OB/GYN

Question 1

tx of N/V in pregnancy that is not hyperemesis gravidarum?

Answer 1

lifestyle changes, bland food and small freq meals

vit B6 and doxylamine

diphenhydramine

meclizine

ondansetron

Question 2

when during pregnancy should triple screen be performed?

Answer 2

15-20 weeks

Question 3

when during pregnancy should screening for gestational diabetes be done?

Answer 3

24-28 weeks

Question 4

when during pregnancy do you give RhoGAM?

Answer 4

28 weeks, after delivery, fetomaternal hemorrhage

Question 5

when do you screen for GBS in pregnancy?

Answer 5

35-37 weeks

Question 6

how do you treat positive syphilis in pregnancy to patient allergic to PCN?

Answer 6

PCN G IM after desensitization

Question 7

teratogen associated with ebstein cardiac anomaly?

Answer 7

lithium

Question 8

teratogen associated with clear cell adenocarcinoma of vagina?

Answer 8

diethylstilbestrol

Question 9

teratogen associated with microcephaly, intellectual disability, smooth philtrum

Answer 9

alcohol

Question 10

teratogen associated with gray baby syndrome

Answer 10

chloramphenicol

Question 11

teratogen associated with phocomelia

Answer 11

thalidomide

Question 12

teratogen associated with craniofacial anomalies, fingernail hypoplasia, developmental delay

Answer 12

phenytoin

Question 13

abx for tx of PID: outpatient and inpatient?

Answer 13

outpatient: cef + doxy
inpatient: cef + doxy IV or clinda + gent

Question 14

increased AFP on second trimester maternal serum screening?

Answer 14

neural tube defects, abd wall defects, multiple gestations, incorrect dating

Question 15

decreased AFP, decreased estriol, increased hCG

Answer 15

down syndrome

Question 16

decreased AFP, decreased estriol, decreased hCG

Answer 16

trisomy 18

Question 17

What does fetal heart rate pattern of early deceleration indicate?

Answer 17

head compression

Question 18

what does fetal heart rate pattern of variable deceleration indicate?

Answer 18

umbilical cord compression

Question 19

what does fetal heart rate pattern of late deceleration indicate?

Answer 19

fetal hypoxia

Question 20

what does fetal heart rate pattern of sinusoidal indicate?

Answer 20

severe fetal anemia

Question 21

tx of molar pregnancy?

Answer 21

suction curettage

serial beta-hcg

Question 22

tx of urge incontinence?

Answer 22

lifestyle, antimuscarinic (oxy, tolterodine)

Question 23

tx of intrahepatic cholestasis in pregnancy?

Answer 23

ursodeoxycholic acid, early delivery, hydroxyzine

Question 24

Cause of amenorrhea in ballet dancer with eating disorder?

Answer 24

functional hypothalamic amenorrhea

Question 25

Cause of amenorrhea with short stature, low set ears, webbed neck?

Answer 25

turner syndrome

Question 26

Cause of amenorrhea following dilation and curettage after spontaneous abortion?

Answer 26

asherman syndrome

Question 27

Cause of amenorrhea following cyclic pelvic pain + blue buldge at introitus on exam

Answer 27

imperforate hymen

Question 28

Cause of amenorrhea with elevated testosterone level and no axillary or pubic hair on exam

Answer 28

androgen insensitivity syndrome

Question 29

Cause of amenorrhea with overweight female with acne and hirsutism

Answer 29

PCOS

Question 30

Cause of amenorrhea with postpartum patient unable to breastfeed

Answer 30

sheehan syndrome

Question 31

Cause of amenorrhea with patient with anosmia

Answer 31

Kallmann syndrome

Question 32

Cause of amenorrhea with patient with galactorrhea

Answer 32

prolactinoma

Question 33

Cause of amenorrhea with most common cause?

Answer 33

pregnancy

Question 34

tx of gardnerella vaginalis and presentation?

Answer 34

thin, gray-white fishy odor with clue cells and whiff test tx: metronidazole, clinda

Question 35

tx of candida vaginal discharge?

Answer 35

thick, white, cottage cheese like tx: oral fluconazole, topical clotrimazole, miconazole, nystatin

Question 36

tx of trich vaginalis

Answer 36

frothy yellow/green color tx: metronidazole

Question 37

tx of endometritis?

Answer 37

gent + clinda

Question 38

tx of mastitis?

Answer 38

continue breast feeding dicloxacillin vanc I&D for abscess