Rhythm method Select 1 RATE

Postcoital douche (SELECT 1 RATE) 453. Oral contraceptive (SELECT 1 RATE) 454. Condom and spermicidal agent (SELECT 1 RATE) 455. Condom alone (SELECT 1 RATE) Items 456-460 For each situation involving oral contraceptives, select the most appropriate response. a. Stop pills and resume after 7 days c. Continue pills and use an additional form of contraception e. Stop pills and seek a medical examination 456. Nausea during first cycle of pills (SELECT 1 RESPONSE) 457. No menses during 7 days...

Answers

The answer is d. (Rodeck, p 858.) A mild group B coxsackievirus infection of the mother during the antepartum period may give rise to a virulent infection in the newborn, sometimes resulting in a fatal encephalomyocarditis. A maternal rubella infection may cause neonatal hepatosplenomegaly, petechial rash, and jaundice in addition, viral shedding may last for months or years. Herpes zoster, the causative agent of varicella (chickenpox), is an especially dangerous organism for the newborn....

Items 402407

A 59-year-old G4P4 presents to your GYN office complaining of losing urine when she coughs, sneezes, or engages in certain types of strenuous physical activity. The problem has gotten increasingly worse over the past few years, to the point where the patient finds her activities of daily living compromised secondary to fear of embarrassment. She denies any other urinary symptoms such as urgency, frequency, or hematuria. In addition, she denies any problems with her bowel movements. Her prior...

Atrophic Vaginitis And Serosanguineous Discharge

The answer is d. (DiSaia, 5 e, pp 55-62.) The main routes of spread of cervical cancer include vaginal mucosa, myometrium, paracervical lymphatics, and direct extension into the parametrium. The prevalence of lymph node disease correlates with the stage of malignancy. Primary node groups involved in the spread of cervical cancer include the paracervical, parametrial, obturator, hypogastric, external iliac, and sacral nodes, essentially in that order. Less commonly, there is involvement in...

Overflow Incontinence After Lefort Surgery

The answer is b. (Scott, 8 e, pp 768-770.) Stress incontinence is the involuntary loss of urine when intravesical pressure exceeds the maximum urethral pressure in the absence of detrusor activity. The most common cause of urinary incontinence is incompetence of the urethral sphincter, termed genuine stress incontinence. The other major cause of incontinence is unstable bladder. An unstable bladder is the occurrence of involuntary, uninhibited detrusor contractions of greater than 15 cmH2O...

Questions

DIRECTIONS Each item below contains a question or incomplete statement followed by suggested responses. Select the one best response to each question. 106. Which of the following statements concerning abdominal pregnancy is correct a. Gastrointestinal symptoms are quite often severe b. Fetal survival is approximately 50 c. Aggressive attempts should be made to remove the placenta at the time of initial surgery d. It may result in infectious morbidity prior to the diagnosis e. It is usually the...

Items 4243

Match each description with the correct drug. (Bactrim) 42. Safe in all trimesters (SELECT 3 DRUGS) 43. Unsafe in all trimesters (SELECT 2 DRUGS) 44. You see a healthy 40-year-old multiparous patient for preconception counseling. She is extremely worried about her risk of having a baby with spina bifida. Five years ago, this patient delivered a baby with anencephaly who died shortly after birth. How would you counsel this woman regarding future pregnancies a. She does not have a recurrence risk...

What Is G3p3 On Medical Exam

DIRECTIONS Each item contains a question or incomplete statement followed by suggested responses. Select the one best response to each question. 216. A baby is born with ambiguous genitalia. Which of the following statements is true a. A karyotype is rarely needed b. Evaluation should be done by 1 month of age c. It is sometimes associated with a history of a previous sibling with congenital adrenal hyperplasia (CAH) d. A thorough physical examination can usually decide the true sex e....

Items 7882

Fetal Tracing Spontaneous Declarations

Match each description with the appropriate fetal heart rate tracing. If none of the tracings apply, answer e (none). a. 78. Hyperstimulation (SELECT 1 TRACING) 79. Early deceleration (SELECT 1 TRACING) 80. Acceleration with normal variability (SELECT 1 TRACING) 81. Variable deceleration with late component (SELECT 1 TRACING) 82. Late deceleration with flat baseline (SELECT 1 TRACING) 83. A 17-year-old primipara at 41 weeks wants an immediate cesarean section. She is being followed with...

Obstetrics and Gynecology

PreTest Self-Assessment and Review Tenth Edition Clerkship Director Assistant Professor Georgetown University School of Medicine Washington, DC McGraw-Hill Medical Publishing Division New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright 2004 by The McGraw-HIll Companies, Inc. All rights reserved. Manufactured in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of...

Gonadotropin evaluation Select 1 DAY Items 381383

A 22-year-old G0P0 comes to your office with a chief complaint of being too hairy. She reports that her menses started at age 13 and have always been very irregular. She also complains of acne and is currently seeing a dermatologist for the skin condition. She denies any medical problems, and her only surgery was an appendectomy at age 8. Height is 5 ft, 5 in. weight is 150 lb BP is 100 60. On physical exam, there is sparse hair around the nipples, chin, and upper lip. No galactorrhea,...