AMCB Practice Question Review (LMA Copy): Midwifery Exam Prep Questions
Physiologic vs. Pathologic Jaundice - ✔✔Physiologic = greater than 24h post-birth
Pathologic = first 24h post-birth
Clinical Breast Exam guidelines - ✔✔USPSTF and ACS do NOT recommend CBE for those at
average risk of breast cancer
No org recommends CBEs annually for wellness exams
ACOG recommends CBEs every 1 - 3 years for patients 20 - 39 y/o, then annually starting at 40
y/o
C/I to HRT - ✔✔- Abnormal uterine bleeding
- Liver disease
- Protein C and S, antithrombin, and other thrombophilia disorders
Ovarian Resistance Syndrome - ✔✔A condition where the ovaries are unresponsive to normal
levels of gonadotropins (FSH and LH), resulting in low estradiol production despite normal or
elevated gonadotropin levels.
Hormones that initiate the production of sperm and testosterone - ✔✔FSH and LH
Sperm matures in the - ✔✔Epididymis
Sperm travels through the - ✔✔Vas deferens
,Androgen Insensitivity Syndrome - ✔✔A genetic condition where an individual who is
genetically male (XY) is resistant to male hormones (androgens), leading to the development of
female external characteristics.
Most common benign breast condition in women - ✔✔Fibrocystic changes
A full-term pregnancy before ______ years of age decreases the risk of breast carcinoma -
✔✔30
Immune thrombocytopenic purpura - ✔✔An autoimmune disorder where the body attacks its
own platelets, leading to thrombocytopenia and increased bleeding
Disseminated Intravascular Coagulation (DIC) - ✔✔A serious disorder causing both clotting and
bleeding. Results in an elevated D-dimer
Treatment for initial HSV-2 outbreak - ✔✔Acyclovir
400 mg PO 4x/day or
200 mg PO 5x/day
for 7 - 10 days
Condoms should be used at all times with HSV-2 because - ✔✔Asymptomatic viral shedding
causes most cases of transmission
Uterus measurements - ✔✔8 cm long
5 cm wide
2.5 cm thick
,The lower uterine segment is also called - ✔✔The isthmus
Contraceptive Ring - ✔✔A flexible, hormone-releasing device inserted into the vagina to
prevent pregnancy. It releases estrogen and progestin to inhibit ovulation, thicken cervical
mucus, and thin the uterine lining.
The contraceptive ring can be out of the vagina for up to ______ hours without needing a back
up method of contraception - ✔✔3
Menorrhagia - ✔✔Excessive menstrual bleeding
Assessment of HSV-2 lesions includes - ✔✔Swab the lesion and send a VIRAL culture or PCR
test to the laboratory
Hypergonadotropic hypogonadism - ✔✔Reduced function of the gonads (ovaries or testes)
accompanied by ELEVATED levels of gonadotropins (FSH and LH), often due to primary gonadal
failure
Symptoms of BV - ✔✔- Burning sensation
- Greenish-yellow discharge
- Fishy odor
- Milky grey discharge, adherent to vaginal walls
- No symptoms
Z-score from a bone mineral density test - ✔✔Compares bone density in a premenopausal
woman to an age- ethnicity- and gender-matched model
C/I to breastfeeding: maternal infections - ✔✔1. HIV
, 2. Active Tb
3. Herpetic lesions on the breasts
4. Varicella developed 5 days prior to birth or 2 days after birth
5. Flu
C/I to breastfeeding: medications - ✔✔1. Illicit drugs
2. Antiretrovirals
3. Anticonvulsants
4. Chemo agents
5. Retinoids
6. Statins
Irritant Contact Dermatitis - ✔✔A nonallergic response caused by irritants such as dry and cold
air, friction, and chemicals. Mostly occurs after chronic exposure.
Excessive alcohol use in females is defined as - ✔✔More than 3 drinks per WEEK
Severe intellectual disability and physical abnormalities such as cleft lip and palate, extra digits,
and organ defects are characteristics of which Trisomy? - ✔✔13, Patau syndrome
Third most common trisomy
Severe developmental delays, microcephaly, low birth weight, and various organ defects are
characteristics of which Trisomy? - ✔✔18, Edwards syndrome
Second most common trisomy
Physiologic vs. Pathologic Jaundice - ✔✔Physiologic = greater than 24h post-birth
Pathologic = first 24h post-birth
Clinical Breast Exam guidelines - ✔✔USPSTF and ACS do NOT recommend CBE for those at
average risk of breast cancer
No org recommends CBEs annually for wellness exams
ACOG recommends CBEs every 1 - 3 years for patients 20 - 39 y/o, then annually starting at 40
y/o
C/I to HRT - ✔✔- Abnormal uterine bleeding
- Liver disease
- Protein C and S, antithrombin, and other thrombophilia disorders
Ovarian Resistance Syndrome - ✔✔A condition where the ovaries are unresponsive to normal
levels of gonadotropins (FSH and LH), resulting in low estradiol production despite normal or
elevated gonadotropin levels.
Hormones that initiate the production of sperm and testosterone - ✔✔FSH and LH
Sperm matures in the - ✔✔Epididymis
Sperm travels through the - ✔✔Vas deferens
,Androgen Insensitivity Syndrome - ✔✔A genetic condition where an individual who is
genetically male (XY) is resistant to male hormones (androgens), leading to the development of
female external characteristics.
Most common benign breast condition in women - ✔✔Fibrocystic changes
A full-term pregnancy before ______ years of age decreases the risk of breast carcinoma -
✔✔30
Immune thrombocytopenic purpura - ✔✔An autoimmune disorder where the body attacks its
own platelets, leading to thrombocytopenia and increased bleeding
Disseminated Intravascular Coagulation (DIC) - ✔✔A serious disorder causing both clotting and
bleeding. Results in an elevated D-dimer
Treatment for initial HSV-2 outbreak - ✔✔Acyclovir
400 mg PO 4x/day or
200 mg PO 5x/day
for 7 - 10 days
Condoms should be used at all times with HSV-2 because - ✔✔Asymptomatic viral shedding
causes most cases of transmission
Uterus measurements - ✔✔8 cm long
5 cm wide
2.5 cm thick
,The lower uterine segment is also called - ✔✔The isthmus
Contraceptive Ring - ✔✔A flexible, hormone-releasing device inserted into the vagina to
prevent pregnancy. It releases estrogen and progestin to inhibit ovulation, thicken cervical
mucus, and thin the uterine lining.
The contraceptive ring can be out of the vagina for up to ______ hours without needing a back
up method of contraception - ✔✔3
Menorrhagia - ✔✔Excessive menstrual bleeding
Assessment of HSV-2 lesions includes - ✔✔Swab the lesion and send a VIRAL culture or PCR
test to the laboratory
Hypergonadotropic hypogonadism - ✔✔Reduced function of the gonads (ovaries or testes)
accompanied by ELEVATED levels of gonadotropins (FSH and LH), often due to primary gonadal
failure
Symptoms of BV - ✔✔- Burning sensation
- Greenish-yellow discharge
- Fishy odor
- Milky grey discharge, adherent to vaginal walls
- No symptoms
Z-score from a bone mineral density test - ✔✔Compares bone density in a premenopausal
woman to an age- ethnicity- and gender-matched model
C/I to breastfeeding: maternal infections - ✔✔1. HIV
, 2. Active Tb
3. Herpetic lesions on the breasts
4. Varicella developed 5 days prior to birth or 2 days after birth
5. Flu
C/I to breastfeeding: medications - ✔✔1. Illicit drugs
2. Antiretrovirals
3. Anticonvulsants
4. Chemo agents
5. Retinoids
6. Statins
Irritant Contact Dermatitis - ✔✔A nonallergic response caused by irritants such as dry and cold
air, friction, and chemicals. Mostly occurs after chronic exposure.
Excessive alcohol use in females is defined as - ✔✔More than 3 drinks per WEEK
Severe intellectual disability and physical abnormalities such as cleft lip and palate, extra digits,
and organ defects are characteristics of which Trisomy? - ✔✔13, Patau syndrome
Third most common trisomy
Severe developmental delays, microcephaly, low birth weight, and various organ defects are
characteristics of which Trisomy? - ✔✔18, Edwards syndrome
Second most common trisomy
