Obesity in Pregnancy
Urinary Incontinence
US/Dopplers
Adolescent/Pediatric GYN
100
consultation with what service prior to delivery was recommended for obese pregnant women with OSA?
anesthesia
100
What is the most frequently reported adverse event with antimuscarinic medications?
dry mouth
100
Indication for evaluating fetal MCA doppler?
suspected fetal anemia
100
what is the most common cause of foul-smelling vaginal discharge in children aged 9-12 years old
vaginal foreign bodies (usually toilet paper)
200
The risk of this congenital anomaly was found to be reduced in the neonates of obese gravidas
Gastroschisis
Increased risk of neural tube defects, hydrocephaly, cardiovascular, orofacial, and limb reduction anomalies
200
describe the mechanism of action of Mirabegron
activates the beta-3 adrenergic receptor in the detrusor muscle, which leads to muscle relaxation and increased bladder capacity
200
in what scenario can you see the fallopian tubes on pelvic US?
if the tube is blocked or infected it might get large enough to see
cannot see normal tubes on US
200
what is the treatment and duration of treatment recommended for symptomatic pediatric labial adhesions?
topical estrogen for 10-14 days
300
Name 3 strategies to optimize US image quality in obese pregnant women
vaginal approach in the first trimester, using the maternal umbilicus as an acoustic window, tissue harmonic imaging
300
list the four types of pharmacotherapy for the treatment of urinary incontinence
antimuscarinics/anticholinergics, beta-agonists, Botox, estrogen
300
what's going on here?
300
Name at least three risk factors for vulvovaginitis in children
poor hygiene, bubble baths/shampoos/irritants, foreign bodies, choice of clothing (leotards, tights, and blue jeans), obesity, lack of labial development, unestrogenized thin mucosa, more alkaline pH than postmenarchal patients
400
When is weekly antenatal testing recommended for patients with prepregnancy BMI of 35.0-39.9? prepregnancy BMI 40 or greater?
37 0/7 for prepregnancy BMI 35.0-39.9
34 0/7 for prepregnancy BMI 40 or greater
400
Continence surgery is more successful in patients with this physical exam finding
urethral mobility
400
Twin anemia-polycythemia sequence can occur spontaneously or after what procedure?
fetoscopic laser photocoagulation for TTS
400
You are called for consultation on a prepubertal girl with an adnexal mass. What would be the most likely diagnosis if she has signs of precocious puberty and early-onset vaginal bleeding?
Granulosa cell tumor
500
How does increased BMI affect fetal fraction? How does this impact cell-free DNA testing in these patients?
Increased BMI is associated with decreased fetal fraction, leading to increase in uninterpretable test results in cell-free DNA testing.
median fetal fraction between 10-14 weeks is 10%. however, in patients who weigh more than 250 pounds, 10% may have fetal fraction of less than 4%. Accurate screening requires 2-4% minimum fetal fraction.
500
Your patient has pelvic organ prolapse and you are considering surgical intervention. What should you evaluate preoperatively for optimal surgical planning?
preoperative evaluation for occult stress incontinence
40% of women without stress urinary incontinence develop symptoms of stress incontinence after surgical correction of POP, consider concomitant continence procedure at the time of prolapse repair.
500
increased nuchal translucency and abnormal ductus venosus flow on doppler is indicative of what?
major cardiac defect
500
what is the most common type of malignant germ cell tumour in the pediatric population?
dysgerminoma