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ABFM Questions (OB/GYN) Updated 2023 Rated (A+) £7.80
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ABFM Questions (OB/GYN) Updated 2023 Rated (A+)

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ABFM Questions (OB/GYN) Updated 2023 Rated (A+)

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  • December 2, 2023
  • 6
  • 2023/2024
  • Exam (elaborations)
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HELLENAH
ABFM Questions (OB/GYN) Updated 2023 Rated (A+)
Quiz :Contraindication for levonorgestrel releasing IUD (where copper IUD
might be preferred) - Answer :women with severe cirrhosis or liver cancer,
copper IUD is preferred -> levo-releasing and copper IUD have no differences
in risk for DVT/PE, totes ok in smokers/nulliparous

Quiz :First test for painless post-meno bleeding - Answer :transvag US
(endometrial biopsy if TVUS no available)

Quiz :TVUS endometrial thickness suspicious for cancer - Answer :more than
3-4 cm

Quiz :Best class of antidepressants for pregnant women - Answer :SSRIs

Quiz :First line treatment for primary dysmenorrhea - Answer :NSAIDs (start
at onset of menses, continue for first two days) > OCP, lack of high quality
evidence (good if no baby wanted)

Quiz :Risk factors for still birth - Answer :advanced maternal age, smoking >
0.5 packs a day, congenital anomalies, BMI > 30 (vigorous exercise is okay!)
"old, fat, smk"

Quiz :All preg should be screened for this b/w 11 and 16 weeks gestation and
should be tx'ed appropriately if (+) - Answer :urinalysis and urine culture
screening for asymptomatic bacteriuria (cause repeat UTIs, pyelo, preterm
labor if untx'ed)

Quiz :When group B strep screening in pregnancy should be done -
Answer :35-37 weeks of gestation

Quiz :How to treat pregnant woman w/GBS first line? if allergic to first line? -
Answer :first line: ampicillin; if allergic use cefazolin

Quiz :When DM screening should be done in pregnancy - Answer :24-28
weeks of gestation (with a 50 g glucose dose)

Quiz :Drug of choice for pregnant women w/opioid abuse -
Answer :methadone, no long term effects noted

, Quiz :A condition that represents an unacceptable health risk if the
contraceptive method is used - Answer :Migraines with aura (2-4 times more
likely to have a stroke if headaches, if w/aura the risk is higher thus
unacceptable risk)

Quiz :Normal number of arteries and veins in umbilical cord - Answer :2
arteries, 1 vein

Quiz :Who is legally responsible for ensuring the patient gets notified of the
mammogram results? - Answer :facility performing the mammogram

Quiz :First line therapy for menstrual abnormalities, hirsutism, and acne in
PCOS - Answer :hormonal contraceptives

Quiz :Gestational HTN after 37 weeks -> next best step? - Answer :induction
of labor; if less than 37 weeks do twice weekly office visits

Quiz :Pregnant woman has not been vaccinated for rubella (neg titers for
rubella), when do you immunize? - Answer :right after childbirth, MMR is live
attenuated so you can't give during or shortly before pregnancy

Quiz :Pt w/preeclampsia is given Mg -> suddenly becomes apneic and areflexic
-> NBS? - Answer :this is Mg toxicity, give calcium (CaCl if central line or Ca-
gluconate if peripheral line)

Quiz :Drugs for uterine atony and postpartum bleed - Answer :Oxytocin,
misoprostol, methylgonovine (don't use if HTN), carboprost (don't use if
asthma)

Quiz :Antiemetic during pregnancy first line (after lifestyle and diet changes
didn't work) - Answer :doxylamine (Unisom 12.5 mg 3-4/d) and pyridoxine
(vitB 10-25 mg once/d) + avoid certain foods (spicy/fat), eat high prt snacks,
crackers in AM b4 rising

Quiz :Persistent occiput posterior fetal position has a lesser chance of what
kind of delivery - Answer :normal, spontaneous vaginal delivery -> higher risk
of cesarean delivery and assisted vaginal delivery

Quiz :Young female with positive gonorrhea test and negative Chlamydia test,
NBS tx? - Answer :treat with ceftriaxone 250 mg IM plus (azithromycin 1 g PO

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