Questions

Question 1

most common cause of inherited MR

Answer 1

fragile x syndrome

Question 2

most effective test for looking at down’s syndrome in second trimester is

Answer 2

quadruple screen

Question 3

braxton hicks contractions

Answer 3

short in duration, less intense than true labor, and the discomfort as being in the lower abdomen and groin areas

Question 4

steps in umbilical cord prolapse

Answer 4

hold fetal head in vagina, perform emergency c section

Question 5

down syndrome features

Answer 5

flattened nasal bridge, small size and small rotated, cup-shaped ears, sandal gap toes, hypotonia, a protruding tongue, short broad hands, Simian creases, epicanthic folds, and oblique palpebral fissures.

Question 6

type 1 DM is associated with what size and glucose babies

Answer 6

small and hypoglycemia

Question 7

septic infant appearance/activity/temperature

Answer 7

lethargic, pale,high temperature

Question 8

infants born to diabetic mothers are at risk for:

Answer 8

hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia and respiratory distress.

Question 9

most common cause of PPH

Answer 9

uterine atony

Question 10

most common cause of post partum fever

Answer 10

endometritis

Question 11

bacterial cause of endometritis

Answer 11

staph aureus and strep, aerobic and anaerobic

Question 12

postpartum blues duration

Answer 12

less than 2 weeks of depressive symptoms

Question 13

safest method to prevent lactation

Answer 13

breast binding, ice packs, and analgesics

Question 14

breastfeeding decreases risk of which cancer

Answer 14

ovarian cancer

Question 15

decrease in which hormones allow for lactation

Answer 15

estorgen and progesterone

Question 16

level of beta hcg where it is hard to get diagnosis/ pregnancy

Question 17

beta hcg should….in 48 hours until day….

Answer 17

double

42

Question 18

of weeks to place cerclage

Answer 18

14

Question 19

type 1 DM is associated with what risk for fetus

Answer 19

fetal growth restriction

Question 20

screening gestation age for normal patient for diabetes

Answer 20

24-28 weeks

Question 21

risk to mother with cardiac disease or pulmonary HTN percentage

Answer 21

25-50%

Question 22

tx for pregnant patient with anxiety/ palpitations and murmur

Answer 22

beta blockers

Question 23

psych drug contraindicated in pregnancy

Answer 23

paroxetine

Question 24

paroxetine causes in pregnancy

Answer 24

cardiac malformations and pulm htn

Question 25

cure for pruritus gravidarum of intrahepatic cholestasis

Answer 25

ursodeoxylic acid

Question 26

safe range of diastolic blood pressure status post severe preeclampsia

Answer 26

90-100

Question 27

test for diagnostics of how much rhogam to give

Answer 27

Kleihauer-Betke

Question 28

best noninvasive test to monitor for severe fetal anemia

Answer 28

middle cerebral artery peak systolic velocity

Question 29

twin gestation causes what to fundal height and to AFP

Answer 29

increased fundal height and increased AFP

Question 30

most important thing to check if patient presents with bleeding while rpegnant

Answer 30

maternal blood type

Question 31

radiation susceptibility of gestational age

Answer 31

8-15 weeks

Question 32

factor 5 leiden birth complications

Answer 32

stillbirth, preeclampsia, placental abruption and IUGR.

Question 33

smoking increases the risk of:

Answer 33

placental abruption, placenta previa, fetal growth restriction, preeclampsia, infection

Question 34

most common cause of preterm labor

Answer 34

idiopathic

Question 35

tocolytic agents contraindicated in diabetic patients

Answer 35

terbutaline and ritodrine

Question 36

tocolytic agents contraindicated in myasthenia gravis

Answer 36

mg sulfate

Question 37

most likely cause of preterm rupture/ primary risk

Answer 37

genital tract infections

Question 38

medication to decrease risk of PROM

Answer 38

17 alpha-hydroxyprogesterone `

Question 39

uterotonic medication contraindicated in HTN women

Answer 39

methylergonervine

Question 40

uterotonic medication contraindicated in asthma women

Answer 40

hemabate prostaglandin f2alpha

Question 41

tx of septic thrombophlebitis

Answer 41

abx and anticoagulation

Question 42

postterm pregnancies associations:

Answer 42

placental sulfatase deficiency, fetal adrenal hypoplasia, anencephaly, inaccurate or unknown dates and extrauterine pregnancy

Question 43

sx of fetal dysmaturity

Answer 43

withered, meconium stained, long-nailed, fragile and have an associated small placenta

Question 44

PID tx inpatient

Answer 44

Cefotetan or cefoxitin PLUS doxycycline or clindamycin PLUS gentamicin

Question 45

PID tx outpatient

Answer 45

ceftriaxone, cefoxitin, or other third-generation cephalosporin (such as ceftizoxime or cefotaxime) PLUS doxycycline WITH or WITHOUT metronidazole.

Question 46

normal post void amount of urine

Answer 46

50-60 cc

Question 47

overflow incontinence

Answer 47

trouble emptying bladder sx: symptoms of pressure, fullness, and frequency, a small amount of continuous leaking

Question 48

urge incontinence - what it is and tx

Answer 48

detrusor instability, contraction of bladder with filling tx: oxybutinin

Question 49

tx for complex cyst in postmenopausal woman after ultrasound

Answer 49

surgical exploration

Question 50

tx for endometriosis

Answer 50

oral contraceptives

Question 51

tx for hemorrhagic cysts

Answer 51

watch and wait

Question 52

tx of infertility in patient with endometriosis

Answer 52

ovarian stimulation with clomiphene citrate

Question 53

interstitial cystitis

Answer 53

chronic inflammatory condition of the bladder, sx: recurrent irritative voiding symptoms of urgency and frequency, in the absence of objective evidence of another disease that could cause the symptoms

Question 54

progression of puberty for women

Answer 54

thelarche, adrenarche, growth spurt, menarche

Question 55

kallmann syndrome

Answer 55

olfactory tract hypoplasia and the arcuate nucleus does not secrete GnRH. sx: poor sense of smell and no secondary sex characteristics

Question 56

mccune albright syndrome

Answer 56

premature menses without breast and pubic hair development

Question 57

tx of hirsutism with bcps

Answer 57

spironolactone

Question 58

birth control 'ills help pain with menses by...

Answer 58

cause endometrial atrophy

Question 59

hrt causes what change in lipid profile

Answer 59

hdl incr and ldl decr

Question 60

contra indication to hrt

Answer 60

vaginal bleeding possible endometrial cancer

Question 61

common side effect to hrt

Answer 61

vaginal bleeding

Question 62

what is deficient in PMS

Answer 62

vit A E B6

Question 63

molar pregnancy risk association

Answer 63

asian race

Question 64

dx of choriocarcinoma

Answer 64

beta hcg

Question 65

lichen sclerosis chronic itch can lead to...

Answer 65

squamous cell carcinoma

Question 66

tamoxofen increases risk of...

Answer 66

endometrial cancer

Question 67

dx of lichen sclerosus

Answer 67

vulvar punch biopsy

Question 68

pseudocyesis

Answer 68

psychiatric condition in which a woman presents with nearly all signs and sx of pregnancy but negative pregnancy test and normal endometrial shape

Question 69

test for women age > 35 who are pregnant

Answer 69

cell free fetal DNA testing looks for trisomy at 10 weeks gestation

Question 70

if evident cervical lesion present, correct diagnostic test is...

Answer 70

biopsy

Question 71

major sx associated with fibroids

Answer 71

menorrhagia

Question 72

fibroid position more likely to cause infertility

Answer 72

submucosal

Question 73

medical tx of fibroids

Answer 73

GnRH agonist

Question 74

most common place for spread of endometrial CA

Answer 74

lungs

Question 75

way for young woman to decrease risk of ovarian CA

Answer 75

birth control pills

Question 76

high stage ovarian CA after debulking needs....

Answer 76

chemotherapy

Question 77

most common ovarian neoplasm/cyst

Answer 77

functional ovarian cyst

Question 78

mccune albright syndrome - name, sx

Answer 78

polyostotic fibrous dysplasia | - fibrous dysplasia, cystic degeneration of long bones, sexual precocity, cafe au lait spots

Question 79

kallmann syndrome - name, sx

Answer 79

hypogonadtropic hypogonadism | sx: amenorrheic patient of normal stature with delayed or absent pubertal development and anosmia

Question 80

adenomyosis

Answer 80

normal endometrial glands grow into myometrium sx: tender, symmetrically enlarged uterus without adnexal tenderness

Question 81

medical tx of endometriosis

Answer 81

danazol, progestational compound derived from testosterone | - induces psueodmenopause

Question 82

mullerian agenesis - name, sx

Answer 82

called mayerrokitanskykusterhauser syndrome | sx: amenorrhea with absence of a vagina

Question 83

Best way to tx pcos for fertility

Answer 83

Metformin

Question 84

Indomethacin side effect and mechanism

Answer 84

Oligohydramnios and prostaglandin synthetase inhibitor

Question 85

Primary spread of cervical cancer

Answer 85

Vaginal mucosa, myometrium, paracervical lymph and parametrium

Question 86

Likelihood unilateral serous carcinoma is bilateral

Answer 86

33%

Question 87

Tx of vulvodynia

Answer 87

1. Loose clothes, no tampons, no hot tubs | 2. Topical lidocaine, estrogen, steroids