SHELF / USMLE step 2 Practice Questions > Ob/Gyn
Q1) A 25-year-old G0, presents for preconception counseling. She is a marathon runner and wants to continue to train during her pregnancy. This patient wants to know if there are any potential adverse affects of exercise during pregnancy. What .do you advise her?
a) During pregnancy, she should stop exercising to reduce the risk of intrauterine
growth retardation (IUGR) in the fetus.
b) Exercise should be performed in the supine position to increase venous return and cardiac output.
c) She may continue to exercise throughout pregnancy as long as her heart rate
does not exceed 160 bpm.
d) Non-weight-bearing exercises are optimal because they minimize the risks of
maternal and fetal injuries.
e) Immediately following delivery, patients can continue to exercise at
Q2) A 26 G1P0 is seronegative for rubella. You advise her to avoid exposure to rubella early in pregnancy because it can result in an infant with which of the following?
a) thrombocytosis and hyposplenism
b) hypertelorism (wide-set eyes)
d) Tetralogy of Fallot
Q3) Abuse of which of the following substances is associated with multiple fetal congenital anomalies including microcephaly, cardiac anomalies, and growth retardation?
A1) d - Non-weight-bearing exercises are optimal because they minimize the risks of maternal and fetal injuries.
A2) c - glaucoma
A3) d - alcohol