ABFM Questions (OB/GYN) 53 Questions with 100% Correct Answers | Verified | Updated 2024

Contraindication for levonorgestrel releasing IUD (where copper IUD might be preferred) - ️️women with severe cirrhosis or liver cancer, copper IUD is preferred -> levo-releasing and copper IUD have no differences in risk for DVT/PE, totes ok in smokers/nulliparous First test for painless post-meno bleeding - ️️transvag US (endometrial biopsy if TVUS no available) TVUS endometrial thickness suspicious for cancer - ️️more than 3-4 cm Best class of antidepressants for pregnant women - ️️SSRIs First line treatment for primary dysmenorrhea - ️️NSAIDs (start at onset of menses, continue for first two days) > OCP, lack of high quality evidence (good if no baby wanted) Risk factors for still birth - ️️advanced maternal age, smoking > 0.5 packs a day, congenital anomalies, BMI > 30 (vigorous exercise is okay!) "old, fat, smk" All preg should be screened for this b/w 11 and 16 weeks gestation and should be tx'ed appropriately if (+) - ️️urinalysis and urine culture screening for asymptomatic bacteriuria (cause repeat UTIs, pyelo, preterm labor if untx'ed) When group B strep screening in pregnancy should be done - ️️35-37 weeks of gestation How to treat pregnant woman w/GBS first line? if allergic to first line? - ️️first line: ampicillin; if allergic use cefazolin