Obgyn uwise exam - Study guides, Class notes & Summaries

28yo G2P2 f/u on abnl Pap test which reveals ASCUS Reflex HPV testing is positive for high risk type has never had a prior abnl Pap test has been following the rec'd screening guidelines asx'ic 2 | P a g e pelvic exam reveals a nl cx with a small amt of cervical mucous What is the next best step in the management of this pt? : Colposcopy is indicated for all abnl Pap test results including ASCUS Pap test when HPV is positive Reflex HPV testing for high-risk DNA types should be per...

When is colposcopy indicated? : All abnormal Pap test results including ASCUS Pap test when HPV is positive When does cervical cancer screening begin per guidelines? : Age 21 regardless of coitarche Guidelines for mammograms? : Annually for women aged 40 or more Most effective contraceptive? Least? : Contraceptive methods with <1% pregnancy rates (typical use) are DepoProvera, IUD, sterilization (male or female), and Implanon. 2 | P a g e Oral contraceptives have a 3-5% pregnancy r...

RF's for postpartum infection (endometritis - most common cause of postpartum fever) : Prolonged Labor Prolonged Period after Membrane Rupture Internal fetal monitoring Amnio during labor Manual removal of the placenta Most common organisms in endometritis? : S Aureus Streptococcus (Both aerobic and anaerobic) 2 | P a g e What is the difference between postpartum blues and depression? : Blues last shorter than 2 weeks after delivery Depression is longer than 2 weeks and is particul...

A 23-year-old G1P0 woman presents with cramping, vaginal bleeding and right lower quadrant pain. Her last normal menstrual period occurred seven weeks ago. On physical exam, vital signs are: blood pressure 110/74; pulse 82; respirations 18; and temperature 99.4°F (37.4°C). On abdominal exam, she has very mild right lower quadrant tenderness. On pelvic exam, she has scant old blood in the vagina and a normal appearing cervix. Her uterus is normal size and slightly tender. On bimanual ...

A 23-year-old G1P0 woman presents with cramping, vaginal bleeding and right lower quadrant pain. Her last normal menstrual period occurred seven weeks ago. On physical exam, vital signs are: blood pressure 110/74; pulse 82; respirations 18; and temperature 99.4°F (37.4°C). On abdominal exam, she has very mild right lower quadrant tenderness. On pelvic exam, she has scant old blood in the vagina and a normal appearing cervix. Her uterus is normal size and slightly tender. On bimanual ...

uWise OBGYN Exam with Questions and Answers The diagnosis of syphilis is often established by serologic testing. Non-treponemal tests (VDRL or RPR) are non-specific. In this patient with high suspicion for syphilis, specific testing with treponemal antibody can confirm infection. The classic coiled spirochete is easily seen with dark-field microscopy but availability is limited. A characteristic finding is a macular rash on the palms and soles that are often described as copper penny lesio...

Pap smear: ASCUS Reflex HPV: high risk type positive Next step? : Colposcopy LMP: one week ago UPT: neg exam: wnl hx: sex w/ occasional condom use next step? : obtain DNA probes for gonorrhea and chlamydia 2 | P a g e pap smear screening & hysterectomy : not done, unless it was done for cervical cancer or a high-grade cervical dysplasia -d/c pap smears at 65 if they have had 3 neg consecutive smears or 2 neg consecutive cotesting in the last 10 years and no hx of high-grade CIN ...

OB/GYN Shelf: UWISE Exam Questions With 100% Correct Answers

Woman at 31 weeks gestation presents with watery discharge from the vagina for 2 hours. Which is the next step in management? nitrazine test of mucous from cervix, ferning test using vaginal fluid, digital exam of cervix, determine AFI, non stress test : ferning test on vaginal fluid (NOT cervical mucous because this can cause false ferning patterns) 29 y.o. woman at 31 weeks presents with PPROM 6 hrs ago. She notes that she has had occassional contractions. Her prenatal course has bee...