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PPROM
Inherited Thrombophilia
GDM
AUB
2nd trimester AB
100
Should be avoided when a patient presents with suspected preterm premature rupture of membranes unless the patient appears to be in active labor
What is digital cervical exam
100
Its prevalence is approximately 5% in European populations and 3% in AA's whose ancestors are not recent immigrants - virtually absent in black African, Chinese, Japense, and other Asian populations
What is factor V Leiden mutation
100
Women with these risk factors are candidates for early screening
What is Previous medical history of GDM, Known impaired glucose metabolism, OBESITY (BMI 30)
100
When evaluating a woman for AUB after a physical and history this blood test should be ordered for all sexually active women
What is a pregnancy test
100
In the US, the number of pregnancies that are uninteded
What is 50%
200
The most significant risk of PPROM
What is intrauterine infection
200
Increases the risk of VTE in pregnanct by A- 10% B - 17% if they have a personal history of VTE
What is heterozygous factor V/homozygous factor V Leiden mutation
200
This should be used as the cutoff for the 1 hour screen for gestational diabtes
What is either 135 or 140
200
Structural causes of AUB
What is a polyp, adenomyosis, leiomyoma, malignancy and hyperplasia
200
T or F - Evidence supports the use of induced fetal demise with division of the umbilical cord, intramniotic or intrafetal digoxin injection, or fetal intracardiac potassium chloride injection, to improve the safety of 2nd trimester D and E T or F - Based on evidence the above therapies may shorten induction time
What is FALSE What is TRUE
300
Consequence of prolonged oligohydramnios especially in the 2nd trimester
What is fetal deformations and limb contractures
300
This point mutation is expressed in 3% of European populations and results in elevated circuating levels of prothrombin levels
What is prothrombin G20210A gene mutation
300
A patient with gestational diabtetes just had an uncomplicated SVD. When should you re-screen her for diabetes and impaired glucose metabolsim
What is 6-12 weeks postpartum
300
One of the most common causes of AUB-O in the in women of reproductive age, causing non cyclic bleeding, hyperandrogenic signs, and characteristic ovarian appearance on US
What is polycystic ovarian syndrome
300
Type of contraception that can be offered on the day of a 2nd trimester abortion
What are all types of contraception except Essure, diaphram, and cervcical cap
400
Gestational age at which ACOG recommends to deliver women with PPROM (A) And gestational age at which expectant managment should NOT be continued past (B)
What is 34 0/7 weeks or greater and 37 0/7 weeks
400
Newborns who are homozygous for these deficiencies will develop neonatal purpura fulminans and require lifetime anticoagulation
What is protein C and protein S deficiency
400
When pharmacological treatment of GDM is initiated this is considered appropriate first line therapy
What is insulin or oral agents
400
Smokers will begin menopause roughly how many years before nonsmokers
What is 1.74 years
400
Since mifepristone is not available at our institution, according to ACOG, the correct regimine for 2nd trimester termination of pregnancy is
What is Misoprostol, 400 mcg PV or SL Q3 hours for up to 5 doses or 600-800 PV misoprostol then 400 mcg Q3 PV or SL
500
To reduce neonatal maternal and neonatal infections and gestational age dependent morbidity a 7 day course of therapy with a combo of what antibiotics is recommended
What is erythromycin and ampiciilin or amoxicillin
500
These mutations by themselves DO NOT appear to convey an increased risk for VTE in pregnant and nonpregnant women and we should not screen for these mutations
What is MTHFR mutations
500
Women with GDM should be counselled about a C-section as the appropriate mode of delivery when the EFM weight is
What is 4500 grams or more
500
An in office endometrial biopsy samples an average of what % of the endometrium but has a reported sensitivity of what % for diagnosing endometrial cancer
What is 4% and 83%
500
Antibioitcs are recommended before 2nd trimester D&E and reduce the risk of infection by what % and what are the preferred antibiotics
What is 40% - Doxy 100 mg before and 200 mg after procedure