OBGYN Uwise Questions with verified
answers
34 yo G3P1 at 26 wks has difficulty catching her breath - correct
answers✔✔physiologic dyspnea of pregnancy
What are the normal physiologic changes to the PFT during pregnancy? - correct
answers✔✔-inspiratory capacity increases by 15%
-increase in TV and IRV
-increase minute ventilation
-FRC is reduced to 80%
What are the common causes of acute pulm edema? - correct answers✔✔tocolytic
use, cardiac disease, fluid overload, preeclampsia
If patient presents with classic signs of molar pregnancy, what is next step? - correct
answers✔✔chest x-ray
lungs are most common site of metastatic disease
What do women w/poorly controlled DM have inc risk of? - correct answers✔✔fetus
w/structural anomaly -- CNS defects or CV defects
What provides the highest detection rate for trisomy 21? - correct answers✔✔cell
free DNA screening 99%
What is the most common form of inherited MR? - correct answers✔✔fragile X
syndrome
Woman w/gestational DM. What is least likely to occur? - correct answers✔✔IUGR
typically seen in women w/preexisting DM and not gestational
, What is assoc w/gestational DM? - correct answers✔✔shoulder dystocia, metabolic
disturbances, preeclampsia, polyhydramnios, and fetal macrosomia
What is the most likely explanation for elevated MSAFP? - correct
answers✔✔underestimation of gestational age
95% of elevated MSAFP caused by fetal demise, multiple gestation, ventral wall
defects, underestimation, tumor or disease
32 yo G2P1 at 20 wks. her prior pregnancy was complicated by endometritis and
early onset neonatal sepsis due to GBS. Management? - correct answers✔✔do not
perform recto-vaginal cultures and rx w/antibiotics during labor
-should receive intrapartum antibiotic prophylaxis anyway
G1P0 woman presents in early labor. What is next best step? - correct
answers✔✔phys exam
-review of prenatal record, focuses H&P
IUPC placed and approx 300 cc of frank blood and amniotic fluid flow out. What is
next step? - correct answers✔✔withdraw IUPC, monitor fetus, and then replace if
tracing reassuring
-possibility of placental separation of uterine perforation should be considered
What are the typical causes of variable deccelerations? - correct answers✔✔cord
compression
What can cause late decelerations? - correct answers✔✔uteroplacental insufficiency
You palpate 5cm long section of umbilical cord in vagina. What is next step? -
correct answers✔✔elevate fetal head w/vaginal hand and perform a Cesarean
delivery
G2P0 woman at 38 wks w/DM1. What is likely finding in NB? - correct
answers✔✔small and hypoglycemic
answers
34 yo G3P1 at 26 wks has difficulty catching her breath - correct
answers✔✔physiologic dyspnea of pregnancy
What are the normal physiologic changes to the PFT during pregnancy? - correct
answers✔✔-inspiratory capacity increases by 15%
-increase in TV and IRV
-increase minute ventilation
-FRC is reduced to 80%
What are the common causes of acute pulm edema? - correct answers✔✔tocolytic
use, cardiac disease, fluid overload, preeclampsia
If patient presents with classic signs of molar pregnancy, what is next step? - correct
answers✔✔chest x-ray
lungs are most common site of metastatic disease
What do women w/poorly controlled DM have inc risk of? - correct answers✔✔fetus
w/structural anomaly -- CNS defects or CV defects
What provides the highest detection rate for trisomy 21? - correct answers✔✔cell
free DNA screening 99%
What is the most common form of inherited MR? - correct answers✔✔fragile X
syndrome
Woman w/gestational DM. What is least likely to occur? - correct answers✔✔IUGR
typically seen in women w/preexisting DM and not gestational
, What is assoc w/gestational DM? - correct answers✔✔shoulder dystocia, metabolic
disturbances, preeclampsia, polyhydramnios, and fetal macrosomia
What is the most likely explanation for elevated MSAFP? - correct
answers✔✔underestimation of gestational age
95% of elevated MSAFP caused by fetal demise, multiple gestation, ventral wall
defects, underestimation, tumor or disease
32 yo G2P1 at 20 wks. her prior pregnancy was complicated by endometritis and
early onset neonatal sepsis due to GBS. Management? - correct answers✔✔do not
perform recto-vaginal cultures and rx w/antibiotics during labor
-should receive intrapartum antibiotic prophylaxis anyway
G1P0 woman presents in early labor. What is next best step? - correct
answers✔✔phys exam
-review of prenatal record, focuses H&P
IUPC placed and approx 300 cc of frank blood and amniotic fluid flow out. What is
next step? - correct answers✔✔withdraw IUPC, monitor fetus, and then replace if
tracing reassuring
-possibility of placental separation of uterine perforation should be considered
What are the typical causes of variable deccelerations? - correct answers✔✔cord
compression
What can cause late decelerations? - correct answers✔✔uteroplacental insufficiency
You palpate 5cm long section of umbilical cord in vagina. What is next step? -
correct answers✔✔elevate fetal head w/vaginal hand and perform a Cesarean
delivery
G2P0 woman at 38 wks w/DM1. What is likely finding in NB? - correct
answers✔✔small and hypoglycemic
