NBME OBGYN Form 8 Exam with Questions and Answers, Exams of Gynecology

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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 tH 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 Discase Spinal muscular atrophy Options for mothers in the setting of antepartum intrauterine [etal 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, carly pregnancies: MTX Larger/medical treatment failure: Salpingectomy or evacuation w/ laparoscopy How does OCPs help menstrual cycle? ANSWER Helps to normalize cycle and decrease the amount of menstrual bleeding by stabilizing the endometrium