True or False?
Prenatal Care
Infectious?
Name this!
Misc
100
Nexplanon implant contains estrogen.
False-
Estrogen is in
1. combined pills
2. patch
3. ring
100
What are 4 questions you will ask every pregnant patient (particularly later in the pregnancy) as part of the HPI and OB ROS?
fetal movement?
leakage of fluid?
vaginal bleeding?
contractions?
pre-E symptoms?
UTI sx?
100
Name 3 STDs we screen for in pregnancy
Gonorrhea
Chlamydia
HIV
Hep B
RPR, VDRL
HSV
Hep C
100
100
When is the best time to start contraception?
Any time a patients goals are directed towards preventing pregnancy and you are reasonably certain a patient is not pregnant...
200
1 in 4 women in the US will have an abortion.
200
How do you check how baby is growing every visit? Particularly after 12 weeks
Fundal height
200
If you order a "vaginitis" panel, name 2 organisms/"infections" it will check for
BV -> polymicrobial Gardenella, mycoplasma, anaerobic. lack of lactobacillus
Trichomonas
Yeast (Candida)
*protip: there is a "NuSwab PLUS" that will check for BV/Trich/Yeast as well as GC/CT but very expensive, only covered by CalOptima Noble
Misnomer-> Vaginosis; not vaginitis!
200
200
What medical information do you need to prescribe birth control?
What do you need on physical exam?
300
You can get dental xrays if you are pregnant.
True
The FDA, ACOG, ADA, and the American College of Radiology, all agree on the safety of dental x-rays during pregnancy.
Electromagnetic radiation
Two dental x-ray films expose you to just .02mSv of radiation, which is the same amount of radiation you get from a 7 hour plane ride.
For radiation to cause any harm to your baby, you need at least 2,500 times that amount.
300
When is the best time to start prenatal vitamins?
Contemplating conception
300
Most common pathogen for UTI in women?
E Coli
DOUBLE Jeopardy (+300 points):
Name 2 antibiotics OR 1 antibiotic and dosing/duration as first-line treatment for uncomplicated cystitis
300
300
What is the gestation week limit for a medication abortion?
< 10 weeks
Mifepristone
Misoprostol
DOUBLE JEOPARDY:
What percentage of abortions in the US are in the first trimester?
400
"Morning sickness" can occur during all trimesters of a pregnancy.
400
What is the expected average weight gain in pregnancy in a patient with a pregravid BMI of 23?
25-35 lbs
400
According to the CDC, this is the most common sexually transmitted disease in the US.
Human Papilloma Virus, skin to skin contact
79 million Americans infected
flesh-colored wart-like lesion
400
400
What type of transducer? (Abdominal, vaginal)
What type of view? (Longitudinal, transverse)
500
The "worst", or most intense phase of the postpartum hair shedding occurs at 4-6 weeks
False
Shedding mainly occurs at 3-4 months
500
26yo G2P1001 patient at 8 weeks GA by LMP c/w 1st trimester 6wk ultrasound. PMHx of hypothyroidism, takes Synthroid 100mcg.
Will she need more or less thyroid supplemental hormone during the pregnancy? Why?
500
Who does not need Group B Strep (GBS) testing after 36 weeks in pregnancy?
everyone needs testing, except
1. patient with GBS in urine in that pregnancy
2. patient with child affected by GBS bacteremia
500
Identify 2 structures:
Intrauterine?
mean sac diameter 27mm ~ 7w5d
500
How do you diagnose an early pregnancy loss?
What are management options for early pregnancy loss?