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OBGYN Pearls (196) Exam Practice Questions and Answers What does a snow storm pattern on US likely represent? - ANSWER-Gestational Trophoblastic Disease What is the most likely disorder in a bleeding pregnant patient with an extremely elevated beta HCG? - ANSWER-Gestational Trophoblastic Disea...

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  • November 11, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • obgyn pearls 196 exam practice questions and ans

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OBGYN Pearls (196) Exam Practice

Questions and Answers


What does a snow storm pattern on US likely represent? - ANSWER✔✔-Gestational Trophoblastic

Disease


What is the most likely disorder in a bleeding pregnant patient with an extremely elevated beta HCG? -

ANSWER✔✔-Gestational Trophoblastic Disease


What do a lecithin to sphingomyelin ratio > 2:1 and presence of the pulmonary surfactant

phosphatidylglycerol represent? - ANSWER✔✔-Fetal lung maturity


List the 4 antihypertensive drugs used in pregnancy. - ANSWER✔✔-Alpha-methyldopa - Hydralazine -

beta blockers - Calcium channel blockers


What does the term procidentia of the uterus refer to? - ANSWER✔✔-Complete prolapse of the uterus


What is the recommended treatment for syphilis in a penicillin allergic pregnant patient? - ANSWER✔✔-

Desensitize and treat with PCN


What is the recommended treatment for syphilis in a penicillin allergic non pregnant patient? -

ANSWER✔✔-Oral doxycycline or azithromycin


List the "3D's" of endometriosis symptoms. - ANSWER✔✔-Dyspareunia - Dyschezia - Dysmenorrhea


Premature ovarian failure is defined as the onset of menopause less than _?_ years old. - ANSWER✔✔-<

40 years old


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Which hormone is dominant in the luteal phase of menstruation? - ANSWER✔✔-Progesterone


Which hormone is dominant in the follicular phase of menstruation? - ANSWER✔✔-Estrogen


Treatment for Incompetent cervix? - ANSWER✔✔-Cervical cerclage


Most common causes of post partum hemorrhage? - ANSWER✔✔-Uterine atony (laceration is the

second most common cause)


Risk factors for Shoulder dystocia? - ANSWER✔✔-Fetal Macrosomia - Diabetic mother - Maternal obesity

- Postdate pregnancy


What is McRobert's Maneuver? - ANSWER✔✔-Used to manage shoulder dystocia during delivery of the

infant. Maternal legs are removed from stirrups and sharply flexed upon the abdomen.


When is APGAR score assessed? - ANSWER✔✔-At 1 min and 5 min after birth (Normal score is 7-10 -

Score of < 7 needs to be evaluated further)


What are the 5 APGAR assessments in the newborn? - ANSWER✔✔-Activity (muscle tone) - Pulse -

Grimace (reflex irritability) - Appearance (skin color) - Respirations


What medication is used for seizure prophylaxis in preeclampsia and seizure treatment in eclampsia? -

ANSWER✔✔-Magnesium


Patients with severe eclampsia may develop HELLP syndrome. What does HELLP stand for? -

ANSWER✔✔-Hemolysis - Elevated Liver enzymes - Low Platelets


What differentiates preeclampsia form eclampsia? - ANSWER✔✔-Eclampsia is preeclampsia with seizure

(HTN - Proteinuria - Seizure)


How do you cure a woman with preeclampsia? - ANSWER✔✔-Delivering the fetus will cure preeclampsia

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What two factors define preeclampsia? - ANSWER✔✔-Hypertension and proteinuria


What vaccines should always be avoided during pregnancy? - ANSWER✔✔-All live vaccines (e.g. MMR

and Varicella)


What 4 markers are screened in the pregnant female in the Quad screen? - ANSWER✔✔-Maternal AFP -

Estriol - HCG - Inhibin A


What 3 markers are screened in the triple screen test to look for potential birth defects? - ANSWER✔✔-

Maternal AFP - Estriol - HCG


Leakage of amniotic fluid prior to 37 weeks gestation? - ANSWER✔✔-Premature Rupture of membranes


What lab test is used to diagnose premature rupture of membranes? - ANSWER✔✔-Nitrazine strip test

and/or fern test on slide


Which placental disorder presents with painful vaginal bleeding uterine contractions and fetal distress? -

ANSWER✔✔-Abruptio placenta


Define Abruptio Placenta. - ANSWER✔✔-Premature separation of the placenta from the uterine wall


Which placental disorder presents with painless vaginal bleeding? - ANSWER✔✔-Placenta Previa


Implantation of placenta over the cervical os is called? - ANSWER✔✔-Placenta Previa


Treatment for Rh incompatibility? - ANSWER✔✔-RhoGAM (Rh Immune globulin) at 28 weeks gestation

and postnatally in non-sensitized patient


What mother/father blood types may lead to Rh incompatibility? - ANSWER✔✔-Rh - (negative) mother

with an Rh + (positive) father



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