OB exam 1

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rhondak
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234343
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OB exam 1
Updated:
2013-09-12 11:01:05
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OBfinal
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OBFINAL
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  1. 1LT Michaelson's obstetric history reveals that her first baby was born with spina bifida. She presents to the prenatal clinic for preconceptual counseling. What dose of Folic Acid would you prescribe for her?
     
    A. 0.4mg
    B. 2 mg
    C. 4.0 mg
    D. 1.0mg
    C. 4.0 mg
    (this multiple choice question has been scrambled)
  2. At which gestational week is it appropriate to culture for GBS?

    A. NOB - 12 wks
    B. 20 wks
    C. 28 wks
    D. 36 wks
    D. 36 weeks
    (this multiple choice question has been scrambled)
  3. LT Nabors comes to see you for routine OB care and tells you her LNMP was March 28, 2013. Using Naegle's Rule, what is her EDC?
    4 Jan 2014
  4. Describe 2 therapies that might help a pregnant woman cope with nausea and vomiting during her first trimester or preggers?



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    small frequent meals, clear liquid diet, room temp food, avoid fatty/spicy food, crackers at bedside, food separate from meals, avoid cooking meals.

    Herbals: peppermint, chamomile, ginger root, raspberry leaf.

    Phenergan, Unisom/B6, Reglan, Emetrol, Zofran



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  5. SGT Weiss is 20 weeks pregnant. She reports mild irritability, occasional tachycardia and heat intolerance. On physical exam, you palpate a moderately enlarged thyroid gland. All other findings negative. Thyroid panel shows: TSH normal, Total T4 - Elevated, Free T4 - Normal. Based on the above findings, SGT Weiss should be

    A. Reassured that these findings are normal results during pregnancy
    B. Further evaluated for hypothyroidism
    C. Further tested for Hyperthyroidism
    D. Re-tested in 4 weeks
    A. Reassured that these findings are normal results during pregnancy
    (this multiple choice question has been scrambled)
  6. Which of the following parameters is LEAST likely to increase during pregnancy?

    A. Cardiac Output
    B. Respiratory Rate
    C. GFR
    D. Total Lung Capacity
    D. Total Lung Capacity
    (this multiple choice question has been scrambled)
  7. During a WWE, Mrs. Smith tells you she and her husband are trying to conceive. List 3 topics you would include in your preconceptual counseling and the reason why each of them is important.
    Psychological readiness: relationship health, mental health, financial status, stress and coping skills

    Physical readiness: medical hx (DM, seizure d/o, infections), general health, dental

    • Medication use
    • Family hx/genetics

    Lifestyle - smoking/etoh/substance use, caffeine, occupational exposure, nutrition, folic acid, vitamins
  8. Which of the following would be of concern when examining a prenatal patient?

    A. Pulse rate of 90
    B. Pedal edema
    C. Breast lump 1cm and nontender
    D. Hyperpigmented skin (Melasma)
    C. Breast lump approximately 1cm and nontender
    (this multiple choice question has been scrambled)
  9. At what gestational week would you obtain the MOST accurate gestational age via ultrasound?

    A. 8 weeks
    B 12 weeks
    C. 16 weeks
    D. 36 weeks
    8 weeks
  10. Increased hemolytic disease of the newborn can occur when

    A. Mother is Rh-, fetus is Rh-, father is Rh-
    B. Mother is Rh-, fetus is Rh+, father is Rh+
    C. Mother is Rh+, fetus is Rh+, father is Rh-
    D. Mother is Rh+, fetus is Rh-, father is Rh-
    B. Mother is Rh-, fetus is Rh+, father is Rh+
    (this multiple choice question has been scrambled)
  11. The expected weight gain during pregnancy in a normal prepregnant weight mother is:

    A. 25-35 lbs
    B. 20-25 lbs
    C. 20-30 lbs
    D. 25-35 lbs
    D. 25-35 lbs
    (this multiple choice question has been scrambled)
  12. At which gestational week is it most appropriate to schedule a 1 hour (50GM) GTT in a woman at average risk for Gestational DM?

    A. 36 wks
    B. 28 wks
    C. New OB visit (12 wks)
    D. 20 wks
    B. 28 weeks
    (this multiple choice question has been scrambled)
  13. Mrs. Able is 12 weeks gestation and presenting to you for her new OB appointment. You collect a history and do a PE. Which of the follwoing heart sounds is NOT normal in pregnancy and would promp a consult to cardiology or high risk OB?

    A. Exaggerated S1 "split"
    B. Soft diastolic murmur
    C. Gallop (S3)
    D. Late systolic murmur
    B. SOFT DIASTOLIC MURMUR
    (this multiple choice question has been scrambled)
  14. SSG S, G1P0, presents for prenatal care at 9 wks gestation. Initial testing shows that her blood type is A+ with neg antibody screen. Based on this test result what is the appropriate management?

    A. Refer to Perinatologist for management
    B. Schedule her for routine labwork at appropriate intervals
    C. Administer Rhogam if she has amniocentesis
    D. Repeat the antibody screen at 28 weeks gestation
    B. Schedule her for routine labwork at appropriate intervals
    (this multiple choice question has been scrambled)
  15. Identify the three primary functions of the Pelvic Floor Muscles....
    Supportive- hammock to hold pelvic organs against gravity

    Sphincteric- help with control of opening and closing of urethra and rectum to maintain continence and normal voiding.

    Sexual- must have laxity ot allow for penetration and superficial muscles and allow arousal and erection
  16. What % of parous women will have some degree of pelvic floor laxity (prolapse) if a careful exam is conducted?

    A. 75%
    B. 25%
    C. 10%
    D. 50%
    D. 50%
    (this multiple choice question has been scrambled)
  17. ______ is defined as "Involuntary spasm of PFM restricting vaginal entrance of a penis or even a finger often associated with pain"

    A. Vaginismus
    B. Prolapse
    C. Dyspareunia
    D. Vulvodynia



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    A. Vaginismus



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    (this multiple choice question has been scrambled)
  18. Discuss UI in the military female population. Ientify at least 2 reasons why military women are at increased risk and 2 reasons why they won't present for care.
    • 30-50% of AD women report UI. Causes are from duties- heavy lifting, prolonged standing. Environmental- limited access to bathrooms, many layers of clothing, privacy
    • Urinary retention associated with prolonged holding, sacral nerve damage from blast injuries affecting bowel, bladder, and sexual fnction.
  19. SSG S. G1P0 presents at 9 wks for prenatal care. Her blood type is A+ with negative antibody screen. Based on this test result what is the appropriate management?

    A. Refer to Perinatologist for management
    B. Schedule her for routine labwork at appropriate intervals
    C. Administer Rhogam if she has an amniocentesis
    D. Repeat the antibody screen at 28 wks gestation.
    B. Schedule her for routine labowrk at appropriate intervals
    (this multiple choice question has been scrambled)
  20. Identify 6 urinary symptoms often associated with urge urinary incontinence (UUI).
    Urgency, frequency, painful bladder, hesitancy, straining, hematuria, intermittent/weak stream, incomplete emptying, post void dribble
  21. Risk factors for stress urinary incontinence include all of the following EXCEPT

    A. Vaignal Delivery
    B. Smoking
    C. Obesity
    D. Diabetes
    E. Cervical Polyp
    F. Diminshed Cognitive Status
    G. Pregnancy
    E. Cervical Polyp
    (this multiple choice question has been scrambled)
  22. The diagonal conjugate must be how long to be considered adequate for vaginal delivery?

    A. >90'
    B. >10cm
    C. >12cm
    D. >11.5cm
    D. >11.5cm
    (this multiple choice question has been scrambled)
  23. Identify the three basic pelvic measurements:

    A. anterior, posterior, lateral planes
    B. biparietal diameter, midplane, and outlet
    C. diagonal conjugate (inlet), midplane, outlet
    D. obstetric conjugate, lateral plane, biparietal diameter
    C. diagonal conjugate (inlet), midplane, and outlet
    (this multiple choice question has been scrambled)
  24. During a routine prenatal pelvimetry assessment, the patient is found to have an android pelvic shape, suggesting that this woman:

    A. is a strong candidate for the use of forceps
    B. would be a good cadidate for a water  birth
    C. will most likely deliver vaginally
    D. man need a cesarean section
    D. may need a cesarean section
    (this multiple choice question has been scrambled)

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