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Buku Prof Grabber Women Health
Buku Prof Grabber Women Health
CASE 15.1
1. A. Study shows there is no significant difference in weight gain of women initiating oral
contraceptive pills vs placebo
2. E. all of the above
3. D. She can use OCP’s as it is hard to predict whether her headaches will be affected
4. A. if she starts taking the pill during the first 5 days of her menstrual period, no backup method
is needed
5. B. “This level of nausea and vomiting is very common, and there are several modifications and
over the counter medication that are safe”
6. E. all of the above
7. C. 1 hour glucose tolerance test
8. D. Group B streptococcus (GBS) culture for PCR
CASE 15.2
CASE 15.3
1. B. The need for cervical ripening agents for induction and helps to predict labor induction
success
2. C. She should undergo a nonstress test and ultrasound for amniotic fluid index
3. B. prolonged walking
4. A. iv oxytocin
5. B. baseline 150 beats per minute,reactive
6. A. epidural analgesia
7. B. baseline 160 beats per minutes, variable deceleration to the 90s
8. A. check the patient’s cervix
9. A. continue pushing
10. E. all of the above
11. D. respiratory distress syndrome
12. A. Uterine atony
13. E. all of the above
14. E. all of the above
15. C. desire to be a punk rocker
QUICK QUIZZ:
CASE 15.4
CASE 15.5
QUICK QUIZZ
CASE 15.6
1. B. 20% to 30%
2. C. aspirin 81 mg daily
3. C. 1/150
4. F. all of the above
5. A. orders a 3 hours glucose tolerance test
6. B. set up diabetes teaching and a consult with nutricionist/dietician
7. D. repeating the ultrasound for growth in 4 weeks
8. B. obtaining a 24 hours urine for protein
9. A. gestational hypertensions
10. C. admit to labor and delivery for blood work and monitoring, with plans to move toward
delivery
11. D. all of the above
12. C. for 24 hours after delivery
CASE 15.7
1. E. either A or D is correct
2. C. systemic arterial pressure increase during first triemester, reaches peak iin mid pregnancy,
and remains at that level until labour
CASE 15.8
CASE 15.9
CASE 15.10
1. C. urine HCG
2. D. ectopic pregnancy
3. E. all of the above
4. B. she has previously been exposed to the D antigen and has developed antibodies
5. A. Threatened abortion
6. D. embryonic chromosomal abnormality
7. E. counseling and reassurance
CASE 15.11
CASE 15.12
1. B. she needs further diagnostic testing including colposcopy and possible biopsy
2. E. either A or B would be acceptable choices
3. D. LEEP or LASER ablation
4. B. about one-third of CIN III lesion spontaneously regress
5. C. cervical ectopic pregnancy
6. B. She should return for pap smear plus HPV testing in 12 and 24 months
7. A. Repeat pap smear and co testing in another 12 months
8. D. Both A and B
CASE 15.13
1. E. none of the above diagnosis should be excluded based on the information available
2. C. Treat as an outpatient with antibiotics and schedule follow up for 36 to 48h
3. C. ceftriaxone 250 mg IM once plus doxycycline 100 mg PO BID for 14 days
4. E. all of the above
5. A. anovulation
6. D. colposcopy with cervical and endometrial biopsies
7. B. 66% increase in 48h
8. C. consultation with someone able to do a salpingectomy if necessary
9. C. she should be educated about ectopic pregnancy and miscarriage
CASE 15.14
CASE 15.15
CASE 15.16
1. C. Anovulation
2. A. prostaglandin release
3. B. Initiate combined hormonal contraception
4. E. all of the above
5. C. premenstrual syndrome
6. B. elevated LH to FSH (LH:FSH) ratio
7. D. Thiazid diuretics
CASE 15.17
1. D. A and B
2. C. endometriosis
3. E. A or C
4. B. “You just cannot know for sure until you have tried to conceive”
QUICK QUIZZ:
CASE 15.18
CASE 15.19
QUICK QUIZZ:
1. C. Lichen sclerosus
2. B. “given you use of warfarin, you should not use oral fluconazole”
CASE 15.20
QUICK QUIZZ: