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Question 1: You are called as an obstetric consultant for a patient who is 26 weeks pregnant, currently admitted to the ICU, and intubated. To ventilate the patient properly, the intensivist asks what is the normal acid-base status for pregnant women?

  1. Uncompensated respiratory acidosis

  2. Compensated respiratory acidosis

  3. Uncompensated respiratory alkalosis

  4. Compensated respiratory alkalosis

  5. Metabolic acidosis



Reference: Chesnutt AN. Crit Care Clin. Physiology of normal pregnancy. 2004 Oct;20(4):609-15.

Question 2: A 58-year-old woman presents for a postoperative visit following a recent dilation and curettage conducted for postmenopausal bleeding. Final pathologic review reveals complex hyperplasia with atypia. In reviewing the pathologic findings from her recent surgery, she wishes to know the likelihood of this lesion progressing to endometrial cancer. Which of the following percentages best estimates her risk of disease progression to invasive adenocarcinoma?

  1. 0%

  2. 1%

  3. 3%

  4. 8%

  5. 29%

 

Reference: Kurman RJ, Kaminski PF, Norris HJ. The behavior of endometrial hyperplasia. A long-term study of "untreated" hyperplasia in 170 patients. Cancer. 1985 Jul 15;56(2):403-12.



Family Medicine MOC MC-FP Question Bank

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