By Tamara Callahan 9781975134877 Chapter 1-32 Complete
Guide .
True or False: Elective cesarean section is possible even in the setting of being afraid
of the pain of labor. - ANSWER: True. Make sure you counsel her and perform @ 39
weeks gestation.
True or False: Pharm companies can pay for doctors to get CME credit (send them to
conferences) - ANSWER: True.
What is the USPSTF reccomendation on breast cancer screening with no family
history? - ANSWER: Every two years at age 50.
What is ACOG reccomendation on breast cancer screening? - ANSWER: Yearly at age
40.
Combination of first and second degree relatives have ovarian and breast cancer.
What is the initial screening test that can be offered? - ANSWER: Mammogram.
What is the recommended screening for colon cancer? - ANSWER: Colonoscopy
starting at 50 and then every 10 years. Even if you had a grandpa that had it at 80.
Sigmoidoscopy guideline? - ANSWER: Age 50 and repeat every 5 years.
What are contraceptive methods that are <1% pregnancy rate? - ANSWER: Depo-
Provera
IUD
Sterilization
Implanon
What is the risk of pregnancy with OCPs? - ANSWER: 3 to 5
What is the risk of pregnancy with a condom? - ANSWER: 12%
What method of contraception has the highest failure rate? - ANSWER: Spermicide
diaphragm (18%)
What are dexa scan guidelines? - ANSWER: age 65 unless they have risk factors of
osteoporosis (chronic liver or renal disease, anticonvulsant therapy, vit D def.)
What vaccines would be contraindicated within 4 weeks of pregnancy? - ANSWER:
MMR and varicella
, What is an important lifestyle change for a patient who has a history of hypertension
and hypercholesterolemia? - ANSWER: Aerobic exercise.
What levels does folate lower? - ANSWER: Homosystiene
If you are trying to get pregnant or are within the first four weeks of fetal
development what is important to take? - ANSWER: 400 micrograms of Folate.
A patient has Rh hemolytic disease at 24 weeks. What should you order to monitor
severity? - ANSWER: Bilirubin. Spectroscopy of the yellow tinged amniotic fluid.
PGF2alpha has what two properties? - ANSWER: Broncho contriction (CI in asthma)
Uterine contraction
What is an ectropion? - ANSWER: An area of columnar epithelium that has not yet
undergone squamous metaplasia.
What does acetowhite epithelium indicate? - ANSWER: Dysplasia.
Which population should stay away from methylergonovine? - ANSWER:
Hypertensive or preeclampsic moms because it is a smooth muscle constrictor.
Post partum hemmorhage management. - ANSWER: 1. Establish IV access.
2. See if there is retained placental tissue.
3. See if there is lacerations.
Which type of fibroids cause infertility? - ANSWER: Submucosal myomas
Which SSRI is contraindicated in pregnancy? - ANSWER: Paxil or Paroxetine. Causes
fetal cardiac malformations and pulmonary hypertension.
Amsel criteria for BV. - ANSWER: 1. Thin gray homogenous vaginal discharge.
2. Positive whiff test. KOH.
3. Clue Cells
4. Elevated Vaginal pH.
An adolescent, overweight mother is seeking birth control which is a possible
reversible option? - ANSWER: LARC (Long acting reversible contraceptive). IUD
Rhogam dosage in the setting of vaginal bleeding or abruption is determined by
which diagnostic study? - ANSWER: Kleihauer Betke (fetal RBCs stain dark). RhoGam
neutralizes 30 cc of fetal blood.
Fever after postop day 2 on a patient that is on antibiotics and essentially has normal
physical exam, you can consider which diagnosis? - ANSWER: Septic
thrombophlebitis involving thrombosis of the venous system.