Mixed Deck — All ABOG Topics Flashcards

When conducting a Failure Mode and Effects Analysis (FMEA) for a new oxytocin infusion protocol, what is the team primarily trying to accomplish?

Answer: Proactively identify potential failure points before they cause harm

FMEA is a prospective, proactive tool used to anticipate and prioritize potential failures in a process before implementation.

A hospitalist covering labor and delivery receives a phone call from an outpatient OB about a transferring patient. Which handoff tool is most effective for ensuring care continuity?

Answer: SBAR communication

SBAR (Situation, Background, Assessment, Recommendation) standardizes clinical handoffs and reduces information loss.

Which of the following is an example of a 'surrogate decision-maker' in obstetric ethics?

Answer: A family member legally designated to make healthcare decisions for an incapacitated patient

A surrogate decision-maker is someone authorized — by the patient's advance directive or by default hierarchy — to make healthcare decisions on behalf of a patient who has lost decision-making capacity.

A patient expresses frustration that she was not informed about a change in her birth plan. What immediate action best addresses this breakdown in communication?

Answer: Apologize, listen to her concerns, and clarify what happened and what to expect

Active listening and transparent explanation rebuild trust and address the root of the communication failure.

Which condition is most commonly treated with an endometrial ablation?

Answer: Menorrhagia

Endometrial ablation is used to treat heavy menstrual bleeding (menorrhagia) in women who do not wish to undergo hysterectomy.

Sacral neuromodulation (InterStim) is FDA-approved for which condition(s)?

Answer: Urgency urinary incontinence, urinary retention, and fecal incontinence

Sacral neuromodulation is FDA-approved for refractory urgency urinary incontinence, urinary frequency/urgency, non-obstructive urinary retention, and fecal incontinence.

A patient reports her previous physician told her she had an allergy to penicillin. She requires prophylactic antibiotics for cesarean. What is the most evidence-based risk management approach?

Answer: Use cefazolin for most patients after risk stratification, as true penicillin allergy cross-reactivity with cephalosporins is <1%

Current evidence and ACOG guidance support cefazolin use in patients with low-risk penicillin allergy histories, given the very low cross-reactivity rate.

Which test is the gold standard for diagnosing urodynamic stress urinary incontinence?

Answer: Multichannel urodynamic study

Multichannel urodynamic testing, including cystometry and urethral pressure profilometry, is the gold standard for objectively diagnosing stress urinary incontinence and ruling out detrusor overactivity.

Which concept describes the obligation of physicians to distribute healthcare resources fairly across the population?

Answer: Justice

Justice in bioethics refers to the fair and equitable distribution of healthcare benefits, burdens, and resources across individuals and society.

A gynecologist is asked to perform a sterilization procedure on a 22-year-old nulliparous woman who has no medical indication. She is fully informed and insistent. What should the physician do?

Answer: Counsel her thoroughly about permanence and alternatives, then respect her autonomous decision

After thorough counseling about permanence and available alternatives, a competent adult's autonomous decision for sterilization must be respected.

A stakeholder questions the value of quality assurance & compliance initiatives. Which response best demonstrates ROI?

Answer: Building a culture of accountability with transparent reporting

Building a culture of accountability with transparent reporting is the correct approach because effective quality assurance & compliance in the american board of obstetrics & gynecology field requires adherence to professional standards, evidence-based practices, and systematic methodology. This approach ensures consistent, high-quality outcomes while maintaining professional accountability.

What defines a 'platinum-resistant' ovarian cancer recurrence?

Answer: Recurrence within 6 months of completing platinum-based therapy

Platinum-resistant ovarian cancer is defined as disease progression or recurrence within 6 months of completing platinum-based chemotherapy, indicating poor response to re-challenge with platinum agents.

A patient in the third trimester presents with warning signs of preeclampsia but is hesitant to be admitted. Which communication strategy most effectively promotes shared decision-making?

Answer: Explain specific risks clearly, invite her questions, and incorporate her concerns into the management plan

Shared decision-making requires presenting evidence-based risks, eliciting patient values, and reaching an agreement collaboratively.

Which of the following is a key performance indicator for evaluating quality assurance & compliance effectiveness?

Answer: Prioritizing based on risk assessment and potential impact

Prioritizing based on risk assessment and potential impact is the correct approach because effective quality assurance & compliance in the american board of obstetrics & gynecology field requires adherence to professional standards, evidence-based practices, and systematic methodology. This approach ensures consistent, high-quality outcomes while maintaining professional accountability.

A american board of obstetrics & gynecology professional discovers a discrepancy during professional ethics & standards review. What is the most appropriate immediate action?

Answer: Engaging stakeholders collaboratively to align goals and expectations

Engaging stakeholders collaboratively to align goals and expectations is the correct approach because effective professional ethics & standards in the american board of obstetrics & gynecology field requires adherence to professional standards, evidence-based practices, and systematic methodology. This approach ensures consistent, high-quality outcomes while maintaining professional accountability.

A woman with cervical cancer is found to have tumor extending to the pelvic sidewall. What FIGO stage is this?

Answer: Stage IIIB

FIGO Stage IIIB cervical cancer is defined by tumor extension to the pelvic sidewall and/or hydronephrosis or nonfunctioning kidney.

An ob-gyn is named in a patient complaint regarding inadequate explanation of risks before a procedure. Which documentation element most effectively supports the physician?

Answer: A signed informed consent form with documented discussion of material risks

A signed consent form documenting specific risks discussed is the primary legal and ethical evidence of informed consent.

Which gestational trophoblastic neoplasm has the worst prognosis and requires combination chemotherapy?

Answer: Choriocarcinoma with high-risk features

High-risk choriocarcinoma (WHO score ≥7) requires multi-agent chemotherapy such as EMA-CO (etoposide, methotrexate, actinomycin D, cyclophosphamide, vincristine) due to resistance to single-agent therapy.

Which chemotherapy regimen is standard for gestational trophoblastic neoplasia classified as high-risk?

Answer: EMA-CO (etoposide, methotrexate, actinomycin-D, cyclophosphamide, vincristine)

EMA-CO (etoposide, methotrexate, actinomycin-D, cyclophosphamide, and vincristine) is the standard multi-agent regimen for high-risk gestational trophoblastic neoplasia.

A new regulation impacts maternal-fetal medicine & pregnancy care procedures. What should a ABOG professional do first?

Answer: Ensuring compliance with current regulatory requirements and standards

Ensuring compliance with current regulatory requirements and standards is the correct approach because effective maternal-fetal medicine & pregnancy care in the american board of obstetrics & gynecology field requires adherence to professional standards, evidence-based practices, and systematic methodology. This approach ensures consistent, high-quality outcomes while maintaining professional accountability.