Old Wall Quiz #10 Flashcards
(33 cards)
1
Q
1. Which of the following factors has not been shown to have prognostic significance in epithelial ovarian cancer? A. Large volume ascites B. Clear cell histology C. Capsular rupture D. Histologic grade E. Dense adherence
A
c
2
Q
- All of the following are selection criteria for
candidates considering conservative treatment
of endometrial cancer EXCEPT:
A. No contraindications for medical
management
B. Well differentiated, grade 1, Endometroid
cancer
C. No extrauterine involvement
D. Myometrial Invasion less than 10%
E. Desire for fertility sparing
A
d
3
Q
- What regimen is considered appropriate
treatment against Chlamydia trachomatis for a
pregnant patient allergic to Azithromycin?
A. Cefixime 400 mg orally as a single dose
B. Erythromycin 250 mg orally twice daily for 7
days
C. Amoxicillin 500 mg TID for 7 days
D. Metronidazole gel 0.75%, 5 g vaginally for 5
days
E. Ceftriaxone 125 mg IM single dose
A
c
4
Q
4. Which tocolytics drug has the strongest association with the development of pulmonary edema in the obstetrical patient? A. Atosiban B. Indomethacin C. Magnesium sulfate D. Terbutaline E. Calcium channel blockers
A
d
5
Q
- A 23 year old has been treated for
endometriosis with Leuprolide acetate. Which ofthe following is the most likely reason for add-back therapy?
A. Preventing vasomotor symptoms B. Preservation of bone density C. Extend pain relief D. Reduction in ovarian cysts formation E. Decreased vaginal dryness
A
b
6
Q
- On POD #5 following abdominal surgery, a 45
year old with DM presents with a temperature
of 100.4. The skin around the wound is reddish
purple with bullae and crepitus The most
effective first line antibiotic is:
A. Penicillin G
B. Daptomycin
C. Penicillin G and Clindamycin
D. Imipenem
E. Vacuum-assisted wound closure
A
c
7
Q
13. What days of the menstrual cycle constitutes the window of implantation for the human embryo? A. Day 14 to 16 B. Day 16 to 20 C. Day 20 to 24 D. Day 24 to 28
A
c
8
Q
- The risk of fetal death with elevated
resistance in uterine artery doppler studies is
increased with all of the following EXCEPT:
A. Chronic hypertension
B. Placental abruption
C. Pre-eclampsia
D. Fetal growth restriction
A
a
9
Q
15. Placental-site trophoblastic tumor most commonly develops following: A. Missed Abortion B. Ectopic Pregnancy C. Molar pregnancy D. Term gestation E. Partial Molar pregnancy
A
d
10
Q
- All of the following muscles contribute to the
urogenital sphincter complex EXCEPT:
A Sphincter urethrae
B. Compressor urethrae
C. Urethrovaginal sphincter
D. Detrusor muscle fibers of the bladder base
A
d
11
Q
22. Which of the following cancers are most commonly diagnosed during pregnancy? A. Cervical cancer B. Breast Cancer C. Ovarian Cancer D. Melanoma E. Lymphoma
A
a, but other sources say…
breast, thyroid, cervical, lymphoma, ovarian in that order
12
Q
- A 19 year old with a tubo-ovarian abscess
has been treated with triple antibiotics for 3
days with no improvement. What is your next
step in her management?
A. Placement of vacuum pack dressing
B. CT guided drainage of abscess
C. Change antibiotic regimen
D. Salpino-oopherectomy
E. TAH/BSO
A
b
13
Q
24. All of the following are associated with Monchoronic/Diamnionic twin pregnancy EXCEPT? A. Locked twins can occur B. Results in same sex fetuses C. Is 20% of all twins D. Produced by cleavage after day 8 E. The mortality rate is 25% with TTT
A
d
14
Q
26. In cases of male hypogonadotropic hypogonadism, which of the following semen analysis abnormalities is most typically seen? A. Aspermia B. Asthenospermia C. Oligospermia D. Teratozoopermia E. Hypospermia
A
c
15
Q
27. Which of the following is the most likely treatment of Gonorrhea with a known allergy to cephalosporin and pregnant at 32 weeks? A. Ceftriaxone B. Cefixime C. Doxycycline D. Ampicillin E. Azithromycin
A
e
16
Q
- As opposed to intervenous leiomyomatosis,
all of the following are associated with
disseminated peritoneal leiomyomatosis
EXCEPT?
A. Found in reproductive age women
B. Can extend into the pelvic veins
C. Multiple small nodules on peritoneal surface
D. Occurs during reproductive years
E. Presents on the abdominal organs and/or
peritoneum
A
b
17
Q
29. A 17 y/o southeastern Asian female is found to have an MCV of 72 and microcytosis. Which lab is the best to order? A. Peripheral smear B. B12 level C. Folate level D. Hemoglobin electrophoresis E. Total iron level
A
d
even though most people would choose e
18
Q
- What is the least likely question associated
with the TWEAK questionnaire for alcohol
abuse?
A. How many drinks do you need to get high?
B. Is your family worried about your drinking?
C. Feeling the need to cut down
D. Do you feel annoyed when someone
questions your alcohol intake?
E. Drinking in the morning
A
d
Tolerance, Worried, Eye-opener, Amnesia, K-Cut Down
19
Q
31. All of the following are risk factors for fetal growth restriction EXCEPT: A. Seizure disorder B. Circumvallate placenta C. Pre-gestational diabetes D. Tobacco exposure E. Chronic hypertension
A
a
20
Q
32. The least likely absolute contraindication to Methotrexate therapy is: A. Pulmonary disease B. Hemoglobin 7 mg/dL C. Embryonic cardiac motion D. Hepatitis E. Peptic ulcer disease
A
c
21
Q
33. In women older than 50 years, what accounts for approximately 40 percent of deaths? A. Atherosclerotic cardiovascular disease B. Stroke C. Pulmonary embolism D. Lung cancer E. Colon cancer
A
a
22
Q
- A 22 year old female presents to your office
after having unprotected intercourse. She has
previously missed two days of her OCPs. You
prescribe her ulipristal acetate. She should
restart her oral contraceptives:
A. Restart OCP immediately, but use back up method
for 7 days
B. Restart OCPs immediately
C. Restart OCPs in 14 days
D. Restart OCP’s immediately No backup necessary
E. Wait 5 days to restart OCPs and use backup for 14
days or until menses
A
e
23
Q
- McRobert’s maneuver facilitates delivery by:
A. Increases the A-P diameter of pelvis
B. Changes the outlet into more vertical axis
C. Increases the diagonal conjugate
D. Increases the bispinous diameter
E. Increases the Obstetrical conjugate
A
b
24
Q
- All of the following are characteristics
associated with vulvar Paget’s disease EXCEPT:
A. Local recurrence remains a risk
B. Invasion
C. Eczematoid lesion
D. Accounts for 10% of all vulvar tumors
E. Treatment is wide local excision
A
d
25
```
39. The least likely complication of a external
cephalic version (ECV) is?
A. Placental abruption
B. Uterine rupture
C. Fetal distress
D. Fetal death
E. Brachial plexus injury
```
d
26
```
42. What is the blood volume of a 50kg
woman?
A. 2500 mL
B. 3500 mL
C. 4500 mL
D. 5000 mL
E. 5500 mL
```
b
27
44. A 6 cm solid ovarian mass is excised in an 18 week gravida. The final pathology was “borderline tumor.” What is the next best step in her management?
A. Laparotomy and staging at 19 weeks
B. Chemotherapy
C. Continue pregnancy and follow up post-partum
D. Bilateral salpinoopherectomy and staging
c
28
45. A postmenopausal female presents with a 6
cm hypoechoic ovarian mass on U/S. The most
appropriate next step in management would be:
A. Cystectomy
B. TAH/BSO
C. Repeat US in 3 months
D. No intervention
E. Laparoscopic oophorectomy
c
29
46. All of the following should be initiated to
minimize physician disruptive behavior EXCEPT?
A. Implement Zero tolerance policies
B. Initiate psychiatric evaluation
C. Establishing code of conduct
D. Instituting a reporting system
E. Education of staff
b
30
47. A 17 year old presents with secondary
amenorrhea. She admits to exercising 4 hours
daily for 6 months. What would her labs likely
show?
A. High FSH Low LH
B. Low FSH low LH
C. Normal FSH and LH
D. High FSH and normal LH
b
31
```
48. A 59 year old woman complains of
frequency, nocturia, and spontaneous leakage
of a large amount of urine. The most likely
etiology is?
A. Stress Urinary incontinence
B. Chronic retention of urine
C. Vesicovaginal fistula
D. Medication side-effect
E. Urge incontinence
```
e
32
49. A 27 year old female with LSIL. Colposcopic
directed biopsies revealed CIN 1. The most
appropriate management of this patient is:
A. Repeat pap in 3 months
B. Repeat colposcopy and biopsy in 6 months
C. Co-testing in one year
D. Pap in 2 years
E. Co-testing at 6 months
c
33
```
50. Umbilical artery velocimetry is most useful
in which of the following situations:
A. Growth restriction
B. Fetal anemia
C. Concordant twin gestation
D. Twin to twin transfusion
E. Rh isoimmunization
```
a
