Ob/Gyn #4 - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 3 Forum

USMLE Step 3 Forum USMLE Step 3 Discussion Forum: Let's talk about anything related to USMLE Step 3 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-07-2013
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,316 Times in 706 Posts
Reputation: 1331
ObGyn Ob/Gyn #4

A 26 y/o female G1P0 comes to her first prenatal visit, she is at 28 weeks. Her History and PE are completely normal except that you find a cervical tumor of about 2 cms in diameter. you perform a biopsy which in the preliminary report is reported as a leyomyoma. The patient gets worried and asks you what is going to be the best method of delivering her baby?
A. Myomectomy at the 36 week.
B. Myomectomy with steroids and tocolysis.
C. Progesterone treatment to decrease the leymyoma size.
D. Elective C-Section at term.
E. Watchful waiting.

Reply With Quote Quick reply to this message



  #2  
Old 08-07-2013
Kais_MD's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 299
Threads: 26
Thanked 177 Times in 103 Posts
Reputation: 187
Default

To be honest i dont know. But since it posses no threat now i would say watchful waiting. hey XPaezX. what did you use for OB/GYN....cuz i dont see this stuff in MTB....aaaaaaaaaaaah my OB/Gyn sucks :/
__________________
Always Remember (The Devil is in the Details) @_@
Reply With Quote Quick reply to this message
  #3  
Old 08-07-2013
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,316 Times in 706 Posts
Reputation: 1331
Default

Quote:
Originally Posted by Kais_MD View Post
To be honest i dont know. But since it posses no threat now i would say watchful waiting. hey XPaezX. what did you use for OB/GYN....cuz i dont see this stuff in MTB....aaaaaaaaaaaah my OB/Gyn sucks :/
I used kaplan lecture notes and shitload of questions.
Reply With Quote Quick reply to this message
  #4  
Old 08-07-2013
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 538 Times in 375 Posts
Reputation: 548
Default

Ans E .......
Reply With Quote Quick reply to this message
  #5  
Old 08-07-2013
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 790
Threads: 76
Thanked 672 Times in 316 Posts
Reputation: 690
Default

watchful waiting.....its true that leomyomas might increase in size during pregnancy due to hyper-estrogenic state and might obstruct the birth canal in the later part of pregnancy and hence varied management , but this is something to be decided as the pregnancy progresses.
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Matched!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
XpaezX (08-07-2013)
  #6  
Old 08-07-2013
geo82's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 131
Threads: 5
Thanked 197 Times in 72 Posts
Reputation: 207
Default

Quote:
Originally Posted by anomali View Post
watchful waiting.....its true that leomyomas might increase in size during pregnancy due to hyper-estrogenic state and might obstruct the birth canal in the later part of pregnancy and hence varied management , but this is something to be decided as the pregnancy progresses.
I agree with anomali.
Reply With Quote Quick reply to this message
  #7  
Old 08-08-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 10
Threads: 5
Thanked 1 Time in 1 Post
Reputation: 11
Default

So what is the answer?
Reply With Quote Quick reply to this message
  #8  
Old 08-08-2013
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,316 Times in 706 Posts
Reputation: 1331
Default

The correct answer is E.

Cervical leyomyomas carry a slightly increased risk of bleeding during labor and delivery, however this risk must be measured when the time comes, several studies have not shown a significant and statistical increase in morbidity on these pts, however, if you take them out there is a greater risk of bleeding because remember the cervix is extremely vascular during pregnancy.
Only removal would be considered in case of leyomyomableeding

Watchful waiting and observation is recommended for now.

Anomali and everybody else were correct!
Reply With Quote Quick reply to this message
The above post was thanked by:
geo82 (08-08-2013)



Reply

Tags
ObGyn-, Step-3-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)