Virtual Mentor. May 2003, Volume 5, Number 5.
Test Questions: Obstetrics and Gynecology
May 2003, Volume 5, Number 5
- The primary clinical goal in treating
pregnant women is:
A. To maintain continuous prenatal care.
B. To be certain the patient is not behaving in ways that could harm the fetus.
C. To ensure that the patient has good nutrition, gets enough rest, and does
not smoke or drink alcohol.
D. To prevent vertical transmission of HIV.
- Restricting a pregnant woman's
freedom in order to prevent harm to her fetus:
A. Is difficult to do because a woman has no legal obligations to act in the
best interest of her fetus.
B. Has individual and social costs related to restricting individual constitutional
rights in the name of overriding state interests.
C. Can be successfully accomplished through criminal and tort law.
D. Has been successfully accomplished by court injunction and declaratory
E. All of the above.
F. A, B, and D.
- The commentator in this month's
clinical case about treating adolescent girls who are, or are about to become,
sexually active believes that the overriding treatment goal should be:
A. Educating the adolescent about the serious threats to her reproductive
future posed by STDs.
B. Gaining trust, asking permission to discuss sexual conduct, and insuring
confidentiality in matters associated with sexual activity and drug use.
C. Making sure that some dependable form of birth control has been prescribed.
D. Inquiring about the patient's religious and ethical values before
beginning a discussion about sexual activity.
- The commentators on this month's
clinical case involving tubal ligation agree that:
A. The physician should support Mrs. Mason's right to decide about future
B. The physician has a duty to expose Mrs. Mason's attempt to deceive
her husband about her planned tubal ligation.
C. A woman should not be sterilized without the consent of her husband.
D. The physician should not perform the tubal ligation.
E. Temporary birth control should be recommended in this case because Mrs.
Mason and her husband may change their minds.
- Two contributors to this month's
issue comment on selecting traits for unborn offspring agree that:
A. Parents-to-be should not be allowed to select traits for their offspring.
B. Preimplantation and prenatal genetic testing should only be done to discover
severe abnormalities and genetic diseases.
C. There is no justifiable reason for genetic testing to determine the sex
of a child-to-be.
D. The desire of parents to select non-health-related traits for unborn children
poses questions about the meaning and value of children in our society.
- When there is disagreement within
a medical specialty about the efficacy of a diagnostic or treatment procedure,
A. Must inform all patients about the disagreement and allow them to choose
from among the recommendations of the various proponents and critics.
B. Must decide on a case-by-case basis how much the patient wishes to be guided
in decision making by the physician.
C. Must become knowledgeable about both (or all) sides of the debate, come
to an informed judgment, and recommend that course of action to all patients.
D. Should do their best to shield patients from the disagreement that exists
within the profession.
- Treatment for pregnant women who
are HIV seropositive should begin when viral RNA load is:
A. > 100,000 copies/ml.
B. > 50,000 copies/ml.
C. > 10,000 copies/ml.
D. > 1,000 copies/ml.
- What are some relative contradictions
for using uterine artery embolization as a means to treat symptomatic fibroids?
A. Large fibroid size.
B. Multiple fibroids.
C. Compression of the bladder by large fibroid.
D. Both 1 and 3.
- In the clinical case of the Olsens
who wish the planned cesarean delivery of their third child to take place
at 37 weeks rather than at 39 weeks of gestation, it is important to consider:
A. The fact that clinicians are not obliged to provide requested services
B. Delivery of a baby can be important event in cementing the relationship
of the parents.
C. The closer a baby gets to 40 weeks gestation time, the better it is for
the baby in all instances.
D. Delivery by cesarean section is always less traumatic for the newborn.
E. A and B.
F. A, B, and C.
G. All of the above.
- The combination of pharmacological
therapy with cesarean delivery has been shown to reduce perinatal transmission
of HIV to:
A. 25 percent.
B. 1.5 percent
C. 5 percent
D. 11.5 percent
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