STEP 2 Rapid Review OB/GYN

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  1. Primary causes of third-trimester bleeding
    Placental abruption and placenta previa
  2. Classic ultrasound and gross appearance of complete hydatidiform mole
    "snowstorm" on ultrasound. "Cluster-of-grapes" appearance on gross examination
  3. Chromosomal pattern of complete mole
  4. Molar pregnancy containing fetal tissue
    Partial mole
  5. Symptoms of placental abruption
    Continuous, painful vaginal bleeding
  6. Symptoms of placenta previa
    Self-limited, painless vaginal bleeding
  7. When should a vaginal exam be performed with suspected placenta previa?
  8. Antibiotics with teratogenic effects
    Tetracyclines, fluoroquinolones, aminoglycosides, sulfonamides
  9. Shortest AP diameter of the pelvis
    Obstetric conjugate: between sacral promontory and midpoint of symphysis pubis
  10. Medication given to accelerate fetal lung maturity
    Betamethasone or dexamethasone x 48 hours
  11. Most common cause of postpartum hemorrhage
    Uterine atony
  12. Treatment for postpartum hemmorhage
    Uterine massage; if that fails, give oxytocin
  13. Typical antibiotics for group B streptococcus (GBS) prophylaxix
    IV PCN or ampicillin
  14. A patient fails to lactate after an emergency C-section with marked blood loss
    Sheehan's syndrome (postpartum pituitary necrosis)
  15. Uterine bleeding at 18 weeks' gestation; no products expelled; membranes ruptured; cervical os open
    Inevitable abortion
  16. Uterine bleeding at 18 weeks' gestation; no products expelled; cervical os closed
    Threatened abortion
  17. The first test to perform when a woman presents with amenorrhea
    B-hCG; most common cause of amenorrhea is pregnancy
  18. Term for heavy bleeding during and between menstrual periods
  19. Case of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C
    Asherman's syndrome
  20. Therapy for PCOS
    Weight loss and OCPs
  21. Medication used to induce ovulation
    Clomiphene citrate
  22. Diagnositic step required in a postmenopausal woman who presents with vaginal bleeding
    Endometrial biopsy
  23. Indications for medical treatment of ectopic pregnancy
    Stable, unruptured ectopic pregnancy of <3.5 cm at <6 weeks gestation
  24. Medical options for endometriosis
    OCPs, danazol, GnRH agonists
  25. Laparoscopic findings in endometriosis
    "Chocolate cysts", powder burns
  26. Most common location for ectopic pregnancy
    Ampulla of oviduct
  27. How to diagnose and follow a leiomyoma
    Regresses after menopause
  28. A patient has increased vaginal discharge and petechial patches in upper vagina and cervix
    Trichomonas vaginitis
  29. Treatment for bacterial vaginosis
    Oral or topical metronidazole
  30. Most common cause of bloody nipple discharge
    Intraductal papilloma
  31. Contraceptive methods that protect against PID
    OCPs and barrier contraception
  32. Unopposed estrogen is contraindicated in which cancers?
    Endometrial or estrogen receptor-(+) breast cancer
  33. A patient presents with recent PID with RUQ pain
    Fitz-Huge-Curtis syndrome
  34. malignancy presenting as itching, burning, and erosion of the nipple
    Paget's disease
  35. Annual screening for women with a strong family history of ovarian cancer
    CA-125 and TVUS
  36. 50-year-old woman leaks urine when laughing or coughing. Nonsurgical options?
    Kegel exercises, estrogen, pessaries for stress incontinence.
  37. A 30 y/o woman has unpredictable urine loss. Exam is normal. Medical options?
    Anticholinergics (oxybutynin) or B-adrenergics (metaproterenol) for urge incontinence
  38. Lab values suggestive of menopause
    Increased serum FSH
  39. The most common cause of female infertility
  40. Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow-up evaluation?
    Colposcopy and endocervical curettage
  41. Breast cancer type that increases the future risk of invasive carcinoma in both breasts
    Lobular carcinoma in situ.
Card Set:
STEP 2 Rapid Review OB/GYN
2012-05-01 02:51:46

Rapid Review OBGYN Step 2
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