OBGYN Pearls (196) Questions and
Correct Verified Answers
What does a snow storm pattern on US likely represent?
✓ Gestational Trophoblastic Disease
What is the most likely disorder in a bleeding pregnant patient with an extremely
elevated beta HCG?
✓ Gestational Trophoblastic Disease
What do a lecithin to sphingomyelin ratio > 2:1 and presence of the pulmonary
surfactant phosphatidylglycerol represent?
✓ Fetal lung maturity
List the 4 antihypertensive drugs used in pregnancy.
✓ Alpha-methyldopa - Hydralazine - beta blockers - Calcium channel blockers
What does the term procidentia of the uterus refer to?
✓ Complete prolapse of the uterus
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What is the recommended treatment for syphilis in a penicillin allergic pregnant
patient?
✓ Desensitize and treat with PCN
What is the recommended treatment for syphilis in a penicillin allergic non pregnant
patient?
✓ Oral doxycycline or azithromycin
List the "3D's" of endometriosis symptoms.
✓ Dyspareunia - Dyschezia - Dysmenorrhea
Premature ovarian failure is defined as the onset of menopause less than _?_ years old.
✓ < 40 years old
Which hormone is dominant in the luteal phase of menstruation?
✓ Progesterone
Which hormone is dominant in the follicular phase of menstruation?
✓ Estrogen
Treatment for Incompetent cervix?
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✓ Cervical cerclage
Most common causes of post partum hemorrhage?
✓ Uterine atony (laceration is the second most common cause)
Risk factors for Shoulder dystocia?
✓ Fetal Macrosomia - Diabetic mother - Maternal obesity - Postdate pregnancy
What is McRobert's Maneuver?
✓ 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?
✓ 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?
✓ 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?
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✓ Magnesium
Patients with severe eclampsia may develop HELLP syndrome. What does HELLP stand
for?
✓ Hemolysis - Elevated Liver enzymes - Low Platelets
What differentiates preeclampsia form eclampsia?
✓ Eclampsia is preeclampsia with seizure (HTN - Proteinuria - Seizure)
How do you cure a woman with preeclampsia?
✓ Delivering the fetus will cure preeclampsia
What two factors define preeclampsia?
✓ Hypertension and proteinuria
What vaccines should always be avoided during pregnancy?
✓ All live vaccines (e.g. MMR and Varicella)
What 4 markers are screened in the pregnant female in the Quad screen?
✓ Maternal AFP - Estriol - HCG - Inhibin A
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