OBGYN NBME Form 6 Exam with Questions and Answers

OBGYN NBME Form 6 Exam with Questions and Answers What vaccine to administer before contraceptives for 52 y/o F? ANSWER Flu vaccine Risk factors for osteoporosis? ANSWER Race (white people) Pulmonary embolism in pregnancy? ANSWER Acute pleuritic chest pain, SOB, tachypnea, hypoxia, and clear breath sounds. Due to hypercoagulable state ( pregnancy/DVT); resultant tachypnea. Can be seen days after birth Amniotic fluid embolism? ANSWER rare/life-threatening; acute, severe SOB, altered mental status, hemodynamic instability, and DIC DURING LABOR. Not days after. Vaccines that can be given in pregnancy? ANSWER Flu, Tdap, and hep B on case by case basis. When to give rhogam? ANSWER 28 weeks gestation and within 72 hours of delivery; or any blood mixing procedures (amniocentesis) Kell typing? ANSWER IV IgG therapy can be used to treat autoimmune diseases and could have possible prevented the development of Kell antibodies if it had been given at the time of blood transfusion. However, it plays no role in the prevention of erythroblastosis fetalis in the setting of active anti-kell antibodies. Most likely cause of fetal tachycardia? ANSWER Maternal fever Parvo B19 in pregnancy? ANSWER Pt with rash, fever, chills, headache, myalgias,