumor?

Answer 45

AFP, hCG

Question 46

marker of choriocarcinoma?

Answer 46

hCG

Question 47

marker of dysgerminoma ovarian tumor?

Answer 47

hCG

Question 48

marker of granulosa cell ovarian tumor?

Answer 48

inhibin