The pharmacologic management for uterine inversion
Nitroglycerin
100
Fecundity with each reproductive cycle in healthy couples?
20-25%
100
Off-label medical treatment for low milk supply and its black-box warning
What is metoclopramide (dopamine antagonist)
Warning: tardive dyskinesia, which can be irreversible and is related to duration of therapy
100
Evaluation of a palpable breast mass in a 52 yo?
A) screening mammography
B) unilateral ultrasonography
C) MRI both breasts
D) unilateral diagnostic mammography
E) bilateral ultrasonography
D
100
Next step after hypotension (70s/30s) and bradycardia (30s) after obtaining pneumoperitoneum in a laparoscopic case?
A) continue procedure
B) immediate laparotomy
C) terminate procedure
D) desufflate the abdomen
D
200
The MCA Doppler zone that would be indicative of moderate to severe anemia
Zone A
Zone B= mild anemia
Zone C= Normal Hct
200
Treatment of choice for 5 yo girl with labial adhesions
estrogen cream
200
Treatment of choice for hot flashes in a pt with h/o breast cancer
Venlafaxine (Effexor)
200
Type of gene mutation in Lynch Syndrome
mismatch repair gene
Frequency of each gene mutation in Lynch syndrome:
MLH1 (42%), MSH2 (33%), MSH6 (18%), PMS2 (7.5%)
200
Next step after noting microhematuria on an office point of care urinalysis?
300
Initial treatment of choice for N/V in pregnancy & Mechanism of action
Doxylamine succinate (H1 receptor blocker) +/- B6
300
In a patient planning IVF with known bilateral hydrosalpinges, what would be your management?
bilateral salpingectomy
300
Treatment of post-herpetic neuralgia - hydrocodone +?
A) VZV vaccine
B) oral corticosteroids
C) Valacyclovir
D) amitriptyline hydrochloride
E) lidocaine gel
C
300
most likely primary cancer site in a patient with bilateral complex ovarian masses, gelatinous ascited with pseudomyxoma peritonei identified on final pathology?
A) appendix
B) ovaries
C) descending colon
D) peritoneum
E) stomach
The hormone responsible for postprandial elevations of maternal glucose in the third trimester
Human placental lactogen
400
Most common enzyme deficiency in congenital adrenal hyperplasia?
21-hydroxylase
400
Treatment of choice for a post-menopausal pt with dyspareunia with no improvement with lubricants?
A) vaginal estrogen
B) dilator therapy
C) acyclovir
D) vaginal moisturizer
E) vaginal clindamycin
vaginal estrogen
400
Early postoperative feeding leads to?
A) increased risk postop ileus
B) increased risk anastomotic leak
C) decreased hospital stay
D) decreased patient satisfaction
C, decreased hospital stay
400
Surgical wound class for an uncomplicated TLH?
Timing of and type of prophylactic antibiotics?
Class II: clean contaminated - genital tract entered under controlled conditions without unusual contamination.
within 1 hour of incision
Cefazolin (aka Ancef, 2g)
500
Carrier rate of CF mutation in non-Hispanic whites?
1/24 (Ashkenazi Jewish 1/25)
500
IVF most increases the risk of what kind of fetal abnormality?
A) autosomal recessive
B) imprinting disorder
C) congenital cardiac defect
D) down syndrome
C) Congenital cardiac defect
500
Bloody nipple discharge expressed from a single ductal orifice
A) ductal ectasia
B) intraductal papilloma
C) ductal carcinoma
D) Paget disease
B) intraductal papilloma
Ductal ectasias and intraductal papillomas very rarely associated with carcinoma
Ductal ectasia = dilated duct wall fills with inflammatory secretions, typically thick, possibly green discharge
500
31 yo 9 cm R ovarian mass, L/S oophorectomy performed--> granulosa cell tumor confined to ovary, no surface involvement. Pelvic washings negative. Next step?
A) PET scan
B) endometrial sampling
C) comprehensive surgical staging
D) adjuvant chemotherapy
E) observation
B - endometrial hyperplasia noted in 25-50% of pts with granulosa cell tumors of the ovary.
5-10% have coexisting endometrial cancer
500
preoperative antibiotics for...
1) Diagnostic laparoscopy
2) BTL
3) Endometrial ablation
4) Suction D&C for missed AB
1) none
2) none
3) none
4) Doxycycline 100 mg orally 1 hour prior to procedure and 200 mg orally after procedure + Metronidazole 500 mg BID for 5 days