OBGyn

Question 1

What is a proliferation of smooth muscle cells w/in the myometrium?

Answer 1

Fibroids

Question 2

What causes HELLP?

Answer 2

Systemic inflammation and platelet consumption

Question 3

How do you treat condyloma acuminatum?

Answer 3

Trichloroacetic acid

Podophyllin resin

Question 4

Primary ovarian insufficiency is a form of what?

GnRH level?

FSH?

Estrogen?

Answer 4

Hypergonadotropic hypogonadism

INC

INC

DEC

Question 5

What is a possible SE of an epidural?

What?

Answer 5

HoTN

Vasodilation and venous pooling

Question 6

How do you maintain uterine quiescence?

Answer 6

Give progesterone

Question 7

What vaccines are ok in pregnancy?

Answer 7

Tdap
Influenza
RhoD Ig

Question 8

1st step in placental abruption is what?

Then?

Answer 8

IVF

Lateral decubitus position

Question 9

What is the 1st step in shoulder dystocia?

Movement?

Answer 9

McRoberts maneuver

Flex hips against ABD, apply suprapubic pressure

Question 10

Pharyngitis w/lower ABD pain in sexually active young female points to what?

Answer 10

PID - gonoccoal pharyngitis

Question 11

What are some modifiable RF for breast cancer?

Answer 11

Alcohol consumption
HRT
Nullparity

Question 12

Breast Yes
Uterus Normal
Axillary hair Normal
Karyotype 46 XX

Diagnosis?

Answer 12

Transverse vaginal septum

Question 13

Pt w/Fever, lower ABD tenderness, intermenstrual spotting and mucopurulent cervical discharge has what?

Answer 13

PID

Question 14

HELLP can cause what symptom which manifests w/respiratory symptoms and pitting edema in LE?

Answer 14

Pulmonary edema

Question 15

What is the MC SE of OCPs?

Answer 15

Breakthrough bleeding

Question 16

What presents w/a painful/tender goiter after uri?

Answer 16

Subacute thyroiditis (de Quervain)

Question 17

Normal internal genitalia, external virilization, and undetectable estrogen levels indicates what?

Answer 17

Aromatase deficiency

Question 18

Multilocular, b/l, 10-15 cm ovaries is most likely what?

Management?

Answer 18

The a lutein cysts

Follow b-hCG

Question 19

Where are bartholin glands located?

MC in whom?

Describe how?

Answer 19

4 and 8 o’clock

< 30

Mobile, soft, well-circumscribed, behind labium majora

Question 20

Ectopic pregnancy and unstable pt requires what?

Answer 20

Surgical exploration

Question 21

ABD pain + secondary amenorrhea + cervical motion tenderness = ?

Answer 21

Ectopic pregnancy

Question 22

What is the only indication for HRT in women?

Answer 22

Hot flashes aka vasomotor sx

Question 23

What feature is pathognomonic for uterine rupture?

Answer 23

Loss of fetal station

Question 24

What is Erb-Duchenne palsy?

Answer 24

C5, C6

“Waiter’s tip”

Question 25

Women under 25 y/o must be screened for what else in addition to their pap?

Answer 25

GC

Question 26

Pt w/hyperemesis gravidarum what should you look for?

Answer 26

Ketones in the urine and other electrolyte disturbances

Question 27

Pt w/palpable breast mass over 30 years old 1 step? Next?

Answer 27

Mammogram Core biopsy

Question 28

Mammography shows spicules but biopsy shows foamy macrophages and fat globules - diagnosis?

Answer 28

Fat necrosis

Question 29

Pt w/HTN, proteinuria, RBC casts, joint pain and edema most likely has what?

Answer 29

SLE flare

Question 30

Most newborns affected by ABO incompatibility will have what?

Answer 30

Mild disease - physiologic jaundice

Question 31

GDM fasting should be less than what? 1 hour postprandial? 2 hour?

Answer 31

< 95 < 140 < 120

Question 32

Hyperechoic nodules and calcifications adnexal mass = ?

Answer 32

Cystic teratoma

Question 33

What defines IUFD? When do you do a vaginal delivery?

Answer 33

< 20 weeks 24 weeks and after

Question 34

What are some contraindications to breast feeding?

Answer 34

Active Tb, HIV, varicella Herpetic breast lesions Chemo/radiation Active substance abuse

Question 35

Vaginismus is also called what? CF? Tx?

Answer 35

Genito-pelvic pain/penetration disorder Pain w/vaginal penetration, distress/anxiety over sx Desensitization therapy

Question 36

Secondary amenorrhea due to hypothalamic amenorrhea presents how in athletes?

Answer 36

Amenorrhea Osteoporosis eating disorder

Question 37

What has the morphology of a homogenous cystic appearance on US?

Answer 37

Endometrioma

Question 38

How does imperforate hymen present?

Answer 38

Hematocolpos, blue bulging vaginal mass w/increased intra-ABD pressure

Question 39

``` Fetal HR > 160 Maternal fever Tachycardia PROM Diagnosis? ```

Answer 39

Intrauterine-amniotic infection

Question 40

IUFD associated w/growth restriction, multiple limb fractures and a hypoplastic thoracic cavity is consistent w/what?

Answer 40

OI Type II (AD)

Question 41

What is a RF for magnesium toxicity? Symptoms?

Answer 41

Renal insufficiency Areflexia, hypocalcemia, respiratory paralysis

Question 42

What is the major SE of OCP?

Answer 42

HTN

Question 43

What is Klumbpke palsy?

Answer 43

C8, T1 | Claw hand, Horner syndrome

Question 44

Who needs to get an endometrial biopsy? What excluded endometrial cancer in post-menopausal women w/AUB?

Answer 44

> 45 or less than 45 if obese Endometrial stripe < 4mm

Question 45

When there is an obvious non-viable pregnancy do what?

Answer 45

Allow for spontaneous vaginal delivery

Question 46

Levonorgestrel IUD contraindicated in what pts?

Answer 46

Breast cancer pt

Question 47

Placenta previa pt: manage how?

Answer 47

C-section

Question 48

Seizures can cause violent muscle contractions and what dislocation? Physical presentation?

Answer 48

Posterior ADDuction and INTERNAL rotation

Question 49

What are the consequences of pre-E on mom?

Answer 49

Placental abruption DIC Eclampsia

Question 50

Difficulty ambulating, radiating suprapubic pain, tenderness over pubic symphysis = ?

Answer 50

Pubic symphysis diastasis

Question 51

What medication is best to treat Pre-E?

Answer 51

IV hydralazine

Question 52

SERMs should not be given to whom?

Answer 52

Pt w/PMHx of VTE

Question 53

What defines fetal tachysystole?

Answer 53

HR > 160

Question 54

Intermenstrual spotting w/out uterine enlargement most likely what?

Answer 54

Endometrial polyps

Question 55

Neonatal thyrotoxicosis is due to what?

Answer 55

Transplacental passage of maternal anti-TSH Abs

Question 56

What is the treatment for engorgement of breasts?

Answer 56

NSAIDs

Question 57

Breast Yes Uterus No Axillary hair NO Karyotype 46 XY Diagnosis?

Answer 57

AIS

Question 58

Menopausal genitourinary syndrome is also called what?

Answer 58

Vulvovaginal atrophy

Question 59

What is the best predictor of preterm labor??? Biggest RF?

Answer 59

Cervical length (measure w/TV US) PMHx of preterm delivery

Question 60

What are the risks when using combined OCPs?

Answer 60

HTN VTE Hepatic adenoma Rare - stroke/MI

Question 61

Pts under 18 can be treated for what conditions w/out parental consent?

Answer 61

STI Emergency care Contraception

Question 62

Breast Yes Uterus No Axillary hair Normal Karyotype 46 XX Diagnosis?

Answer 62

Mullerian Agenesis (MRKH)

Question 63

What is the progression of HSV if left untreated? Why?

Answer 63

Resolution then decreasingly frequent recurrences Cell-mediated immunity improves

Question 64

Pregnant pt w/ Intermittent vaginal leakage or vaginal wetness most likely what?

Answer 64

Spontaneous ROM and stress urinary incontinence

Question 65

When is vaginal delivery contraindicated? Why? Treatment?

Answer 65

Classic (vertical) c section Myomectomy Risk of uterine rupture Laparotomy and deliver

Question 66

What causes an irregular contour of the uterus that may be palpable as a globular mass?

Answer 66

Fibroids

Question 67

What presents w/fever, ABD pain, complex multiloculated adnexal mass w/thick walls and internal debris on US?

Answer 67

Tubo ovarian abscess

Question 68

Postop/postpartum pt w/infected thrombosis of the deep pelvic and ovarian veins has what? What gives it away?

Answer 68

Septic thrombophlebitis PERSISTENT fever unresponsive to Abx

Question 69

Main SE of oxytocin toxicity?

Answer 69

HoTN Honatremia Tachysystole

Question 70

Biggest RF in ASx bacteruria in pregnant pt? What else

Answer 70

Pyelonephritis Preterm labor, low birth weight

Question 71

If baby is dead in utero or still birth, what is best test to find out why?

Answer 71

Karyotype

Question 72

What can placental abruption cause?

Answer 72

DIC | Hypovolemic shock

Question 73

Simple cyst ID’ed on US, next step? Complex cyst?

Answer 73

FNA Image-guided core biopsy

Question 74

What is the biggest RF for osteoporosis in older women?

Answer 74

PMHx of previous fracture

Question 75

Dilated cervical OS Bleeding POC felt around OS Status?

Answer 75

Inevitable abortion

Question 76

Stress urinary incontinence 1st line tx? Next?

Answer 76

Kegel exercises Pelvis sling surgery

Question 77

PMS/PMDD pts should do what to establish a diagnosis? Tx?

Answer 77

Menstrual diary SSRI, OCPs (CI in migraine pt)

Question 78

What are the consequences of pre-E on baby?

Answer 78

Chronic UP insufficiency FGR/low birth weight Oligohydramnios

Question 79

Pt with mastitis, treatment?

Answer 79

Continue breastfeeding and give Abx

Question 80

What can cause stretching of Gisson’s capsule? Causes what symptoms??

Answer 80

HELLP GERD and ABD pain

Question 81

What is described by multiple, diffuse nodulocystic masses w/cyclic premenstrual tenderness? MC in whom?

Answer 81

Fibrocystic changes > 30, but PRE-menopause

Question 82

Woman w/fever, HoTN, diffuse macular rash on palms and soles w/vomiting and diarrhea has what? Due to what?

Answer 82

TSS S aureus

Question 83

AUB is the MC presenting CF of what?

Answer 83

Endometrial hyperplasia and CANCER

Question 84

How does the levonorgestrel IUD work? SE?

Answer 84

Thickens cervical mucus Amenorrhea, mood changes

Question 85

Vaginal bleeding, lower ABD pain and adnexal tenderness = ? Manage how?

Answer 85

Ectopic pregnancy TV US and UPT

Question 86

What is premature placental separation called?

Answer 86

Placental abruption

Question 87

Preterm labor < 32 weeks should give what?

Answer 87

Betamethasone Indomethacin Nifedipine Mag sulfate

Question 88

Pt that has history of many miscarriages and abortions most likely has what? What complication?

Answer 88

Anti-phospholipid syndrome VTE/Hypercoaguability

Question 89

Secondary amenorrhea workup includes what?

Answer 89

UPT | TSH, PRL, FSH

Question 90

Describe the following in pregnancy: Total T4? Free T4? TSH?

Answer 90

Increased same Decreased

Question 91

A bulging bag at the cervical os indicates what?

Answer 91

Uterine rupture

Question 92

What is a firm, round, mobile mass that is well circumscribed? MC seen in whom?

Answer 92

Fibroademona Woman < 30

Question 93

What is the biggest RF for breast cancer?

Answer 93

Chronological age

Question 94

Vaginal pruritis, dysuria, polyurethane but negative UA indicates what?

Answer 94

Vaginal atrophy