OB/GYN

Question 1

age to do endometrial biopsy for intermenstrual bleeding

Answer 1

at least 35 yo

Question 2

when to do C section w/o trial of labor for size

Answer 2

4500 g if DM

5000 g if no DM

Question 3

vacuum assisted delivery increases risk of

Answer 3

cephalohematoma
retinal hemorrhage
shoulder dystocia

Question 4

cause of bilateral nipple pain in breastfeeding woman during and between

Answer 4

candida

Question 5

Tx of PCOS for ovulation induction

Answer 5

metformin and clomiphene +/- rosiglitazone

Question 6

prevention of seizures in eclampsia patient

Answer 6

magnesium sulfate

Question 7

Tx of nausea vomiting in pregnant

Answer 7

doxylamine (Unisom) and Vit B6

Question 8

tx of intrahepatic cholestasis of pregnancy

Answer 8

ursodiol

Question 9

sxs of intrahepatic cholestasis of pregnancy

Answer 9

pruritus
incr bile acids
incr bili
incrAST
incr ALT

Question 10

pruritus
incr bile acids
incr bili
incrAST
incr ALT

Answer 10

intrahepatic cholestasis of pregnancy

Question 11

age for primary amenorrhea

Answer 11

15

Question 12

definition of secondary amenorrhea

Answer 12

no menses at least 3 times

Question 13

mgmt of heavy menstrual bleeding

Answer 13

30 D+C

Question 14

1st line for vaginal atrophy

Answer 14

vaginal estrogen

Question 15

workup of primary amenorrhea

Answer 15

pelvic US

Question 16

workup of secondary amenorrhea

Answer 16

TSH, LH, FSH

Question 17

when to tx gestational DM

Answer 17

fasting glucose >100

Question 18

NL / high LH and decr FSH

Answer 18

PCOS

Question 19

placental abruption vs placenta previa

Answer 19

abruption: painful bleeding
previa: painless bleeding

Question 20

young female w/ abnormal uterine bleeding, tx

Answer 20

cyclic progestin (levonorgestrel IUD)

Question 21

tx for PMS

Answer 21

spironolactone during the luteal phase

Question 22

pt found to have HSIL… in what patients can tx be deferred

Answer 22

adolescents

Question 23

DVT during pregnancy. What to do after delivery?

Answer 23

continue for 6 wks with warfarin or LMWH

Question 24

Tx hirsutism from PCOS

Answer 24

spironolactone
metformin
eflornithine

Question 25

when to screen for gestational diabetes (gestational weeks)

Answer 25

24-28 wks

Question 26

what gestational age do you use crown rump length vs biparietal diameter, femur length, etc

Answer 26

CRL for 11 wks

Question 27

defn of postpartum urinary retention

Answer 27

post void bladder residual > 150 cc 6 hrs or more after delivery

Question 28

management of postpartum urinary retention

Answer 28

intermittent self cath or transurethral catheter until spontaneous micturition

Question 29

intrahepatic cholestasis of pregnancy involves elevation of

Answer 29

bile acids

Question 30

itchy during 3rd trimester

Answer 30

intrahepatic cholestasis of pregnancy

Question 31

best med management for antiphospholipid antibody syndrome

Answer 31

ASA and heparin

Question 32

management of…
HPV + for 16 or 18
HPV + for not 16 or 18

Answer 32

HPV + for 16 or 18: immediate colposcopy

HPV + for not 16 or 18: repeat in 1 yr, if + again, do colposcopy

Question 33

pap result most likely cancerous

Answer 33

AGC-NOS - atypical glandular cells not otherwise specified

Question 34

definition of preeclampsia

Answer 34

HTN > 140/90 after 20 WGA
and
300 mg protein in 24 hr urine

Question 35

management of HELLP syndrome

Answer 35

IOL with oxytocin if cervix favorable

C section if cervix unfavorable

Question 36

epidurals associated w/ increased…

Answer 36

duration 2nd stage of labor
rate of instrument assisted deliveries
maternal fever

Question 37

management of baby of HepB pos mother

Answer 37

vacc + IVIG w/in 12 hrs of birth
2nd vacc @ 1-2 mos
3rd vacc @ 6 mos

Question 38

CI to IUD

Answer 38

high risk of STD (>1 sexual partner)

Question 39

when can you just monitor ovarian cysts

Answer 39

when

Question 40

absolute CI to estrogen replacement therapy

Answer 40

h/o breast CA
abnormal genital bleeding
thromboembolic d/o