World OB

Question 1

Granulosa cell tumor s/s

Answer 1

estrogen producing

• breast tenderness, post- menopausal bleeding, precoucious puberty
• ↑ estrogen –> endometrium hyperplasia–> carcinoma

Question 2

what is a risk of LEEP

Answer 2

cervical stenosis–> ↓ fertility and pre-term labor

Question 3

When is symmetric fetal growth restriction seen

Answer 3

early prego problems: infection, chromosomes, genetics, etc

Question 4

When is asymmetric fetal growth restriction seen

Answer 4

maternal vascular disease

Question 5

What must you avoid while taking metronidazole

Answer 5

Alcohol+ metro= di-sulfrum reaction

Question 6

OCPs protect for

Answer 6

benign breast disease

ovarian and endometrial cancer

Question 7

What is step 1 when you suspect lichen sclerosis

Answer 7

punch biopsy, need to rule out squamous cell cancer

Question 8

What are the symptoms of uterine rupture

Answer 8

recession of baby during labor (going from + 1–> -3)

severe sudden ab pain

fetal heart rate abnormal

Question 9

pregos with herpes should do what

Answer 9

prophylactic anti-viral at 36 weeks

Question 10

Neonatal thyrotoxicosis

Answer 10

maternal graves anti-TSH AB crosses the placenta

*levothyroxine does not cross the placenta

Question 11

Neonatal thyrotoxicosis Rx

Answer 11

Methimazole and B blocker

usually will self resolve

Question 12

Most common side effect of tamoxifen

Answer 12

Hot flash

Question 13

Tamoxifen dangers

Answer 13

endometrial cancer

venous thromboembolism

Question 14

Endometriosis Rx

Answer 14

NSAIDs
OCPs
Progesterone IUD

Asymptomatic= no treatment

Question 15

When would a baby need to NOT breastfeed

Answer 15

galactosemia

Question 16

What does lithium do to babies and when

Answer 16

Ebstein congenital heart abnormality (big LA w/ VSD)

Question 17

Can a woman use asthma meds in prego

Answer 17

YES! albuterol and steroid inhalers are fine

Question 18

Is mom/baby ABO incompatibility a problem

Answer 18

sorta, but not really. Might get jaundice.

Rh is a big deal.

Question 19

Accurate prolactin levels are best obtained

Answer 19

in the fasting state. If still elevated, then a TSH level and brain MRI would be indicated to rule out a pituitary tumor.

Question 20

Post partum women may continue to produce milk for up to ?

Answer 20

two years after cessation of breastfeeding.

Question 21

A ___________ is usually indicated in patients who have bloody discharge from a single breast duct.

Answer 21

ductogram

Question 22

HPV vaccine is recommended for

Answer 22

all girls 9-26

regardless of HPV status and sexual activity

Question 23

Prognosis of ERB Duchenne palsy

Answer 23

C5, C6 (~C7) damage
80% resolve in 3 months
surgery if no improvement by 6 months.

Question 24

What contraception cant be used in breast cancer

Answer 24

All hormonal methods

Copper IUD would be a GOOD choice

Question 25

One reason you would not do a contraction stress test

Answer 25

Reasons labor itself would be bad | IE Previa

Question 26

What is a good fetal nonstress test

Answer 26

> 2 accelerations | Fetal HR monitor for 20-40 minutes

Question 27

What is a biophysical profile

Answer 27

Amniotic fluid index Fetal breathing, movement, and tone 8-10 points is normal

Question 28

What next after non reactive fetal non-stress test

Answer 28

BPP or CST

Question 29

What do you do for a very abnormal fetal BPP

Answer 29

ex: 0/10-- 4/10 | Immediate delivery- fetal hypoxia due to placenta dysfx

Question 30

What is the presenting s/s of intraductal papilloma

Answer 30

unilateral bloody nipple discharge benign condition

Question 31

When would you do a LEEP on a prego lady

Answer 31

colopscopy indicates invasive cancer

Question 32

Risk factors for uterine atony include

Answer 32

most common cause of postpartum hemorrhage ``` precipitous labor multiparity general anesthesia oxytocin use in labor prolonged labor, macrosomia hydramnios twins chorioamnionitis. ```

Question 33

Can you use sulfonylurea in prego?

Answer 33

no, crosses placenta

Question 34

How can you determine the anti-D dose in high risk exposure moms

Answer 34

Kleihauer betke test Looks at blood on slide, gets ratio of mom to baby blood--> determines dose

Question 35

Trastuzumab treats?

Answer 35

HER2 breast cancer

Question 36

Trastuzumab s/e

Answer 36

cardiotoxic. Get an ECHO first

Question 37

Can you give Hep A and B vaccine to pregos

Answer 37

yes- and you should if they didn't before

Question 38

How do you treat syphilis in prego

Answer 38

penicillin IT DOES NOT MATTER IF YOU ARE ALLERGIC Get ova that sh!t

Question 39

What should make you think a baby is dystocia

Answer 39

turtle sign- head retracts to perineum

Question 40

Fetal growth restriction is a risk factor for

Answer 40

polycythemia

Question 41

lymph obstruction of fetal neck

Answer 41

cystic hygroma

Question 42

Diagnostic criteria for premature ovarian failure

Answer 42

3 months with menopausal FSH and no periods

Question 43

What hormone stimulates resp alk in prego

Answer 43

progesterone acts on resp drive ↑ TV, minute ventilation, PaO2--> compensated chronic resp alk