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ROSH women's health Questions With Complete Solutions
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ROSH women's health Questions With Complete Solutions
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ROSH women's health Questions WithComplete Solutions
----- is required for the letdown reflex that allows ejection of
breast milk. Correct Answers Oxytocin is required for the
letdown reflex that allows ejection of breast milk
----- stimulates growth of ductal tissue and ----- is responsible
for maturation of the alveolar glands while ----- is responsible
for breast milk production Correct Answers Estrogen
stimulates growth of ductal tissue and progesterone is
responsible for maturation of the alveolar glands while prolactin
is responsible for breast milk production
"Pyuria with no organisms on Gram stain" + likely STI Correct
Answers Chlamydia trachomatis
A positive fetal fibronectin test indicates...? Correct Answers
an increased risk of delivery w/in 1 week
A positive nontreponemal test can be followed by a
confirmatory treponemal test such as...? Correct Answers the
*FTA-ABS test, microhemagglutination test for antibodies to T.
pallidum*
An abnormally long latent phase or second stage of labor is
known as -----, an abnormally long active phase is known as
-----, and a complete cessation of progress is known as -----.
Correct Answers An abnormally long latent phase or second
stage of labor is known as *prolonged labor*, an abnormally
,long active phase is known as *protraction*, and a complete
cessation of progress is known as *labor arrest*
**The most common indications for primary intrapartum
cesarean section are protraction and labor arrest
An unusually ---- hCG level is associated with a molar
pregnancy. Correct Answers An usually high hCG level is
associated with a molar pregnancy.
**A hCG level >100,000 mIU/mL is more commonly associated
with a complete molar pregnancy than a partial molar pregnancy
**A high hCG should prompt a transvaginal U/S
Are breast fibroadenomas more common in premenopausal,
perimenopausal, or postmenopausal women? Correct Answers
Premenopausal
**There appears to be a hormonal component since they tend to
increase in size during high estrogen states (eg, pregnancy and
use of estrogen contraceptives) and involute after menopause
At how many weeks does an ectopic pregnancy usually present?
Correct Answers 6 to 8 weeks
**Unfortunately, tubal rupture is the initial presentation in 50%
of women w/ ectopic pregnancy; the sxs of tubal rupture may
include lightheadedness, syncope, orthostasis, hypotension, and
tachycardia in addition to vaginal bleeding and abdominal pain
,At which vertebral level is an epidural most commonly placed in
obstetrics patients? Correct Answers L3-L4
Chocolate cysts, what should you think about? Correct Answers
Endometriomas
Chorionicity vs amnionicity Correct Answers -Chorionicity:
refers to the # of chorionic (outer) membranes surrounding the
fetuses
-Amnionicity: refers to the # of amnions (inner) membranes that
surround the fetuses
Colposcopy reveals CIN 2. Now what? Correct Answers -Don't
want tx: pap smear + colposcopy in 6 mos
-LEEP or cold knife conization (both are excisional treatments)
OR cryotherapy and laser therapy (both are ablative treatments)
Combined hormonal contraceptives are contraindicated for the
first ----- postpartum due to the increased risk of venous
thromboembolism. Correct Answers 6 weeks
**Progestin only contraceptives can be used immediately
following birth and do not interfere with breastfeeding
Define active phase arrest? Correct Answers Active phase
arrest occurs during the first stage and is defined as no cervical
change for >/= 4 hrs despite adequate contraction or no cervical
change for >/= 6 hrs w/ inadequate contractions
Define infertility? Correct Answers Infertility is defined as the
inability to conceive after 6 months of unprotected intercourse in
, women >/= 35 YO or after 1 year of unprotected intercourse for
women < 35 YO
Define labor arrest in the second stage? Correct Answers Labor
arrest in the second stage is defined by failure to deliver after 3
hrs of pushing or total duration of 4 hrs in a nulliparous woman
or failure to deliver after 2 hrs of pushing or a total duration of 3
hrs in a multiparous woman
Define macrosomia? Correct Answers >4,500 grams
Define secondary amenorrhea Correct Answers Cessation of
menses anytime after menarche has already occurred; 3 months
for those who have regular menses; 6 months for those with
irregular menses
Describe the rash involved in syphilis. Correct Answers
Second stage; the rash is nonpruritic and generalized and
described as discrete, reddish-brown macules that typically
involve the palms and soles; they can also be found on mucous
membranes
Describe what happens during the follicular phase Correct
Answers During the follicular phase, FSH causes multiple
follicles to be developed, with one ultimately becoming the
dominant follicle. As these follicles develop, estrogen levels
rise, which produces a spike in LH that triggers ovulation. The
rising estrogen levels also cause the cervical mucus to become
thin, giving sperm the best chance for fertilization. The cervical
mucus at this stage in the cycle is sometimes described as
similar in consistency to a raw egg white. Estrogen levels are
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