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NBME OBGYN Form 8 Exam with Questions and Answers What should be assessed at the first prenatal visit? ANSWER baseline hx, maternal health, screen for genetic disorders (trisomies and aneuploides), date of the pregnancy, labs (CBC, BMP, ABO rH type) infections (pyelonephritis); STD check; vaccination status (MMR) STD: C/G, HIV, syphilis, Hep B Recommendations for white patients w/ prenatal screening ANSWER Cystic fibrosis - autosomal recessive Tay Sachs Disease Spinal muscular atrophy Options for mothers in the setting of antepartum intrauterine fetal demise (absence of complicating medical issues) ANSWER Immediate induction Delayed natural delivery How does antepartum intrauterine fetal demise present with? ANSWER Decreased fetal movement and lack of fetal heart tones on examination --> confirmed via ultrasound Treatment for different forms of ectopic pregnancy ANSWER Small, early pregnancies: MTX Larger/medical treatment failure: Salpingectomy or evacuation w/ laparoscopy
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