OB/GYN 2

Question 1

tocolytic that can cause respiratory depression

Answer 1

magnesium sulfate

Question 2

tocolytics that cause pulmonary edema

Answer 2

terbutaline

ritodrine

Question 3

indications for RhoGAM in abortion or ectopic pregnancy removal for mother whose blood type is neg and Ab neg

Answer 3

50 units if 12 weeks

Question 4

med to tx magnesium toxicity

Answer 4

calcium gluconate

Question 5

meds for severe preeclampsia

Answer 5

antihypertensives
corticosteroids (improve liver and platelet function to prolong pregnancy and to mature fetus’s lungs)
magnesium (antiseizure prophylaxis)

Question 6

first line antihypertensive

Answer 6

labetalol

Question 7

ADR of aromatase inhibitors

Answer 7

myalgias

Question 8

ADR of tamoxifen

Answer 8

endometrial ca

Question 9

first line antidepressants for pregnant and also one to avoid

Answer 9

use: fluoxetine, sertraline, citalopram
avoid: paroxetine (congenital malformations first trimester)

Question 10

fetal presentation better for spontaneous vaginal delivery

Answer 10

OA

Question 11

tx endometrial hyperplasia w/o atypia (1st - 3rd line tx)

Answer 11

progestin (cyclic progestin or IUD)
endometrial ablation if that doesn’t work
hysterectomy if that doesn’t work

Question 12

indications for giving baby varicella IG

Answer 12

if baby is born within 5 days before mom sxs or 2 days after mom sxs
if baby is born prematurely and mom had sxs

Question 13

mom had varicella around baby’s birth. when is baby ok

Answer 13

if born more than 5 days after sxs

Question 14

first step in management of painless postmenopausal vaginal bleeding

Answer 14

transvaginal ultrasound

Question 15

endometrial thickness that rules out endometrial CA

Question 16

management of severe preeclampsia (ex: 4+ protein)

Answer 16

give magnesium sulfate for seizure prophylaxis

induce labor

Question 17

when to administer Tdap

Answer 17

27-36 weeks gestation

Question 18

uterotonic CI in hypertension

Answer 18

methylergonovine

Question 19

uterotonic CI in asthmatics

Answer 19

carboprost

Question 20

first line for nausea and vomiting in pregnancy

Answer 20

doxylamine (Unisom) and vit B6