OB gyn form 5 Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
87 yo. dementia pt. with prolapse of uterus . Tx? - Answer: insertion of vaginal pessary
painless ulcer with slightly raised edges and shallow base) despite negative RPR 6 weeks ago-->
next best step? - Answer: syphillis strongly suspected --> repeat RPR
42. with arrest of labor with baby in occiput posterior position and contractions measure in at
30 mmHg. Cause of arrest? - Answer: inadequate contractions
what is the next step indicated if uterine massage & oxytocin fail to stop bleeding in PPH? -
Answer: ergonovine thearapy
a pregnant pt. with achondroplasia is at greatest risk of what during delivery ? - Answer:
Pregnancy in achondroplasia is considered high risk - cesarean section is usual mode of delivery
• Cephalopelvic disproportio
Small, painful vesicles or ulcers on erythematous base (can coalesce), mild lymphadenopathy
• Urine contact on ulcers → Pain with urination. Dx? - Answer: HSV
22 yo. with Multiple soft pink papillary lesions with areas of pigmentation. Dx and Tx? - Answer:
HPV 6, 11 → condyloma acuminata (genital warts)
Tx: podophyllum resin therapy
Mild erythema and excoriation (pruritus), no vaginal bleeding or discharge
, • Microscopy reveals pseudohyphae. Dx and Tx? - Answer: vaginal test infection. vaginal
miconazole .
lactating 27 yo. with tenderness of unilateral breast i
• Clinical Features: erythema, tenderness, fever, fissures of nipple Dx and Tx? - Answer:
Lactational mastitis
Pathogenesis - skin flora (eg, Staphylococcus aureus) → clogged, inflamed milk ducts
• Tx: frequent breastfeeding, antibiotics (Dicloxacillin)
post partum pt. with pleuritic chest pain, shortness of breath, hypotension, ↓ SaO₂. Dx ? -
Answer: Thrombus within the pulmonary arteries
• Pulmonary embolism (possibly pulmonary saddle thrombus)
is it normal for an ovary to be palpable on bimanual exam? - Answer: nope, this is concerning
for malignancy
when is RhoD given ? - Answer: RhoD immunoglobulin normally given at 28 weeks AND within
72 hours of any procedure in which there is a possibility of feto-maternal blood mixing (eg, after
delivery)
• Other indications for RhoD immunoglobulin administration:amniocentesis, chorionic villus
sampling, and external cephalic version
seven days out from a abdominal hysterectomy, the pt. is not able to void urine after discharge.
Dx? - Answer: urinary retention. inefficient detrusor muscle activity → hypotonic bladder
(common postoperative complication)
• Soft symmetric mass extending 25cm above symphysis = distended bladder
a 57 yo. with abnormal uterine bleeding --> next step? - Answer: Endometrial biopsy is indicated
for all women >45 with postmenopausal or abnormal uterine bleeding
Questions (Frequently Tested) with
Verified Answers Graded A+
87 yo. dementia pt. with prolapse of uterus . Tx? - Answer: insertion of vaginal pessary
painless ulcer with slightly raised edges and shallow base) despite negative RPR 6 weeks ago-->
next best step? - Answer: syphillis strongly suspected --> repeat RPR
42. with arrest of labor with baby in occiput posterior position and contractions measure in at
30 mmHg. Cause of arrest? - Answer: inadequate contractions
what is the next step indicated if uterine massage & oxytocin fail to stop bleeding in PPH? -
Answer: ergonovine thearapy
a pregnant pt. with achondroplasia is at greatest risk of what during delivery ? - Answer:
Pregnancy in achondroplasia is considered high risk - cesarean section is usual mode of delivery
• Cephalopelvic disproportio
Small, painful vesicles or ulcers on erythematous base (can coalesce), mild lymphadenopathy
• Urine contact on ulcers → Pain with urination. Dx? - Answer: HSV
22 yo. with Multiple soft pink papillary lesions with areas of pigmentation. Dx and Tx? - Answer:
HPV 6, 11 → condyloma acuminata (genital warts)
Tx: podophyllum resin therapy
Mild erythema and excoriation (pruritus), no vaginal bleeding or discharge
, • Microscopy reveals pseudohyphae. Dx and Tx? - Answer: vaginal test infection. vaginal
miconazole .
lactating 27 yo. with tenderness of unilateral breast i
• Clinical Features: erythema, tenderness, fever, fissures of nipple Dx and Tx? - Answer:
Lactational mastitis
Pathogenesis - skin flora (eg, Staphylococcus aureus) → clogged, inflamed milk ducts
• Tx: frequent breastfeeding, antibiotics (Dicloxacillin)
post partum pt. with pleuritic chest pain, shortness of breath, hypotension, ↓ SaO₂. Dx ? -
Answer: Thrombus within the pulmonary arteries
• Pulmonary embolism (possibly pulmonary saddle thrombus)
is it normal for an ovary to be palpable on bimanual exam? - Answer: nope, this is concerning
for malignancy
when is RhoD given ? - Answer: RhoD immunoglobulin normally given at 28 weeks AND within
72 hours of any procedure in which there is a possibility of feto-maternal blood mixing (eg, after
delivery)
• Other indications for RhoD immunoglobulin administration:amniocentesis, chorionic villus
sampling, and external cephalic version
seven days out from a abdominal hysterectomy, the pt. is not able to void urine after discharge.
Dx? - Answer: urinary retention. inefficient detrusor muscle activity → hypotonic bladder
(common postoperative complication)
• Soft symmetric mass extending 25cm above symphysis = distended bladder
a 57 yo. with abnormal uterine bleeding --> next step? - Answer: Endometrial biopsy is indicated
for all women >45 with postmenopausal or abnormal uterine bleeding
