OB GYN

Question 0

What is the most common cause of secondary amenorrhea?

Answer 0

Pregnancy

Question 1

What are the most common ovarian growths?

Answer 1

Cysts

Question 2

What are the two most common causes of secondary amenorrhea in patients with normal estrogen?

Answer 2

Asherman Syndrome

PCOS

Question 3

What is another name for gonadal dysgenesis?

Answer 3

Turner’s Syndrome

Question 4

What lab test is diagnostic for menopause?

Answer 4

FSH > 30 mIU / mL (“when you see men pausing to check for fish”)

Question 5

Most common presentation of leiomyomata (uterine fibroid)?

Answer 5

vaginal bleeding

Question 6

What is recommended in most cases of leiomyomata?

Answer 6

observation

Question 7

What is most common gynecological cancer?

Answer 7

Endometrial (adenocarcinoma)

Question 8

What is the cardinal symptom of endometrial cancer?

Answer 8

vaginal bleeding

Question 9

What patient population is most common in endometriosis?

Answer 9

nulliparous, 30 yrs old

Question 10

Most common cause of androgen excess and hirsutism?

Answer 10

PCOS

Question 11

Bilateral enlarged cystic ovaries, amenorrhea and infertility are key features of this disease?

Answer 11

PCOS

Question 12

How will the ultrasound appear in a patient with PCOS?

Answer 12

“string of pearls” or “oyster ovaries”

Question 13

How is infertility of PCOS treated?

Answer 13

Clomiphene

Question 14

When is cervical intraepithelial neoplasia (CIN) most common?

Answer 14

women in their 20s

Question 15

CDC recommends which patients get HPV vaccine?

Answer 15

boys and girls age 11-12 (three injections over 5 months)

Question 16

What kind of cancer are women exposed to diethylstilbestrol (DES) at increased risk for?

Answer 16

clear cell adenocarcinoma

Question 17

What bug most commonly causes mastitis?

Answer 17

staph aureus

Question 18

What is antibiotic of choice for mastitis?

Answer 18

penicillinase resistant antibiotics (dicloxacillin)

Question 19

Most frequent benign condition of the breast?

Answer 19

fibrocystic breast disease

Question 20

What benign breast lesion is more common in black women?

Answer 20

fibroadenoma

Question 21

Most common cancer in women, and what kind specifically?

Answer 21

Breast cancer - infiltrating ductal carcinoma

Question 22

What ductal carcinoma presents with eczematous lesions of the nipple?

Answer 22

Paget’s disease of breast

Question 23

What is best screening test for breast cancer?

Answer 23

Mammogram

Question 24

What is the most effective form of contraception?

Answer 24

oral contraception

Question 25

What is the black box warning for IM Depo contraception?

Answer 25

osteoporosis - thus it should only be used for 2yrs

Question 26

Most common cause of infertility?

Answer 26

ovulatory disorders

Question 27

Physical exam finding of Pelvic Inflammatory Disease (PID)?

Answer 27

Chandelier sign

Question 28

Where should uterus be at 20 weeks gestation?

Answer 28

Umbilicus

Question 29

When should we hear fetal heart tones?

Answer 29

10 weeks

Question 30

What is bluish discoloration of vagina / cervix that is seen with pregnancy?

Answer 30

Chadwick Sign

Question 31

Where are most ectopic pregnancies located?

Answer 31

fallopian tube

Question 32

Most common cause of ectopic pregnancy?

Answer 32

adhesions

Question 33

Classic triad of ectopic pregnancy?

Answer 33

unilateral abdominal pain amenorrhea tenderness / mass on exam

Question 34

What HCG level should show evidence of an IUP?

Answer 34

1500 mU / mL

Question 35

What patients should receive RhoGam with an abortion?

Answer 35

Rh negative women

Question 37

How does a hydatiform mole present on ultrasound?

Answer 37

"grapelike vesicles" or "snow storm pattern"

Question 38

Most common cause of non-congenital malformation deaths in a neonate?

Answer 38

preterm delivery

Question 39

What is a major risk factor of premature rupture of membranes?

Answer 39

infection

Question 40

What test can confirm rupture of membranes / spilling of amniotic fluid?

Answer 40

Nitrazine paper and the "fern test"

Question 41

What is administered to enhance fetal lung maturity if <34 weeks old?

Answer 41

betamethasone

Question 42

What is classic triad of pre-eclampsia?

Answer 42

HTN edema proteinuria

Question 43

What is HELLP syndrome?

Answer 43

Hemolysis Elevated LFTs Low Platelets

Question 44

Most common risk factor for pre-eclampsia?

Answer 44

nulliparity

Question 45

First line medication to decrease risk of seizure in mild pre-eclampsia?

Answer 45

Magnesium Sulfate

Question 46

Antihypertensives in pregnant patients?

Answer 46

Hydralazine or Labetalol

Question 47

What is administered to Rh-negative pregnant females at 28 weeks?

Answer 47

RhoGam

Question 48

Test to measure feto-maternal hemorrhage?

Answer 48

Kleihauer-Betke (KB) stain

Question 49

What is the condition that develops if Rh-incompatibility leads to severe fetal anemia and death?

Answer 49

Hydrops fetalis

Question 50

Most common cause of third trimester bleeding? When does it occur?

Answer 50

Abruptio placenta, occurs after 20wks

Question 51

What is major symptom in abruptio placenta?

Answer 51

painful vaginal bleeding

Question 52

What is contraindicated in patient with placenta previa?

Answer 52

digital exam

Question 53

What is key difference between placenta previa and abruption?

Answer 53

previa is painless

Question 54

What time interval is APGAR assessed?

Answer 54

1min and 5min

Question 55

What medication decreases blood loss by stimulating contractions?

Answer 55

oxytocin

Question 56

What is the leading indication for C-section?

Answer 56

dystonia

Question 57

When is endometritis most common?

Answer 57

after C-section or PPROM >24hrs before delivery

Question 58

What is first line treatment for endometritis?

Answer 58

Clindamycin + Gentamycin