UWorld Questions Flashcards

1
Q

Fetal anemia HR tracing

A

sinusoidal

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2
Q

Hemophilia inheritance

A

XR

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3
Q

RUQ pain in PID

A

adhesions onto liver

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4
Q

Urinary problems in menopause

A

due to estrogen deficiency

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5
Q

Levothyroxine dosing in pregnancy

A

increase dose when pregnant

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6
Q

Nystagmus after lots of vomitting

A

Wernicke’s

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7
Q

Oligo definition

A

Single pocket <2

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8
Q

Fetal growth restriction definition

A

<10th percentile

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9
Q

When to send placenta

A

IUFGR (look for infection/infarction)

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10
Q

Exam finding in uterine rupture

A

loss of fetal station

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11
Q

Abdominal pain w/ adnexal mass, absent doppler flow

A

ovarian torsion

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12
Q

Tamoxifin adverse effect

A
endometrial hyperplasia
(agonist in uterus, antagonist in breast)
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13
Q

Dermoid on ovary: US findings

A

hyperechoic mass with calcifications

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14
Q

Normal fetal presentation

A

OA

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15
Q

Oxytocin toxicity

A

similar to ADH (hyponatremic seizures)
uterine tachysystole
hypotension

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16
Q

hcg physiologic role

A

maintain corpus luteum

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17
Q

Gymnast ammenorrhea

A

hypothalamic

decreased GnRH

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18
Q

Tx of GC

A

ceftriaxone + azithro

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19
Q

PID Tx

A

cefoxitin + doxy

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20
Q

Roloxfiine risk

A

thromboembolism

21
Q

Management of gestational trophoblastic disease after D&C

A

watch for 6 months

if beta-hcg goes up within 6 months that cancer

22
Q

What to give when in preterm labor <32 wk

A

Mg, fetal neuroprotection

23
Q

Screening test in secondary amenorrhea

A

prolactin (pituitary)
FSH (primary ovarian insufficiency)
TSH

24
Q

Treatment of anovulation in PCOS

A

clomiphene

selective estrogen antagonist–allows pulsitile GnRH

25
Complication of endometriosis
infertility | due to distortion of pelvic anatomy
26
Mainstay of PPROM
abx
27
Why are periods irregular during the beginning of mencarche
cycles are often anovulatory
28
Erb-Duchenne
C5-6
29
Klumpke
C8-T1
30
Patients at high risk for aneuploidy screening test
cell-free DNA at >10 wk
31
Symmetric vs asymmetric IUGR etiologies
symmetric: infections asymmetric: placental insufficiency ie DM or HTN
32
Progestin challenge test proves what
low estrogen
33
Progestin challenge test in PCOS
bleeding due to high levels of endometrial proliferation due to high estrogen
34
Granuloma cell tumor symptoms
increased estrogen | breast tenderness, postmenopausal bleeding, preccociuos puberty
35
Severe presentation of hydatiform mole
preeclampsia with severe features
36
Gastroschisis is associated with using what during 1st trimester
NSAIDs
37
Next step in post-menopausal ovarian mass
CA-125 for baseline + risk stratification
38
Arrest of labor definition
4 hours of no change with adequate contractions (200 Montevideo units) 6 hours of no change with inadequate contractions
39
Preeclampsia fetal complication
small for gestational age | preterm labor
40
Tamoxifen tox
hot flashes endometrial hyperplasia/cancer VTE
41
Why is mittelschmerz an awful name
it's usually just on one side
42
Turner karyotype and anatomy
XO | streak ovaries
43
Ash paper around vulva
lichen sclerosis
44
Lichen simplex chronicus is due to what
chronic itching
45
Increased maternal AFP due to
openings abdominal openings spinal cord openings OR multiple gestations
46
Decreased maternal AFP due to
aneuploidies
47
Non HPV risk factor for cervical cancer
smoking
48
Tx of UTI in early preganncy (E coli)
augmentin | cephalexin