OBGYN COMAT Questions with 100% Correct
Answers
Way to dx PPROM? Correct Answer: Nitrizine test (blue
for pH of amniotic fluid)
Ferning on slides
Primary amenorrhea and high FSH, should order what?
Correct Answer: Karyotype
When to screen for GBS? Correct Answer: 35-57wks
Tx for Positive GBS? Correct Answer: intrapartum
penicillin
First test for any amenorrhea? Correct Answer: b-hcg!
MCC of secondary amenorrhea? Correct Answer:
pregnancy
MCC of spontaenous abortions? Correct Answer:
chromosomal abnormalities
,What should be evaluated early with infertility? (over 1 yr
no conception) Correct Answer: progestrone and
ovulatory funciton
semen analysis
BP cutoff for severe preeclampsia? Correct Answer:
160/110
When to give IV mag to premie baby? Correct Answer:
32wks for neuro protection
Tx for asymptomatic bacturia? Correct Answer: 7-10
nitrofuratoin
MCC of sepsis in preg? Correct Answer: pyelonephritis
from UTI*
postmenopausal pain with sex, thin friable vaginal wall?
Correct Answer: atrophy-- tx with topical estrogen
vular itching, thin white "cigarette paper" lesion on
vulva? Correct Answer: lichen sclerosis-- tx with topical
steroid
,Sx of Bechets? Correct Answer: uveitis, ulcers of genitals
and mouth
Cause of variable decels? Correct Answer: cord
compression (MC finding)
Cause of early decels? Correct Answer: head
compression
Cause of accelerations? Correct Answer: O2 and good
fetal movement
Cause of late decels? Correct Answer: uteroplacental
insufficiency
Risk of using hormone replacement therapy post
menopause? Correct Answer: increased risk of clots and
heart disease
Endometrial biopsy with 2+ day lag means what?
Correct Answer: defect with luteal phase-- tx with
progesterone
MCC of postpartum fever? Correct Answer: endometritis
, Postpartum fever spiking and refractory to abx? Correct
Answer: Thrombophlebitis- add heparin
dysmenorrhea, dyschezia and dyspareunia? Correct
Answer: endometriosis
How to definitively dx endometriosis? Correct Answer:
laparoscopy of ovary
MCC of antepartum hemorrhage? Correct Answer:
abruptio placenta
placenta previa
MCC of PPH?** Correct Answer: ATONY
Risk factors of abruptio placentae? Correct Answer:
trauma
cocaine use
tobacco use
Signs of mullerian agenesis? Correct Answer: normal
pubic hair and breast dev.
Answers
Way to dx PPROM? Correct Answer: Nitrizine test (blue
for pH of amniotic fluid)
Ferning on slides
Primary amenorrhea and high FSH, should order what?
Correct Answer: Karyotype
When to screen for GBS? Correct Answer: 35-57wks
Tx for Positive GBS? Correct Answer: intrapartum
penicillin
First test for any amenorrhea? Correct Answer: b-hcg!
MCC of secondary amenorrhea? Correct Answer:
pregnancy
MCC of spontaenous abortions? Correct Answer:
chromosomal abnormalities
,What should be evaluated early with infertility? (over 1 yr
no conception) Correct Answer: progestrone and
ovulatory funciton
semen analysis
BP cutoff for severe preeclampsia? Correct Answer:
160/110
When to give IV mag to premie baby? Correct Answer:
32wks for neuro protection
Tx for asymptomatic bacturia? Correct Answer: 7-10
nitrofuratoin
MCC of sepsis in preg? Correct Answer: pyelonephritis
from UTI*
postmenopausal pain with sex, thin friable vaginal wall?
Correct Answer: atrophy-- tx with topical estrogen
vular itching, thin white "cigarette paper" lesion on
vulva? Correct Answer: lichen sclerosis-- tx with topical
steroid
,Sx of Bechets? Correct Answer: uveitis, ulcers of genitals
and mouth
Cause of variable decels? Correct Answer: cord
compression (MC finding)
Cause of early decels? Correct Answer: head
compression
Cause of accelerations? Correct Answer: O2 and good
fetal movement
Cause of late decels? Correct Answer: uteroplacental
insufficiency
Risk of using hormone replacement therapy post
menopause? Correct Answer: increased risk of clots and
heart disease
Endometrial biopsy with 2+ day lag means what?
Correct Answer: defect with luteal phase-- tx with
progesterone
MCC of postpartum fever? Correct Answer: endometritis
, Postpartum fever spiking and refractory to abx? Correct
Answer: Thrombophlebitis- add heparin
dysmenorrhea, dyschezia and dyspareunia? Correct
Answer: endometriosis
How to definitively dx endometriosis? Correct Answer:
laparoscopy of ovary
MCC of antepartum hemorrhage? Correct Answer:
abruptio placenta
placenta previa
MCC of PPH?** Correct Answer: ATONY
Risk factors of abruptio placentae? Correct Answer:
trauma
cocaine use
tobacco use
Signs of mullerian agenesis? Correct Answer: normal
pubic hair and breast dev.
