OB-GYN

Question 1

Which vaccines are contraindicated in pregnant women?

Answer 1

MMR and varicella (live)

Question 2

What progesterone level suggests a normal, healthy pregnancy? What progesterone level suggests an abnormal pregnancy?

Answer 2

> 25

<5

Question 3

What do early decelerations represent? Variable decels?

Answer 3

head compression during contraction

cord compression

Question 4

What fetal defect is seen with exposure to valproic acid?

Answer 4

neural tube defects

Question 5

What medication can cause hyperprolactinemia and subsequent infertility?

Answer 5

imipramine

Question 6

What is the recommended dose of folic acid for women who have had previous neural tube defects in pregnancies? In low risk patients?

Answer 6

4mg/day

.4mg/day

Question 7

Which antidepressant is contraindicated in pregnant patients?

Answer 7

paroxetine (paxil)

Question 8

What are some things that can complicate pregnancies with IUGR?

Answer 8

polycythemia
meconium aspiration
fetal demise
perinatal demise
NOT polyhydramnios

Question 9

What are the three critical elements for secondary sexual characteristics?

Answer 9

adequate body weight
sleep
optic exposure to sunlight

Question 10

What is the difference b/w a D&C and a dilation and evacuation for an abortion?

Answer 10

curretage - before 16 wks

evacuation - after 16 wks

Question 11

What is an effect of terbuatline when given to control preterm labor?

Answer 11

tachycardia (also hypotension and anxiety, chest pain)

Question 12

Which tocolytic is contraindicated in asthma?

Answer 12

prostaglandin F2 alpha

Question 13

How much of a fetal strip do you need to determine a rate?

Answer 13

at least 2 minutes of a 10 min segment at baseline

Question 14

What constitutes a prolonged accel?

Answer 14

2-10 min

Question 15

What are some causes of cord compression?

Answer 15

cord prolapse
nuchal cord
oligo
true knot of cord
short cord

Question 16

What constitutes a category III fetal heart strip?

Answer 16

sinusoidal pattern

absent btbv and any one of: recurrent late decels, recurrent variable decels, bradycardia

Question 17

What is the PALM-COIEN classification scheme for AUB?

Answer 17

P - polyps
A - adeno
L - leiomyoma
M - malignancy/hyperplasia
C - coagulopathy
O - ovulatory dysfunction
E - endometrial
I - iatrogenic
N - not yet classified

Question 18

What are the main symptoms of adeno?

Answer 18

secondary dysmenorrhea and HMB

Question 19

What is an appropriate post void residual volume in the bladder?

Answer 19

50 mL

Question 20

What can recurrent mid second tri losses indicate?

Answer 20

cervical insufficiency

Question 21

What is the general management scheme for preterm labor?

Answer 21

BASH
betamethasone
amp/gent
sedation
hydration

Question 22

When should GDM patients be normotensive by?

Answer 22

12 wks PP

Question 23

What are therapeutic levels of magnesium sulfate?

Answer 23

4.9-8.5 (loss of DTRs can begin at 8)

Question 24

What is the antidote for magnesium toxicity?

Answer 24

calcium gluconate

Question 25

``` What is the timing of separation for different types of twins? mono mono? mono chorionic di amniotic? di di? conjoined? ```

Answer 25

day 8 days 3-8 division by 3 days after day 12

Question 26

When should N/V in pregnancy be suspicious for something else?

Answer 26

onset is after 9 wks

Question 27

What is the treatment for mitral valve prolapse even during pregnancy?

Answer 27

beta blockers

Question 28

What is the treatment for anti phospholipid Ab syndrome?

Answer 28

aspirin plus heparin

Question 29

What antral follicle count is considered normal?

Answer 29

>10 in each ovary

Question 30

How does clomiphene citrate work to induce ovulation?

Answer 30

inhibits estrogen feedback so LH and FSH can be released - must have intact normal HP axis

Question 31

What is the timeline for PP psychosis?

Answer 31

presents w/i 1-2 wks, follow up in 1 wk if risk factors

Question 32

What are contraindications to breastfeeding?

Answer 32

``` HIV pos Active TB chemo or radioactive therapy infant has galactosemia mom uses illegal drugs ```

Question 33

What is the only form of contraception you can use if you have breast cancer currently?

Answer 33

copper IUD

Question 34

Which birth control method do you have to be extremely careful with if cervical cancer?

Answer 34

IUDs

Question 35

What are the tumor markers for dysgerminomas and granulosa cell tumors?

Answer 35

d - LDH | g - inhibin B

Question 36

Which are the only cancers staged clinically rather than surgically?

Answer 36

cervical and vaginal

Question 37

How much blood volume must a young healthy person lose to show symptoms of blood loss?

Answer 37

15-30% blood volume

Question 38

How will AFLP present?

Answer 38

hypoglycemia and jaundice

Question 39

What are infant complications of diabetic moms?

Answer 39

hypoglycemia, hypocalcemia, hyperbilirubinemia, polycythemia

Question 40

When should fetal heart tones be auscultated?

Answer 40

10-12 wks

Question 41

When is the earliest time for quickening?

Answer 41

17-18 wks

Question 42

What changes are seen on a quad screen in Downs?

Answer 42

AFP and estriol down | hCG and inhibin A up

Question 43

When can CVS be performed?

Answer 43

10-12 wks | limb defects if before 9

Question 44

What does a sinusoidal FHR tracing suggest?

Answer 44

serious fetal anemia

Question 45

What does a a reduction or reversal of UA diastolic flow suggest?

Answer 45

IUGR

Question 46

What does a BPP consist of?

Answer 46

fetal tone, breathing, movement, AFI, NST

Question 47

What are CIs to anesthesia during labor?

Answer 47

refractory hypotension, coagulopathy, LMWH w/i 12 hrs, untreated bacteremia, increased ICP

Question 48

What is the management of the fetus with a diabetic mom?

Answer 48

NSTs beginning at 30-32 wks

Question 49

What do picket fence hectic fevers indicate?

Answer 49

septic pelvic thrombophlebitis - give broad abx and heparin

Question 50

What are the 7 W's of PP fever?

Answer 50

womb, wind, water, walk, wound, weaning, wonder drugs