Pre-Test 1

Question 1

sAB risk

Answer 1

15% for all pregnancies

Question 2

Most common trisomy in spontaneous losses

Answer 2

Trisomy 16

Question 3

Rad threshold for risk to fetus

Answer 3

10 rads (much less than a couple of plain films)

Question 4

Inc. nuccal translucency risk of

Answer 4

Chromosomal abnormalities (Down’s, Cardiac defects)

Question 5

Balance translocation risk of child with abnormality

Answer 5

100%

Question 6

What is encephalocele

Answer 6

Out pouching of neural tissue through defect in skull

Question 7

What is cystic hygroma

Answer 7

Emerges from base of neck with intact skull

Question 8

Two main FAS risks

Answer 8

Cardiac abnormalities and joint dfects

Question 9

Why no TMP/SMX in third trimester

Answer 9

Can cause kernicterus

Question 10

Why are epileptic pt babies at risk even if mother not on meds

Answer 10

Seizures can cause transient reduction in blood flor

Folate helps

Question 11

Screen all jewish pt’s for

Answer 11

Tay-Sachs and Canavan

Question 12

Amniocentesis risks

Answer 12

1-2% fluid leak

Question 13

Fractures in utero could be

Answer 13

OI

Question 14

Streptomycin can cause what congenital abnormality

Answer 14

Hearing loss

Question 15

When to get hep A vaccine in pregnancy

Answer 15

After exposure or before travel to endemic areas

Question 16

Higher rates of endometritis after what kind of delivery? Why?

Answer 16

CD: more likely to have PROM, multiple exams

Question 17

Best position for breastfeeding

Answer 17

Belly to belly

Question 18

Intense pain and redness with breast feeding

Answer 18

Candida infection

Question 19

How often should baby poo if being fed enough

Answer 19

3-4 times in 24 hours

Question 20

What is needed to use MTX in ectopic

Answer 20

Hemodynamically stable, non-ruptured,

Question 21

MCC of 1st trimester abortion

Answer 21

Autosomal trisomy

Question 22

Almost all cases of abdominal pregnancy follow

Answer 22

Early rupture or abortion of a tubal pregnancy

Question 23

Labor after IUFD usually occurs when

Answer 23

w/in 2 weeks

Question 24

Donor twin is always what in twin twin transfuion

Answer 24

Anemic

Question 25

if HCG titers rise in 2-3 weeks following a molar evacuation, what next?

Answer 25

Single agent chemotherapy

Question 26

Avoid what med when oligohydramnios already present

Answer 26

Indomethacin --> can decrease fetal urine production and make worse

Question 27

Why can IGUR babies have polycythemia

Answer 27

Compensation for poor placental oxygenation

Question 28

Rh titer indicative of severe hemolytic dz

Answer 28

1:16 or greater

Question 29

When to give rho-gam (situations)

Answer 29

After Ab or ectopic, amniocentesis, 28 weeks, w/in 3 days of delivery, at external cephalic version

Question 30

tx for perinatal varicella exposure

Answer 30

Give child varicella ab

Question 31

What can give a mother toxo

Answer 31

Organic or undercooked meat (French)

Question 32

What do you give when hx of VTE in pregnancy

Answer 32

Low dose heparin throughout

Question 33

Myoma degeneration pain localized to

Answer 33

Uterine wall

Question 34

Who gets PUPP

Answer 34

2nd and 34d trimmest nulliparous women

Question 35

Fetal exposure to thionamides can cause

Answer 35

Goiters and hypothyroidism

Question 36

Maternal HSV

Answer 36

Cutaneous and bony defects chorioretinitis, cerebral atrophy

Question 37

Maternal rubella

Answer 37

Eye lesions, deafness

Question 38

Maternal CMV

Answer 38

Mono like in mom - baby has intracranial calcifications

Question 39

Materna Toxa

Answer 39

Calcifications, anemia, and low birth weight

Question 40

Stillbirth with lots of petechia likely

Answer 40

Maternal syphillis

Question 41

Early onset of neonatal GBS

Answer 41

Respiratory distress

Question 42

Lowest sucess rate for sexual disorders tx

Answer 42

Primary impotence

Question 43

MC contraceptives in young adult

Answer 43

OCP

Question 44

What do spermicides contain

Answer 44

Nonoxynol-9

Question 45

Clonidine vs SSRI adverse sexual effects

Answer 45

Clonidine inhibits orgasms | SSRIS inhibit libido

Question 46

COC decreases risks of what cancer? how does estrogen help

Answer 46

Endometrial and ovarian | Estrogen decrease FSH levels

Question 47

Who are progesterone only BC contra in

Answer 47

Pt's with uterine bleeding or breast Ca

Question 48

MC complication of vasectomy

Answer 48

Hematoma

Question 49

What is Vaginismus

Answer 49

Recurrent involuntary spasm of lower 1/3 of vagina (poss early reaction to anticipated pain)

Question 50

What is dysparenuria

Answer 50

Recurrent sex pain not caused by vaginismus or lack of lubrication

Question 51

Silent menses seen

Answer 51

After first month of pill, ok

Question 52

MC type of urinary incontenence

Answer 52

Stress | Urge MC in elderly

Question 53

Hysterectomy can lead to what kind of urinary incontenence

Answer 53

Stress

Question 54

What causes urge incontenence

Answer 54

Detrussor instability --> Medically managed

Question 55

Top 3 ovarian masses in young women

Answer 55

1. Follicular -watery straw colored fluid 2. Corpus luteum - complex, may be hemhorragic 3. Theca luteun - bilateral, ass w/ pregnancy

Question 56

What is vulvodynia

Answer 56

Pan with entry, tenderness over vestible

Question 57

PID tx

Answer 57

Cef + Doxy

Question 58

When do ruptured ovarian cysts hurt

Answer 58

Around ovulation

Question 59

Precocious puberty ages

Answer 59

Before 8 in girls, 9 in boys

Question 60

Prolactin in preg

Answer 60

Up to 10x normal

Question 61

What is Danzol

Answer 61

Progesterone analog for endometriosis, pseudomenopaus but doesn't alter levels

Question 62

Fat tissue converts

Answer 62

Andosterdione to estrone

Question 63

When to start mammograms

Answer 63

50

Question 64

How often cholesterol screening

Answer 64

Every 5 years

Question 65

Leading cause of death in women 40-64

Answer 65

Cancer

Question 66

Gaurdner duct cyst features

Answer 66

From remnant of mesonephric duct alone lateral vaginal wall | Usually small and asymptomatic

Question 67

Bartholin duct cyst features

Answer 67

Large vuvlar cysts that grow in labial groove

Question 68

Cervical Ca first spreads to what nodes

Answer 68

Paravertebral

Question 69

Hydronephrosis in cervical Ca stage

Answer 69

IIIb (IIIa if in pelvic wall)

Question 70

Most radiosensitive organ in the pelvis

Answer 70

Ovaries

Question 71

What cancer is more common in pregnant women

Answer 71

Cervical Ca

Question 72

Most common ovarian tumor class in 20s

Answer 72

Germ cell

Question 73

Most common epithelial cell ovarian tumor

Answer 73

Serous (1/3 bilateral)

Question 74

Gonadoblastomas cause

Answer 74

Calcifications

Question 75

MCC of consumptive coagulopathy in pregnancy

Answer 75

Aburption

Question 76

FFP has what

Answer 76

Fibrinogen ---> will promote clotting

Question 77

3 steps of breast suckling

Answer 77

1. Dopa increased 2. Dec. prolactin inhibitory factor 3. In in prolactin and oxytocin

Question 78

Vaginal vs CS endometritis tx

Answer 78

Vag: Ampicillin and Gent CD: Clinda and Gent *Amp to cover enterococcus if fever > 2-3 days post CD*

Question 79

Uterine hemorrhage after first postpartum week

Answer 79

Retained placental fragments or sub involution of placental site

Question 80

Normal umbilical blood gas

Answer 80

pH >7.25-7.3 PcO2 50 PO2 20

Question 81

Breastfeeding decreases what in babies

Answer 81

Diarrhea, infections, and SID

Question 82

how long after partum until uterus gets to normal size

Answer 82

4 weeks

Question 83

Highest risk for wound infection

Answer 83

Obesity

Question 84

Fetal heart tones audible when

Answer 84

10 weeks