OB Miscellaneous

Question 1

If a thin endometrial stripe is seen, what does that mean?

Answer 1

Uterus is EMPTY

Question 2

What will be seen on US with a Monochorionic Monoamniotic gestation?

Answer 2

NO divide between fetuses

Question 3

What will be seen on US with a Monochorionic Diamniotic gestation?

Answer 3

T sign

Question 4

What will be seen on US with a Dichorionic Diamniotic gestation?

Answer 4

Lambda sign

Question 5

Oligohydramnios is often due to?

Answer 5

Uteroplacental insufficiency

Question 6

With IUFD, if there are abnormalities seen on the placenta/vessels, what etiologies should be explored?

Answer 6

Infectious

Question 7

How may Cervical Insufficiency present?

Answer 7

• Cervical length < 2.5 cm or dilated early
• Recurrent pregnancy losses in the 2nd trimester

Question 8

How may Cervical Insufficiency present?

Answer 8

• Cervical length < 2.5 cm or dilated early
• Recurrent pregnancy losses in the 2nd trimester

Question 9

What is a possible treatment option for Cervical Insufficiency?

Answer 9

Cerclage placement = stitch to keep cervix closed

Question 10

What is a contraindication for giving Tranexamic acid?

Answer 10

Hypercoagulability

Question 11

What is a contraindication for giving Methylergonovine?

Answer 11

Hypertension

Question 12

What is a contraindication for giving Carboprost?

Answer 12

Asthma

Question 13

Besides Oxytocin, what are 3 other drugs that can be given for postpartum hemorrhage?

Answer 13

• Tranexamic acid
• Methylergonovine
• Carboprost

Question 14

If a mother has Herpes Simplex Virus infection of the genitals but NO active lesions, what is the treatment?

Answer 14

Acyclovir from 36 weeks up to delivery

Question 15

If a mother has Herpes Simplex Virus infection of the genitals with ACTIVE lesions, what is the treatment?

Answer 15

C-section at time of delivery

Question 16

How may Antiphospholipid Antibody Syndrome present?

Answer 16

• Thrombotic events
• Recurrent pregnancy losses
• Low platelets

Question 17

How may Antiphospholipid Antibody Syndrome present?

Answer 17

• Thrombotic events
• Recurrent pregnancy losses
• Low platelets

Question 18

What are 3 possible antibodies that can be seen with Antiphospholipid Antibody Syndrome?

Answer 18

• Lupus anticoagulant
• Anticardiolipin
• Anti-beta2-glycoprotein1

Question 19

What is unique about the antibodies with Antiphospholipid Antibody Syndrome?

Answer 19

They can cross react and cause a FALSE POSITIVE VDRL

Question 20

What is the treatment for Antiphospholipid Antibody Syndrome?

Answer 20

Low molecular weight heparin

Question 21

What is Asherman Syndrome?

Answer 21

Prior intrauterine surgeries
–> synechiae (adhesions form)
–> endometrial scarring

Question 22

What are the signs of Asherman Syndrome?

Answer 22

Amenorrhea and Infertility following intrauterine surgeries

Question 23

What is the result of the Progesterone Withdrawal test with Asherman Syndrome?

Answer 23

Will NOT induce bleeding

Question 24

When will Intrahepatic Cholestasis of Pregnancy present?

Answer 24

3rd trimester

Question 25

How does Intrahepatic Cholestasis of Pregnancy present?

Answer 25

3rd trimester itching of the hands and feet with no rash present

Question 26

What is the treatment for Intrahepatic Cholestasis of Pregnancy?

Answer 26

Ursodeoxycholic acid+ delivery at 37 weeks

Question 27

Postpartum Femoral Neuropathy can occur after what?

Answer 27

Prolonged hip flexion during 2nd stage of labor that causes entrapment of the femoral nerve

Question 28

How may Postpartum Femoral Neuropathy present?

Answer 28

- Decreased patellar reflex - Decreased thigh sensation - Decreased hip flexion/knee extension strength