PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,m m
1. G2 m P1001
2. G4 m P1111
3. G3 m P2103 m -m 1.m currentlym pregnant,m 1 m termm delivery,m 1 m livingm child
2. currentlym pregnant,m 1 m termm delivery,m1 mpretermm delivery,m 1m abortion/miscarriage,m 1 mlivingm childm(cannotm tell
m ifm itm ism termm or m pretermm child m bym formula)
3. currentlym pregnant,m twinsm atm term,m 1 m atm preterm,m 3 m livingm children,,
Gm (# m pregnancies)
Tm (# m termm deliveriesmatm 37 mweeksmor mmore mincludingm stillbir
ths)m Pm (# m pretermm deliveriesm atm 20-37 m weeks)
A m(abortionsm<20 m weeksmincludingmmiscarriage
s)m L m (# m livingm children)
am previable m fetusm ism definedm asm -m <24 m weeksm oldm (variesm w/m guidelines)
whatm are m the m routine m testm duringm the m firstm prenatalm visit?m -
m bloodm pressure,m bloodm type m &m Rh,m CBC,m UA m (glucose m &m protein),m randomm glucose,m HBsAg,m Hepm C,m HI
V,m syphilis,m rubellam titer,m VZVm titer,m pap,m sickle m cellm &m CFm screening
diagnosism ofm pregnancym canm be m detectedm bym serumm B-hCGm atm daysm after m conceptionm andm bym urine m B-hCGm atm
m daysm after m conception m -m serumm B-
hCG: m 5 m daysm after m conception
urine m B-hCG: m 14 m daysm after m conception
howm ism estimatedm date m ofm deliverym (EDD)m determined?m -m Naegele'sm Rule: m fromm 1stm daym ofm LMP
1. subtractm 3 m mos,m addm 7 m days,m addm 1 m year
2. addm 9 m mosm &m 7 m days
ex: m LMPm startedm 8/7/16 m = m EDD: m 5/14/17
whenm estimatingm gestationalm age m onm USm whatm measurementsm canm youm use?m -
m 1.m crownm rumpm lengthm (CRL)
Pmamgmem 1m|m56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
2. biparietalmdiameter
3. headm circumference
4. abdominalmcircumference
5. femur m length
whatm physicalm examm andm labm testsm shouldm be m performedm onm initialm visitm ofm am pregnantm patient?m -
m fullm physicalm exam,m BP,m pelvic m examm w/m papm smear m (unlessm done m inm lastm 6 m mos),m G/Cm Cx's,m bimanual
m examm tom checkm size m ofmuterusm and mhelp mestimate m # m weeksm intompregnancy,m USm ifmunsure mofm LMP m tom date m#mwe
eks
labs: m CBCm (r/om anemia),m bloodm type m &mAbmscreenm+ mRhm status,m RPR,m HBSAg,m rubellam Abm screen,m VZVm Abmscreenmi
fm nom h/om chickenpox,mUA m w/m Cx,m bloodmglucose,m HIV,m sickle m cell/CFm screen,m PPDminm highmriskm pts,m screeningm form
aneuploidym offeredm (inc m or m dec m free m B-hCG,m PAPP-A m lowm w/m downm syndrome,m inc m nuchalm translucencym @10-
13 m weeksm US)
whatm are mthe mscreeningm testsm for m aneuploidym (includingmdownm syndrome)?m whenm are mtheym performed?m -
ALL mofferedm aroundm 10-13 m weeks
1. free m B-hCGm (highm or m lowm canm be m indicative m ofm abnormalities)
2. PAPP-A m (usuallym lowm w/m DS)
3. nuchalmtranslucencym (inc mthicknessmonmUS)
4. ifm anym above m + m canm bemofferedmchorionic mvillusm samplingm (or mifm theymhave manym RFmfor maneuploidym suchm asm a
dvancedm maternalm age/AMA,m previousm childm w/m chromosomalm abnmlity,m abnmlm US,m prior m pregnancym losses)m
butm inc m r/om spontaneousm abortionm w/m procedure
*amniocentesism offeredm aroundm 15-
18 m weeksm w/m same m indicationsm asm CVSm (bothm canm diagnose m chromosomalm abnormalitiesm andm have m riskm ofm spont
aneousm abortion)
the m uterusm softeningm atm 6 m weeksm ism whatm sign?m -m Ladin'sm sign
the m uterine m isthmusm softeningm after m 6-8 m weeksm gestationm ism whatm sign?m -m Hegar'sm sign
bluishm colorationm ofm the m cervix m &m vulvam aroundm 8-12 m weeksm ism whatm sign?m -m Chadwick'sm sign
Pmamgmem 2m|m56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
am palpable m lateralm bulge m or m softeningm ofm the m uterine m cornusm (where m uterusm meetsm fallopianm tubes)m atm 7-
8 m weeksm gestationm ism whatm sign?m -m Piskacek'sm sign
cervicalm softeningm ofm the m cervix m andm vulvam aroundm 8-12 m wksm -m Goodell'sm sign
whatm are m the m # m weeksm inm eachm trimester?m -m 1stm tri: m 1-
12 m 2ndm tri: m 13-27
3rdm tri: m 28-birth
whatm shouldm be m checkedm atm routine m firstm trimester m visits?m -
m BP,m weight,m urine m dipstick,m measurementm ofm uterus/fundalm height,m auscultationm ofm fetalm heartm sounds
m atm 10-12 m weeksm (nmlm 120-160)
whatm weekm shouldm the m uterus/fundalm heightm measure m above m the m pubic msymphysis?m midwaym betweenm pubic m symphy
sis/umbilicus?m atm umbilicus?m 2-3cmm belowm xiphoidm process?m -m -above m the m pubic m symphysis?m 12 m wks
-midwaymbetweenmpubic msymphysis/umbilicus?m14-16 mwks
-atm umbilicus?m 20 m wks
-2-3cmmbelowm xiphoidm process?m 38 m wks
after m 20 m weeksm gestation,m the m fundalm heightm shouldm measure m +/-m cmm fromm the m # m ofm weeksm -m +/-m 2 m cm
whenm are m fetalm heartm tonesm audible m withm doppler m US?m whatm rate m ism nml?m -m 10-
12 m weeksm (endm ofm 1stm trimester)m atm 120-160 m bpm
whatm ism the m quadm screenm testm for?m whatm are m the m tests?m whenm ism itm performed?m -m -
tom screenm for m trisomym 21 m (downm syndrome),m trisomym 18,m andm NTDm like m spinam bifida
-tests: malpha-fetomprotein,mB-hCG,m estradiol,mandminhibin-A
-performedm atm 15-20 m weeks
-canm be m performedm w/m 1stm trimester m screeningm -m calledm "integratedm screening"
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm downm syndrome?m -m a-FP: m low
Pmamgmem 3m|m56
, PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
B-
hCG: m highm es
tradiol: mlow
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
whenm canm am fetusm be m detectedm bym pelvic m US?m -m 5-6 m weeks
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm am neuralm tube m defect?m -m a-
FP: m *high* m B-hCG: m N/A
estradiol: mN/A
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm trisomym 18?m -m a-
FP: m lowm B-hCG: m low
estradiol: mlow
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
the m anatomym ultrasoundm (checkingm for m amniotic m fluidm level,mfetalm viability,m growth,m andm anatomy)m ism performed
m atm howm manym weeks?m -m 18-22 m weeks
whenm ism gestationalm diabetesm screenedm for?mwhatm ism the mscreeningm testm &m BSm limit?m whatm ism the m diagnostic m test
m and m &m BSm limits?m -m -24-28 m weeks
-glucose m loadingm testm (GLT): m 50gm givenm andm serumm glucose m checkedm 1 m hr m later-m failedm ifm BSm ≥140
-
glucose m tolerance m testm (GTT): m fastingm BSm checkedm(≥95)mthenm100gmglucose mgivenmandm BSmcheckedmatm 1 mhrm (≥180),m2m
hr m (≥155),m 3 m hr m (≥140); m failure m = m atm leastm 2/4
whenm ism "quickening"makam fetalm movementm felt?m -m 16-20 m weeks
howm oftenm are m OBm visitsm scheduled?m -m Q4 m weeksm firstm 2 m trimesters,m 1-
28 m wksm Q2 m weeksm 28-36 m wks
Qwkm36-birth
Pmamgmem 4m|m56
m m m m m m m m
PDATED 2024 Exam,,,m m
1. G2 m P1001
2. G4 m P1111
3. G3 m P2103 m -m 1.m currentlym pregnant,m 1 m termm delivery,m 1 m livingm child
2. currentlym pregnant,m 1 m termm delivery,m1 mpretermm delivery,m 1m abortion/miscarriage,m 1 mlivingm childm(cannotm tell
m ifm itm ism termm or m pretermm child m bym formula)
3. currentlym pregnant,m twinsm atm term,m 1 m atm preterm,m 3 m livingm children,,
Gm (# m pregnancies)
Tm (# m termm deliveriesmatm 37 mweeksmor mmore mincludingm stillbir
ths)m Pm (# m pretermm deliveriesm atm 20-37 m weeks)
A m(abortionsm<20 m weeksmincludingmmiscarriage
s)m L m (# m livingm children)
am previable m fetusm ism definedm asm -m <24 m weeksm oldm (variesm w/m guidelines)
whatm are m the m routine m testm duringm the m firstm prenatalm visit?m -
m bloodm pressure,m bloodm type m &m Rh,m CBC,m UA m (glucose m &m protein),m randomm glucose,m HBsAg,m Hepm C,m HI
V,m syphilis,m rubellam titer,m VZVm titer,m pap,m sickle m cellm &m CFm screening
diagnosism ofm pregnancym canm be m detectedm bym serumm B-hCGm atm daysm after m conceptionm andm bym urine m B-hCGm atm
m daysm after m conception m -m serumm B-
hCG: m 5 m daysm after m conception
urine m B-hCG: m 14 m daysm after m conception
howm ism estimatedm date m ofm deliverym (EDD)m determined?m -m Naegele'sm Rule: m fromm 1stm daym ofm LMP
1. subtractm 3 m mos,m addm 7 m days,m addm 1 m year
2. addm 9 m mosm &m 7 m days
ex: m LMPm startedm 8/7/16 m = m EDD: m 5/14/17
whenm estimatingm gestationalm age m onm USm whatm measurementsm canm youm use?m -
m 1.m crownm rumpm lengthm (CRL)
Pmamgmem 1m|m56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
2. biparietalmdiameter
3. headm circumference
4. abdominalmcircumference
5. femur m length
whatm physicalm examm andm labm testsm shouldm be m performedm onm initialm visitm ofm am pregnantm patient?m -
m fullm physicalm exam,m BP,m pelvic m examm w/m papm smear m (unlessm done m inm lastm 6 m mos),m G/Cm Cx's,m bimanual
m examm tom checkm size m ofmuterusm and mhelp mestimate m # m weeksm intompregnancy,m USm ifmunsure mofm LMP m tom date m#mwe
eks
labs: m CBCm (r/om anemia),m bloodm type m &mAbmscreenm+ mRhm status,m RPR,m HBSAg,m rubellam Abm screen,m VZVm Abmscreenmi
fm nom h/om chickenpox,mUA m w/m Cx,m bloodmglucose,m HIV,m sickle m cell/CFm screen,m PPDminm highmriskm pts,m screeningm form
aneuploidym offeredm (inc m or m dec m free m B-hCG,m PAPP-A m lowm w/m downm syndrome,m inc m nuchalm translucencym @10-
13 m weeksm US)
whatm are mthe mscreeningm testsm for m aneuploidym (includingmdownm syndrome)?m whenm are mtheym performed?m -
ALL mofferedm aroundm 10-13 m weeks
1. free m B-hCGm (highm or m lowm canm be m indicative m ofm abnormalities)
2. PAPP-A m (usuallym lowm w/m DS)
3. nuchalmtranslucencym (inc mthicknessmonmUS)
4. ifm anym above m + m canm bemofferedmchorionic mvillusm samplingm (or mifm theymhave manym RFmfor maneuploidym suchm asm a
dvancedm maternalm age/AMA,m previousm childm w/m chromosomalm abnmlity,m abnmlm US,m prior m pregnancym losses)m
butm inc m r/om spontaneousm abortionm w/m procedure
*amniocentesism offeredm aroundm 15-
18 m weeksm w/m same m indicationsm asm CVSm (bothm canm diagnose m chromosomalm abnormalitiesm andm have m riskm ofm spont
aneousm abortion)
the m uterusm softeningm atm 6 m weeksm ism whatm sign?m -m Ladin'sm sign
the m uterine m isthmusm softeningm after m 6-8 m weeksm gestationm ism whatm sign?m -m Hegar'sm sign
bluishm colorationm ofm the m cervix m &m vulvam aroundm 8-12 m weeksm ism whatm sign?m -m Chadwick'sm sign
Pmamgmem 2m|m56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
am palpable m lateralm bulge m or m softeningm ofm the m uterine m cornusm (where m uterusm meetsm fallopianm tubes)m atm 7-
8 m weeksm gestationm ism whatm sign?m -m Piskacek'sm sign
cervicalm softeningm ofm the m cervix m andm vulvam aroundm 8-12 m wksm -m Goodell'sm sign
whatm are m the m # m weeksm inm eachm trimester?m -m 1stm tri: m 1-
12 m 2ndm tri: m 13-27
3rdm tri: m 28-birth
whatm shouldm be m checkedm atm routine m firstm trimester m visits?m -
m BP,m weight,m urine m dipstick,m measurementm ofm uterus/fundalm height,m auscultationm ofm fetalm heartm sounds
m atm 10-12 m weeksm (nmlm 120-160)
whatm weekm shouldm the m uterus/fundalm heightm measure m above m the m pubic msymphysis?m midwaym betweenm pubic m symphy
sis/umbilicus?m atm umbilicus?m 2-3cmm belowm xiphoidm process?m -m -above m the m pubic m symphysis?m 12 m wks
-midwaymbetweenmpubic msymphysis/umbilicus?m14-16 mwks
-atm umbilicus?m 20 m wks
-2-3cmmbelowm xiphoidm process?m 38 m wks
after m 20 m weeksm gestation,m the m fundalm heightm shouldm measure m +/-m cmm fromm the m # m ofm weeksm -m +/-m 2 m cm
whenm are m fetalm heartm tonesm audible m withm doppler m US?m whatm rate m ism nml?m -m 10-
12 m weeksm (endm ofm 1stm trimester)m atm 120-160 m bpm
whatm ism the m quadm screenm testm for?m whatm are m the m tests?m whenm ism itm performed?m -m -
tom screenm for m trisomym 21 m (downm syndrome),m trisomym 18,m andm NTDm like m spinam bifida
-tests: malpha-fetomprotein,mB-hCG,m estradiol,mandminhibin-A
-performedm atm 15-20 m weeks
-canm be m performedm w/m 1stm trimester m screeningm -m calledm "integratedm screening"
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm downm syndrome?m -m a-FP: m low
Pmamgmem 3m|m56
, PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST U
m m m m m m m m
PDATED 2024 Exam,,,
m m
B-
hCG: m highm es
tradiol: mlow
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
whenm canm am fetusm be m detectedm bym pelvic m US?m -m 5-6 m weeks
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm am neuralm tube m defect?m -m a-
FP: m *high* m B-hCG: m N/A
estradiol: mN/A
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
whatm wouldm youm expectm withm the m quadm screenm ifm am babym hadm trisomym 18?m -m a-
FP: m lowm B-hCG: m low
estradiol: mlow
inhibin-A: mhighm (alwaysmhighm inm chromosomalm abnormalities)
the m anatomym ultrasoundm (checkingm for m amniotic m fluidm level,mfetalm viability,m growth,m andm anatomy)m ism performed
m atm howm manym weeks?m -m 18-22 m weeks
whenm ism gestationalm diabetesm screenedm for?mwhatm ism the mscreeningm testm &m BSm limit?m whatm ism the m diagnostic m test
m and m &m BSm limits?m -m -24-28 m weeks
-glucose m loadingm testm (GLT): m 50gm givenm andm serumm glucose m checkedm 1 m hr m later-m failedm ifm BSm ≥140
-
glucose m tolerance m testm (GTT): m fastingm BSm checkedm(≥95)mthenm100gmglucose mgivenmandm BSmcheckedmatm 1 mhrm (≥180),m2m
hr m (≥155),m 3 m hr m (≥140); m failure m = m atm leastm 2/4
whenm ism "quickening"makam fetalm movementm felt?m -m 16-20 m weeks
howm oftenm are m OBm visitsm scheduled?m -m Q4 m weeksm firstm 2 m trimesters,m 1-
28 m wksm Q2 m weeksm 28-36 m wks
Qwkm36-birth
Pmamgmem 4m|m56
