Ob/gyn ACOG UPDATED ACTUAL
Questions and CORRECT Answers
Brownish rash on palms and soles, elvated olaques eith rolled edges on vulva - CORRECT
ANSWER - Syphilis
Start screening dexa, colonoscopy, mammo - CORRECT ANSWER - Dexa- 65
Colonoscopy- 50
Mammo - 40-55 every year, 55-70 every other year (minimum every other year 50-74)
Side effect of mag sulf and nifedipine - CORRECT ANSWER - Plum edema with inc rr
and needed O2
Why do murmurs get louder in prego - CORRECT ANSWER - CO inc by 33% due to inc
HR and SV
Why inc hydronephrosis in prego, which side more common? - CORRECT ANSWER -
Compression of the ureter by the uterus and ovarian vein- R side more common bc L has the
sigmoid colon as cushion
Except molar prego, do what tests? - CORRECT ANSWER - CXR bc lung most common
site for mets
Appropriate weight gain based on BMI - CORRECT ANSWER - BMI >18: 28-40
18-24 normal: 25-35
35-30 overweight: 15-25
>30: 11-20
Black couple with no family history was a preconception blood test, what would you get? -
CORRECT ANSWER - Hemoglobin electrophoresis and Cbc
,Ashkenazi Jews increase risk of what disease - CORRECT ANSWER - Fanconi Tay-
Sachs cystic fibrosis niemann pick
Valproic acid inc fetal risk of - CORRECT ANSWER - Neural tube defects
Poorly controlled diabetics right before conception, baby has inc risk of what - CORRECT
ANSWER - Neural tube and cardio issues bc affects organogenesis
CVS gives what info - CORRECT ANSWER - Karotype and mutations like CF
Highest detection rate for trisomy 21 - CORRECT ANSWER - Cell free DNa
Fetal loss associated with CVS - CORRECT ANSWER - 1%
Dose of folic acid needed - CORRECT ANSWER - 4 mg
Most common reason for elevated AFP - CORRECT ANSWER - Under estimation of GA
Prego who needs anticoag, give what? - CORRECT ANSWER - Low molecular weight
Heparin, NOT WARFIn
Women with previous early onset neonatal sepsis due to group b strep, screen? - CORRECT
ANSWER - No! Just give antibiotic prophylaxis intrapartum no matter what
41 wks baby HR 60, fully dilated, +2 station... What to do? - CORRECT ANSWER -
Assisted operative vaginal delivery if mom can't push baby out in 2 pushes
, Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated - CORRECT
ANSWER - Evelate fetal head to avoid cord compression do emergent C section
Episotomy evidence - CORRECT ANSWER - Don't do them
Meconium stained amniotic fluid, how to prevent meconium aspiration - CORRECT
ANSWER - Intubate trachea and suction meconium ONLY IF INFANT IS DEPRESSED
Size of baby with DM type 1 vs gestational diabetes - CORRECT ANSWER - Type 1-
small!
Gestational- big
Mom with fever, baby HR 180, GBS Unknown... Mom dx, baby appearance and dx - CORRECT
ANSWER - Mom Chorioamnionitis
Baby lethargic, pale, high temp bc probably septic
Complication of twin twin transfusion syndrome - CORRECT ANSWER - Donor twin
become anemic, develops IUGR and oligohydramnios
Recipient twin become polycythemic, volume overload, polyhydramnios leading to HF and
hydrops
HIV + mom, got antiretroviral therapy prior and during prego, baby apgar 9 and 9... When to
give baby zidovudine and test for HIV - CORRECT ANSWER - Zidovudine immediately
after delivery
HIV test at 24 hrs
Mom should not breastfeed
Treat Sheehan syndrome - CORRECT ANSWER - Estrogen and progesterone
replacement, supplement with thyroid and adrenal hormones
Questions and CORRECT Answers
Brownish rash on palms and soles, elvated olaques eith rolled edges on vulva - CORRECT
ANSWER - Syphilis
Start screening dexa, colonoscopy, mammo - CORRECT ANSWER - Dexa- 65
Colonoscopy- 50
Mammo - 40-55 every year, 55-70 every other year (minimum every other year 50-74)
Side effect of mag sulf and nifedipine - CORRECT ANSWER - Plum edema with inc rr
and needed O2
Why do murmurs get louder in prego - CORRECT ANSWER - CO inc by 33% due to inc
HR and SV
Why inc hydronephrosis in prego, which side more common? - CORRECT ANSWER -
Compression of the ureter by the uterus and ovarian vein- R side more common bc L has the
sigmoid colon as cushion
Except molar prego, do what tests? - CORRECT ANSWER - CXR bc lung most common
site for mets
Appropriate weight gain based on BMI - CORRECT ANSWER - BMI >18: 28-40
18-24 normal: 25-35
35-30 overweight: 15-25
>30: 11-20
Black couple with no family history was a preconception blood test, what would you get? -
CORRECT ANSWER - Hemoglobin electrophoresis and Cbc
,Ashkenazi Jews increase risk of what disease - CORRECT ANSWER - Fanconi Tay-
Sachs cystic fibrosis niemann pick
Valproic acid inc fetal risk of - CORRECT ANSWER - Neural tube defects
Poorly controlled diabetics right before conception, baby has inc risk of what - CORRECT
ANSWER - Neural tube and cardio issues bc affects organogenesis
CVS gives what info - CORRECT ANSWER - Karotype and mutations like CF
Highest detection rate for trisomy 21 - CORRECT ANSWER - Cell free DNa
Fetal loss associated with CVS - CORRECT ANSWER - 1%
Dose of folic acid needed - CORRECT ANSWER - 4 mg
Most common reason for elevated AFP - CORRECT ANSWER - Under estimation of GA
Prego who needs anticoag, give what? - CORRECT ANSWER - Low molecular weight
Heparin, NOT WARFIn
Women with previous early onset neonatal sepsis due to group b strep, screen? - CORRECT
ANSWER - No! Just give antibiotic prophylaxis intrapartum no matter what
41 wks baby HR 60, fully dilated, +2 station... What to do? - CORRECT ANSWER -
Assisted operative vaginal delivery if mom can't push baby out in 2 pushes
, Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated - CORRECT
ANSWER - Evelate fetal head to avoid cord compression do emergent C section
Episotomy evidence - CORRECT ANSWER - Don't do them
Meconium stained amniotic fluid, how to prevent meconium aspiration - CORRECT
ANSWER - Intubate trachea and suction meconium ONLY IF INFANT IS DEPRESSED
Size of baby with DM type 1 vs gestational diabetes - CORRECT ANSWER - Type 1-
small!
Gestational- big
Mom with fever, baby HR 180, GBS Unknown... Mom dx, baby appearance and dx - CORRECT
ANSWER - Mom Chorioamnionitis
Baby lethargic, pale, high temp bc probably septic
Complication of twin twin transfusion syndrome - CORRECT ANSWER - Donor twin
become anemic, develops IUGR and oligohydramnios
Recipient twin become polycythemic, volume overload, polyhydramnios leading to HF and
hydrops
HIV + mom, got antiretroviral therapy prior and during prego, baby apgar 9 and 9... When to
give baby zidovudine and test for HIV - CORRECT ANSWER - Zidovudine immediately
after delivery
HIV test at 24 hrs
Mom should not breastfeed
Treat Sheehan syndrome - CORRECT ANSWER - Estrogen and progesterone
replacement, supplement with thyroid and adrenal hormones
