All bleeding stops eventually
Incontinence
Hard labor
A picture's worth 1000 words
Womb with a view
100
A 23 yo G3P2012 delivers a full term infant vaginally and without complications. 2-hours later the patient experiences profuse and brisk vaginal bleeding and is found to have a BP of 80/40 and pulse rate of 120.
What a post-partum hemorrhage after a vaginal delivery?
100
A 45 yo G3P3003 presents with complaints of a small amount of urine leakage with a cough or sneeze. No medications or PMH/PSH. Pelvic exam is normal and there is no evidence of pelvic organ prolapse. This is a very low risk treatment recommendation.
What is Kegel exercises?
100
A 24 yo G1P0 at 39 weeks is contracting every 3 minutes with a category 1 tracing. Her cervical exam is 6cm/100/-1. You examine her 3 hours later and her exam is 8/100/0. This is your management plan.
What is expectant managment.
100
What is yeast on wet mount?
100
This LARC has a typical use failure rate of 0.1-0.4% and some formulations can be used for up to 7-8 years.
What is a progesterone releasing IUD?
200
A healthy 16-year-old presents to the outpatient office with regular menstrual bleeding lasting 14 days for which she changes pads every 2 hours. Her pediatrician found her to have iron deficient anemia. UPT is negative. Your work up should include this.
What is an evaluation for a coagulopathy?
200
A 65 year old G0 with type II diabetes, GERD, obesity and osteoarthritis presents with SUI. Greater control over which medical problem(s) might improve her symptoms of SUI.
What is obesity and type II diabetes?
200
A 27-year-old G3P1011 at 41 weeks presents for induction of labor with a category 1 tracing. Her exam is 1cm/80%/-3/mid/firm. You order this medication to begin her induction.
A cervical ripening medication (misoprostol, cervidil)?
200
This is usually a central abdominal wall defect and tends to be associated with chromosomal aneuploidy.
What is an omphalocele?
200
A ultrasound measurement of 4 quadrants in the gravid uterus and one component of the BPP.
What is AFI (or amniotic fluid index)?
300
A 32-yeay-old G1P0 at 34 weeks with moderate vaginal bleeding and UCs. Uterus is tender and the fetal monitor shows recurrent late decelerations.
What is placental abruption?
300
Can be caused by mechanical trauma (e.g., pulling out a foley catheter before deflating the bulb, cystoscopy).
What is intrinsic sphincter deficiency?
300
Treatment for a 39-year-old G1P0 at 39 weeks in the active phase of labor with an unchanged cervix for 4 hours, ruptured membranes, and an IUPC detecting 210 Montevideo units.
What is a c-section?
300
This condition can be associated with anticonvulsant use due to a deficiency of this.
What is folic acid?
300
A healthy 45-year-old patient presents with complaints of intermenstrual spotting for the past 3 months. A pelvic exam reveals no pathology and an ultrasound shows an irregular endometrial echo ranging from 3mm to 7mm. This is the most likely diagnosis.
What is an endometrial polyp?
400
A 39-year-old G1P1 experiences a post-partum hemorrhage due to uterine atony. The first-line medication used to treat this condition is naturally produced from what gland?
What is the hypothalamus?
400
This gene defect is associated with recurrent UTIs and associated complications during pregnancy.
What is the sickle cell gene?
400
A 35-year-old G2P1001 at 38weeks is in the second stage of labor for 2 hours. EFW 7.5 lbs. Fetal vertex is LOA and at +3 and the fetal tracing category 2. This treatment will treat this condition expediently.
What is an operative vaginal delivery?
400
Can often be a cause of ovarian torsion, this is also the most common ovarian mass diagnosed during pregnancy.
What is a dermoid cyst (or benign teratoma)?
400
A 37-year-old patient presents with complaints of pelvic pressure and is found to have a 20-weeks size fibroid uterus. When used for 3 months prior to surgery, this may reduce the size of fibroids and lower the risk for surgery.
What is Lupron/leuprolide?
500
A 36-year-old G3P3 fails medical management of a postpartum hemorrhage due to uterine atony and is taken to the OR for surgical management. Arterial ligation does not work. What other surgical technique can be used to compress or contract the uterus?
What is the B Lynch suture or technique?
500
Otherwise known as an "RPU", this is one of the original surgical repairs of stress urinary incontinence and remains comparable to the more contemporary "sling" procedure in terms of efficacy rates.
What is the retropubic urethropexy?
500
This can occur after membranes rupture when the fetal head is not engaged or with multiple gestation pregnancies, considered an obstetrical emergency.
What is umbilical cord prolapse?
500
Diagnosis for a patient at 27-weeks that presents with this and no uterine contractions.
What is PPROM?
500
A 62-year-old patient is diagnosed with a uterine fibroid which has increased in size over the past 3 months. This is the most likely pathology.
Leiomyosarcoma