AMCB #4

Early Pregnancy

100

Temporary collection of cells that appears after the egg leaves the ovary

What is the corpus luteum

200

Pregnancy is maintained by hormones produced by what 2 structures

Corpus Luteum and Placenta

300

Using Naegels rule, what is the EDD with an LMP of 6/10

3/17

400

The rise in basal body temperature is associated with which hormone

Progesterone

500

During the embryonic stage, all major organs are formed except ...

Lungs

Medications

100

A drug that causes teratogenic effects in animal studies is FDA category

FDA Category C

200

Second trimester pregnancy urine dip shows positive nitrites.  What is your plan?

Rx Macrobid 100mg BID x 7 days for UTI

300

What medication is the standard treatment for chlamydia in pregnancy

Azithromycin 1g, po single dose

400

At what gestational age would you start antiviral prophylaxis for hx of HSV?

36 weeks

500

What is the half life of Pitocin

4 minutes

Menstrual Cycle

100

Which Hormone rises 10-12 hours prior to ovulation

LH

200

Which part of the ovarian cycle is variable in length?

follicular. Luteal phase tends to remain consistent

300

Which span of days is both the follicular phase of the ovarian cycle and the menstrual phase of the endometrial cycle

Days 1-5 

400

FSH decreases when which hormone increases

Estrogen

500

Which hormone is maintains the luteal function during early pregnancy until placental steroidogenesis is established

hcg

Screening Guidelines

100

How many classifications are used by the US Preventive Service Task force to gauge strength of recommendations

5 (A, B, C, D, I)

200

According to the American Cancer Society, women of average risk aged 45-54 should receive mammogram how often?

Yearly

300

According to the American Cancer Society, how often should women ages 40 - 50 receive clinical breast exams.

ACS does not recommend clinical breast exams

400

According to the American Cancer Society, at what age do you start screening for colorectal cancer?

45

500

At what age does the USPTF recommend screening for  bone density?

65

Intrapartum Complications

100

Definition of postpartum hemorrhage

Blood loss 1000 within 24 hours

200

Name the 5 clinical signs of chorio and When do you treat with antibiotics?

Fever, maternal tachy, fetal tachy, uterine tenderness, odor.  Treatment with abx with fever >38C more than an hour

300

Treatment for PPROM between 24-32 weeks includes these 4 interventions 

Transfer to tertiary center, GBS prophylaxis, Betamethasone for lung maturity, Magnesium for neuroprotection

400

A term fetus with a baseline FHR of 135, moderate variability, accelerations 15x15 and variable decelerations has what type of tracing

Cat 2

500

What is the HELPERR mnemonic for shoulder dystocia

Call for help, evaluate for episiotomy, Legs McRoberts, Pressure (surprapubic), enter rotational manuevers, remove post arm, roll patient to Gaskin