ob/gyne

Question 1

work up for dysfxnal uterine bleeding

Question 2

endometriosis - sx, dx, tx

Question 3

uterine leiomyoma (aka fibroids) - presentation, tx

Question 4

at what size is an ovarian cyst at risk for torsion

Question 5

“string of pearl” sign is an ultrasound finding of what dz?

Answer 5

PCOS

Question 6

follicular vs corpus luteum vs theca lutein cyst

Question 7

MC type of ovarian cancer

Question 8

RF for ovarian cancer

Question 9

ovarian cancer - presentation, w/u, management

Question 10

what are the routine screening guidelines for cervical dysplasia/cancer

Question 11

what are your next steps following an abnormal pap?

Question 12

what are RF for incompetent cervix? how does this manifest, complications, and what is done for tx?

Question 13

cervicitis

Answer 13

*if one has been exclude (neg test) cotx not needed

Question 14

pt is positive for gonorrhe, weight is > 150 kg, how do we treat?

Answer 14

1 g ceftriaxone IM

*if less than 150 kg, dose is 500 mg ceftriaxone IM

Question 15

PID risk factors and presentaion

Question 16

how is PID dx

Question 17

outpatient PID tx?
inpatient PID tx?
criteria for hospitalization?

Question 18

compare the three types of infectious vaginitis

Question 19

what is the MC type of vulvar/vaginal neoplasm? RF? What do you do if you suspect this?

Question 20

MCC secondary amenorrhea

Answer 20

pregnancy

Question 21

how do you differenitate between PMDD vs PMS

Question 22

when evaluating a pt for perimenopause/menopause, would you expect FSH to be low or high?

Answer 22

high - > 25 IU/L

Question 23

describe the general w/u for infertility

Question 24

what are absolute contraindications for OCPs?

Answer 24

• thrombophlebitis, thromboembolic dz
• undiagnosed abnormal vaginal bleeding
• cerebral vascular dz
• known or suspected pregnancy
• coronary occlusion
• smoker > 35 y/o
• impaired liver fxn
• congenital hyperlipidemia
• known or suspected breast cancer
• hepatic neoplasm

relative: migraines, severe HTN, on sz meds

Question 25

what abx are used in mastitis

Answer 25

dicloxicillin cephalexin clindamycin

Question 26

compare/contrast benign breast conditions

Question 27

what is the most common type of breast cancer

Answer 27

infiltrating/invasive ductal carcinoma

Question 28

pt presents with breast pain, what is the first thing you want to r/o?

Answer 28

PREGNANCY

Question 29

breast cancer

Question 30

inflammatory breast cancer has what physical exam finding?

Answer 30

Peau d'orange

Question 31

redness, scaling, flaking of nipple and retraction (eczema like presentation on the nipple) is concerning for what type of breast cancer?

Answer 31

Pagets disease of the breast

Question 32

pregnancy diagnosis stuff

Question 33

what is Naegele's rule?

Answer 33

first day of LMP, **add 7 days** and **subtract 3 months**

Question 34

add prenatal care stuff

Question 35

what are the stages of labor

Question 36

define lie, presentation, and cervical changes as it relates to labor

Question 37

order of the movements of labor

Question 38

what are the types of abortion

Question 39

what is placenta previa? who gets it, how does it present, dx and managment in pregnancy

Question 40

what is the MCC of third trimester bleeding

Question 41

what is the main difference between placenta previa vs placental abruption

Question 42

what are the indications for a c-section

Question 43

in placenta previa, how far away does the placenta need to be from the os in order to safely proceed with a vaginal birth?

Answer 43

at least 2 cm

Question 44

ectopic pregnancy - managment

Question 45

signs on NST that are concerning for fetal distress? what could they indicate?

Answer 45

## Footnote VEAL - CHOPs

Question 46

when is screening for gestational diabetes? next steps if screening is positive? why do we care?

Question 47

in a pregnant pt, "snowstorm" pattern and "grape-like" vesicles visualized on US with markedly elevated bHCG levels and enlarged uterus is concerning for what?

Answer 47

gestational trophoblastic disease - hydatidiform mole

Question 48

management of gestational trophoblastic dz?

Answer 48

1. D&C - need complete evacuation and eval of abnormal cells ASAP 2. follow with bHCG weekly till neg x3 3. chemo if some cells remain 4. waiting period for conception

Question 49

gestational hypertension vs chronic hypertension in pregnancy

Question 50

how do we get from gestational hypertension --> preeclampsia --> eclampsia?

Question 51

how do we prevent preeclampsia

Answer 51

start pt on baby aspirin

Question 52

who is at risk for preeclampsia?

Question 53

what is HELLP syndrome?

Question 54

preeclampsia with severe features

Question 55

preeclampsia managment

Question 56

who is at risk for twin-twin transfusion

Question 57

post partum hemorrhage - what is the MCC, other causes, tx?

Question 58

PROM vs PPROM

Question 59

Rh incompatibility