ACOG Questions With Complete Solutions
24 h protein value for preeclampsia Correct Answers 300
24 h value for severe preeclampsia Correct Answers 5000
3 systemic diseases associated with early pregnancy loss
Correct Answers DM
CKD
Lupus
Acute tx of thyroid storm Correct Answers PTU, propanolol,
sodium iodide, dexamethasone
Agents to decrease itching in pruritus gravidarum Correct
Answers URSODEOXYCHOLIC acid and naltrexon
ASCUS with negative HPV Correct Answers co-testing with
cyotology and HPV can be repeated in 3 years
OR
just cytology in one year if HPV cannot be done
Asherman's syndrome Correct Answers trauma to basal layer
of endometrium
bartholin mass in post-menopausal Correct Answers be
suspicious for malignancy
Best way to prevent osteoporosis? Correct Answers weight-
bearing exercise
,breast feeding decreases what CA risk? Correct Answers
ovarian, possibly breast
breech position Correct Answers polyhydramnios
previa
prematurity
hydrocephaly/anencephaly
uterine anomalies
fibroids
Bromocripitine side effects Correct Answers HTN, stroke,
seizures
bv pathogenesis Correct Answers hydrogen peroxide to non-
hydrogen peroxide which allows proliferation of anaerobic
bacteria
CAH Correct Answers increased adrenal androgens leading to
precocious adrenarche
causes of elevated MSAFP Correct Answers gestational age
error
fetal demise
multiple gestation
ventral wall defects
NTD
tumor or liver disease in pt
causes of elevated MSAFP levels Correct Answers NTD,
pilonidal cysts, cystic hygroma, sacrococcygeal teratoma, wall
defects, fetal death
, CI to expectant management of severe preeclampsia <32 w
Correct Answers platelets <100000
inability to control bp with max dose of two anti-HTN
non-reassuring fetal surveillance
liver function tests elevated more that 2x
seizures
oliguria
persistent CNS sx
common causes of uteroplacental insufficiency Correct
Answers chronic hypertension
postdate
complete mole complications Correct Answers preeclampsia
higher likelihood of GTD
Complications with DM Correct Answers IUGR
polyhydramnios
congenital malformations (CV, NTD, caudal regression)
preterm
HTN
Conditions for MTX Correct Answers 1. HDS
2. non-ruptured
3. ectopic mass <4 w/o fetal HR or <3.5 cm w/ fetal HR
4. normal liver enzymes, renal function, WBC and able to f/u
Crown-rump length prediction Correct Answers 5-7 days
Cushing syndrome dx Correct Answers 24 h urinary cortisol
24 h protein value for preeclampsia Correct Answers 300
24 h value for severe preeclampsia Correct Answers 5000
3 systemic diseases associated with early pregnancy loss
Correct Answers DM
CKD
Lupus
Acute tx of thyroid storm Correct Answers PTU, propanolol,
sodium iodide, dexamethasone
Agents to decrease itching in pruritus gravidarum Correct
Answers URSODEOXYCHOLIC acid and naltrexon
ASCUS with negative HPV Correct Answers co-testing with
cyotology and HPV can be repeated in 3 years
OR
just cytology in one year if HPV cannot be done
Asherman's syndrome Correct Answers trauma to basal layer
of endometrium
bartholin mass in post-menopausal Correct Answers be
suspicious for malignancy
Best way to prevent osteoporosis? Correct Answers weight-
bearing exercise
,breast feeding decreases what CA risk? Correct Answers
ovarian, possibly breast
breech position Correct Answers polyhydramnios
previa
prematurity
hydrocephaly/anencephaly
uterine anomalies
fibroids
Bromocripitine side effects Correct Answers HTN, stroke,
seizures
bv pathogenesis Correct Answers hydrogen peroxide to non-
hydrogen peroxide which allows proliferation of anaerobic
bacteria
CAH Correct Answers increased adrenal androgens leading to
precocious adrenarche
causes of elevated MSAFP Correct Answers gestational age
error
fetal demise
multiple gestation
ventral wall defects
NTD
tumor or liver disease in pt
causes of elevated MSAFP levels Correct Answers NTD,
pilonidal cysts, cystic hygroma, sacrococcygeal teratoma, wall
defects, fetal death
, CI to expectant management of severe preeclampsia <32 w
Correct Answers platelets <100000
inability to control bp with max dose of two anti-HTN
non-reassuring fetal surveillance
liver function tests elevated more that 2x
seizures
oliguria
persistent CNS sx
common causes of uteroplacental insufficiency Correct
Answers chronic hypertension
postdate
complete mole complications Correct Answers preeclampsia
higher likelihood of GTD
Complications with DM Correct Answers IUGR
polyhydramnios
congenital malformations (CV, NTD, caudal regression)
preterm
HTN
Conditions for MTX Correct Answers 1. HDS
2. non-ruptured
3. ectopic mass <4 w/o fetal HR or <3.5 cm w/ fetal HR
4. normal liver enzymes, renal function, WBC and able to f/u
Crown-rump length prediction Correct Answers 5-7 days
Cushing syndrome dx Correct Answers 24 h urinary cortisol
