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Are You Smarter than My OB Interns???

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  • What type of contraception causes the most common occurrence of ectopic pregnancy?
    IUD (Copper-containing)
  • Abortion is loss of an early pregnancy with the fetus weighs how many grams?
    500 gms
  • It is the term referring to the downward passage of the presenting part of the fetus through the pelvis.
    Descent
  • What laboratory study would you request in a patient with an unruptured ectopic pregnancy who opted for expectant management?
    serum B-hCG
  • According to Friedman, the patient usually enters the active phase of 1st stage of labor at what centimeters?
    4cm
  • What fetal head diameter enters the maternal pelvis during engagement?
    Biparietal diameter
  • It is a term used to refer to an early pregnancy with vaginal bleeding and dilated cervix without tissues passing out yet.
    Inevitable abortion
  • In threatened abortion, the ultrasound would always show a continuing intrauterine pregnancy despite presence of vaginal bleeding. T/F
    True
  • What laboratory test is used to detect precancerous lesions of the cervix?
    Pap smear
  • Unrecognized, excessive stimulation of the uterus can result in uteroplacental insufficiency. T/F
    True
  • According to Zhang, the patient goes into active phase of labor at how many centimeters?
    6cm
  • The mechanisms of labor as a whole is also known as what?
    Cardinal movements
  • Clinically, what is the usual first symptom of cervical cancer?
    Postcoital bleeding
  • The most carcinogenic HPV type causing cervical adenocarcinoma.
    16
  • What is the most common cause of PID which is a risk factor for ectopic pregnancy?
    Chlamydia trachomatis
  • Early pregnancy loss only affects FEMALES. T/F
    True
  • Human papillomavirus (HPV) infection must be present for cervical cancer to occur. T/F
    True
  • What specific laboratory test is important to CONFIRM the pregnancy and distinguish it from AUB and other bleeding disorders?
    Beta-hCG
  • 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
  • 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
  • What is the standard medical treatment for unruptured ectopic pregnancy?
    Methotrexate
  • In cervical cancer, a good prognosis with a 5-year survival rate can be seen at what cervical cancer stage?
    Stage 1
  • What is the medical treatment given for threatened miscarriage to prevent spontaneous miscarriage?
    Progesterone/Progestogen
  • What laboratory test is used to differentiate bleeding from vagina and urinary source?
    Urinalysis
  • Thick or uneffaced cervix can result to a prolonged latent phase. T/F
    True
  • Ectopic pregnancy can lead to infertility. T/F
    True
  • A prolonged latent phase is defined as exceeding how many hours in patients who are nulliparous?
    20 hours
  • True contractions should ALWAYS lead to cervical change. T/F
    True
  • Early cord clamping is considered an active management during the 3rd stage of labor. T/F
    True
  • Patients delivered after a prolonged second stage will have higher odds of having 3rd-4th degree perineal lacerations. T/F
    True
  • Young age is one of the major risk factors of having cervical cancer? T/F
    False
  • In patients who are pregnant and bleeding vaginally, Abdominal and pelvic exam is the first step to check. T/F
    False
  • These are contractions that occur once or twice per hour or a few times per day.
    Braxton-Hicks contractions
  • Tubal rupture is an absolute contraindication for medical Methotrexate treatment in ectopic pregnancy. T/F
    True
  • Absence of intrauterine pregnancy on a scan may represent a recent abortion. T/F
    True
  • The earliest age to start Pap smear screening.
    21
  • Cervical wiggling tenderness is one of the classic clinical triad of ectopic pregnancy? T/F
    False
  • The presence of blood clots suggests heavy bleeding. T/F
    True
  • What is the term which refers to the strength of contractions in mmHG measured by intrauterine pressure transducer?
    Montevideo units
  • Serum B-hCG alone is substantial to diagnose an ectopic pregnancy. T/F
    False
  • The risk of postpartum hemorrhage increases by the time the duration of 3rd stage reaches >20 minutes. T/F
    True
  • It is a term which refers to the implantation of a fertilized egg in the ovary
    Ectopic pregnancy
  • A positive pregnancy test and an ultrasound that does not reveal the location is known as Pregnancy of Unknown Location. T/F
    True
  • Serum B-hCG alone is substantial to diagnose an ectopic pregnancy. T/F
    False
  • Promiscuous male partner is one of the major risk factor causing cervical CA. T/F
    True
  • What is the most important tool for diagnosing an extrauterine pregnancy?
    Ultrasound
  • The most reliable sign of placental separation is sudden gush of blood. T/F
    False
  • Abnormal labor is the result of problems with one of the 3 P's. What are the 3 P's?
    Passenger, Pelvis/Passage, Power
  • Cervical cancer is more common in HIV-infected women. T/F
    True
  • Ectopic pregnancy should always be ruled out in all threatened abortion if an ultrasound was not performed previously. T/F
    True
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