OB/GYN

Question 1

Causes of ovarian torsion and when does it usually occur?

Answer 1

Ovarian cyst

14 weeks or right after delivery

Question 2

Dx of placenta abruption?

Answer 2

clinical

Question 3

How long does corpus luteum produce progesterone during gestation?

Answer 3

Till 10th to 12th weeks of gestation

Question 4

What are category III fetal heart abnormality?

Answer 4

Recurrent late and variable deceleration
Bradycardia
Sinusoidal pattern

Question 5

What symp would you see if a pt has pregnancy associated fatty liver disease?

Answer 5

Hypoglycemia

Question 6

What are the complication of intrahepatic cholistasis in pregnancy, PUPP and herpes gestationis

Answer 6

fetal preterm/demise for ICP
and none for PUPP
Neonate might get skin lesion from herpes gestationis

Question 7

What respiratory symp would you see with HELLP syndrome (aka severe preeclampsia)? and tx?

Answer 7

Pul edema

100% O2

Question 8

What is Posterior Reversible encephalopathy syndrome and how to tx it?

Answer 8

Headache/encephalopathy/seizure/visual problems

Tx: antiHTN. anti seizure and ICU

Question 9

Pt who has chronic HTN now develops proteinuria, what is it?

Answer 9

Superimposed preeclampsia

Question 10

Protein/Cr ratio in preeclampsia pt

Answer 10

> or = 0.3

Question 11

Pathophysiology of preeclampsia

Answer 11

Vasospasm and leaky vessels

Question 12

When does preeclampsia pt start to have HTN? and what drug should be avoided postpartum for these pts?

Answer 12

after 20 weeks GA so does gestational HTN

NSAIDS—>might increase BP

Question 13

What is the one complication of severe preeclampsia that necessitate delivery?

Answer 13

DIC

Question 14

See severe preeclampsia, aka HELLP, do?

Answer 14

Meg sulfate and deliver

Question 15

MC cause of death in woman with eclampsia

Answer 15

Intracerebral hemorrhage

Question 16

What to do with pt with mild preeclampsia at preterm and term?

Answer 16

Preterm —>expectant management

Term —>deliver

Question 17

What symp indicate preterm delivery with severe preeclampsia?

Answer 17

Pul edema and DIC

Question 18

What test is used to monitor prego with chronic HTN?

Answer 18

Biophysical profile

Question 19

First sign of Meg sulfate toxicity?

Answer 19

Hyporeflexia

Question 20

What test can you do to dx preterm labor, and what drugs to give to the mother

Answer 20

Fibronectin assay

Terbutaline, IV steroid and Meg Sulfate (prevent cerebral palsy)

Question 21

What are tocolytics?

Answer 21

Drugs that suppress preterm labor

like beta 2 agonist like terbutaline or indomethacin and nifedipine

Question 22

What anatomical features indicate high risk for preterm labor?

Answer 22

Short cervix or funneling

Question 23

Which infxn is strongly associated with preterm delivery

Answer 23

Gonococcal cervicitis

Question 24

Tocolytics would increase what post delivery?

Answer 24

Hemorrhage, since the uterus can’t contract, thus it is contraindicated in placenta abruption

Question 25

What does PPROM and what are the fetal symptoms? How do you dx it?

Answer 25

Chorioaminoitis Fetal tachycardia Gram stain via amniocentesis

Question 26

What should be give to pt with PPROM

Answer 26

Antibiotics

Question 27

What organism causes chorioaminoitis without PPROM?

Answer 27

Listeria

Question 28

What is the fetal sign of parvovirus infection?

Answer 28

Fetal hydrops--polyhydramnios

Question 29

What is the indication of severe fetal anemia on FHR?

Answer 29

Sinusoidal pattern

Question 30

What would you see on MCA Doppler with fetal anemia?

Answer 30

Increase flow

Question 31

Common causes of polyhydramnios ?

Answer 31

Fetal duodenal atresia | Isoimmunization

Question 32

When to deliver via C action vs vaginal for HIV or? And should the mother breast feed?

Answer 32

Viral load under 1000---vaginal Viral load over 1000---c section (before ROM) No breast feed

Question 33

What to give fetus once delivered with mother having hep B?

Answer 33

Hep B Ig and vaccination

Question 34

Tx for chlamydia infection during pregnancy?

Answer 34

PO azithromycin or amoxicillin

Question 35

Does c section effect transmission of hep C?

Answer 35

Nah

Question 36

Tx for hyperthyroidism during pregnancy

Answer 36

PTU in first trimester and then switch to methimazole

Question 37

What happens to the thyroid level during pregnancy?

Answer 37

Increase thyroid binding globulin and total T4

Question 38

What study helps to dx IUGR? And what finding on the study is worrisome?

Answer 38

Umbilical artery Doppler | Reverse end diastolic flow

Question 39

What can pyelonephritis cause in pregnant women?

Answer 39

Preterm labor or ARDS

Question 40

Pt presents with fever after c section, MC cause? And MC bacteria?

Answer 40

Endomyometritis | Anaerobic

Question 41

What would you give the pt before c section?

Answer 41

PPX abx

Question 42

Mastitis pt with persistent fever after 48 hours of abx

Answer 42

Abscess

Question 43

Tender mass in afebrile postpartum woman

Answer 43

Galactocele

Question 44

What hormones cause insulin resistance during pregnancy?

Answer 44

hPL Progesterone Cortisol

Question 45

What changes happens to CO, tidal volume and acid base during pregnancy?

Answer 45

Increased CO and tidal volume | Respiratory alkalosis

Question 46

When should pregnant mothers receive TdaP vaccine?

Answer 46

At 28-36 weeks regardless of prior vaccination

Question 47

How often do you do cervical cytology on HIV pt?

Answer 47

Every year

Question 48

Pathology of amenorrhea of athletes

Answer 48

Hypothalamic dysfunction--->low estrogen

Question 49

Pyelonephritis after hysterectomy, what is it and how to dx?

Answer 49

Urethral injury | CT

Question 50

MC site for ureteral injury

Answer 50

Cardinal ligament

Question 51

What to give before pt undergoes hysterectomy

Answer 51

First gen cephalosporin

Question 52

Continuous blood tinged drainage from incision site, diagnosis? And what if bowel protrude through it?

Answer 52

Fascial disruption | Evisceration

Question 53

Dx and risk factors of PID?

Answer 53

Laparoscopy | Nulliparity/IUD

Question 54

What's the more common cause of mucopurulent cervical discharge, chlamydia or gonnorrhea?

Answer 54

Chlamydia

Question 55

Period pain following menarche

Answer 55

Primary dysmenorrhea | Too much prostaglandins

Question 56

What's behind the groove sign?

Answer 56

LGV

Question 57

What drug to give pt before fibroid surgery?

Answer 57

GnRH agonist like leuprolide

Question 58

What level of B-hCG would you start see anything on u/s?

Answer 58

1500-2000