OBGYN

Question 1

GTT

Answer 1

24-28 weeks
if 1 hour test is >1300-140 then do a 3 hour test
\+ is >95 after fasting
>180 at 1 hour
>155 at 2 hours
>140 at 3 hours

Question 2

trichomoniasis

Answer 2

pH >5, frothy green discharge

Question 3

BV

Answer 3

pH >4.5, thin white/grey discharge
clue cells
gardnerella vaginalis

Question 4

condyloma acuminata

Answer 4

cauliflower like lesions

HPV 6/11

Question 5

MC PP infection

Answer 5

endometriitis
2-3 days post c-section
clinda+ genta

Question 6

Rh

Answer 6

given at 28 weeks

incompatibility on poss when mom is neg and dad is +

Question 7

pre-eclampsia

Answer 7

pregnant >20 weeks
new onset HTN with proteinuria
MgSO4

Question 8

gonorrhea

Answer 8

gram negative diplococcus

Question 9

chlamydia

Answer 9

obligate intracellular gram negative

Question 10

chancroid

Answer 10

PAINFUL ulcer
H. Ducreyi
ceftriaxone or aizthromycin

Question 11

prostate cancer

Answer 11

adeno

Question 12

cervical cancer

Answer 12

squamous

Question 13

chadwick sign

Answer 13

cervix cyanosis seen at 8-10 weeks

Question 14

hegar’s sign

Answer 14

uterus softening at 6-8 weeks

Question 15

vulvar cancer

Answer 15

HPV 16/18/33

SCC

Question 16

what test should all pregnant pts get?

Answer 16

urine culture

RHh type, HH, MCV, Pap, rubella/variella titer, HIV/STD

Question 17

normal changes in pregnancy

Answer 17

increased blood volume, CO, tidal volume

decreased systemic vascular resistance

Question 18

when is IUP visualized?

Answer 18

bHcg 1500 on trans vag

4000 on abominal

Question 19

Primary amennorhea

Answer 19

No menarche by 15 with sex characteristics or hybage 13 with no sex characteristics

Question 20

phase 1 menstrual cycle
phase 2
phase 3

Answer 20

menstrual
proliferative-estrogen stim leads to increased LH, ovulation
luteal/secretory-increased prog leads to decreased FSH/LH , prog drops and corpus luteum atrophys

Question 21

Endometrial cancer

Answer 21

TAH-BSO + radiation

Related to excessive uterine estrogen production, from obesity or chronic anovulation

Question 22

adenomyosis

Answer 22

endometrial tissue within the myometrium

symmetric, diffusely enlarged (globular) tender boggy uterus

Question 23

leomyoma aka fibroids

Answer 23

palpale mass, firm, assymetric, non-tender

tx-myomectomy, hysterectomy, lupron

Question 24

endometriitis tx

Answer 24

c-sectin give clinda + genta

vaginal give amp + genta

Question 25

cervical/vaginal/vulvar cancer

Answer 25

squamous

Question 26

SE of garasil

Answer 26

syncope

Question 27

when to start PAPs

Answer 27

21, HPV co-test at 30

Question 28

PID inpt vs op

Answer 28

inpt-cefoxitin/cefotetan + doxy | Cef + doxy

Question 29

mammo screening

Answer 29

40

Question 30

how soon to start BC after preg

Answer 30

2-3 weeks

Question 31

Nageles rules

Answer 31

1st day of LMP + 7 days - 3 months

Question 32

Fetal heart tones

Answer 32

doppler at 10-12 weeks

Question 33

AFP

Answer 33

15-20 weeks increased with NTD decreased with DS

Question 34

PP Blues vs Depression

Answer 34

Blues-2-4 days, resolves within 10 days | Depression-2 weeks-2 months, may last months, ssri

Question 35

how long can you do a medical abortion | surgical

Answer 35

up to 7 weeks | 22 weeks

Question 36

HELLP

Answer 36

hemolysis elevated liver enzymes, low paltelets deliver

Question 37

Rhogam is given at

Answer 37

28 weeks and within 72 hours

Question 38

amniotic fluid for PROM

Answer 38

>7.1

Question 39

APGAR

Answer 39

``` Appearnce Pulse Grimace Activity Respiration ```

Question 40

OCPs reduce risk of

Answer 40

ovarian and endometrial cancer

Question 41

uteroplacental insufficiency

Answer 41

late decel

Question 42

head compression

Answer 42

early decel

Question 43

endometrial cancer

Answer 43

adenocarcinoma

Question 44

PCOS

Answer 44

``` elevated LH:FSH ratio insulin resistace MCC infertility tx with OCPs, lifetstye, metformin increased risk of endometrial cancer ```

Question 45

What strain of HPV causes warts

Answer 45

6/11

Question 46

HPV that causes cervical cancer

Answer 46

16/18

Question 47

endometriosis

Answer 47

dyschezia, dyspareunia, dysmennorhea

Question 48

hydatidiform mole

Answer 48

purely paternal DNA | precursor to choriocarcinoma

Question 49

MC location of an ectopic

Answer 49

ampulla of fallopian tube

Question 50

when to stop paps

Answer 50

65-70

Question 51

when to remove an adnexal mass

Answer 51

>5 cm

Question 52

in high risk patients ( ) is used for pre-eclampsia prevention

Answer 52

ASA at 12 weeks

Question 53

when does HELLP occur?

Answer 53

3rd trimester

Question 54

when does hyperemesis gravidum occur?

Answer 54

1st trimester

Question 55

how to treat menopause symptoms in pts with uterus? | w/o uterus?

Answer 55

combined E/P | estrogen only

Question 56

what lab to order for primary ammenorhea

Answer 56

FSH

Question 57

ovarian torsion is MCC by twisting of

Answer 57

infundibulopelvic or suspensory ligament

Question 58

how to tx PCOS

Answer 58

OCP | spironolactone is for hirsutism

Question 59

how to tx molar preg

Answer 59

suction curettage

Question 60

how to evaluate placenta previa

Answer 60

transvag US

Question 61

how to evaluate secondary amenorrhea

Answer 61

preg test, serum prolactin, TSH, FSH