Call the Doctor
What is the treatment for a patient who is 6 weeks pregnant with PID?
Admission!! IV cefoxitin or cefotetan with azithromycin
All women should under go a DEXA scan at what age?
65!
At what gestational window do you initiate aspirin therapy in pregnancy?
12-28 weeks
What are the three main cell types of the ovary?
Oocytes
Granulosa cells
Thecal cells
What is the highest peak on the continent of Africa?
Mount Kilimanjaro, Tanzania
The copper IUD can be used for emergency contraception for how many days after unprotected intercourse?
5 days
All post menopausal women with a Bartholin's glad cyst should receive what intervention?
Biopsy
What is the most common genetic risk factor for VTE?
Factor V Leiden mutation
What are the Rotterdam criteria?
1. oligo-anovulation
2. hyperandrogenism
3. polycystic ovaries (>12 follicles or ovarian volume >10mL)
When is Harry Potter's birthday?
July 31st
What is the likely cause of immediate hypotension, hypoexemia and tachycardia intra-operatively in a patient after removal of a large adnexal mass or fibroid?
Pulmonary embolism
Mirabegron (Myrbetriq) is contraindicated in what medical condition?
Platelet level below which patient is UNlikely to have gestational thrombocytopenia?
70,000
Which ovarian cancer sub-types are associated with endometriosis?
Endometrioid (duh), and clear cell
What four states comprise the national landmark four corners?
NM, UT, AZ, CO
What is the risk of accreta in a patient with a previa and one prior c/s?
24% (67% risk with 2-3 prior c/s)
What is the PAP test screening guidelines for HIV + patients over 65?
Lifetime screening every 3 years
What are the three indications for drawing APLS labs?
1. fetal loss over 10 weeks
2. preterm delivery <34 weeks for pre-eclampsia, eclampsia or placental insufficiency
3. 3 unexplained consecutive pregnancy losses <10 weeks
What is full surgical staging for ovarian cancer?
Peritoneal washings
Hysterectomy-BSO
Pelvic and paraaortic lymph node dissection
Infracolic or infragastric omentectomy
What is the highest grossing broadway musical of all time?
Lion King
What is the most sensitive marker on ultrasound for ovarian torsion?
Ovarian enlargement/edema
In a patient on tamoxifen for history of breast cancer, what is the best medication to offer for hot flashes?
Gabapentin
When can you restart heparin after an uncomplicated NSVD?
4-6 hours
Intraoperative surgical spill upstages ovarian cancer from what to what?
1A or 1B to 1C1
Which daytonian voiced Bart Simpson?
Nancy Cartwright (also she was Rufus the naked mole rat in Kim Possible and Chuckie in Rugrats)