OBGYN Quiz: Pregnancy and Women's Health
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Questions and Answers

What is the next step in managing ectopic pregnancy after initial diagnosis?

  • Hormone therapy
  • Medical management
  • Laparotomy and salpingectomy (correct)
  • Repeat HCG after 2 weeks

    • Which of the following is NOT an indication for hormone therapy?

  • Osteoporosis
  • Hot flashes (correct)
  • Vaginal atrophy
  • Prevention of Coronary artery Disease

    • What is the definition of heterotrophic pregnancy?

  • Extrauterine and intrauterine pregnancy (correct)
  • Cervical pregnancy
  • Ovarian and tubal pregnancy
  • Pregnancy occurring in both tubes

    • What is the most probable cause of postmenopausal bleeding in a woman who is obese, hypertensive, and diabetic?

    <p>Endometrial cancer</p> Signup and view all the answers

    Nanovalent vaccine offers protection against which types of HPV viruses?

    <p>Types 6, 11, 16, 18, 31, 35, 45, 52, 58</p> Signup and view all the answers

    What is the correct sequence of sperm formation?

    <p>ABCD</p> Signup and view all the answers

    Which type of thyroid carcinoma always spreads to the cervical lymph nodes?

    <p>Papillary carcinoma</p> Signup and view all the answers

    What is the least malignant type of thyroid cancer?

    <p>Papillary carcinoma</p> Signup and view all the answers

    What is the best treatment for cervical lymph node involvement in papillary carcinoma thyroid?

    <p>Radical neck dissection</p> Signup and view all the answers

    What is not a characteristic of papillary carcinoma of thyroid?

    <p>Always unifocal</p> Signup and view all the answers

    What is the treatment of papillary carcinoma of thyroid with bony metastasis?

    <p>Near total thyroidectomy with radioiodine and radiotherapy</p> Signup and view all the answers

    What is the term for metastatic foci from primary in thyroid?

    <p>Lateral aberrant thyroid</p> Signup and view all the answers

    Which of the following is used in the treatment of differentiated thyroid cancer?

    <p>Radioiodine</p> Signup and view all the answers

    What type of thyroid carcinoma is often associated with occult thyroid malignancy with nodal metastasis?

    <p>Papillary carcinoma</p> Signup and view all the answers

    What is the preferred treatment for thyroid cancer?

    <p>Total thyroidectomy and modified neck dissection on the side of the enlarged lymph node</p> Signup and view all the answers

    Which type of thyroid carcinoma is associated with amyloid stroma?

    <p>Medullary carcinoma</p> Signup and view all the answers

    A patient with a pituitary tumor and pheochromocytoma is most likely to develop which type of thyroid carcinoma?

    <p>Medullary carcinoma</p> Signup and view all the answers

    What is the primary effect of local anesthetics on the body?

    <p>Blocking pain sensation without loss of consciousness</p> Signup and view all the answers

    What is an undesirable property of a local anesthetic agent?

    <p>Local irritation and tissue damage</p> Signup and view all the answers

    What are the typical components of a local anesthetic agent?

    <p>All of the above</p> Signup and view all the answers

    What determines the duration of local anesthetic action?

    <p>Intermediate chain</p> Signup and view all the answers

    Which of the following is a characteristic of a good local anesthetic agent?

    <p>Fast onset and long duration of action</p> Signup and view all the answers

    What is the primary course of treatment for a child presenting with a swelling over the mastoid, pain in the ear with pulsatile ear discharge, and fever?

    <p>Analgesics and IV antibiotics</p> Signup and view all the answers

    A patient with a negative Rinne's test and a louder tone in the opposite ear on Weber's test is likely to have which type of hearing loss?

    <p>Conductive hearing loss on the same side</p> Signup and view all the answers

    What is the operation of choice for a patient with attic cholesteatoma of the left ear and lateral sinus thrombophlebitis?

    <p>Canal wall down mastoidectomy</p> Signup and view all the answers

    A patient with bilateral hearing loss that becomes profound with pregnancy is likely to have which type of tympanogram curve?

    <p>AS</p> Signup and view all the answers

    A patient with bleeding from the ear, pain, tinnitus, and progressive deafness is likely to have which condition?

    <p>Glomus jugulare tumor</p> Signup and view all the answers

    What is the primary management option for a patient with glomus jugulare tumor?

    <p>Surgery</p> Signup and view all the answers

    A patient with a postero-superior retraction pocket with cholesteotoma is at risk of developing which complication?

    <p>Lateral sinus thrombophlebitis</p> Signup and view all the answers

    What is the primary goal of cortical mastoidectomy in a patient with acute mastoiditis?

    <p>To drain the infected mastoid air cells</p> Signup and view all the answers

    What is the chemical nature of local anesthetics?

    <p>Weak bases</p> Signup and view all the answers

    Why are local anesthetics usually made available as salts?

    <p>More stability and greater water solubility</p> Signup and view all the answers

    Which statement is not correct about local anesthetics?

    <p>A charged cationic form penetrates biologic membranes less readily than an uncharged form</p> Signup and view all the answers

    What is incorrect about the metabolism of local anesthetics?

    <p>Metabolism of local anesthetics occurs at the site of administration</p> Signup and view all the answers

    Which anesthetic agent is the agent of choice in a patient with liver disease?

    <p>Procaine</p> Signup and view all the answers

    Which local anesthetic is preferable in a patient with pseudocholinesterase deficiency?

    <p>Procaine</p> Signup and view all the answers

    What is the reason for the decreased effectiveness of local anesthetics in inflamed tissues?

    <p>Low pH in inflamed tissues</p> Signup and view all the answers

    How are ester group of anesthetics like procaine metabolized?

    <p>Systemically by pseudocholinesterase</p> Signup and view all the answers

    Study Notes

    HCG and Pregnancy

    • HCG should be repeated after 2 weeks
    • Medical management and laparotomy with salpingectomy are possible treatments

    Hormone Therapy

    • Hormone therapy is not indicated for hot flashes
    • It can be used to prevent coronary artery disease, osteoporosis, and vaginal atrophy

    Heterotrophic Pregnancy

    • Heterotrophic pregnancy occurs in both tubes, with both extrauterine and intrauterine pregnancy
    • It can also occur in the ovaries and tubes, or in the cervix

    Postmenopausal Bleeding

    • A postmenopausal woman with obesity, hypertension, and diabetes who presents with bleeding may have endometrial cancer
    • Other possible causes include malignant ovarian tumor, cervical cancer, and Brenner tumor

    Human Papillomavirus (HPV) Vaccine

    • The nanovalent vaccine offers protection against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58

    Sperm Formation

    • The sequential order of sperm formation is: spermatogonia, spermatocyte, spermatids, and spermatozoa

    Birth Control Pills and Fertility

    • A 39-year-old woman who stops taking birth control pills to conceive may experience a delay in fertility
    • The return of menses can be anticipated after stopping the pills

    Thyroid Cancer

    • Papillary carcinoma of the thyroid can be reliably diagnosed using fine needle aspiration cytology
    • It typically spreads to the cervical lymph nodes
    • Total thyroidectomy with radiotherapy is a treatment option for papillary carcinoma with bony metastasis
    • Radioactive iodine can be used to treat cervical lymph node involvement in papillary carcinoma
    • Medullary carcinoma is the least malignant type of thyroid cancer
    • Lateral aberrant thyroid refers to metastatic foci from primary thyroid cancer
    • Occult thyroid malignancy with nodal metastasis is commonly seen in papillary carcinoma

    Ear Disorders

    • Attic cholesteatoma of the ear with lateral sinus thrombophlebitis is treated with canal wall down mastoidectomy
    • A patient with bilateral hearing loss, which becomes profound with pregnancy, may have a tympanogram showing a type B curve

    Anesthesia

    • Local anesthetics produce analgesia by blocking pain sensation without loss of consciousness
    • A good local anesthetic agent should not cause local irritation and tissue damage
    • Local anesthetics are weak bases and are usually made available as salts for therapeutic application because of more stability and greater water solubility
    • Ester group of anesthetics like procaine are metabolized systemically by pseudocholinesterase
    • Amides such as lidocaine are metabolized in the liver by microsomal mixed function oxidases

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    Description

    This quiz covers various topics in obstetrics and gynecology, including pregnancy complications, hormone therapy, and women's health issues.

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