OB/GYN- UWISE Questions with 100% Correct Answers
What ashould abe adone ain aa apatient awith aASCUS aand aHPV+ a? a- aCorrect a aAnswer a- acolposcopy
What ashould abe adiscussed/ordered ain aa ayoung asexually aactive afemale? a- aCorrect a aAnswer a-
acontraception aand aG/C a(STI) ascreening
In awhat aterms ais aa aPAP anot aindicated? a- aCorrect a aAnswer a- a1. ahysterectomy a(unless a2/2
acervical aCA)
2. aage a65-70 aif ahad a3 aconsecutive aneg apap asmears aor a2 aneg aand ano ah/o aCIN
What a2 ameasures aare aneeded aat aevery ayearly awell awoman aexam ain aelderly? a- aCorrect a aAnswer
a- arectovaginal abimanual
mammogram
What ais athe arecommending ascreening afor aPAPs ain a30- a65 ayo? a- aCorrect a aAnswer a- aq5 ayears aif
ainclude aHPV
What ashould abe adone ain aa a28 ayo awith aHSIL? a- aCorrect a aAnswer a- aimmediate acolpo aor aLEEP!!!
a(regardless aof aHPV aordered aor anot)
What ais alikely areason afor alower aabd apain, aadnexal atenderness, afever, aCMT aand avaginal
adischarge? a- aCorrect a aAnswer a- aacute asalpingitis a(PID)
If asyphilis ais asuspected, awhat ashould abe aordered? a- aCorrect a aAnswer a- atreponemal aspecific atest
What ashould aalways abe adone aif ayou aare asuspicious afor aherpes? a- aCorrect a aAnswer a- aoffer
ascreening afor aother aSTIs
What ais aseen ain aa apatient awith ayellow afrothy adischarge aand aerythematous apatches aon acervix? a-
aCorrect a aAnswer a- astrawberry acervicitis
motile aovoid aprotozoa awith aflagella
What ais aseen ain aa apatient awith aBV? a- aCorrect a aAnswer a- aclue acells a
fishy aodor awith adrop aof aKOH
What ais aseen ain aa apatient awith athick awhite aclumpy adischarge? a- aCorrect a aAnswer a- a(yeast)
,budding ayeast aand apseudo-hyphae
What ais athe acause aof asuspected aherpes awith arecurrent anegative acultures? a- aCorrect a aAnswer a-
ahave a10-20% afalse anegative arate
(lesions avery aearly ain acourse abetter ato aculture)
In awhat asituation ais ainformed aconset anot aneeded? a- aCorrect a aAnswer a- aemergency asituation aif
adelay ain atreatment awould arisk apatients ahealth/life
What ashould abe adone ain aa apatient arequesting aC/S abecause ashe ais ascared aof apain? a- aCorrect a
aAnswer a- aagree awith adecision aafter aproper acounseling aand aperform ac/s aat a39 aweeks
What ais athe aview aon aHIPPA? a- aCorrect a aAnswer a- ait ais athe aresponsibility aof athe aof
aphysicians/healthcare aworkers; amay abe afined aand/or aassessed acriminal apenalties afor aviolating
athe aprivacy aof apatients aprotected ahealth ainformation
Physician aopts ato anot amonitor aHR aof aanencephalic ababy asince ahe awould anot ado aa ac/s aif afetal
aintolerance. aHow ais ahe aacting? a- aCorrect a aAnswer a- anon amaleficence ato apt
A aperson awith apower aof aattorney ashould amake adecisions abased aon awhat? a- aCorrect a aAnswer a-
aWhat athe apatient awould ahave awanted afor aherself.
A aphysician aadvises aagainst ainfertility atreatment abased aon asocioeconomic astatus, awhich aethical
aprinciple adoes athis aviolate? a- aCorrect a aAnswer a- ajustice a(treat aeveryone athe asame)
Is ait apossible ato aown astocks ain aa aplace ayou ado aresearch? a- aCorrect a aAnswer a- ayes, aas along aas
aconflict aof ainterest aaddressed
Can apharmaceutical acompanies asupport acosts aof amedical aconference ain awhich aphysician areceive
acontinue amedical aeducation acredit? a- aCorrect a aAnswer a- ayes
What ashould abe adone ain aa ayoung apatient arequesting aan aabortion? a- aCorrect a aAnswer a- asupport
adecision afor aabortion aafter aappropriate acounseling
When ashould apap asmears abegin? a- aCorrect a aAnswer a- aage a21 a(q3 ayears auntil a30 ayo)
When ais aa aDEXA ascan arecommended? a- aCorrect a aAnswer a- awith arisk afactors a(early amenopause,
asteroids, asedentary alifestyle, aETOH, ahyperthyroid, ahyperparathyroid, aanticonvulsant, avit aD adef,
afamily ah/o aor achronic aliver/renal adisease) afor aosteoporosis aprior ato aage a65
if anot, aafter aage a65
,What ashould abe adone ain aa a48 arequesting acolon ascreening awith agrandfather athat apasses aaway
afrom acolon aCA aat aage a82? a- aCorrect a aAnswer a- arec acolonoscopy aat aage a50 aand aif anl arepeat
aq10 ayears
When ashould acolorectal ascreening abe asooner? a- aCorrect a aAnswer a- afirst adegree arelative awith
acolon aCA abefore aage a60
*screen aat a50 ayo aor a10 ayears abefore ayoungest arelative athen aq5 ayears
What ahas athe ahighest acontraceptive amethod? a- aCorrect a aAnswer a- a<1% adeppo, aIUD, asterilization
aand aimplanon
3-5% aOCP
12% acondoms
What avaccine ais acontraindicated ain apossibility aof apregnancy? a- aCorrect a aAnswer a- aMMR aand
avaricella
What ashould abe asuggested ain aa awomen awith anl alabs aand aBMI a23? a- aCorrect a aAnswer a- astarting
aaerobic aexercise
What ashould abe adone ain aa apatient alooking ato aget apregnant ain athe anext ayear? a- aCorrect a
aAnswer a- astart aon afolate asupplementation
What ais asuspected ain aa apreggo anot aon aprenatals awith anormocytic aanemia? a- aCorrect a aAnswer a-
arelative ahemodilution aof apregnancy a
folate adef a- amacrocytic a
iron adef/thal a- amicrocytic
What ais asuspected ain aa apreggo awith adifficulty acatching abreath? a- aCorrect a aAnswer a- aphysiologic
adyspnea aof apregnancy a(up ato a75% aof awomen aby a3T)
What ais asuspected ain apreggo awith aincreased aminute aventilation aand apossible aviral aURI? a- aCorrect
a aAnswer a- acompensated aresp aalkalosis a
- ahypo avent a-> aincreased aPCO2 aand aPO2 adecreased aif ahypoxic
What ais anormal aPFT achanges ain apregnancy? a- aCorrect a aAnswer a- aIC aincreased, aTV aincreased,
aminute aventilation aincreased, aFRC adecreased, aexpiratory areserve acapacity adecreased, aresidual
avolume adecreased
, What ais asuspected ain aa awomen aadmitted afor apreterm alabor aand anow awith aresp adistress aand
abibasilar acrackles? a- aCorrect a aAnswer a- apulmonary aedema
2/2 atocolytic ause aof amagnesium aand anifedipine a
(other acauses, acardiac adisease, afluid aoverload aand apreeclampsia)
During apregnancy, ahow aare athe aCO aand aSVR achanged? aCan aa amurmur adevelop? a- aCorrect a
aAnswer a- aCO aincreased aup ato a33% a2/2 aincrease ain aHR aand aSV
SVR afalls
95% awill ahaves asystolic amurmur ad/t aincreased avolume
What ais athe acause aof ahydronephrosis ain apregnancy? aWhich aside ais amore aaffected? a- aCorrect a
aAnswer a- aR>L
greater acompression aof aR aureter ad/t adextrorotation aof auterus aand aR aovarian avein
cushioning aprovided aby asigmoid acolon aof aL aureter
*high alevel aof aprogesterone ahas asome aaffects
In apreggo, aTSH ais anl abut athere ais aan aincrease ain atotal aT4 aand aT3. aShould ayou abe aconcerned afor
aGraves? a- aCorrect a aAnswer a- aTBG aincreased ad/t aestrogen aand aincrease ain athyroxine
- athyroid agland amay aincrease ain asize aup ato a10%
What ais athe anext abest astep ain aa apatient awith asuspected amolar apregnancy? a- aCorrect a aAnswer a-
aCXR
(lungs amost acommon asite aof amet ain agestational atrophoblastic adisease)
What aare athe arecommended aweight agains ain athe afollowing acategories aduring apregnancy?
BMI a<18.5
BMI a18.5-24.9
BMI a25-29.9
BMI a>30 a- aCorrect a aAnswer a- aBMI a<18.5= a28-40 albs
What ashould abe adone ain aa apatient awith aASCUS aand aHPV+ a? a- aCorrect a aAnswer a- acolposcopy
What ashould abe adiscussed/ordered ain aa ayoung asexually aactive afemale? a- aCorrect a aAnswer a-
acontraception aand aG/C a(STI) ascreening
In awhat aterms ais aa aPAP anot aindicated? a- aCorrect a aAnswer a- a1. ahysterectomy a(unless a2/2
acervical aCA)
2. aage a65-70 aif ahad a3 aconsecutive aneg apap asmears aor a2 aneg aand ano ah/o aCIN
What a2 ameasures aare aneeded aat aevery ayearly awell awoman aexam ain aelderly? a- aCorrect a aAnswer
a- arectovaginal abimanual
mammogram
What ais athe arecommending ascreening afor aPAPs ain a30- a65 ayo? a- aCorrect a aAnswer a- aq5 ayears aif
ainclude aHPV
What ashould abe adone ain aa a28 ayo awith aHSIL? a- aCorrect a aAnswer a- aimmediate acolpo aor aLEEP!!!
a(regardless aof aHPV aordered aor anot)
What ais alikely areason afor alower aabd apain, aadnexal atenderness, afever, aCMT aand avaginal
adischarge? a- aCorrect a aAnswer a- aacute asalpingitis a(PID)
If asyphilis ais asuspected, awhat ashould abe aordered? a- aCorrect a aAnswer a- atreponemal aspecific atest
What ashould aalways abe adone aif ayou aare asuspicious afor aherpes? a- aCorrect a aAnswer a- aoffer
ascreening afor aother aSTIs
What ais aseen ain aa apatient awith ayellow afrothy adischarge aand aerythematous apatches aon acervix? a-
aCorrect a aAnswer a- astrawberry acervicitis
motile aovoid aprotozoa awith aflagella
What ais aseen ain aa apatient awith aBV? a- aCorrect a aAnswer a- aclue acells a
fishy aodor awith adrop aof aKOH
What ais aseen ain aa apatient awith athick awhite aclumpy adischarge? a- aCorrect a aAnswer a- a(yeast)
,budding ayeast aand apseudo-hyphae
What ais athe acause aof asuspected aherpes awith arecurrent anegative acultures? a- aCorrect a aAnswer a-
ahave a10-20% afalse anegative arate
(lesions avery aearly ain acourse abetter ato aculture)
In awhat asituation ais ainformed aconset anot aneeded? a- aCorrect a aAnswer a- aemergency asituation aif
adelay ain atreatment awould arisk apatients ahealth/life
What ashould abe adone ain aa apatient arequesting aC/S abecause ashe ais ascared aof apain? a- aCorrect a
aAnswer a- aagree awith adecision aafter aproper acounseling aand aperform ac/s aat a39 aweeks
What ais athe aview aon aHIPPA? a- aCorrect a aAnswer a- ait ais athe aresponsibility aof athe aof
aphysicians/healthcare aworkers; amay abe afined aand/or aassessed acriminal apenalties afor aviolating
athe aprivacy aof apatients aprotected ahealth ainformation
Physician aopts ato anot amonitor aHR aof aanencephalic ababy asince ahe awould anot ado aa ac/s aif afetal
aintolerance. aHow ais ahe aacting? a- aCorrect a aAnswer a- anon amaleficence ato apt
A aperson awith apower aof aattorney ashould amake adecisions abased aon awhat? a- aCorrect a aAnswer a-
aWhat athe apatient awould ahave awanted afor aherself.
A aphysician aadvises aagainst ainfertility atreatment abased aon asocioeconomic astatus, awhich aethical
aprinciple adoes athis aviolate? a- aCorrect a aAnswer a- ajustice a(treat aeveryone athe asame)
Is ait apossible ato aown astocks ain aa aplace ayou ado aresearch? a- aCorrect a aAnswer a- ayes, aas along aas
aconflict aof ainterest aaddressed
Can apharmaceutical acompanies asupport acosts aof amedical aconference ain awhich aphysician areceive
acontinue amedical aeducation acredit? a- aCorrect a aAnswer a- ayes
What ashould abe adone ain aa ayoung apatient arequesting aan aabortion? a- aCorrect a aAnswer a- asupport
adecision afor aabortion aafter aappropriate acounseling
When ashould apap asmears abegin? a- aCorrect a aAnswer a- aage a21 a(q3 ayears auntil a30 ayo)
When ais aa aDEXA ascan arecommended? a- aCorrect a aAnswer a- awith arisk afactors a(early amenopause,
asteroids, asedentary alifestyle, aETOH, ahyperthyroid, ahyperparathyroid, aanticonvulsant, avit aD adef,
afamily ah/o aor achronic aliver/renal adisease) afor aosteoporosis aprior ato aage a65
if anot, aafter aage a65
,What ashould abe adone ain aa a48 arequesting acolon ascreening awith agrandfather athat apasses aaway
afrom acolon aCA aat aage a82? a- aCorrect a aAnswer a- arec acolonoscopy aat aage a50 aand aif anl arepeat
aq10 ayears
When ashould acolorectal ascreening abe asooner? a- aCorrect a aAnswer a- afirst adegree arelative awith
acolon aCA abefore aage a60
*screen aat a50 ayo aor a10 ayears abefore ayoungest arelative athen aq5 ayears
What ahas athe ahighest acontraceptive amethod? a- aCorrect a aAnswer a- a<1% adeppo, aIUD, asterilization
aand aimplanon
3-5% aOCP
12% acondoms
What avaccine ais acontraindicated ain apossibility aof apregnancy? a- aCorrect a aAnswer a- aMMR aand
avaricella
What ashould abe asuggested ain aa awomen awith anl alabs aand aBMI a23? a- aCorrect a aAnswer a- astarting
aaerobic aexercise
What ashould abe adone ain aa apatient alooking ato aget apregnant ain athe anext ayear? a- aCorrect a
aAnswer a- astart aon afolate asupplementation
What ais asuspected ain aa apreggo anot aon aprenatals awith anormocytic aanemia? a- aCorrect a aAnswer a-
arelative ahemodilution aof apregnancy a
folate adef a- amacrocytic a
iron adef/thal a- amicrocytic
What ais asuspected ain aa apreggo awith adifficulty acatching abreath? a- aCorrect a aAnswer a- aphysiologic
adyspnea aof apregnancy a(up ato a75% aof awomen aby a3T)
What ais asuspected ain apreggo awith aincreased aminute aventilation aand apossible aviral aURI? a- aCorrect
a aAnswer a- acompensated aresp aalkalosis a
- ahypo avent a-> aincreased aPCO2 aand aPO2 adecreased aif ahypoxic
What ais anormal aPFT achanges ain apregnancy? a- aCorrect a aAnswer a- aIC aincreased, aTV aincreased,
aminute aventilation aincreased, aFRC adecreased, aexpiratory areserve acapacity adecreased, aresidual
avolume adecreased
, What ais asuspected ain aa awomen aadmitted afor apreterm alabor aand anow awith aresp adistress aand
abibasilar acrackles? a- aCorrect a aAnswer a- apulmonary aedema
2/2 atocolytic ause aof amagnesium aand anifedipine a
(other acauses, acardiac adisease, afluid aoverload aand apreeclampsia)
During apregnancy, ahow aare athe aCO aand aSVR achanged? aCan aa amurmur adevelop? a- aCorrect a
aAnswer a- aCO aincreased aup ato a33% a2/2 aincrease ain aHR aand aSV
SVR afalls
95% awill ahaves asystolic amurmur ad/t aincreased avolume
What ais athe acause aof ahydronephrosis ain apregnancy? aWhich aside ais amore aaffected? a- aCorrect a
aAnswer a- aR>L
greater acompression aof aR aureter ad/t adextrorotation aof auterus aand aR aovarian avein
cushioning aprovided aby asigmoid acolon aof aL aureter
*high alevel aof aprogesterone ahas asome aaffects
In apreggo, aTSH ais anl abut athere ais aan aincrease ain atotal aT4 aand aT3. aShould ayou abe aconcerned afor
aGraves? a- aCorrect a aAnswer a- aTBG aincreased ad/t aestrogen aand aincrease ain athyroxine
- athyroid agland amay aincrease ain asize aup ato a10%
What ais athe anext abest astep ain aa apatient awith asuspected amolar apregnancy? a- aCorrect a aAnswer a-
aCXR
(lungs amost acommon asite aof amet ain agestational atrophoblastic adisease)
What aare athe arecommended aweight agains ain athe afollowing acategories aduring apregnancy?
BMI a<18.5
BMI a18.5-24.9
BMI a25-29.9
BMI a>30 a- aCorrect a aAnswer a- aBMI a<18.5= a28-40 albs
