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  • Why doesn’t ABO incompatability cause problems in fetus?
  1. fetal RBC’s have fewer ABO type antigens à not as antigenic
  2. most of the antibodies are IgM and do not cross the placenta
  3. rarely  becomes progressively severe in future pregnancies
  • List Three contraindicated vaccines in pregnancy:
  1. measles
  2. mumps
  3. rubella
  • List Four risk factors for placenta accrete:
  1. cesarean delivery
  2. puerperal curettage
  3. hysterotomy
  4. tubal reimplantation
  5. manual removal of placenta
  6. previous uterine curettage
  7. endometritis
  •   What is the definition of the obstetrical conjugate?
    • Diameter of pelvis from mid symphysis to sacral promontory= 10 cm or more.



  • A 42-year-old woman who has been a longstanding patient of yours comes to your office

    for her routine annual examination. She has recently been divorced, and she acquired a new sexual partner within the past 6 months. She has no history of abnormal Pap test results. Her examination is unremarkable, but her Pap tests result indicates atypical squamous cells of undetermined significance (ASCUS). The most appropriate management is:

a. Repeat Pap test in 6 months

b. Colposcopy

c. Viral testing for human papillomavirus (HPV) subtype

d. Repeat Pap test using the Thinprep system

e. Screening of new partner for HPV


  • A 16 year-old girl is evaluated for primary amenorrhea. Physical examination reveals Tanner stage III breast and pubic hair development with an absent vagina. The most likely diagnosis in this patient is:


a. Isolated gonadotropin deficiency

b. Androgen insensitivity syndrome

c. 5-reductase deficiency

d. XX pure gonadal dysgenesis

e. Müllerian agenesis

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