Review #3

Question 1

BRCA1 lifetime breast cancer risk

Answer 1

55-70%

Question 2

BRCA2 lifetime breast

Answer 2

45-70%

Question 3

BRCA1 lifetime ovarian cancer risk

Answer 3

40%

Question 4

BRCA2 lifetime ovarian cancer risk

Answer 4

15%

Question 5

Other cancers associated with BRCA

Answer 5

Colon, prostate, pancreatic

Question 6

Rates of pregnancy with perfect use of… OCPs, CuIUD, LNGIUD, Nexplanon

Answer 6

0.3, 0.6, 0.2, 0.05

Question 7

Treatment for fibrocystic breast disease

Answer 7

NSAIDs, OCPs (danazol, tamoxifen in adults with pain not relieved by these treatments)

Question 8

Systemic treatment for GSM

Answer 8

Ospemifene, a SERM approved for use in postmenopausal women with dyspareunia

Question 9

Treatment for foul vaginal odor (with pessary, for example)

Answer 9

Oxyquinolone sulfate gel intravaginally 2-3 times per week

Question 10

Muscle incised in midline episiotomy

Answer 10

Bulbospongiosus

Question 11

Most common bacteria causing mastitis

Answer 11

S. aureus, coag neg staph, strep viridans

Question 12

Embryo transfer most likely to be successful how many days after fertilization

Answer 12

5 (blastocyst)

Question 13

Cyst of mongomery

Answer 13

Peri-areolar cyst, seen on ultrasound, most likely to resolve spontaneously

Question 14

SERM causing endometrial polyps

Answer 14

Tamoxifen

Question 15

Radiation dose generally considered safe for a fetus

Answer 15

50 mGy

Question 16

History-indicated cerclage

Answer 16

One or more second trimester losses related to painless cervical dilation

Question 17

Developmental cause of transverse vaginal septum

Answer 17

Failure of fusion of urogenital sinus and Mullerian ducts

Question 18

Autoimmune disease associated with chlamydia infection

Answer 18

Reactive arthritis

Question 19

Chlamydia treatment

Answer 19

Doxy 100 mg BID x7 days, or (if pregnant) azithromycin 1 g x1 dose

Question 20

HIV screening interval for pregnant patient with HIV-positive partner (suppressed viral load)

Answer 20

qtrimester

Question 21

Delivery timing for placenta previa

Answer 21

34.0 to 35.6 wga

Question 22

Likelihood of accreta with previa by number of prior C/S

Answer 22

1% (none), 3% (one prior), 11%, 40%, 61%, 67%

Question 23

What to do with measles exposure in pregnancy if known not to be immune

Answer 23

IVIG within 6 days of exposure

Question 24

Tamiflu dosing: ppx vs tx

Answer 24

75 mg QD x10 d or 75 mg BID x5 d

Question 25

Next step for "unsatisfactory cytology" pap

Answer 25

Repeat in 2-4 months (any age group)

Question 26

Origins of uterovaginal nerve plexus

Answer 26

Inferior hypogastric plexus and sacral nerve roots

Question 27

EPDS score c/f depression

Answer 27

>12

Question 28

Timing for rescue BMZ

Answer 28

At least 14 days

Question 29

Pregnancy risks with anorexia

Answer 29

FGR, SGA, antepartum hemorrhage

Question 30

Pregnancy risk with bulimia

Answer 30

SAB

Question 31

Which ovarian vein more likely to be affected by thrombosis

Answer 31

Right

Question 32

Max fluid deficit for electrolyte-poor fluid in hysteroscopy

Answer 32

1000 mL

Question 33

Youngest age to initiate HPV-based testing for cervical cancer

Answer 33

35 y/o

Question 34

Definition of recurrent pregnancy loss

Answer 34

2 or more clinically proven pregnancies | 3 consecutive pregnancies (do not have to be clinically proven)

Question 35

Initial work-up for RPL

Answer 35

Parental karyotype, uterine assessment, TSH, APLS labs

Question 36

Johnson procedure

Answer 36

Standard attempt to reduce inverted uterus

Question 37

Haultain procedure

Answer 37

Laparotomy with incision in posterior of uterus to reduce inversion

Question 38

Huntington procedure

Answer 38

Laparotomy with serial clamping to reduce inversion

Question 39

When to start ASA ppx

Answer 39

12 - 16 wga

Question 40

Anti-epileptic associated with cleft palate

Answer 40

Topiramate

Question 41

Anti-epileptic associated with major congenital malformations and cognitive / behavior teratogenesis

Answer 41

Valproate

Question 42

Safest anti-epileptics in pregnancy

Answer 42

Lamotrigine, levetiracetam

Question 43

Bacteria found in cultures from long-term IUD users

Answer 43

Actinomyces

Question 44

Phenotype of newborn with congenital adrenal hypoplasia

Answer 44

Ambiguous genitalia (in XX individual)

Question 45

What causes low aldosterone, low cortisol, and high testosterone at birth? (enzyme deficiency and disease name)

Answer 45

21-hydroxylase deficiency, leads to congenital adrenal hypoplasia

Question 46

What defines FMR1 gene premutation?

Answer 46

CGG repeats 50-100

Question 47

Disorders detected by NIPs

Answer 47

Trisomy 13, 18, 21, or sex chromosome disorders

Question 48

Recommended pre-op testing for healthy patients over 65 y/o

Answer 48

CBC

Question 49

Which progestin has anti-androgenic effects?

Answer 49

Drospirenone

Question 50

Rotational forceps

Answer 50

Kielland