PANCE Blueprint Obstetrics and Gynecology
Exam 2024-2025 | Blueprints Obstetrics and
Gynecology Pance Exam Update Latest 2024
Questions and Correct Answers Rated A+
When does RH Alloimmunization occur? -ANSWER-When an Rh
negative mother carries an Rh positive fetus
Which is more worrisome in fetal heart tones? ≥ 2 HR Accelerations,
or repetetive late decelerations? -ANSWER-Accelerations are normal
and expected;
Late decelerations are worrisome and indicate prompt delivery
When do mothers require Rhogam? -ANSWER-Given to Rh negative
mothers at 28 weeks and within 72 hours after delivery
What 5 symptoms does Rh alloimmunization cause? -ANSWER-
hemolytic anemia;
jaundice;
kernicterus;
hepatosplenomegaly;
fetal hydrops (fluid accumulation)
What medical treatment can be used for an ecoptic pregnancy? -
ANSWER-hCG is less than 2000 and does not double in 48-72 hours
A patient presents in her 7th week of pregnancy for her 1st trimester
checkup. Her uterus that is larger than expected showing a fundal
height that you would expect at 14 weeks. Her main complaint is of
some scant brownish discharge and terrible morning sickness
resulting in multiple episodes of emesis every day. What am I
,suspecting and what should I do to confirm it? -ANSWER-Gestational
Trophoblastic Disease confirmed with ultrasound and B-hCG
What management should I offer for premature membrane rupture? -
ANSWER-Before 34 weeks: anti-strep antibiotics and steroids and
tocolytics;
After 37 weeks Admit and induce with oxytocin (not technically a
premature rupture)
List 3 tests that can confirm premature membrane rupture (PROM) -
ANSWER-Fetal fibronectin (20-34 weeks);
Fern test;
pH >6.5
What is the most common neonatal infection? -ANSWER-
cytomegalovirus
At what point can a pregnant patient's hypertension be considered
gestational and when should it normally resolve? -ANSWER-If it
presents initially after 20 weeks and resolves about 12 weeks post
partum
What is HELLP syndrome? -ANSWER-(associated with pre-
eclampsia)
*H*emolysis;
*E*levated *L*iver enzymes;
*L*ow *P*latelets
When do we begin screening mothers for gestational diabetes? -
ANSWER-24-28 wks
, What is the initial diagnostic criteria for gestational diabetes? -
ANSWER-50g oral glucose challenge test positive if >140 after 1 hour;
What is the gold standard diagnostic criteria for gestational diabetes? -
ANSWER-100g oral glucose challenge test is confirmatory if:
fasting >95;
1 hour>180;
2 hour>155;
3 hour>140
Macrosomia is a big complication of gestational diabetes. When is
induction of labor indicated due to this? -ANSWER-@ 38 weeks if
uncontrolled macrosomia ;
@ 40 weeks if controlled or no macrosomia.
What is the treatment of choice for gestational diabetes? -ANSWER-
Long Acting Insulin
What is our first priority for a patient with pre-eclampsia and why? -
ANSWER-Magnesium sulfate is given to prevent convulsions
What are 4 contraindications for treating an ectopic pregnancy with
methotrexate? -ANSWER-Larger than 4cm;
Fetal heart tones;
B-hCG greater than 5000;
Ruptured ectopic
When is pre-eclampsia considered severe and what do we do? -
ANSWER-When BP is over 160/110 and proteinuria >5 in 24 hours
(+1 on dipstick);
Promp delivery is indicated with MgSO4 and BP meds
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