OB/Gyn UWise Questions with 100% Correct
Answers
RF's for postpartum infection (endometritis - most
common cause of postpartum fever) Correct Answer:
Prolonged Labor
Prolonged Period after Membrane Rupture
Internal fetal monitoring
Amnio during labor
Manual removal of the placenta
Most common organisms in endometritis? Correct
Answer: S Aureus
Streptococcus
(Both aerobic and anaerobic)
What is the difference between postpartum blues and
depression? Correct Answer: Blues last shorter than 2
weeks after delivery
,Depression is longer than 2 weeks and is particularly
characterized by ambivalence towards the newborn
What is the best way to prevent milk production?
Correct Answer: Breast binding, ice packs and analgesia
Hormonal options have DVT and rebound engorgement
risk
Ways to determine if neonate if feeding well? Correct
Answer: 3-4 stools in 24 hrs, 6 or more diapers in 24 hours
What is the discriminatory zone for ectopic and
intrauterine pregnancy? Correct Answer: 2000 on BhCG
If below this, difficult to judge if this is an ectopic
initial Rx to terminnate ectopic pregnancy Correct
Answer: Methotrexate
anemia cutoff in pregnancy Correct Answer: 10.5 HgB
earliest way to see if pregnancy is viable or failing (eg
ectopic) Correct Answer: repeat BhCG after 48 hours.
should increase by 50% every 48 hours.
,Types of Spontaneous Abortion Correct Answer:
Threatened: vaginal bleeding at less than 20 weeks
Incomplete: bleeding and passage of some fetal
products
immediate treatment for ruptured ectopic pregnancy
Correct Answer: Laparoscopic surgery
When is best time to place cerclage? Correct Answer:
14 weeks
Most common cause of sepsis in pregnancy? Correct
Answer: Pyelonephritis
When should pregnant women be screened for GDM?
Correct Answer: No RF's: 24-48 weeks
Multiple RF's (eg fam history): as early as possible
What comorbidity has the highest risk of maternal
death? Correct Answer: Pulmonary HTN
Treatment for mitral valve prolapse in pregnant women
Correct Answer: B-blocker if symptommatic
, Biggest issues presented by obesity in pregnancy
Correct Answer: Higher risk of gestational HTN and pre-
eclampsia
Lupus Rx in Pregnancy Correct Answer: Steroids and
hydroxychloroquine for skin manifestations
Depression drug contraindicated in pregnancy Correct
Answer: Paxil (Paroxetine)
Other SSRI's have NOT be associated with complications
in pregnancy
What is pruritis gravidarum and what is Rx? Correct
Answer: Maternal itching and jaundice that is mild
variant of intrahepatic cholestasis of pregnancy
Rx: Ursodeoxycholic acid or naltrexon
How is fetal anemia diagnosed? Correct Answer: U/S
looking for middle cerebral artery peak systolic velocity
Guidelines for RhoGAM administration Correct Answer:
At 28 weeks to Rh neg patients after Coombs test
AND
Answers
RF's for postpartum infection (endometritis - most
common cause of postpartum fever) Correct Answer:
Prolonged Labor
Prolonged Period after Membrane Rupture
Internal fetal monitoring
Amnio during labor
Manual removal of the placenta
Most common organisms in endometritis? Correct
Answer: S Aureus
Streptococcus
(Both aerobic and anaerobic)
What is the difference between postpartum blues and
depression? Correct Answer: Blues last shorter than 2
weeks after delivery
,Depression is longer than 2 weeks and is particularly
characterized by ambivalence towards the newborn
What is the best way to prevent milk production?
Correct Answer: Breast binding, ice packs and analgesia
Hormonal options have DVT and rebound engorgement
risk
Ways to determine if neonate if feeding well? Correct
Answer: 3-4 stools in 24 hrs, 6 or more diapers in 24 hours
What is the discriminatory zone for ectopic and
intrauterine pregnancy? Correct Answer: 2000 on BhCG
If below this, difficult to judge if this is an ectopic
initial Rx to terminnate ectopic pregnancy Correct
Answer: Methotrexate
anemia cutoff in pregnancy Correct Answer: 10.5 HgB
earliest way to see if pregnancy is viable or failing (eg
ectopic) Correct Answer: repeat BhCG after 48 hours.
should increase by 50% every 48 hours.
,Types of Spontaneous Abortion Correct Answer:
Threatened: vaginal bleeding at less than 20 weeks
Incomplete: bleeding and passage of some fetal
products
immediate treatment for ruptured ectopic pregnancy
Correct Answer: Laparoscopic surgery
When is best time to place cerclage? Correct Answer:
14 weeks
Most common cause of sepsis in pregnancy? Correct
Answer: Pyelonephritis
When should pregnant women be screened for GDM?
Correct Answer: No RF's: 24-48 weeks
Multiple RF's (eg fam history): as early as possible
What comorbidity has the highest risk of maternal
death? Correct Answer: Pulmonary HTN
Treatment for mitral valve prolapse in pregnant women
Correct Answer: B-blocker if symptommatic
, Biggest issues presented by obesity in pregnancy
Correct Answer: Higher risk of gestational HTN and pre-
eclampsia
Lupus Rx in Pregnancy Correct Answer: Steroids and
hydroxychloroquine for skin manifestations
Depression drug contraindicated in pregnancy Correct
Answer: Paxil (Paroxetine)
Other SSRI's have NOT be associated with complications
in pregnancy
What is pruritis gravidarum and what is Rx? Correct
Answer: Maternal itching and jaundice that is mild
variant of intrahepatic cholestasis of pregnancy
Rx: Ursodeoxycholic acid or naltrexon
How is fetal anemia diagnosed? Correct Answer: U/S
looking for middle cerebral artery peak systolic velocity
Guidelines for RhoGAM administration Correct Answer:
At 28 weeks to Rh neg patients after Coombs test
AND
