OB Questions 6-10
Monday, November 11, 2013
Answer 10
10. A is the correct answer. Trichomonas and candidia both cause vaginitis but do not have clue cells. Gonorrhea causes cervicitis
Question 10
10. Clue Cells are seen in which microbial infection?
- Gardnarella
- Trichomonas
- Gonorrhea
- Candidia
Answer 9
9. Choice D is the correct answer. There is usually no increase in incidence of ovarian cysts during pregnancy. Ovulation is suppressed. Kidney stones and pyelonephritis have an increased incidence because of the uterus putting pressure on the ureter and slowing urinary flow. Cholelithiasis is increased because elevated levels of estrogen cause the gall bladder to become more stagnant.
Question 9
9. Which of the following is not considered to have an increased incidence during pregnancy?
- Kidney Stones
- Pyelonephritis
- Cholelithiasis
- Ovarian Cysts
Answer 8
8. Choice B is the correct answer. This patient has severe preclampsia and is essentially term. The most definitive treatment is delivery. A non stress test may give some useful information but will not help the patient. Morphine may provide some symptomatic relief but may cause some respiratory depression for the infant post delivery. Management of the blood pressure is also important but labetolol and hydralazine are considered first line.
Question 8
8. Your patient is a 32 year old female that presents with +4 edema in bilateral lower extremities, with proteinuria and severe headaches. She is approximately 37 weeks pregnant with a BP of 224/126. Which of the following is the best causative action?
- Non stress test
- Delivery
- Morphine 4 mg IV
- Vasotec 20 mg IV
Answer 7
7. Choice A is the correct answer. Above 140 mg/dL is considered abnormal 1 hour after ingestion of the glucose for a pregnant patient.
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