Ob/Gyn uWise Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

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 rate with typical use. Male condom has a 12% pregnancy rate. Indications for DEXA scan? : Bone density screening is recommended for women beginning at age *65* unless they have pre-existing risk factors which warrant earlier screening. Risk factors for osteoporosis? : early menopause, glucocorticoid therapy, sedentary lifestyle, alcohol consumption, hyperthyroidism, hyperparathyroidism, anticonvulsant therapy, vitamin D deficiency, family history of early or severe osteoporosis, or chronic liver or renal disease Vaccine contraindication in pregnant women? 3 | P a g e : Within 4 weeks of pregnancy, patient should NOT receive, MMR and Varicella vaccines. Medications used to induce ovulation? : ovulation can be induced through the use of *clomiphene citrate*, human menopausal gonadotropins, pulsatile GnRH, or aromatase inhibitors Misoprostol's mechanism of action in labor? : PGE1 analog that "ripens cervix" and increases uterine tone Most effective test for Down Syndrome? : cell-free DNA Also best test for Trisomy 18. Growth of baby in relation to diabetes? 4 | P a g e : pre-existing -- IUGR gestational -- fetal macrosomia Folic acid dose for high versus non high risk patients? : high - 4g non - 0.6g Most common explanation for increased AFP? : underestimation of date Best test for Downs *and* other chromosomal anomalies? : amniocentesi