OBGYN Pearls (196) UPDATED ACTUAL
Questions and CORRECT Answers
What does a snow storm pattern on US likely represent? - CORRECT ANSWER✔✔-
Gestational Trophoblastic Disease
What is the most likely disorder in a bleeding pregnant patient with an extremely elevated
beta HCG? - CORRECT ANSWER✔✔- Gestational Trophoblastic Disease
What do a lecithin to sphingomyelin ratio > 2:1 and presence of the pulmonary surfactant
phosphatidylglycerol represent? - CORRECT ANSWER✔✔- Fetal lung maturity
List the 4 antihypertensive drugs used in pregnancy. - CORRECT ANSWER✔✔- Alpha-
methyldopa - Hydralazine - beta blockers - Calcium channel blockers
What does the term procidentia of the uterus refer to? - CORRECT ANSWER✔✔- Complete
prolapse of the uterus
What is the recommended treatment for syphilis in a penicillin allergic pregnant patient? -
CORRECT ANSWER✔✔- Desensitize and treat with PCN
What is the recommended treatment for syphilis in a penicillin allergic non pregnant patient?
- CORRECT ANSWER✔✔- Oral doxycycline or azithromycin
List the "3D's" of endometriosis symptoms. - CORRECT ANSWER✔✔- Dyspareunia -
Dyschezia - Dysmenorrhea
Premature ovarian failure is defined as the onset of menopause less than _?_ years old. -
CORRECT ANSWER✔✔- < 40 years old
Which hormone is dominant in the luteal phase of menstruation? - CORRECT
ANSWER✔✔- Progesterone
,Which hormone is dominant in the follicular phase of menstruation? - CORRECT
ANSWER✔✔- Estrogen
Treatment for Incompetent cervix? - CORRECT ANSWER✔✔- Cervical cerclage
Most common causes of post partum hemorrhage? - CORRECT ANSWER✔✔- Uterine
atony (laceration is the second most common cause)
Risk factors for Shoulder dystocia? - CORRECT ANSWER✔✔- Fetal Macrosomia -
Diabetic mother - Maternal obesity - Postdate pregnancy
What is McRobert's Maneuver? - CORRECT ANSWER✔✔- Used to manage shoulder
dystocia during delivery of the infant. Maternal legs are removed from stirrups and sharply
flexed upon the abdomen.
When is APGAR score assessed? - CORRECT ANSWER✔✔- At 1 min and 5 min after birth
(Normal score is 7-10 - Score of < 7 needs to be evaluated further)
What are the 5 APGAR assessments in the newborn? - CORRECT ANSWER✔✔- Activity
(muscle tone) - Pulse - Grimace (reflex irritability) - Appearance (skin color) - Respirations
What medication is used for seizure prophylaxis in preeclampsia and seizure treatment in
eclampsia? - CORRECT ANSWER✔✔- Magnesium
Patients with severe eclampsia may develop HELLP syndrome. What does HELLP stand for?
- CORRECT ANSWER✔✔- Hemolysis - Elevated Liver enzymes - Low Platelets
What differentiates preeclampsia form eclampsia? - CORRECT ANSWER✔✔- Eclampsia is
preeclampsia with seizure (HTN - Proteinuria - Seizure)
How do you cure a woman with preeclampsia? - CORRECT ANSWER✔✔- Delivering the
fetus will cure preeclampsia
, What two factors define preeclampsia? - CORRECT ANSWER✔✔- Hypertension and
proteinuria
What vaccines should always be avoided during pregnancy? - CORRECT ANSWER✔✔-
All live vaccines (e.g. MMR and Varicella)
What 4 markers are screened in the pregnant female in the Quad screen? - CORRECT
ANSWER✔✔- Maternal AFP - Estriol - HCG - Inhibin A
What 3 markers are screened in the triple screen test to look for potential birth defects? -
CORRECT ANSWER✔✔- Maternal AFP - Estriol - HCG
Leakage of amniotic fluid prior to 37 weeks gestation? - CORRECT ANSWER✔✔-
Premature Rupture of membranes
What lab test is used to diagnose premature rupture of membranes? - CORRECT
ANSWER✔✔- Nitrazine strip test and/or fern test on slide
Which placental disorder presents with painful vaginal bleeding uterine contractions and fetal
distress? - CORRECT ANSWER✔✔- Abruptio placenta
Define Abruptio Placenta. - CORRECT ANSWER✔✔- Premature separation of the placenta
from the uterine wall
Which placental disorder presents with painless vaginal bleeding? - CORRECT
ANSWER✔✔- Placenta Previa
Implantation of placenta over the cervical os is called? - CORRECT ANSWER✔✔- Placenta
Previa
Treatment for Rh incompatibility? - CORRECT ANSWER✔✔- RhoGAM (Rh Immune
globulin) at 28 weeks gestation and postnatally in non-sensitized patient
Questions and CORRECT Answers
What does a snow storm pattern on US likely represent? - CORRECT ANSWER✔✔-
Gestational Trophoblastic Disease
What is the most likely disorder in a bleeding pregnant patient with an extremely elevated
beta HCG? - CORRECT ANSWER✔✔- Gestational Trophoblastic Disease
What do a lecithin to sphingomyelin ratio > 2:1 and presence of the pulmonary surfactant
phosphatidylglycerol represent? - CORRECT ANSWER✔✔- Fetal lung maturity
List the 4 antihypertensive drugs used in pregnancy. - CORRECT ANSWER✔✔- Alpha-
methyldopa - Hydralazine - beta blockers - Calcium channel blockers
What does the term procidentia of the uterus refer to? - CORRECT ANSWER✔✔- Complete
prolapse of the uterus
What is the recommended treatment for syphilis in a penicillin allergic pregnant patient? -
CORRECT ANSWER✔✔- Desensitize and treat with PCN
What is the recommended treatment for syphilis in a penicillin allergic non pregnant patient?
- CORRECT ANSWER✔✔- Oral doxycycline or azithromycin
List the "3D's" of endometriosis symptoms. - CORRECT ANSWER✔✔- Dyspareunia -
Dyschezia - Dysmenorrhea
Premature ovarian failure is defined as the onset of menopause less than _?_ years old. -
CORRECT ANSWER✔✔- < 40 years old
Which hormone is dominant in the luteal phase of menstruation? - CORRECT
ANSWER✔✔- Progesterone
,Which hormone is dominant in the follicular phase of menstruation? - CORRECT
ANSWER✔✔- Estrogen
Treatment for Incompetent cervix? - CORRECT ANSWER✔✔- Cervical cerclage
Most common causes of post partum hemorrhage? - CORRECT ANSWER✔✔- Uterine
atony (laceration is the second most common cause)
Risk factors for Shoulder dystocia? - CORRECT ANSWER✔✔- Fetal Macrosomia -
Diabetic mother - Maternal obesity - Postdate pregnancy
What is McRobert's Maneuver? - CORRECT ANSWER✔✔- Used to manage shoulder
dystocia during delivery of the infant. Maternal legs are removed from stirrups and sharply
flexed upon the abdomen.
When is APGAR score assessed? - CORRECT ANSWER✔✔- At 1 min and 5 min after birth
(Normal score is 7-10 - Score of < 7 needs to be evaluated further)
What are the 5 APGAR assessments in the newborn? - CORRECT ANSWER✔✔- Activity
(muscle tone) - Pulse - Grimace (reflex irritability) - Appearance (skin color) - Respirations
What medication is used for seizure prophylaxis in preeclampsia and seizure treatment in
eclampsia? - CORRECT ANSWER✔✔- Magnesium
Patients with severe eclampsia may develop HELLP syndrome. What does HELLP stand for?
- CORRECT ANSWER✔✔- Hemolysis - Elevated Liver enzymes - Low Platelets
What differentiates preeclampsia form eclampsia? - CORRECT ANSWER✔✔- Eclampsia is
preeclampsia with seizure (HTN - Proteinuria - Seizure)
How do you cure a woman with preeclampsia? - CORRECT ANSWER✔✔- Delivering the
fetus will cure preeclampsia
, What two factors define preeclampsia? - CORRECT ANSWER✔✔- Hypertension and
proteinuria
What vaccines should always be avoided during pregnancy? - CORRECT ANSWER✔✔-
All live vaccines (e.g. MMR and Varicella)
What 4 markers are screened in the pregnant female in the Quad screen? - CORRECT
ANSWER✔✔- Maternal AFP - Estriol - HCG - Inhibin A
What 3 markers are screened in the triple screen test to look for potential birth defects? -
CORRECT ANSWER✔✔- Maternal AFP - Estriol - HCG
Leakage of amniotic fluid prior to 37 weeks gestation? - CORRECT ANSWER✔✔-
Premature Rupture of membranes
What lab test is used to diagnose premature rupture of membranes? - CORRECT
ANSWER✔✔- Nitrazine strip test and/or fern test on slide
Which placental disorder presents with painful vaginal bleeding uterine contractions and fetal
distress? - CORRECT ANSWER✔✔- Abruptio placenta
Define Abruptio Placenta. - CORRECT ANSWER✔✔- Premature separation of the placenta
from the uterine wall
Which placental disorder presents with painless vaginal bleeding? - CORRECT
ANSWER✔✔- Placenta Previa
Implantation of placenta over the cervical os is called? - CORRECT ANSWER✔✔- Placenta
Previa
Treatment for Rh incompatibility? - CORRECT ANSWER✔✔- RhoGAM (Rh Immune
globulin) at 28 weeks gestation and postnatally in non-sensitized patient
