Review #6

Question 1

EEG findings with PNES

Answer 1

Alpha rhythm (awake and alert)

Question 2

Periventricular intracranial calcifications, thrombocytopenia, sensorineural hearing loss, hepatosplenomegaly, microcephaly

Answer 2

CMV

Question 3

Diffuse intracranial calcifications, hydrocephalus, chorioretinitis

Answer 3

Toxoplasmosis

Question 4

Which vitamin is thiamine?

Answer 4

B1

Question 5

Percent of endometrial lining sampled with pipelle

Answer 5

4%

Question 6

Treatment for gonorrhea

Answer 6

Ceftriaxone 500 mg IM x1 (add doxycycline 100 mg BID x7 days if CT not ruled out)

Question 7

Which follicle type is recruited at the beginning of each menstrual cycle?

Answer 7

Antral (then the one that outgrows the others becomes the Graafian follicle that reaches the preovulatory stage)

Question 8

What to do for thyroid nodule in pregnancy

Answer 8

Ultrasound

Question 9

Finding in first trimester cffDNA associated with risk for placental abruption

Answer 9

Low fetal fraction

Question 10

What to do for cystotomy < 1 cm during surgery

Answer 10

No repair and continuous drainage x 2 weeks

Question 11

What to do for cystotomy > 1 cm during surgery

Answer 11

Two-layer closure and post-operative bladder drainage

Question 12

Genetic testing that can be done on early SAB fetal tissue

Answer 12

SNPs (karyotype is best but can only be done on tissue that can be cultured)

Question 13

Pregnancy risks for women who had DES exposure in utero

Answer 13

Ectopic, pregnancy loss, preterm birth, pre-eclampsia, stillbirth

Question 14

REI methods with increased risk of multiple gestations

Answer 14

GnRH agonists + timed intercourse
Clomid + IUI
Letrozole + IUI
IVF risk depends on number of embryos implanted

Question 15

SMA genes

Answer 15

Deletion of one copy of SMN1 = carrier
Deletion of two copies of SMN1 = affected
Some people have one chromosome with both and one with both missing (more common in African American)

Question 16

Which antibodies cross the placenta?

Answer 16

IgG (enter syncytiotrophoblast then attach to neonatal Fc receptor

Question 17

Erb Palsy nerve roots injured

Answer 17

C5-6

Question 18

Recurrence risk for shoulder dystocia

Answer 18

10%

Question 19

Baoari flap used to repair what injury

Answer 19

Mid-ureteral

Question 20

Cholestyramine use predisposes to what vitamin deficiency?

Answer 20

Vitamin K (fat soluble)

Question 21

Primary source of estrogen during pregnancy

Answer 21

Placenta

Question 22

Why conization for AGC?

Answer 22

Skip lesions possible

Question 23

TP53 is what type of gene?

Answer 23

Tumor suppressor (Li-Fraumeni)

Question 24

Gene associated with familial adenomatous polyposis

Answer 24

APC tumor suppressor gene (autosomal dominant)

Question 25

First-line treatment for isolated hypertriglyceridemia

Answer 25

Fibric acids

Question 26

On what ovarian cells does LH work to promote estrogen production?

Answer 26

Theca interna (encourages them to produce androgens, which are then transported to granulosa cells for conversion)

Question 27

On what ovarian cells does FSH work to promote estrogen production?

Answer 27

Granulosa (encourages them to produce aromatase to convert androgens from theca interna cells)

Question 28

Cardinal movements of labor

Answer 28

``` Engagement Descent Flexion Internal rotation Extension External rotation Expulsion ```

Question 29

Factors that make pessary fitting more likely to fail

Answer 29

Hx of hysterectomy or surgery for POP

Question 30

Ultrasound criteria for PCOS

Answer 30

> 12 antral follicles

Question 31

Anomalies most often associated with Mullerian agenesis

Answer 31

Urinary tract or skeletal

Question 32

Dose of Rhogam for bleeding / loss before 12 wga?

Answer 32

50 mcg

Question 33

PCOS can be accompanied by mild elevation in...

Answer 33

Prolactin

Question 34

Psychiatric disease that often precedes bulimia

Answer 34

Anxiety

Question 35

Location of ureter at cuff

Answer 35

1.5 cm lateral to internal cervical os and posterior to uterine artery

Question 36

Timing if chemo needed in pregnancy

Answer 36

After first trimester (organogenesis)

Question 37

Type of incision for which inferior epigastric vessels are transected

Answer 37

Maylard

Question 38

Mutifollicular development and longer half-life of the ovulation induction agents

Answer 38

Clomid

Question 39

How to assess bone age

Answer 39

X-ray of left hand and wrist

Question 40

Which phase of menstrual cycle is always 14 days?

Answer 40

Luteal (follicular is variable)

Question 41

What does BRCA do?

Answer 41

Repair double-stranded DNA breaks

Question 42

First line vasopressor for septic shock

Answer 42

Norepinephrine

Question 43

Where to place vacuum

Answer 43

3 cm anterior to posterior fontanelle and along sagittal suture

Question 44

First line oral treatment for vulvodynia

Answer 44

TCAs like amitriptyline

Question 45

Fish that can be eaten in pregnancy

Answer 45

Anchovies, mussels, salmon, trout, crab... (and more)

Question 46

Hormonal changes related to milk let-down

Answer 46

Decreased progesterone; increased prolactin, insulin, and cortisol

Question 47

AMH related to...

Answer 47

Likely response to fertility treatment

Question 48

Neck circumference related to increased OSA risk

Answer 48

41 cm

Question 49

Periventricular intracranial calcifications

Answer 49

CMV

Question 50

Dispersed intracranial calcifications

Answer 50

Parvo