THIS IS Jeopardy

With Your Host... Alex Trichbeck

Jeopardy Keeping you Abreast Uro and Gyn Oncology Pregnancy Emergency Special Delivery Vulvo- vaginitis PID 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

What factors increase the risk of Pregnancy related death?

-Increasing Maternal age -Increasing live birth order -Absent prenatal care -Unmarried -Minority A 100

What percentage of pregnancies spontaneously abort, and by about how many weeks gestation?

20-40% by week 8 A 200

Is it common for hyperemesis gravidarum or NVP to be accompanied by abdominal pain?

No A 300

How is HTN defined in pregnancy?

140/90 or an increase of 20/10 from baseline

What is the treatment for preeclampsia?

*Delivery of the fetus A 500

How is “True” labor defined?

-Painful, repetitive contractions -Increase steadily in intesity & duration -Results in cervical change B 100

If the patient is bleeding, when is it appropriate to do a speculum exam?

After US to rule out placenta previa B 200

Name some treatments for signs of fetal distress B 300

-Change maternal position -O2 -Fetal scalp stimulation -Terbutaline

Name some techniques you can use if shoulder dystocia is present B 400

-Corkscrew or break the clavicle -McRobert’s -Drain the bladder -Episiotomy -Suprapubic pressure -Corkscrew or break the clavicle B 400

Name some complications of delivery B 500

-Cord prolapse -Shoulder distocia -Breech presentation -Preterm delivery B 500

Name some common causes of vulvovaginitis?

-Irritant or allergic contact -Response to foreign body -Infections -Irritant or allergic contact -Response to foreign body -Atrophic vaginitis C 100

Name the 3 most common bugs involved

-BV (Gardnerella) -Candidiasis -Trich C 200

Which normal flora bug is replaced by anaerobes in BV?

*Lactobacillus C 300

DAILY DOUBLE DAILY DOUBLE Place A Wager C 400

T/F All pregnant women should have their BV treated? C 400

TRUE! C 400

What is the mechanism by which ABX predispose to yeast infection?

By killing Lactobacillus, which keeps it in check

T/F Trichomonas is an STD?

TRUE! D 100

Name 2 organisms thought to be responsible for most PID

-N. Gonorrhoeae -C. Trachomatis D 200

Briefly describe the pathology of PID

Ascending STDs D 300

Name 3 of 4 risk factors for PID

-Multiple partners -Hx of STDs -Frequent douching -Hx of sexual abuse

Demonstrate the “PID Shuffle”

Let’s give them a nice round of applause!!

T/F breast complaints in the ED are usually acutely life threatening

Falsies E 100

Name some of the common breast presenting complaints to EDs

-Post operative complications -Pain -Mass -Nipple discharge -Infection -Post operative complications E 200

Palpating the chest for a thrill is:

Part of a thorough cardiovascular examination

Name a factor of breast disease history that suggests a benign cause

-Change with the menstrual cycle -Symptoms in contralateral side

Define Galactorrhea E 500

Inappropriate secretion of a milky discharge

What’s 100 feet long and smells like urine?

Line dancing at the nursing home F 100

What’s the difference between stress and urge incontinence?

Stress = pelvic relaxation Urge = detrusor instability F 200

Define “Vault Prolapse”

Inversion of the vagina

A woman presenting to the ED with ascites has “x” until proven otherwise? F 400

“x” = gynecologic malignancy F 400

List 5/7 factors for “Urethral Syndrome”

Urinary frequency, urgency Dysuria Incomplete emptying Suprapubic discomfort Incontinence Dyspareunia F 500

The Final Jeopardy Category is: Blazing Saddles Please record your wager. Click on screen to begin

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