If a 24 yearold has a positive PAP and CIN1 on colposcopy what is the next step in
managmeent - correct answers✔✔Repeat Cytology in 12 months (lesion should
resolve)
Best gynecologic test for someone that is 20 years old and sexually actuve - correct
answers✔✔Chlamydia and Gonorrhea
If PAP and HPV cotesting are normal when should the next PAP and HPV cotesting
take place - correct answers✔✔5 years
If pap testing is done alone how often does it need to be done - correct
answers✔✔every 3 years
If a woman has a high grade cytology test what is done next - correct
answers✔✔Colposcopy
What presents as lower abdominal pain, adnexal tenderness, fever, and cervical
motion tenderness and vaginal discharge - correct answers✔✔Pelvic Inflammatory
disease
Treatment for pregnancy complicated by syphillis - correct answers✔✔IM Penicillin G
What presents as painful genital ulcerations, fever and dysuria - correct
answers✔✔Herpes
How to confirm herpes infection - correct answers✔✔Culture (PCR)
What gyn diagnosis presents with protozoans with motile flagella - correct
answers✔✔Trichomonas
,What type of discharge is associated with Trichomonas - correct answers✔✔Yellow-
Green vaginal discharge
Clue cells are associated with - correct answers✔✔Gardernella
For best results when should herpes be cultured in the course of the infection -
correct answers✔✔Early
Why can the herpes test result in a false negative - correct answers✔✔Low
sensitivity
When is colposcopy indicated in a female with positive pap smears in the ages of
21-24 - correct answers✔✔After 2 years of positives (persistent)
If you suspect intimate partner violence what should be the next step - correct
answers✔✔Alert social work
When should an elective C section be done - correct answers✔✔After 39 weeks
(avoid issues of prematurity
What confirms gestational age from LMP - correct answers✔✔US
Most effective screen for Down syndrome - correct answers✔✔Cell free DNA
Valproic acid is associated with what fetal malformation - correct answers✔✔neural
tube defects
What is the best diagnostic test for all chromosomal anomalies not just Down
Syndrome - correct answers✔✔Amniocentesis
How much weight should be gained at maximum in pregnancy - correct
answers✔✔.5 pounds per week
, If a woman has a previous GBS positive infant do they need to be teste again -
correct answers✔✔No (prophylactically treat intrapartum)
If a fetal heart tone cannot be confirmed via US what is done - correct
answers✔✔Fetal scalp electrode
If a patient has an umbilical cord prolapse what is done - correct answers✔✔Elevate
fetal head and then call for assistance to preform C-section
What causes late decelerations - correct answers✔✔Head compression
What causes early decelerations - correct answers✔✔head compression
What causes variable decelerations - correct answers✔✔cord compression
If an infant has a flattened nasal bridge and small rotated ears what is done next
(thinking Down Syndrome) - correct answers✔✔Look for other features, sandal gap
toes, hypotonia to confirm
What can gestational diabetes cause in the infant postpartum - correct
answers✔✔hypoglycemia
How does an infant present if septic in terms of energy, color and temp - correct
answers✔✔Lethargic, pale and high temp
What finding is suggestive of twin-twin transfusion - correct
answers✔✔Polycythemia in one twin
Immediate risk factor for an infant that was macrosomic due to gestational DM (4) -
correct answers✔✔Polycythemia
Hyperbilirubinemia
Hypocalcemia
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