ACOG quiz with Answers Verified by
Experts
What is the threshold to start vaginal progesterone? <20 mm cx
What type of virus is Zika virus? Flavivirus, like West Nile, Dengue; spread by Aeges
aegypti; sexual contact; 20% have clinical findings (conjunctivitis, maculopapular rash,
arthralgia, low grade fever); incubation period for virus is 3-14 days; test mom with serum and
urine RT PCR. Fetus -amniocentesis PCR.
What ovulation induction agent do u use in PCOS patients? Letrozole
At what viral load is it appropriate for HIV patient to deliver vaginally? VL < 1000
copies/ml; greater than that, needs CS at 38W
What is the preferred regimen in HIV pos patient in pregnancy Tenofovir - emtricitabine +
atazanavir + ritonavir
Lemon sign shows... spina bifida
,Banana sign? Deformation of the cerebellum - means obliteration of the cisterns magna
with NTD and ventriculomegal
Side effects of term ( what is term) B2 agonist of smooth muscle of the uterus - causing it
to relax; Can affect the beta 1 receptors of the heart; tachycardia, palpitations, arrhythmias, pull
edema, hypotension
What is the limit for when amnio can be done? >15W; before that, CVS
What middle cerebral A value predicts mod to severe anemia? >1.5 MOM
What is renal pyectasis? hydronephrosis, is usually defined as a renal pelvis diameter ≥ 4
mm at gestational ages less than 32 weeks and greater than 7 mm at gestational ages beyond 32
weeks. Renal pyelectasis is twice as common in males.
What is PUPPS? pruritic urticarial papules and plaques of pregnancy (PUPPS). PUPPS is
the most common cutaneous disease during pregnancy, affecting approximately 1 in 200 patients.
The disease occurs most commonly in the third trimester. The lesions are intensely pruritic and
, are usually localized to the abdomen, but they can spread to affect the entire trunk and
extremities. As noted in this photograph the lesions spare the umbilicus. They also spare the
palms of the hands and soles of the feet. Although the disease is self-limited and resolves quickly
after delivery, patients usually need symptomatic relief of their intense pruritus. Treatment
options for mild symptoms include low to mid-potency topical steroids, first generation
antihistamines, and/or bland emollients. Severe symptoms usually require high potency topical
corticosteroids or a short course of systemic corticosteroids.
WHAT IS TOF ASSOCIATED WITH DIGEORGE
pleural effusion + ovarian tumor Meigs sx; Meigs' Syndrome. About 1% of women with
ovarian fibromas will present with this syndrome which consists of the following triad: 1) pleural
effusion, 2) ascites, and 3) a solid ovarian tumor.
holt oram sx This fetus has bilateral radial aplasia and absent thumbs, findings which are
consistent with Holt-Oram syndrome. Diagnostic criteria for Holt -Oram syndrome include pre-
axial radial malformations in at least one upper limb and congenital heart disease, with or
without conduction defects. Heart defects are found in 75% of patients. The most common
cardiac abnormalities are ostium secundum atrial septal defect and ventricular septal defect.
Experts
What is the threshold to start vaginal progesterone? <20 mm cx
What type of virus is Zika virus? Flavivirus, like West Nile, Dengue; spread by Aeges
aegypti; sexual contact; 20% have clinical findings (conjunctivitis, maculopapular rash,
arthralgia, low grade fever); incubation period for virus is 3-14 days; test mom with serum and
urine RT PCR. Fetus -amniocentesis PCR.
What ovulation induction agent do u use in PCOS patients? Letrozole
At what viral load is it appropriate for HIV patient to deliver vaginally? VL < 1000
copies/ml; greater than that, needs CS at 38W
What is the preferred regimen in HIV pos patient in pregnancy Tenofovir - emtricitabine +
atazanavir + ritonavir
Lemon sign shows... spina bifida
,Banana sign? Deformation of the cerebellum - means obliteration of the cisterns magna
with NTD and ventriculomegal
Side effects of term ( what is term) B2 agonist of smooth muscle of the uterus - causing it
to relax; Can affect the beta 1 receptors of the heart; tachycardia, palpitations, arrhythmias, pull
edema, hypotension
What is the limit for when amnio can be done? >15W; before that, CVS
What middle cerebral A value predicts mod to severe anemia? >1.5 MOM
What is renal pyectasis? hydronephrosis, is usually defined as a renal pelvis diameter ≥ 4
mm at gestational ages less than 32 weeks and greater than 7 mm at gestational ages beyond 32
weeks. Renal pyelectasis is twice as common in males.
What is PUPPS? pruritic urticarial papules and plaques of pregnancy (PUPPS). PUPPS is
the most common cutaneous disease during pregnancy, affecting approximately 1 in 200 patients.
The disease occurs most commonly in the third trimester. The lesions are intensely pruritic and
, are usually localized to the abdomen, but they can spread to affect the entire trunk and
extremities. As noted in this photograph the lesions spare the umbilicus. They also spare the
palms of the hands and soles of the feet. Although the disease is self-limited and resolves quickly
after delivery, patients usually need symptomatic relief of their intense pruritus. Treatment
options for mild symptoms include low to mid-potency topical steroids, first generation
antihistamines, and/or bland emollients. Severe symptoms usually require high potency topical
corticosteroids or a short course of systemic corticosteroids.
WHAT IS TOF ASSOCIATED WITH DIGEORGE
pleural effusion + ovarian tumor Meigs sx; Meigs' Syndrome. About 1% of women with
ovarian fibromas will present with this syndrome which consists of the following triad: 1) pleural
effusion, 2) ascites, and 3) a solid ovarian tumor.
holt oram sx This fetus has bilateral radial aplasia and absent thumbs, findings which are
consistent with Holt-Oram syndrome. Diagnostic criteria for Holt -Oram syndrome include pre-
axial radial malformations in at least one upper limb and congenital heart disease, with or
without conduction defects. Heart defects are found in 75% of patients. The most common
cardiac abnormalities are ostium secundum atrial septal defect and ventricular septal defect.
