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WorksheetsWU OBGYN 09-17-2020
Total questions: 10
Worksheet time: 5mins
Which of the following best describes normal thyroid function tests in the first trimester?
TSH increases, free T4 remains the same
TSH decreases, free T4 increases
TSH increases, free T4 decreases
TSH decreases, free T4 decreases
Which of the following patients should be screened for thyroid disease?
40 year old G0 with no past medical history
28 year old G3P1011 with mildly enlarged thyroid
30 year old G1 with type 1 diabetes
All of the above
A 28 year old G1P1001 with no medical problems had an uncomplicated vaginal delivery 2 months ago and presents for routine follow-up. She was initially doing well, but in the last 2 days suddenly noticed significant weight loss in addition to irritability and palpitations. Thyroid function testing is abnormal. What is the next best step?
Initiation of propranolol and reassurance
Initiation of methimazole
Initiation of PTU
Referral to endocrinology
How does tocolysis affect success rates of external cephalic version?
Decreases success rates
Increases success rates
Increases success rates only for multiparous patients
Increases success rates only for nulliparous patients
No change
Uterine atony is the underlying cause of postpartum hemorrhage in what percentage of cases?
10%
20-30%
40-50%
70-80%
90-100%
Delayed postpartum hemorrhage is defined as excessive vaginal bleeding up to how many weeks postpartum?
6 weeks postpartum
9 weeks postpartum
12 weeks postpartum
24 weeks postpartum
Return of normal menses
Which of the following risk factors places a patient at the GREATEST risk of postpartum hemorrhage?
Chorioamnionitis
High parity
History of postpartum hemorrhage
Placental abruption
Succenturiate placenta
Which of the following clinical scenarios does NOT describe a candidate for an endometrial biopsy?
28-year-old s/p vaginal delivery w/ fever, fundal tenderness, leukocytosis, and foul-smelling discharge
35-year-old recent immigrant from Honduras with hSG demonstrating nodular cavity and strictures of fallopian tubes
40-year-old obese, nulliparous woman with heavy intermenstrual bleeding
65-year-old postmenopausal woman for 5 years with vaginal bleeding for the past month
70-year-old postmenopausal woman with a 2-mm lining on transvaginal sonogram
A 33-year-old G2P2002 woman presents with heavy menstrual bleeding. She also has inter-menstrual vaginal spotting. Speculum exam demonstrates a polyp prolapsing through the cervix. You use ring forceps to excise the polyp. A month later, she still has heavy bleeding. What is the next BEST step in management?
Dilation & curettage
Endometrial ablation
Expectant management
Hysterectomy
Hysteroscopy and polypectomy
Which of the following factors in a patient's records would be MOST predictive of a successful ECV?
Multiparity
Normal amniotic fluid
Posterior placenta
Transverse lie
Unengaged fetus
