MN 568 Final Questions With Complete Solutions
______ is the most common site of metastatic disease at initial
presentation & at time of breast ca recurrence. Correct Answer
Bone
__________ is 1st line antiHTN agent in pregnancy. Correct
Answer Methyldopa
500mg -2g in 2-4 divided doses
(antiHTN not recommended for mild HTN 140/90 ... usually
wait until "severe" 160/110 [unless comorbidities/proteinuria])
___________ is a calcium channel blocker and works as a
________ by inhibiting calcium uptake into uterine smooth
muscle cells. Correct Answer nifedipine, tocolytic
____________ should be initiated in PROM pts before 32 wks
EGA to decrease rate of RDS, necrotizing enterocolitis, and
inraventricular hemorrhge. Correct Answer Corticosteroids
______ug of RHIgG should be given at 28 wks, 40wks (if more
than 12 weeks have elapsed), and at postpartum if the infant is
Rh(D) positive. Correct Answer 300ug
"Baby Blues":
a) appear to be a normal part of adjustment/response
b) usually occur within 1st few days after delivery
c) usually cease by PP day 10
d) should not require medication
e) all of the above Correct Answer e) all of the above
,3 hallmark confirmatory findings associated w/PROM:
a) Pooling of fluid in posterior fornix
b) Nitrazine test
c) "Ferning" of amniotic fluid on a slide
d) all of the above Correct Answer d) all of the above
A fibroadenoma of the breast is typically:
a) round, firm discrete
b) relatively movable
c) nontender & 1-5cm diameter
d) all of the above Correct Answer d) all of the above
A pt. w/a persistant mass larger than _____cm requires surgical
dx. Correct Answer 5
Never assume benign (ie endometrioma), >5cm=surgery
ACOG recommends a wt gain of ______lbs- ______lbs for
singleton. Correct Answer 25-35
Underweight should gain 28-40
Obese 15-25
Agent of choice in treatment of Chlamyida:
a) PCN 1g IM
b) Azithromycin 1g PO
c) Amoxil 500mg PO BID x 5 days
d) Tylenol 500mg PRN Correct Answer b) Azithromycin 1g
orally
Alternative - Amoxicillin 500mg OP TID x 7d
Agent of choice in tx of Gonorrhea:
a) baby ASA
, b) Ceftriaxone 125mg IM x 1 OR 1g IV
c) PCN 1g PO
d) Amoxil 500 PO BID Correct Answer b) Ceftriaxone
If PCN allergy - spectinomycin 2g IM x 1
Allow the newborn to nurse each breast on demand (or approx
q3-4 hrs) for ___ minutes per breast per feeding the 1st day.
Correct Answer 5
Always alternate to prevent engorgement (unless abscess or
otherwise contraindication)
American College of Obstetrics and Gynecologists reccommend
exclusive breastfeeding until the infant is ____ mos. old.
Correct Answer 6
At time of GDM dx, start a ADA diet ______-______ calories;
consisiting of _____% carbs, _____% fat, and _____% protein.
Correct Answer 1800-2400; 40, 40, 20
Breast ca is staged according to:
a) tumor
b) node
c) metastasis
d) all of the above Correct Answer d) all of the above
"International Union Against Ca"
Calcium intake during pregnancy & lactation _____mg/d.
Correct Answer 1200
Caloric intake should increase by ______ during pregnancy and
_______ during breat feeding. Correct Answer 300, 500
______ is the most common site of metastatic disease at initial
presentation & at time of breast ca recurrence. Correct Answer
Bone
__________ is 1st line antiHTN agent in pregnancy. Correct
Answer Methyldopa
500mg -2g in 2-4 divided doses
(antiHTN not recommended for mild HTN 140/90 ... usually
wait until "severe" 160/110 [unless comorbidities/proteinuria])
___________ is a calcium channel blocker and works as a
________ by inhibiting calcium uptake into uterine smooth
muscle cells. Correct Answer nifedipine, tocolytic
____________ should be initiated in PROM pts before 32 wks
EGA to decrease rate of RDS, necrotizing enterocolitis, and
inraventricular hemorrhge. Correct Answer Corticosteroids
______ug of RHIgG should be given at 28 wks, 40wks (if more
than 12 weeks have elapsed), and at postpartum if the infant is
Rh(D) positive. Correct Answer 300ug
"Baby Blues":
a) appear to be a normal part of adjustment/response
b) usually occur within 1st few days after delivery
c) usually cease by PP day 10
d) should not require medication
e) all of the above Correct Answer e) all of the above
,3 hallmark confirmatory findings associated w/PROM:
a) Pooling of fluid in posterior fornix
b) Nitrazine test
c) "Ferning" of amniotic fluid on a slide
d) all of the above Correct Answer d) all of the above
A fibroadenoma of the breast is typically:
a) round, firm discrete
b) relatively movable
c) nontender & 1-5cm diameter
d) all of the above Correct Answer d) all of the above
A pt. w/a persistant mass larger than _____cm requires surgical
dx. Correct Answer 5
Never assume benign (ie endometrioma), >5cm=surgery
ACOG recommends a wt gain of ______lbs- ______lbs for
singleton. Correct Answer 25-35
Underweight should gain 28-40
Obese 15-25
Agent of choice in treatment of Chlamyida:
a) PCN 1g IM
b) Azithromycin 1g PO
c) Amoxil 500mg PO BID x 5 days
d) Tylenol 500mg PRN Correct Answer b) Azithromycin 1g
orally
Alternative - Amoxicillin 500mg OP TID x 7d
Agent of choice in tx of Gonorrhea:
a) baby ASA
, b) Ceftriaxone 125mg IM x 1 OR 1g IV
c) PCN 1g PO
d) Amoxil 500 PO BID Correct Answer b) Ceftriaxone
If PCN allergy - spectinomycin 2g IM x 1
Allow the newborn to nurse each breast on demand (or approx
q3-4 hrs) for ___ minutes per breast per feeding the 1st day.
Correct Answer 5
Always alternate to prevent engorgement (unless abscess or
otherwise contraindication)
American College of Obstetrics and Gynecologists reccommend
exclusive breastfeeding until the infant is ____ mos. old.
Correct Answer 6
At time of GDM dx, start a ADA diet ______-______ calories;
consisiting of _____% carbs, _____% fat, and _____% protein.
Correct Answer 1800-2400; 40, 40, 20
Breast ca is staged according to:
a) tumor
b) node
c) metastasis
d) all of the above Correct Answer d) all of the above
"International Union Against Ca"
Calcium intake during pregnancy & lactation _____mg/d.
Correct Answer 1200
Caloric intake should increase by ______ during pregnancy and
_______ during breat feeding. Correct Answer 300, 500
