Download OBGYN Exam 1 Questions & Answers (Grade A+) and more Exams Obstetrics in PDF only on Docsity!
(Grade A+)
Expecting female presents with brownish discoloration over the cheeks and nose. What is this presentation called? - correct answer ✅Chloasma What is the most common site of implantation for ectopic pregnancy? - correct answer ✅Tubes A 30 year old pregnant female presents with pain and tingling in the lateral/anterior aspect of her leg. This could be a presentation for meralgia paresthetica with compression of the ______ by the inguinal ligament. - correct answer ✅Lateral femoral cutaneous nerve Mother with the newborn baby shows up to your office. During their history intake, she mentions how the baby was born preterm. What would this mean? - correct answer ✅The baby was born between 20- 6/7 weeks of gestation Which one of the following is NOT a potential reason to seek genetic counseling? -
(Grade A+)
correct answer ✅Women who are pregnant or plan to become pregnant that are less than 30 years old Your new expecting mother is at the adjusting table supine, and after a few minutes start feeling dizzy and lightheaded. What is possibly wrong? - correct answer ✅Vena cava syndrome A female with 18 weeks of gestation presents with profuse bleeding and lower abdominal cramps. No cervix dilation was reported. At this point, which type of abortion is suspected? - correct answer ✅Threatened abortion Which of the following is defined as a "Placenta location that implants over the entire cervical Os? - correct answer ✅Placenta previa Unplanned pregnancies are at greater risk of preterm birth and low birth weight babies. - correct answer ✅True
(Grade A+)
Signs of true labor include all of the following except: - correct answer ✅Contractions intensity and duration are consistent (no changes) The appropriate dose of _______ every day for at least one month before pregnancy, may lower the risk of birth defects such as spina bifida. - correct answer ✅Folic acid A couple walks into your office telling you that they are having problems conceiving. They already have one previous pregnancy with no issues five years ago. They have been trying for a little longer than a year with no success. This is known as _______. - correct answer ✅Secondary infertility Which type of natural contraception works due to the suppression of the release of prolactin causing amenorrhea and avovulation while breastfeeding? - correct answer ✅Lactational amenorrhea After you performed the measurement of the fundal height, you find your measurement is 31 ____, which means your patient is at approximate ______ weeks of
(Grade A+)
gestation. - correct answer ✅Cm, 31 Due to the dangers of exposing an expected mother to toxic substances, like toxoplasmosis, that could have a negative impact on the development of the fetus, they should be advised to avoid _______ feces while pregnant. - correct answer ✅Cat A female in her 50s, smoker, with and slender body shape that started her menopause in her late 40s shows to your office due to back pain and right-hand joint pain. What can be the potential cause of her pain? - correct answer ✅Osteoporosis One of your current patients, Jane, shows up to your office complaining of a headache that would not go away and seeing spots in front of her eyes. Jane is a 36 year old female, and she is 34 weeks pregnant. What would be one of your main concerns for the patient? - correct answer ✅hypertension/preeclampsia
(Grade A+)
mentioned how they got pregnant while using an IUD contraceptive method. In addition to breast tenderness, she is also experiencing abdominal pain, excessive vomiting, and bleeding. What things you should be concerned about as a doctor? - correct answer ✅Ectopic pregnancy
- Expecting mother shows up to your office but is unable to recall how far on her pregnancy she is, but you remember you learned in your OBGYN class that you could do a good estimate by measuring the fundal height. From where do you need to measure? - correct answer ✅From the superior ramus to the fundus of the uterus The widening and softening of the isthmus of the uterus at 6-8 weeks of gestation referred as: - correct answer ✅Hegar's sign Morning sickness can occur at any time during the day. - correct answer ✅True
(Grade A+)
Which of the following is NOT true for the 3rd stage of labor? - correct answer ✅Is the longest stage A 20 week pregnant woman presents to your office complaining of low back pain. She states she experiences pain after daily naps and early in the morning. The pain is described as a dull ache with pain on extension. The pain gets better when moving around. What is likely the cause? - correct answer ✅Facet syndrome Preeclampsia/eclampsia can be cured with the use of medications. - correct answer ✅False As part of your chiropractic visit review and to confirm the suspicion of your differential diagnosis you decided to take her blood pressure and weight. Her blood pressure is 156/98 mmHg, and she has gained >5 lbs in the last week, confirming your initial diagnosis. Which of the following symptoms is NOT one you expect to find in a patient with this diagnosis?
correct answer ✅Dark-colored urine
(Grade A+)
exacerbated when going into flexion, what can it be? - correct answer ✅SI joint dysfunction Which of the following is NOT a contraindication associated with smoking, alcohol and drug consumption during the gestational period? - correct answer ✅Excessive sized infant Even when morning sickness is a common symptom there are some recommendations that could help potentially reduce the vomiting and nausea of the pregnant patient. All of the following are recommendations to reduce the symptoms EXCEPT: - correct answer ✅Take plenty of fluids with each meal After 24 weeks of gestation is ideal for mothers to feel around ____ fetal movements within a 2 hours time frame. - correct answer ✅ 10 Based on your diagnosis of the previous question which of the following would be associated findings during your chiropractic assessment
(Grade A+)
Follow-up question: New expecting/pregnant patient shows up to your office for their new patient exam. During her history, she mentions how she is experiencing some difficulties with... and squatting. She also mentions pain in her lower back, pelvis and hips that makes it difficult to bend over. What would be your differential diagnosis? - correct answer ✅Anterior innominate In addition to being the longest stage of labor, which of the stages of labor begins with contractions and ends in full cervix dilation(10cm)? - correct answer ✅1st Relaxin allows the pelvis to stretch and accommodates the quick enlargement of the uterus, however, it also affects the - correct answer ✅All of the above Which hormone is associated with the change in sleep patterns? - correct answer ✅progesterone
(Grade A+)
pancreas -Starts in 2nd 1⁄2 of pregnancy and goes away after birth -High BP -Younger than 20 older than 40 Pre-eclampsia - correct answer ✅-M/C occurs in healthy women without risk factors or preventing deliver -Typically presents after 20 weeks of gestation -Occurs -in 8% of global pregnancies -High BP & Proteinuria -Goes away after giving birth
(Grade A+)
Ectopic pregnancy - correct answer ✅-fertilized egg implants outside of the uterus, usually in a fallopian tube -Symptoms Pain Bleeding Amenorrhea -Signs Tenderness Adnexal mass Uterine changes Molar pregnancy - correct answer ✅-hydatidiform mole, is a rare, abnormal type of pregnancy that occurs when a fertilized egg implants in the uterus but doesn't develop into a healthy baby -Dark brown to bright red bleeding from the vagina
(Grade A+)
exhaustion Recommended weight gain after the first trimester of pregnancy should be... - correct answer ✅1 lb per week Disc Pain - correct answer ✅-Sudden onset, sharp, radiating pain -accompanied by antalgia -sharp pain in Flexion Facet Pain/Syndrome - correct answer ✅-Dull, achy, sore pain after prolonged periods of rest -Pain in Extension Fundus Height - correct answer ✅From the superior ramus of pubis bone to the top of fundus of the uterus in cm 16 weeks- Halfway between superior ramus and umbilicus 20 weeks- at level of umbilicus
(Grade A+)
Hegar's sign - correct answer ✅-softening and compressibility of lower uterus -used to be used to confirm pregnancy Linea Nigra - correct answer ✅a dark line appearing on the abdomen and extending from the pubis toward the umbilicus Gestation age - correct answer ✅time lapse since first day of their period Duration of pregnancy - correct answer ✅280 days or 40 completed gestational weeks Estimated Due Date (EDD) - correct answer ✅LMP - 3 months + 7 days = EDD
(Grade A+)
Placenta previa - correct answer ✅complication that occurs when the placenta attaches to the bottom of the uterus, partially or completely covering the cervix. This prevents a safe vaginal delivery and usually requires a C-section. Infertility - correct answer ✅unable to conceive within 1 year Sterility - correct answer ✅intrinsic inability to achieve pregnancy Primary infertility - correct answer ✅those who have never conceived Secondary infertility - correct answer ✅those that had been able to conceive in the past but currently cannot
(Grade A+)
Gynecoid pelvic shape - correct answer ✅-best shape for vaginal birth -Rounded, slightly ovoid, or elliptical inlet with a well- rounded fore pelvis Android pelvic shape - correct answer ✅-male-shaped -not favorable for delivery -Heart-Shaped Anthropoid pelvic shape - correct answer ✅- long, narrow and oval
- not the most favorable for vaginal birth Platypelloid pelvic shape - correct answer ✅least common type very oval shape very narrow anterior posterior wide transverse usually deliver C-section
