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Womb Service
Oops, That’s an MI
It's Just Chest Pain, Right?
100

Which of the following is an indication for endometrial biopsy?

A. Routine screening for all women of reproductive age

B. Evaluation of abnormal uterine bleeding

C. Screening for cervical dysplasia

D. Diagnosis of an ectopic pregnancy

B: Evaluation of abnormal uterine bleeding

100

Which cardiac biomarker is most specific for myocardial injury?

A. Troponin T

B. CK-MB

C. LDH

D. Troponin I

D. Troponin I

100

Which of the follow tests must be included in the workup for chest pain?

A. ECG, CXR, CBC, BMP or CMP, PT/PTT/INR, Cardiac Enzyme Panel

B. ECG, Troponin T, PT/PTT/INR, HS-CRP

C. CBC and Cardiac Enzyme Panel

D. Myoglobin, CK-MB and Troponin I or T

A. ECG, CXR, CBC, BMP or CMP, PT/PTT/INR, Cardiac Enzyme Panel

200

A 33-year-old pregnant patient at 17 weeks gestation has an abnormal maternal serum screening exam indicating a possible chromosomal abnormality. Which of these is the most appropriate diagnostic test?

A. Nuchal translucency US

B. Amniocentesis

C. Urine β-hCG test

D. Amniocentesis

D. Amniocentesis

200

Which cardiac marker rises first after MI?

A. Troponin

B. CK-MB

C. Myoglobin

D. LDH

C. Myoglobin

200

If a patient has elevated C-reactive protein (CRP). What does this most directly indicate?

A. Acute MI

B. Heart failure

C. Renal failure

D. Systemic inflammation

D. Systemic inflammation

300

When is a cone biopsy indicated?

A. When the entire transformation zone was not visualized during a prior colposcopy

B. When patient presents with active menses

C. When patient is over 65 yrs

D. When a suspicious lesion was completely visualized during prior colposcopy

A. When the entire transformation zone was not visualized during a prior colposcopy

300

If a patient has a second episode of chest pain 2 days after an MI. Which lab would be best to detect reinfarction?

A. Troponin

B. CK-MB

C. BNP

D. Myoglobin

B. CK-MB

300

Which of the following would be most useful in identifying a patient with reinfarction?

A. Creatine kinase

B. Myoglobin

C. Troponin I

D. Troponin T

A. Creatine kinase

400

A 22-year-old patient presents with abnormal uterine bleeding for 3 days. Which of the following is the most appropriate initial step?

A. Endometrial biopsy

B. Transvaginal ultrasound

C. Pap smear

D. Serum beta-hCG

D. Serum beta-hCG