ACOG Review 2024 Questions with Correct
Answers
Reversal agent for Dabigatran (Pradaxa) - oral direct thrombin inhibitor Idarucizumab
(Praxbind)
For procedures with high risk of surgical bleeding, apixaban should be stopped _____ hours
before surgery and can be restarted postop if hemostasis occurs
For patients with moderate to severe renal impairment, the drug should be discontinued _____
hours before surgery
Bridging therapy is not needed because of the drug's rapid onset of action and short half-life
For procedures with high risk of surgical bleeding, apixaban should be stopped 24-48
hours before surgery and can be restarted postop if hemostasis occurs
For patients with moderate to severe renal impairment, the drug should be discontinued 72-96
hours before surgery
, Bridging therapy is not needed because of the drug's rapid onset of action and short half-life
Postmenopausal bleeding with a thickened endometrium (_____) requires sampling to rule out
hyperplasia or malignancy. Use of anticoagulation is not a contraindication to minor procedures
(endometrial biopsy, IUD insertion, colposcopy biopsy, vulvar biopsy) as risk of bleeding is low.
>4 mm
Evidence supports using _____ as a tocolytic to relax the uterus prior to attempting external
cephalic version. terbutaline
Fetal head entrapment is an obstetric emergency due to umbilical cord compression by the fetal
head. After initial attempts to reduce the cervix over the fetal head, the next step in
management is typically _____ incisions at _____ o'clock on the cervix, combined with
halogenated anesthetics or nitroglycerin to relax the lower uterine segment. Duhrssen
2, 10, and possibly 6
Zavanelli maneuver pushing the fetus back into the uterus and performing a C/S
Answers
Reversal agent for Dabigatran (Pradaxa) - oral direct thrombin inhibitor Idarucizumab
(Praxbind)
For procedures with high risk of surgical bleeding, apixaban should be stopped _____ hours
before surgery and can be restarted postop if hemostasis occurs
For patients with moderate to severe renal impairment, the drug should be discontinued _____
hours before surgery
Bridging therapy is not needed because of the drug's rapid onset of action and short half-life
For procedures with high risk of surgical bleeding, apixaban should be stopped 24-48
hours before surgery and can be restarted postop if hemostasis occurs
For patients with moderate to severe renal impairment, the drug should be discontinued 72-96
hours before surgery
, Bridging therapy is not needed because of the drug's rapid onset of action and short half-life
Postmenopausal bleeding with a thickened endometrium (_____) requires sampling to rule out
hyperplasia or malignancy. Use of anticoagulation is not a contraindication to minor procedures
(endometrial biopsy, IUD insertion, colposcopy biopsy, vulvar biopsy) as risk of bleeding is low.
>4 mm
Evidence supports using _____ as a tocolytic to relax the uterus prior to attempting external
cephalic version. terbutaline
Fetal head entrapment is an obstetric emergency due to umbilical cord compression by the fetal
head. After initial attempts to reduce the cervix over the fetal head, the next step in
management is typically _____ incisions at _____ o'clock on the cervix, combined with
halogenated anesthetics or nitroglycerin to relax the lower uterine segment. Duhrssen
2, 10, and possibly 6
Zavanelli maneuver pushing the fetus back into the uterus and performing a C/S
