OBGYN Comat fully solved &
updated 2025-2026(latest
version verified for accuracy)
Primary prevention - answer attempt to eliminate
or ameliorate risk factors for diseae and thus
prevent its occurrence or modify its severity;
health education, behavioral interventions (fitness,
nutrition), immunizations, hygiene, smoking
cessation, personal safety, safe sex
secondary prevention - answer focuses on
screening tests for disease
performed when patient is usually asymptomatic =
allowing prompt intervention that reduces
morbidity and mortality
According to American College of OBGYN and
American Cancer society, the frequency of clinical
breast exams for:
a) 20-39 yo
,b) 40+ yo
Screening mammograms starting at? - answer a) 1-
3 years if average risk (annual if high risk)
b) annual
screening mammograms starting at age 40
DES exposure in utero - answer vaginal
adenocarcinoma as an adult
bone mineral density (BMD) screening should be
started in women at...? - answer all
postmenopausal women, older than age 65
or younger than 65 if:
medical hx of fracture, weigh <127 lb, medical
causes of bone loss, parental hx of hip fracture,
current smoker, alcoholism, RA
DEXA with T-score between -1 and -2.5 is... -
answer osteopenia (low bone mass)
DEXA with T-score <-2.5 - answer Osteoporosis
,DEXA with T-score > -1 - answer normal
anatomic cardiovascular changes during
pregnancy: - answer Heart is displaced upward and
to the left (due to diaphragmatic displacement)
Apex is moved laterally
Left ventricle and atria are enlarged
Increased circulating BLOOD VOLUME
Functional cardiac changes during pregnancy: -
answer increased Cardiac Output (CO)
ABG of pregnancy? - answer compensatory
respiratory alkalosis with pCO2 27-32 mmHg and
bicarb 18-31 mEq/L
Maternal pH is maintained at normal levels of 7.40-
7.45
anatomic changes of maternal hemaotologic
system during pregnancy? - answer increased
plasma volume
increased Red cell volume
increased coagulation factors
, **Maternal blood volume increased by 35%
normal pregnant patient requires how much iron
supplementation? - answer 27mg of ferrous sulfate
supplementation (for non anemic pt)
anemics = 60-120 mg
normal pregnant patient requires 1000 mg of
additional iron.
Early in pregnancy, estrogen induces hepatic
synthesis of these hormones... - answer TBG
(thyroid binding globulin) --> resulting in an
increase in total T4 and T3
CBG (cortisol-binding globulin) --> resulting in
elevated levels of serum cortisol.
diabetogenic effect and reduced tissue response to
insulin during pregnancy is due to? - answer
human placental lactogen
it increases the resistance of peripheral tissues to
the effects of insulin.
First trimester screen - answer 10-13 weeks:
updated 2025-2026(latest
version verified for accuracy)
Primary prevention - answer attempt to eliminate
or ameliorate risk factors for diseae and thus
prevent its occurrence or modify its severity;
health education, behavioral interventions (fitness,
nutrition), immunizations, hygiene, smoking
cessation, personal safety, safe sex
secondary prevention - answer focuses on
screening tests for disease
performed when patient is usually asymptomatic =
allowing prompt intervention that reduces
morbidity and mortality
According to American College of OBGYN and
American Cancer society, the frequency of clinical
breast exams for:
a) 20-39 yo
,b) 40+ yo
Screening mammograms starting at? - answer a) 1-
3 years if average risk (annual if high risk)
b) annual
screening mammograms starting at age 40
DES exposure in utero - answer vaginal
adenocarcinoma as an adult
bone mineral density (BMD) screening should be
started in women at...? - answer all
postmenopausal women, older than age 65
or younger than 65 if:
medical hx of fracture, weigh <127 lb, medical
causes of bone loss, parental hx of hip fracture,
current smoker, alcoholism, RA
DEXA with T-score between -1 and -2.5 is... -
answer osteopenia (low bone mass)
DEXA with T-score <-2.5 - answer Osteoporosis
,DEXA with T-score > -1 - answer normal
anatomic cardiovascular changes during
pregnancy: - answer Heart is displaced upward and
to the left (due to diaphragmatic displacement)
Apex is moved laterally
Left ventricle and atria are enlarged
Increased circulating BLOOD VOLUME
Functional cardiac changes during pregnancy: -
answer increased Cardiac Output (CO)
ABG of pregnancy? - answer compensatory
respiratory alkalosis with pCO2 27-32 mmHg and
bicarb 18-31 mEq/L
Maternal pH is maintained at normal levels of 7.40-
7.45
anatomic changes of maternal hemaotologic
system during pregnancy? - answer increased
plasma volume
increased Red cell volume
increased coagulation factors
, **Maternal blood volume increased by 35%
normal pregnant patient requires how much iron
supplementation? - answer 27mg of ferrous sulfate
supplementation (for non anemic pt)
anemics = 60-120 mg
normal pregnant patient requires 1000 mg of
additional iron.
Early in pregnancy, estrogen induces hepatic
synthesis of these hormones... - answer TBG
(thyroid binding globulin) --> resulting in an
increase in total T4 and T3
CBG (cortisol-binding globulin) --> resulting in
elevated levels of serum cortisol.
diabetogenic effect and reduced tissue response to
insulin during pregnancy is due to? - answer
human placental lactogen
it increases the resistance of peripheral tissues to
the effects of insulin.
First trimester screen - answer 10-13 weeks:
