Pance (Wallace) - Obgyn 2

Front 1

Does mastitis tend to be unilateral or bilateral?

Back 1

Unilateral and only one quadrant

Front 2

Full term =

Back 2

Delivery at 37-­42 weeks

Front 3

When does quickening occur?

Back 3

Nulliparous 18­-20 weeks, multiparous 14­-16 weeks

Front 4

List three risk factors for placental abruption.

Back 4

HTN, smoking, AMA, cocaine use, PROM

Front 5

What is the treatment for ovarian cancer

Back 5

Total hysterectomy and bilateral salpingo-oophorectomy. Chemo + radiation

Front 6

A patient believes she is pregnant. You notice on on that her cervix appears a little blue.

Back 6

Chadwicks sign

Front 7

At approximately how many weeks pregnant is the uterus at the level of the symphysis pubis?

Back 7

12 weeks

Front 8

A snowstorm appearance on ultrasound

Back 8

Hydatidiform mole

Front 9

What is the term for when the placenta has implanted directly over the cervical os?

Back 9

Placenta previa

Front 10

At how many weeks of pregnancy can chorionic villus sampling bed done?

Back 10

10­-13 weeks

Front 11

Why is folic acid given as a prenatal vitamin?

Back 11

Low folic acid can lead to neural tube defects

Front 12

About how much weight should a woman gain during pregnancy?

Back 12

20-35 lbs

Front 13

What is the most common endometrial cancer?

Back 13

75% are adenocarcinomas

Front 14

What organism causes us to warn pregnant patients to
stay away from deli meats and soft cheeses?

Back 14

Listeria

Front 15

1st stage of labor

Back 15

Onset of contractions to full dilation of the cervix

Front 16

The baby was delivered several minutes ago. Suddenly there is an increase in blood flow from vagina & the cord noticeably lengthens. What is the most likely cause of these signs?

Back 16

Placental separation

Front 17

What are two medications used to induce labor?

Back 17

Cervidil (prostoglandin gel applied to
the cervix) which encourages cervical rippening and oxytocin which encourages uterine contractions

Front 18

As part of the antepartum testing a baby has a positive stress test. What does that mean?

Back 18

They have had two heart rate accelerations in a 20 minute period of 15 beats above baseline for at least 15 seconds. This is a good thing.

Front 19

What is the normal range of fetal heart rate?

Back 19

120-160

Front 20

What is the most common type of ovarian cyst?

Back 20

Functional cyst - no Tx necessary

Front 21

Threatened abortion =

Back 21

Vaginal bleeding, closed cervix, products of conception are still inside

Front 22

List 4 risk factors for endometrial cancer.

Back 22

Chronic unopposed estrogen, nulliparity, early menarche, late menopause, Tamoxifen, DM, obesity, HTN, breast CA, ovarian CA

Front 23

Missed abortion =

Back 23

No vaginal bleeding, cervix is closed, products of conception are still inside

Front 24

What would you expect to see on a KOH prep if the patient had vaginal candidiasis?

Back 24

Pseudohyphae

Front 25

What is the #1 cause of septic arthritis in sexully active young adults?

Back 25

Neisseria gonorrhoeae


Front 26

How many days after conception is a serum beta HCG
positive?

Back 26

8

Front 27

If the pap smear results come back anything other than negative or ASCUS what is your next step?

Back 27

Colposcopy and biopsy

Front 28

List three risk factors for an ectopic pregnancy.

Back 28

Previous ectopic, scarred tubes (hx of PID or salpingitis), IUD

Front 29

Grape like vesicles or a sack of grapes on ultrasound

Back 29

Hydatidiform mole

Front 30

What medication is used to increase surfactant levels and help with lung maturity if you are worried about preterm labor?

Back 30

Betamethasone

Front 31

What are two tocolytic (anti-contraction) medications you should be aware of?

Back 31

Magnesium sulfate and calcium channel blockers

Front 32

A woman presents to the ED concerned she is in preterm labor. What treatment should you begin before even getting any imaging or lab results?

Back 32

^&2.$BY$8#&*0$F?"0+$"9+.)$+,.$>-+&.)+$&0$ suffereing from dehydration)

Front 33

What are three ways you can check for ruptured membranes?

Back 33

Ferning pattern on slide, visualize leakage from the cervix, pooling in the vagina

Front 34

Menorrhagia =

Back 34

Heavy prolonged menstrual flow

Front 35

What Rh combination for mom and dad might cause the mother to create antiboides against the babies red blood cells?

Back 35

Mom Rh (-) and dad Rh +

Front 36

At what point during pregnancy is Rhogam given if it is needed?

Back 36

28 weeks

Front 37

Gestational diabetes puts mom and baby at increased risk of for what three things?

Back 37

Preeclampsia, macrosomia (traumatic birth), slowing in fetal lung development

Front 38

Who is the more likely to get pre­eclampsia a nulliparous woman or a multiparous woman?

Back 38

Nulliparity is a risk factor for pre­ eclampsia

Front 39

Which is associated with painFUL third trimester bleeding, placental abruption or placenta previa?

Back 39

Placental abruption

Front 40

What are three causes for a postpartum hemorrhage?

Back 40

Uterine atony, genital laceration, retained placenta

Front 41

What medication can be used to control bleeding due to uterine atony?

Back 41

Oxytocin (pitocin)

Front 42

Third stage of labor =

Back 42

Delivery of baby to delivery of placenta

Front 43

What medication(s) are used to treat a postpartum metritis?

Back 43

Clindamycin and gentamicin together

Front 44

What organism is the most common sexually transmitted infection?

Back 44

Chlamydia

Front 45

Interference with work or school is part of which diagnosis premenstrual syndrome or premenstrual dysphoric disorder?

Back 45

Premenstrual dysphoric disorder

Front 46

Which reproductive cancer carries the highest rates of death in women?

Back 46

Ovarian cancer

Front 47

What is the most common infection following a C­section?

Back 47

Metritis

Front 48

Incomplete abortion =

Back 48

Vaginal bleeding, cervix is open, products of conception partially passed

Front 49

What is the most common site of an ectopic pregnancy?

Back 49

Within a fallopian tube

Front 50

Early on in pregnancy serial beta HCG should double over what time period?

Back 50

every 48-­72 hours

Front 51

Procidentia =

Back 51

Uterine prolapse beyond the the introitus

Front 52

What is the more popular term for Stein-­Leventhal syndrome.

Back 52

PCOS

Front 53

What is the formula for calculating estimated date of
confinement or due date?

Back 53

1st day of last menstrual period + 7 days -­ 3 months

Front 54

5 components of biophysical profile as part of antepartum testing?

Back 54

A non stress test, fetal breathing, two gross body movements, fetal tone, amniotic fluid index

Front 55

Rope like breast mass

Back 55

Fibrocystic breast mass