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Are You Smarter than My OB Interns???
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True contractions should ALWAYS lead to cervical change. T/F
True
These are contractions that occur once or twice per hour or a few times per day.
Braxton-Hicks contractions
Thick or uneffaced cervix can result to a prolonged latent phase. T/F
True
Abnormal labor is the result of problems with one of the 3 P's. What are the 3 P's?
Passenger, Pelvis/Passage, Power
It is a term used to refer to an early pregnancy with vaginal bleeding and dilated cervix without tissues passing out yet.
Inevitable abortion
A positive pregnancy test and an ultrasound that does not reveal the location is known as Pregnancy of Unknown Location. T/F
True
What is the standard medical treatment for unruptured ectopic pregnancy?
Methotrexate
What laboratory study would you request in a patient with an unruptured ectopic pregnancy who opted for expectant management?
serum B-hCG
Absence of intrauterine pregnancy on a scan may represent a recent abortion. T/F
True
The presence of hydronephrosis in a patient with cervical cancer, suggests pelvic wall involvement. T/F
True
Once cervical cancer has invaded the bladder, it may lead to constipation. T/F
False
Clinically, what is the usual first symptom of cervical cancer?
Postcoital bleeding
The mechanisms of labor as a whole is also known as what?
Cardinal movements
Early cord clamping is considered an active management during the 3rd stage of labor. T/F
True
The risk of postpartum hemorrhage increases by the time the duration of 3rd stage reaches >20 minutes. T/F
True
Patients delivered after a prolonged second stage will have higher odds of having 3rd-4th degree perineal lacerations. T/F
True
Ectopic pregnancy should always be ruled out in all threatened abortion if an ultrasound was not performed previously. T/F
True
In threatened abortion, the ultrasound would always show a continuing intrauterine pregnancy despite presence of vaginal bleeding. T/F
True
Serum B-hCG alone is substantial to diagnose an ectopic pregnancy. T/F
False
Serum B-hCG alone is substantial to diagnose an ectopic pregnancy. T/F
False
Cervical wiggling tenderness is one of the classic clinical triad of ectopic pregnancy? T/F
False
In cervical cancer, a good prognosis with a 5-year survival rate can be seen at what cervical cancer stage?
Stage 1
Young age is one of the major risk factors of having cervical cancer? T/F
False
According to Zhang, the patient goes into active phase of labor at how many centimeters?
6cm
According to Friedman, the patient usually enters the active phase of 1st stage of labor at what centimeters?
4cm
Abortion is loss of an early pregnancy with the fetus weighs how many grams?
500 gms
What is the procedure of choice in a patient with ectopic pregnancy who is no longer desirous of pregnancy and has a history of ectopic pregnancy in the same tube?
Salpingectomy
Cervical cancer is more common in HIV-infected women. T/F
True
Unrecognized, excessive stimulation of the uterus can result in uteroplacental insufficiency. T/F
True
In patients who are pregnant and bleeding vaginally, Abdominal and pelvic exam is the first step to check. T/F
False
Tubal rupture is an absolute contraindication for medical Methotrexate treatment in ectopic pregnancy. T/F
True
What laboratory test is used to detect precancerous lesions of the cervix?
Pap smear
It is the term referring to the downward passage of the presenting part of the fetus through the pelvis.
Descent
What is the term which refers to the strength of contractions in mmHG measured by intrauterine pressure transducer?
Montevideo units
What is the medical treatment given for threatened miscarriage to prevent spontaneous miscarriage?
Progesterone/Progestogen
What is the most common cause of PID which is a risk factor for ectopic pregnancy?
Chlamydia trachomatis
Promiscuous male partner is one of the major risk factor causing cervical CA. T/F
True
What fetal head diameter enters the maternal pelvis during engagement?
Biparietal diameter
A prolonged latent phase is defined as exceeding how many hours in patients who are nulliparous?
20 hours
What laboratory test is used to differentiate bleeding from vagina and urinary source?
Urinalysis
What specific laboratory test is important to CONFIRM the pregnancy and distinguish it from AUB and other bleeding disorders?
Beta-hCG
The presence of blood clots suggests heavy bleeding. T/F
True
What type of contraception causes the most common occurrence of ectopic pregnancy?
IUD (Copper-containing)
The most carcinogenic HPV type causing cervical adenocarcinoma.
16
The earliest age to start Pap smear screening.
21
Human papillomavirus (HPV) infection must be present for cervical cancer to occur. T/F
True
The most reliable sign of placental separation is sudden gush of blood. T/F
False
Ectopic pregnancy can lead to infertility. T/F
True
It is a term which refers to the implantation of a fertilized egg in the ovary
Ectopic pregnancy
What is the most important tool for diagnosing an extrauterine pregnancy?
Ultrasound
Early pregnancy loss only affects FEMALES. T/F
True
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