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Flashcards in Quiz 2 Deck (69)
1

Which of the following would be the first line of treatment in the management of symptoms of PMS?

Complex carbohydrate diet

2

When does "quickening" occur? (How many weeks of gestation)

18-20

3

When can Doppler devices detect fetal heart tones? (Weeks?)

12

4

Intrauterine pregnancy is generally detectable by tansvaginal ultrasonography when the B-hCG is greater than...

1,000-2,000 mIU/mL

5

Due to the position of the fetus, round ligament pain is often more pronounced...

on the right side

6

What test is most likely to be abnormal in a Turner's Syndrome patient?

FSH

7

Neonatal jaundice that persists for how long requires further investigation?

2 weeks

8

If a heel-stick initial blood sample is collected before 12-24 hours after delivery, a second sample should be collected when to decrease the probability that phenylketonuria and other disorders with metabolite accumulation are missed as a result of early testing?

1-2 weeks

9

Premature infants, neonates receiving paraenteral feeding, or those treated for illness should have a newborn screening test performed when?

7 days of age

10

80% of spontaneous abortions occur by what gestational age?

12 weeks

11

Recurrent early abortion is associated with what chance that one parent is an asymptomatic carrier of a chromosomal abnormality?

3%

12

What is the relationship between the risk of spontaneous abortion being caused by a chromosome-related abnormality and gestational age?

The early in pregnancy that it occurs, the more likely it is chromosomally abnormal

13

Compared with a urine pregnancy test, the usefulness of the serum assay for B-hCG is limited by...

The time required to obtain the results

14

In the work-up for a possible ectopic pregnancy, it should be remembered that urinary pregnancy tests generally turn positive at what point?

Time of missed period

15

A tubal pregnancy in what region typically presents later than an ectopic in the others?

Isthmic

16

Which type of pregnancy is most likely to occur as a result of a tubal abortion?

Abdominal pregnancy

17

First line therapy for a patient who had an imperforate hymen and persistent lower abdominal pain with moderate endometriosis is NSAIDS and...

continuous oral contraceptives

18

If a patient with primary amenorrhea undergoes laparoscopy, what is the likelihood that an identifiable cause will be found?

60-70%

19

A 26 year old woman presents with 2 years of sever dysmenorrhea associated with diarrhea during her menses. On bi manual exam you note uterine immobility and tender modularity posterior to the uterus. What is the most likely cause of the patient's dysmenorrhea?

Endometriosis

20

An 18-year old woman complains of sever cramps and nausea at the time of her menses. Her pelvic exam is unremarkable. A trial of non-steroidal anti-inflammatory therapy has given only partial relief. The best treatment option for this patient is

Combined oral contraceptive

21

A 47 year old woman has long-standing pelvic pain associated with endometriosis. A previous laparoscopic ablation of endometriosis has given her several years of relief. Over the last 6 months her symptoms have gotten progressively worse. What is the best treatment option for this patient?

Administration of a GnRH agonist

22

How many days after the first menstrual period does it take for home pregnancy tests to become positive?

4 days

23

A 30 year old primigravid patient at term progresses from 4cm dilation to 7cm dilation in 5 hours. How would this labor be described?

A protraction disorder

24

For a labor pattern to be considered optimal, contractions must generate peak intrauterine pressures of at least how many mm Hg?

25

25

Which presentation typically converts to either a vertex or face presentation?

Brow

26

What percent of singleton term deliveries are breech presentations?

2%

27

Repetitive late fetal heart rate decelerations are considered particularly ominous with respect to fetal well-being if associated with...

Decreased FHR variability

28

A newborn who is apneic or gasping and has a heart rate less than (ANSWER) usually requires positive pressure ventilation, which may be done with a face mask after clearing the airway

100 bpm

29

Lochia is fairly heavy at first and rapidly decreases in amount over he first (ANSWER) days postpartum, although it may last for several weeks.

2-3 days

30

Abortion is generally defined as termination of pregnancy before what gestational age?

12 weeks

31

What is the incidence of clinically recognized abortion?

15-25%

32

A 16 year old who had an imperforate hymen diagnosed at age 13 years presents for management of significant lower abdominal cyclic and non-cyclic pain. Laparoscopy documents moderate pelvic endometriosis. First-line therapy for this patient is NSAIDs and...

continuous oral contraceptives

33

Uterine contractions associated with primary dysmenorrhea result in baseline intrauterine pressures in excess of...

80 mm Hg

34

If patients with chronic pelvic pain undergo laparoscopy, the likelihood that an identifiable cause will be found is approximately...

60-70%

35

A 26 year-old woman presents with 2 years of severe dysmenorrhea, associated with diarrhea during her menses. On bimanual exam you note uterine immobility and tender nodularity posterior to the uterus. What is the most likely cause of this patient's dysmenorrhea?

Endometriosis

36

The maximum estimated incidence of women with some physical or emotional premenstrual symptoms is...

75-85%

37

Which drug is most likely to help a patient's PMS symptoms?

Combined oral contraceptives

38

How many days after the first menstrual period does it take for home pregnancy tests to become positive?

4 days

39

A 30 year old primigravid patient at term progresses from 4cm dilation to 7cm dilation in 5 hours. How would this labor be described?

A protraction disorder

40

For a labor pattern to be considered optimal, contractions must generate peak intrauterine pressures of at least how many mm Hg?

25

41

Which presentation typically converts to either a vertex or face presentation?

Brow

42

What percent of singleton term deliveries are breech presentations?

2%

43

Repetitive late fetal heart rate decelerations are considered particularly ominous with respect to fetal well-being if associated with...

Decreased FHR variability

44

A newborn who is apneic or gasping and has a heart rate less than (ANSWER) usually requires positive pressure ventilation, which may be done with a face mask after clearing the airway

100 bpm

45

Lochia is fairly heavy at first and rapidly decreases in amount over he first (ANSWER) days postpartum, although it may last for several weeks.

2-3 days

46

Abortion is generally defined as termination of pregnancy before what gestational age?

12 weeks

47

What is the incidence of clinically recognized abortion?

15-25%

48

A 16 year old who had an imperforate hymen diagnosed at age 13 years presents for management of significant lower abdominal cyclic and non-cyclic pain. Laparoscopy documents moderate pelvic endometriosis. First-line therapy for this patient is NSAIDs and...

continuous oral contraceptives

49

Uterine contractions associated with primary dysmenorrhea result in baseline intrauterine pressures in excess of...

80 mm Hg

50

If patients with chronic pelvic pain undergo laparoscopy, the likelihood that an identifiable cause will be found is approximately...

60-70%

51

A 26 year-old woman presents with 2 years of severe dysmenorrhea, associated with diarrhea during her menses. On bimanual exam you note uterine immobility and tender nodularity posterior to the uterus. What is the most likely cause of this patient's dysmenorrhea?

Endometriosis

52

The maximum estimated incidence of women with some physical or emotional premenstrual symptoms is...

75-85%

53

Which drug is most likely to help a patient's PMS symptoms?

Combined oral contraceptives

54

How many days after the first menstrual period does it take for home pregnancy tests to become positive?

4 days

55

A 30 year old primigravid patient at term progresses from 4cm dilation to 7cm dilation in 5 hours. How would this labor be described?

A protraction disorder

56

For a labor pattern to be considered optimal, contractions must generate peak intrauterine pressures of at least how many mm Hg?

25

57

Which presentation typically converts to either a vertex or face presentation?

Brow

58

What percent of singleton term deliveries are breech presentations?

2%

59

Repetitive late fetal heart rate decelerations are considered particularly ominous with respect to fetal well-being if associated with...

Decreased FHR variability

60

A newborn who is apneic or gasping and has a heart rate less than (ANSWER) usually requires positive pressure ventilation, which may be done with a face mask after clearing the airway

100 bpm

61

Lochia is fairly heavy at first and rapidly decreases in amount over he first (ANSWER) days postpartum, although it may last for several weeks.

2-3 days

62

Abortion is generally defined as termination of pregnancy before what gestational age?

12 weeks

63

What is the incidence of clinically recognized abortion?

15-25%

64

A 16 year old who had an imperforate hymen diagnosed at age 13 years presents for management of significant lower abdominal cyclic and non-cyclic pain. Laparoscopy documents moderate pelvic endometriosis. First-line therapy for this patient is NSAIDs and...

continuous oral contraceptives

65

Uterine contractions associated with primary dysmenorrhea result in baseline intrauterine pressures in excess of...

80 mm Hg

66

If patients with chronic pelvic pain undergo laparoscopy, the likelihood that an identifiable cause will be found is approximately...

60-70%

67

A 26 year-old woman presents with 2 years of severe dysmenorrhea, associated with diarrhea during her menses. On bimanual exam you note uterine immobility and tender nodularity posterior to the uterus. What is the most likely cause of this patient's dysmenorrhea?

Endometriosis

68

The maximum estimated incidence of women with some physical or emotional premenstrual symptoms is...

75-85%

69

Which drug is most likely to help a patient's PMS symptoms?

Combined oral contraceptives