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OBGYN > Practice Qs > Flashcards

Practice Qs Flashcards

1
Q

In women, the TSH screening test should be preformed at what interval starting at what age?

A

Every 5 yrs after age 50

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2
Q

A cholesterol/lipid profile should be performed at what interval in women w/o risk factors?

A

Every 5 yrs after age 45

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3
Q

In sexually active women age 25 or younger, how often should they be screened for chlamydia?

A

annually

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4
Q

The pt. should be given what is “due” most closely matches what principle?

A

justice

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5
Q

Respect for the pts right to make choices based on her beliefs and values

A

Autonomy

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6
Q

The duty to promote the well-being of the pt.

A

Beneficence

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7
Q

The concept of informed consent best relates to the principle of?

A

Autonomy

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8
Q

Paternalism violates the ethical principle of?

A

Autonomy

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9
Q

This type of speculum works well for most nulliparous women and for postmenopausal women w narrowed vaginas

A

Pederson

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10
Q

Speculum appropriate for most pre-menstrual parrous women

A

Graves

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11
Q

A fasting blood glucose test is recommended for women without risk factors starting at what age? how often thereafter?

A

45yrs;

every 3 yrs

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12
Q

Annual HTN screening in girls should begin at?

A

13yo

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13
Q

Most medical errors are assoc with what?

A

the use of medications

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14
Q

Glucose crosses placenta by?

A

facilitated diffusion

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15
Q

Amino acids cross the placenta by?

A

active transport

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16
Q

Transit time in the stomach and small bowel increases by what percent in 2nd/3rd trimesters?

A

15-30

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17
Q

During pregnancy, total body O2 consumption increases by what % of nonpregnant levels?

A

20

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18
Q

By term in a normal singleton pregnancy, maternal blood volume increases by?

A

35%

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19
Q

Iron supplementation is mainly to?

A

prevent iron deficiency in the mother

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20
Q

increased nasal stuffiness is assoc with?

A

mucosal hyperemia

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21
Q

when do changes in maternal CO begin?

A

first trimester

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22
Q

Compared to nonpreg state, the overall increase in maternal CO is about?

A

30-50%

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23
Q

During preg, maternal circulating blood volume increases how much over non-preg levels?
when does the increase reach its peak?

A

45%;

32 weeks

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24
Q

what percent of CO does the uterus receive at term?

A

20%

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25
Q

During a nml preg, maternal BP will initially?

then by term it will?

A

decrease to a nadir at 24-32 wks ;

return to nonpreg levels

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26
Q

how much does maternal heart rate normally increase?

A

10-18 bpm

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27
Q

During LABOR, what changes in maternal CO occur?

A

40% increase from late pregnancy

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28
Q

At the time of uterine contractions during labor, MABP

A

increases by approx 10mmHg

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29
Q

Increased CO following delivery is due to?

A

release of vena cava obstruction

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30
Q

The TV in preg increases by what %?

A

30-40

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31
Q

During preg, what is the nml effect of progesterone on the ureters?

A

more dilation of the R ureter than the L

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32
Q

how do serum creatinine and BUN change?

A

both levels decrease

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33
Q

The change in facial pigmentation during preg?

A

Chloasma

34
Q

hair will return to nml about how long after delivery?

A

6-12 months

35
Q

Umbilical BF represents what % of combined output from both fetal ventricles?

A

40%

36
Q

Fetal kidney near term forms urine at what rate?

A

400-1,200 mL/day

37
Q

risk of PE increases by ___ times the nml risk in the pueperium

A

5.5

38
Q

[fibrinogen] during preg?

A

300-600 mg/dL

39
Q

True labor is assoc w contractions that the pt feels where?

A

uterine fundus

40
Q

optimal time to auscultate fetal heart tones during labor?

A

immediatly following a contraction

41
Q

When does the greatest rate of descent occur?

A

2nd stage of labor

42
Q

Uterine inversion is assoc w what aspect of postpartum management?

A

Traction on the umbilical cord

43
Q

what degree is an OB laceration that extends to the rectal sphincter but not into rectal mucosa?

A

3rd

44
Q

which technique of labor induction allows greatest variability in dosing?

A

oxytocin

45
Q

a preg woman w history of a classical cesarean delivery requests a TOLAC, tell her that?

A

TOLAC is CI with previous classical c-section

46
Q

Labor abnormalities are considered this type if labor is slow to progress

A

Protraction disorder

47
Q

multiparous woman has been pushing for 2 hrs with no descent of the presenting part, this would be known as

A

An arrest disorder (labor ceases to progress, occurs only in the active phase of labor)

48
Q

for a labor pattern to be considered optimal, contractions must generate peak intrauterine pressures of at least how many mmHg?

A

25

49
Q

incidence of shoulder dystocia increases markedly if fetus has an estimated weight over?

A

4000g

50
Q

normal FHR variability has an amplitude range of?

A

6-25bpm

51
Q

marked FHR variability has an amplitude of?

A

greater than 25bpm

52
Q

This presentation usually resolves spontaneously as labir continues?

A

Compound

53
Q

In a nulliparous pt, the latent phase is considered prolonged if it lasts more than?
what about multiparous pts?

A

20hrs;

if more than 14 hrs

54
Q

what % of singleton term deliveries are breech ?

A

2%

55
Q

Outlet forceps assisted vaginal delivery is appropriate w. the fetal head at what station?

A

at the pelvic floor

56
Q

Low forceps assisted vaginal delivery occurs when the when the fetal skull is?

A

At the +2 station

or more

57
Q

amnioinfusion is useful in cases of

A

variable FHR deceleration

58
Q

In high risk cases, intermittent FHR auscultation should be at least how often: in active phase of labor?
in the 2nd stage of labor?

A

every 15mins ;

every 5 mins

59
Q

MC cause of fetal tachy? (greater than 160)

A

chorioamnionitis

60
Q

baseline fetal brady is a HR less than?

less than what is an omnious sign that may presage fetal death?

A

110 bpm;

80bpm

61
Q

Late FHR decelerations are assoc w?

A

uteroplacental insuff

62
Q

pt is having repetitive late decelerations, what maneuver may help resucitate the fetus in utero?

A

change maternal position to Left lateral

63
Q

“adequate labor” is how many contractions in 10mins?

A

3

64
Q

puerperium lasts about?

A

6-8 wks

65
Q

Tx of dyspareunia in postpartum period?

A

topical estrogen

66
Q

mean time to ovulation in nonlactating postpartum woman is?

A

45days

67
Q

how many NON-nursing women are fertile at 6wks postpartum

A

15%

68
Q

incidence of postpartum blues is?
incidence of postpartum depression?
incidence of postpartum psychosis?

A

70-80%;
10-15%;
0.1-0.2%

69
Q

surgical management of postpartum hemrrhoids may be considered after?

A

6mos postpartum

70
Q

how many weeks does it take for uterus to return to: prepreg position in true pelvis ?
pre-preg size?

A

2;

6

71
Q

when does elevated pulse rate of pregnancy decrease?

A

approx 1 hr after delivery

72
Q

when is the endometrium re-est. after delivery in most pts?

A

Third week

73
Q

normal weight of fluid lost from diuresis and loss of extravascular fluid?

A

5kg

74
Q

GFR decreases to nml after how long?

A

several weeks after delivery

75
Q

Lochia rapidly decreases in amt. over the first ____ days postpartum

A

2-3

76
Q

heavy postpartum bleeding assoc w paaing of placental eschar MC begins btwn what days postpartum?
best management?
what % of pts will have delayed postpartum hemorrhage?

A

8-14;
reassurance;
1%

77
Q

Colostrum is replaced by milk around the ____ postpartum day

A

5th

78
Q

breast engorgement in non-breastfeeding mother is best managed by?

A

a breast binder

79
Q

Vit NOT found in human breast milk?

A

Vit K

80
Q

abnormal vaginal bleeding for 5 days, no abnormalities on PE, Bx where?

A

endometrium

OBGYN (9 decks)

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