Your-Doctor Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->The Puerperium, Lactation, and Immediate Care of the Newborn
Page: 2

Question 6#Print Question

A 30-year-old G5P3 has undergone a repeat cesarean delivery. She wants to breastfeed. Her past medical history is significant for hepatitis B infection, hypothyroidism, depression, and breast reduction. She is receiving intravenous antibiotics for endometritis. The baby latches on appropriately and begins to suckle. 

The patient asks you about the pros and cons of breastfeeding.

Which of the following is an accurate statement regarding breastfeeding?

a. Breastfeeding decreases the time to return of normal menstrual cycles
b. Breastfeeding is associated with a decreased incidence of sudden infant death syndrome
c. Breastfeeding is a poor source of nutrients for required infant growth
d. Breastfeeding is associated with an increased incidence of childhood obesity
e. Breastfeeding is associated with a decreased incidence of childhood attention deficit disorder


Question 7#Print Question

A 30-year-old G5P3 has undergone a repeat cesarean delivery. She wants to breastfeed. Her past medical history is significant for hepatitis B infection, hypothyroidism, depression, and breast reduction. She is receiving intravenous antibiotics for endometritis. The baby latches on appropriately and begins to suckle. 

The patient returns to see you in 6 weeks for a routine postpartum visit. She has been nursing her baby without any major problems, and wants to continue to do so for at least 9 months. She is ready to resume sexual activity and wants to know what her options are for contraception. She is a nonsmoker, and her only other medication is a prenatal vitamin.

Which of the following methods may decrease her milk supply?

a. Intrauterine device (IUD)
b. Progestin only pill
c. Depo-Provera
d. Combination oral contraceptive
e. Condoms and spermicide


Question 8#Print Question

On postpartum day 2 after a vaginal delivery, a 32-year-old G2P2 develops acute shortness of breath and chest pain. Her vital signs are: blood pressure 120/80 mm Hg, pulse 130 beats per minute, respiratory rate 32 breaths per minute, and temperature 37.6°C (99.8°F). She has new onset of cough. She appears to be in mild distress. Lung examination reveals clear bases with no rales or rhonchi. The chest pain is reproducible with deep inspiration. Cardiac examination reveals tachycardia with 2/6 systolic ejection murmur. Pulse oximetry shows an oxygen saturation of 88% on room air, and oxygen supplementation is initiated.

Which of the following is the best diagnostic tool to confirm the diagnosis?

a. Arterial blood gas
b. Chest x-ray
c. CT angiography
d. Lower extremity Dopplers
e. Ventilation-perfusion scan


Question 9#Print Question

A 26-year-old G1P1 is now postoperative day (POD) 6 after a lowtransverse cesarean delivery for arrest of active phase. On POD 2, the patient developed a fever of 39°C (102.2°F) and was noted to have uterine tenderness and foul-smelling lochia. She was started on broad-spectrum antibiotic coverage for endometritis. The patient states she feels fine now and wants to go home, but continues to spike fevers each evening. Her lung, breast, and cardiac examinations are normal. Her abdomen is nontender with a firm, nontender uterus below the umbilicus. On pelvic examination, her uterus is appropriately enlarged, but nontender. The adnexa are nontender without masses. Her lochia is normal. Her white blood cell count is 12 with a normal differential. Blood, sputum, and urine cultures are all negative for growth after 3 days. Her chest x-ray is negative.

Which of the following statements accurately describes this patient’s condition?

a. It usually involves both the iliofemoral and ovarian veins
b. Antimicrobial therapy is usually ineffective
c. Fever spikes are rare
d. Heparin therapy is always needed for resolution of fever
e. Vena caval thrombosis may accompany either ovarian or iliofemoral thrombophlebitis


Question 10#Print Question

A 24-year-old who delivered her first baby 5 weeks ago calls your office and asks to speak to you. She states that she is feeling very overwhelmed and anxious about taking care of her newborn son. She feels she cannot do anything right, and feels sad throughout the day. She tells you that she cries on most days, and is having difficulty sleeping at night. She also states she doesn’t feel like eating or doing any of her normal activities. She reports no suicidal or homicidal ideation.

Which of the following is the most likely diagnosis?

a. Postpartum depression
b. Maternity blues
c. Postpartum psychosis
d. Bipolar disorder
e. Postpartum blues




Category: Obstetrics & Gynecology--->The Puerperium, Lactation, and Immediate Care of the Newborn
Page: 2 of 7