Santa BABIES
APGAR Score:
HR 120bpm, irregular breathing, limp tone, acrocyanosis, grimace on stimulation with no crying
BONUS: T/F: APGAR scores predict neonatal neurological outcome
What is 5?
BONUS: false! only assesses infant wellbeing, not M&M or neurological outcome
What does hypogonadotropic hypogonadism cause?
Treatment for BV that recurs after 8 weeks
What is clindamycin?
Most common cancer associated w/Lynch syndrome
What is Colon cancer?
Name at least 3 conditions requiring increased dose folic acid
BONUS: when to start extra supplementation
What are Hx NTD in pt, prior preg w/NTD, partner w/NTD, Seizure disorder, Sickle cell anemia
BONUS: 3 months prior to conception
Embryologic origin of the heart
What is mesoderm?
First step to Gender affirming therapy for 12yo transmasculine female
BONUS: what routine health screenings will he need in future?
What is puberty suppression?
followed by androgen therapy
BONUS: pap smear, mammograms
Optimal timing for hysterosalpingogram during menstrual cycle
What is day 5-10 (early proliferative phase)?
Cause of enlarged ovaries on sono with a complete molar pregnancy
What are Theca Lutein Cysts?
Threshold of HIV viral load for CS AND timing of delivery
What is 1,000 copies and 38w0d?
Management of patient for preconception counseling has methamphetamine addiction
What is expectant management?
21yo presenting for second opinion w/amenorrhea and elevated FSH concerning for primary ovarian insufficiency. Next best step?
Repeat lab work
Best method of contraception for pt with SLE
BONUS: best tests showing higher risk of neonatal SLE in pregnant pt
What is copper IUD?
BONUS: anti-Ro and anti-La
The branches of the internal iliac artery
BONUS: where do you ligate it to control bleeding?
What is: Anterior Division- Umbilical & Superior Vesical, Uterine, Vaginal, Middle Rectal, Obturator, Internal Pudendal, Inferior Gluteal
Posterior Division- Iliolumbar, Lateral Sacral, Superior Gluteal
BONUS: 2-3cm inferior to the common iliac artery bifurcation
vaccines recommended for HIV+ pregnant pt
BONUS: under what CD4 count should wait for MMR vaccine
What are influenza, Tdap, pneumococcus, and hepatitis B vaccines?
BOONUS: CD4<200
Next step when McRoberts and Suprapubic Pressure unable to deliver Shoulder Dystocia
What is delivery of the posterior arm
most accurate way to distinguish between androgen insensitivity and Mullerian agenesis
What is karyotype?
Management for hot flashes despite HRT
What is venlafaxine?
Shows orange tampon on a double dye tampon test
What is ureterovaginal fistula?
Name the Quintero stages for twin gestations
BONUS: optimal GA to determine chorionicity
What are (1)Poly/oligo, (2)absent donor bladder, (3)abnormal dopplers, (4)hydrops, (5)fetal demise?
BONUS: 10-14wga
Anticoagulation recommendation for APS in pregnancy
What is low dose ASA preconception and unfractionated heparin @5wga increasing each trimester and continue until 6w PP?
5-7.5k BID > 7.5-10k BID > 10k BID
Next step for hirsutism refractory to 6mo of OCPs
BONUS: Name of the score to quantify hair growth
What is add anti-androgen (spironolactone)?
BONUS: Ferriman-Galwey Score
1. When to perform TOC for chlamydia / gonorrhea in pregnant vs non-pregnant pt
2. Name the treponemal specific tests for syphilis
1. What is 4 weeks vs 3 months?
2. enzyme immunoassay(EIA), fluorescent treponemal antibody absorption(FTA-Abs), treponema palladium hemagglutination
Ovarian cancers and stages that do NOT need chemo
What are Stage 1 dysgerminoma and stage 1 grade 1 immature teratoma
41yo G1P0 11wga by IVF establishing prenatal care. Indicated testing other than routine prenatal care
What is fetal echocardiogram?
Antenatal testing weekly at 36wga