Past CMS OB/GYN Things to Remember

What type of flu vaccine is recommended during pregnancy?

The inactivated flu vaccine.

What condition during pregnancy increases the risk of developing pulmonary embolism (PE)?

Hypercoagulation state.

What vaccine is given to pregnant women who are not immune to Hepatitis B?

Hep B vaccine.

What medical intervention is required if a patient is Rh(D) negative after amniocentesis?

RhoGAM injection.

What test is necessary if the mother has Kell antibodies against RBC antigens?

Test the father's blood.

What emergency condition can result from severe bleeding caused by placenta previa?

Hemorrhagic shock.

What is the preferred delivery method for a patient with achondroplasia?

C-section.

What diagnostic tool is used if there is a significant discrepancy between gestational age and fundal height?

Ultrasound.

What is a common cause of arrested labor?

Inadequate contractions.

What are the symptoms of uterine rupture?

Increasing abdominal pain and fetal bradycardia.

What is the definition of succenturiate placental lobes?

Placental accessory lobes connected to the main placenta.

What is a potential complication of maternal fever during pregnancy?

Fetal tachycardia.

What is the best treatment for MSSA mastitis?

Dicloxacillin.

What should be done if mammography does not reveal breast cancer?

Lymph node biopsy.

What are the main suspects for Pelvic Inflammatory Disease (PID)?

Chlamydia and gonorrhea.

What causes the symptoms of candidiasis?

Branching hyphae.

What should be done for asymptomatic leiomyomata uteri?

Observation.

What is one of the strongest risk factors for endometrial carcinoma?

Chronic anovulation.

What is the typical age range for mature cystic teratomas to occur?

Ages 10 to 30.

What contraceptive can be used if OCPs or IUDs are not suitable?

Depot medroxyprogesterone.

What is the protocol for prescribing contraceptives to an adolescent patient who is asymptomatic for STIs?

Prescribe low dose contraceptives without testing.

What procedure is done for a patient with abnormal uterine bleeding who does not wish to be fertile anymore?

Endometrial ablation.

What should be suspected if a postmenopausal patient experiences heavy bleeding?

Endometrial carcinoma.

What is the best management for gestational diabetes mellitus (GDM)?

Tighter glucose control.

What test is done early in pregnancy for Rh negative mothers?

Indirect Coombs test.

When is RhD Ig given to pregnant women?

At 28 weeks.

What is considered a normal fetal heart rate (FHR)?

110-160 bpm.

What is a serious complication of choriocarcinoma?

Metastasis.

What is essential to monitor in a mother with hyperemesis gravidarum?

Dehydration and electrolyte imbalances.

What condition can result from amniotic fluid embolism?

Coagulation defects and DIC.

What is required if there is evidence of distress after premature rupture of membranes?

Immediate C-section.

What condition can occur right after delivery and is a risk associated with C-sections?

Puerperal sepsis.

What should be done urgently when there is fetal demise?

Urgent delivery.

What causes severe pelvic pain in some patients?

Hemorrhagic or ruptured corpus luteum cysts.

What is associated with an increased risk of uterine sarcoma?

Pelvic radiation, retinoblastoma, and tamoxifen.

How often should Pap smears be done after CIN3 resection?

Every year.

What are the contraindications for using levonorgestrel emergency contraception?

There are no contraindications.

What are common symptoms associated with congenital hypothyroidism?

Lethargy, hoarse cry, hypotonia, large fontanelles, dry skin, and constipation.

What types of bleeding may accompany vulvar lacerations?

Rectal and vaginal bleeding.

What does the first prenatal appointment typically include?

Genetic testing.

What is the recommended surgery for large ectopic pregnancies?

Laparoscopy.

What should be prioritized for all patients presenting with amenorrhea?

Pregnancy test first.

What should be done for all breast cysts?

Drained with FNA.

What cervix length increases the risk of cervical insufficiency?

Less than 25 cm.

What biopsy should be performed if the SCJ is not visible on colposcopy?

Cone biopsy.

What helps in managing pregestational or gestational diabetes?

Screening for blood glucose.

What is indicated for multiple bilateral breast cysts?

Follow-up as they typically resolve on their own.

What symptoms might indicate a hydatidiform mole?

First trimester bleeding, abdominal pain, uterine enlargement, and persistent nausea.

What can increase the risk of mastitis in breastfeeding mothers?

Nipple excoriation.

What may indicate uterine rupture even if patients do not express pain?

Loss of fetal station.

What needs to be done if a corpus luteum cyst ruptures?

Manage pain and provide non-NSAID analgesics.

What will a biopsy show in chronic endometritis?

Plasma cells.

What can cause gastrointestinal symptoms related to ovarian cancer?

Ovarian cancer.

Which megaloblastic anemia is most common during pregnancy?

Folic acid deficiency.

What characterizes complete procidentia?

Severe prolapse of all vaginal compartments.