Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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
,Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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
,Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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
, Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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)
Questions & Answers (Grade A+)
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
,Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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
,Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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
, Ob Gyn Smarty Pence Exam
Questions & Answers (Grade A+)
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)
