Blueprints Obstetrics & Gynecology Questions With
Complete Solutions
After what gestational age is prompt delivery recommended for
a woman with severe preeclampsia? Correct Answers Any
gestational age if there is evidence of maternal or fetal jeopardy
Any sustained blood pressure reading over what value would
classify a pregnant woman as severe preeclampsia? Correct
Answers 160/110
Are OCPs a risk factor for ovarian cancer, or protective?
Correct Answers Protective
Are oral contraceptive pills OK to use after pregnancy during
lactation? Correct Answers Combination pills should not be
used because estrogen diminishes milk production
Progestin only pills are OK
Are vaginal deliveries recommended in women with HepB?
Correct Answers Yes, vaginal delivery is appropriate
Are vaginal deliveries recommended in women with syphilis?
Correct Answers Yes, vaginal delivery is appropriate
At what point in pregnancy is endomyometritis most likely to
occur? Correct Answers 5-10 days after delivery
At what times in pregnancy should an Rh negative mother
recieve RhoGAM when she has an Rh positive fetus? Correct
Answers At week 28 and postpartum
,At what week gestation does an embryo start being called a
fetus? Correct Answers 8 weeks gestation
At what week gestation does B-HCG peak? Correct Answers
At 10 weeks - peaks at 100,000 mIU/mL
At what week gestational age might you first see the gestational
sac in the uterus? Correct Answers 5 weeks
At what week in pregnancy does the pregnant uterus reach the
symphysis pubis? Correct Answers 12 weeks
At what week is AFP usually screened to check for Down
syndrome? Correct Answers 15-18 weeks
At what week of gestation does the mother begin to be aware of
fetal movements? Correct Answers 16-20 weeks
At what week of gestation does the uterus reach the umbilicus?
Correct Answers 20 weeks
At what week of pregnancy are women screened for Group B
Streptococcal infection? Correct Answers 36 weeks
At what week of pregnancy does the mother first report fetal
quickening? Correct Answers Multipara - 16-18 weeks
Primagravida - 18-20 weeks
At which week gestation can CVS be performed? Correct
Answers 9 weeks (six weeks earlier than amniocentesis)
,Besides HPV infection, which other risk factors predispose to
cervical cancer? Correct Answers Smoking
Long term OCP use
Depressed immune status
DES exposure
Biologically, how is a complete mole formed? Correct Answers
Fertilization of an empty egg
Biologically, how is an incomplete mole formed? Correct
Answers When a normal egg is fertilized by two sperms
Blood pressure typically decreases during pregnancy until which
point? Correct Answers About the middle of the second
trimester
Describe the Essure procedure for sterilization- Correct
Answers Soft polyester fibers are introduced into the uterine
portions of the fallopian tubes. Over ~12 weeks, sterilization is
accomplished as in-growth of tissue around the coils results in a
barrier in the tubes
Do fibroids appear darker or lighter than myometrium on US?
Correct Answers Fibroids are areas of hypoechogenicity -
lighter than myometrium
Do SLE symptoms tend to get better or worse in pregnancy?
Correct Answers One-third rule:
1/3 get better
1/3 get worse
, 1/3 stay the same
Does elevated estrogen increase or decrease the likelihood of
developing seizures? What about progesterone? Correct
Answers Estrogen - increases seizures
Progesterone - decreases seizures
For which type of incontinence are pessaries a therapeutic
option? Correct Answers Stress incontinence
How are invasive moles diagnosed? Correct Answers Serial
follow-up of HCG shows plateauing or elevated levels after
removal of the mole.
How can leaks of amniotic fluid be differentiated from stress
incontinence? Correct Answers Nitrazine or fern tests of the
fluid
How do fibroids behave during pregnancy? Correct Answers
They can grow quickly and to huge proportions due to estrogen
sensitivity.
How do spermacide agents work (biologic mechanism)?
Correct Answers They disrupt the cell membranes of
spermatazoa
How do thyroid markers change during pregnancy? Correct
Answers TBG increases
T3 and T4 increases
but unbound T3 T4 is unchanged
Complete Solutions
After what gestational age is prompt delivery recommended for
a woman with severe preeclampsia? Correct Answers Any
gestational age if there is evidence of maternal or fetal jeopardy
Any sustained blood pressure reading over what value would
classify a pregnant woman as severe preeclampsia? Correct
Answers 160/110
Are OCPs a risk factor for ovarian cancer, or protective?
Correct Answers Protective
Are oral contraceptive pills OK to use after pregnancy during
lactation? Correct Answers Combination pills should not be
used because estrogen diminishes milk production
Progestin only pills are OK
Are vaginal deliveries recommended in women with HepB?
Correct Answers Yes, vaginal delivery is appropriate
Are vaginal deliveries recommended in women with syphilis?
Correct Answers Yes, vaginal delivery is appropriate
At what point in pregnancy is endomyometritis most likely to
occur? Correct Answers 5-10 days after delivery
At what times in pregnancy should an Rh negative mother
recieve RhoGAM when she has an Rh positive fetus? Correct
Answers At week 28 and postpartum
,At what week gestation does an embryo start being called a
fetus? Correct Answers 8 weeks gestation
At what week gestation does B-HCG peak? Correct Answers
At 10 weeks - peaks at 100,000 mIU/mL
At what week gestational age might you first see the gestational
sac in the uterus? Correct Answers 5 weeks
At what week in pregnancy does the pregnant uterus reach the
symphysis pubis? Correct Answers 12 weeks
At what week is AFP usually screened to check for Down
syndrome? Correct Answers 15-18 weeks
At what week of gestation does the mother begin to be aware of
fetal movements? Correct Answers 16-20 weeks
At what week of gestation does the uterus reach the umbilicus?
Correct Answers 20 weeks
At what week of pregnancy are women screened for Group B
Streptococcal infection? Correct Answers 36 weeks
At what week of pregnancy does the mother first report fetal
quickening? Correct Answers Multipara - 16-18 weeks
Primagravida - 18-20 weeks
At which week gestation can CVS be performed? Correct
Answers 9 weeks (six weeks earlier than amniocentesis)
,Besides HPV infection, which other risk factors predispose to
cervical cancer? Correct Answers Smoking
Long term OCP use
Depressed immune status
DES exposure
Biologically, how is a complete mole formed? Correct Answers
Fertilization of an empty egg
Biologically, how is an incomplete mole formed? Correct
Answers When a normal egg is fertilized by two sperms
Blood pressure typically decreases during pregnancy until which
point? Correct Answers About the middle of the second
trimester
Describe the Essure procedure for sterilization- Correct
Answers Soft polyester fibers are introduced into the uterine
portions of the fallopian tubes. Over ~12 weeks, sterilization is
accomplished as in-growth of tissue around the coils results in a
barrier in the tubes
Do fibroids appear darker or lighter than myometrium on US?
Correct Answers Fibroids are areas of hypoechogenicity -
lighter than myometrium
Do SLE symptoms tend to get better or worse in pregnancy?
Correct Answers One-third rule:
1/3 get better
1/3 get worse
, 1/3 stay the same
Does elevated estrogen increase or decrease the likelihood of
developing seizures? What about progesterone? Correct
Answers Estrogen - increases seizures
Progesterone - decreases seizures
For which type of incontinence are pessaries a therapeutic
option? Correct Answers Stress incontinence
How are invasive moles diagnosed? Correct Answers Serial
follow-up of HCG shows plateauing or elevated levels after
removal of the mole.
How can leaks of amniotic fluid be differentiated from stress
incontinence? Correct Answers Nitrazine or fern tests of the
fluid
How do fibroids behave during pregnancy? Correct Answers
They can grow quickly and to huge proportions due to estrogen
sensitivity.
How do spermacide agents work (biologic mechanism)?
Correct Answers They disrupt the cell membranes of
spermatazoa
How do thyroid markers change during pregnancy? Correct
Answers TBG increases
T3 and T4 increases
but unbound T3 T4 is unchanged
