Reproductive Health Questions
Normal Prenatal Care
Which of the following is not tested during prenatal testing?
- A - hepatitis B
- B - varicella
- C - rubella
- D - toxoplasma
answer more information
Which of the following suggests disease instead of normal changes associated with pregnancy?
- A - dysuria
- B - increased urinary frequency
- C - heartburn
- D - constipation
answer (hover over here for 2 seconds)
What does NOT increase rate of multiples?
- A - African race
- B - Asian Race
- C - assistive reproductive technologies
- D - advanced maternal age
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What is not a risk factor for gestational hypertension?
- A - pre-existing hypetension
- B - obesity
- C - renal disease
- D - smoking
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What is not appropriate for screening in twin pregnancies?
- A - nuchal translucency
- B - standard maternal serum screening
- C - serum AFP
- E - detailed 18-20 week anatomy U/S
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What does NOT cause IUGR?
- A - gestational diabetes
- B - pre-existing diabetes
- C - multiple gestation
- D - smoking
When is first term materal serum testing done? answer
When is maternal serum testing done? answer
What does alpha feto protein test for? answer
What pattern is seen with Trisomy 21? answer
What pattern is seen with Trisomy 18? answer
What is recurrent pregnancy loss? answer
At what HCG level can a transvaginal ultrasound determine intrauterine pregnancy? answer
What is Nagele's rule? answer
How often should prenatal visits occur? answer
How much iron do pregnant mothers require? answer
When does gestational hypertension occur? answer
What are the key questions to assess for worsening gestational hypertension? answer
What are some risk factors for gestational hypertension? answer
What are effective treatments for gestational hypertension? answer
What's the first-line treatment for pregnancy-induced hypertension? answer
What class of antihypertensives are not used in pregnancy? answer
At what week does the symphysis to fundal height track the gestational age? answer
When are dating ultrasounds done? What is their margin of error? answer
What vitamin is best recommended for morning sickness? answer
What are the recommendations for folic acid supplementation? answer
When the fetal head is presenting to pelvis, what part of the fetus is used to describe position? answer
What can be done earlier, amniocentesis or chorionic villus sampling? answer
What antiobiotic can cause teeth-yellowing and enamel defects? answer
What is the most common risk of appendectomy during pregnancy? answer
What is the safest trimester to do surgery in? answer
What proportion of twins are monozygotic? answer
What is the biggest cause of perinatal morbidity and mortality in twins? answer
How is growth discordance of twins diagnosed? answer
What type of twins are at risk of of twin-twin transfusion syndrome? answer
What are the treatments for TTTS? answer
What is the most common cause of perinatal mortality in pre-gestational diabetics? answer
What is the drug of choice for treating a pre-eclamptic patient who develops eclampsia? answer
First Trimester Presentations
A 24 year old, 8 weeks into her first pregancy, experiences bright red bleeding.
- what do you ask her?
- what do you examine?
- what is/are your next steps?
- what are possible outcomes?
A 24 year old, 12 weeks into her third pergnancy, experiences severe, worsening pelvic pain.
- what do you want to know right away?
- what else do you want to know?
- what do you examine?
- what could be happening?
- what do you investigate?
- what are possible outcomes?
A 28 year-old woman presents to the emergency department with abdominal pain and vaginal bleeding 10 weeks after her last period. What is the most likely diagnosis if her condition is:
- blood and clot is present, cervix is closed answer
- blood and clot is present, cervix is open answer
- blood, clot, and tissue is present, cervix is open answer
What is the most important blood test to do in a pregnant woman with antenatal bleeding? answer
Labour and Delivery
What is NOT a presentation?
- A - breech
- B - occiput posterior
- C - brow
- D - face
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Breech presentation risk is increased in all except:
- A - placenta previa
- B - mullerian abnormalities
- C - nulliparity
- D - uterine myoleioma
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What is NOT part of the Bishop Score?
- A - presentation
- B - cervical dilatation
- C - position
- D - cervical consistency
answer
What are some common tocolytics? indomethacin
What is the best method of evaluating potential rupture of membranes? answer
What is the dose of Win-Rho? answer
What is a reassuring non-stress test? answer
How is the biophysical profile scored? answer
What are APGAR scores? answer
A 35 year-old is in labour for the first time. A biophysical is done.
Baby moves vigorously, and its heart is seen to be beating at 130 bpm.
when should she come to the hospital if:
- she is group B positive
- she is group B negative
- what should GBS +ve mothers be treated with?
She is assessed as 6 cm dilated.
- what are her options for pain?
What of the following is not a profile of the BPP?
- A - tone
- B - movement
- C - breathing movement
- D - presentation
- E - amniotic fluid amounts
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What is NOT required for forceps delivery?
- A - availability to perform C- section
- B - pediatric resuscitation
- C - epidural
- D - informed consent
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A 34 year old, at 41 weeks gestation into her third pregnancy, is in labour. While transitioning, the fetal heart monitor picks up an ominous pattern.
- what are three patterns on the FHR, and what might they signify?
- what should be done next?
One minute at birth, the doctor asks you to calculate the baby's APGAR scores:
- HR 115, screaming, very active, some peripheral mottling answer
- HR 95, needing some assistance for breathing, flat face, some tone, mottled across periphery and centrally answer
What are the various descriptors of position, and which is preferred? answer
What is an acceleration in an NST after 32 weeks gestation? answer
What is the most common presentation of twins? answer
When is a vacuum used during delivery? answer
Longitudinal, transverse, and oblique are all examples of: answer
When is DVT risk highest with pregnancy? answer
Obstetric Emergencies
What are the causes of postpartum hemorrhage? answer
A 36 year old, after a 18 hour labour and healthy delivery, develops large, ongoing blood loss per vagina.
- what is your immediate management? answer
A baby is being born normally when progress stalls suddenly. The baby, whose head is partially out, begins turning blue with each contraction.
- what might be happening?
- what do you quickly assess?
- what are your management plans for each?
What is a risk factor for cord prolapse?
- A - oligohydramnios
- B - polyhydramnios
- C - previous C- section
answer
Postpartum period
a newborn is jaundiced. what is on the differential if the infant is:
- 1 day old? answer
- 5 days old? answer
- 13 days old? answer
What is not safe to consider in breastfeeding?
- A - HIV with N CD4 and undetectable viral load
- B - hepatitis B positive mother
- C - methadone use in mother
- D - warfarin prescription
answer
Contraception
What are the benefits of oral contraceptives?
How does the the intrauterine device (IUD) work? answer
What is the most common cause of cessation of IUD? answer
What potential complication could occur with the use of OCP during breast feeding? answer
Reproductive Endocrinology
A 13 year old girl has, according to her mother, not yet begun puberty.
- what do you assess for?
- what do you tell mom?
- name five reasons a girl might have delayed puberty, and name 1-2 tests for each answer
Gynecology
- What is the most common gynecologic cancer? answer
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