Additional Information
Book Details
Abstract
The Gunner Goggles Series is the first exam prep resource written by a high-scoring peer group of medical students, ensuring the most practical and efficient study guidance. It organizes topics around the USMLE and NBME content outlines for the required shelf exams and features state-of-the-art Augmented Reality (AR) mobile application to extend learning beyond the book. This innovative series features AR opportunities throughout the text for an integrated print-mobile experience that maximizes learning and test preparation. The Gunner Goggle function allows you to scan pages for integrated AR links, unlocking animations, visuals, and 3D models that clarify complex anatomy, conditions, and concepts in a remarkably effective and unique manner.
Gunner Goggles Series: Ob-Gyn is one of seven authoritative exam preparation guides that use cutting-edge AR technology to fully prepare you for the NBME clinical shelf exams, the USMLE Step 2 Clinical Knowledge (CK) exam, and successful clinical rotations.
- Topics are organized around the USMLE and NBME content outlines for specific shelf exams, and information is presented in a highly templated, concise manner.
- The Augmented Reality application allows you to efficiently study and learn using an integrated print-mobile approach. In addition to unlocking animations and other visuals, AR app access also includes additional content, links to provide feedback to the authors, community pages, and more.
- All test topics are covered in just enough detail to help you hone in on key points you must know for exam success.
- Unique! Every disease is described by its stem clues (buzzwords that appear in question stems) and prophylactic measures (PPx), mechanism (MoD), diagnostic tests (Dx) and treatment/management principles (Tx/Mgmt) – the four "Physician Tasks" that the NBME requires students to know about each disease.
- You’ll also get real-world tips for your clinical rotations from your peers – information that won’t show up on the shelf exam but is ideal for maximum impact when on rounds (knowing the prognosis for a specific disease, for example).
- Plus … effective study techniques, sample study schedules, tips and tricks to better retain information learned from review questions, and methods to self-generate mnemonics.
- Edited, written, and crowdsourced by high-performing medical students and residents and reviewed by experts in the field to ensure accuracy, relevancy, and accessibility.
Titles in the Gunner Goggles series:
Family Medicine • Print ISBN: 978-0-323-51034-9 • e-Book ISBN: 978-0-323-52756-9
Medicine • Print ISBN: 978-0-323-51035-6 • e-Book ISBN: 978-0-323-52758-3
Neurology • Print ISBN: 978-0-323-51036-3 • e-Book ISBN: 978-0-323-52760-6
Ob-Gyn • Print ISBN: 978-0-323-51037-0 • e-Book ISBN: 978-0-323-52768-2
Pediatrics • Print ISBN: 978-0-323-51038-7 • e-Book ISBN: 978-0-323-52763-7
Psychiatry • Print ISBN: 978-0-323-51039-4 e-Book ISBN: 978-0-323-52765-1
Surgery • Print ISBN: 978-0-323-51040-0 • e-Book ISBN: 978-0-323-52767-5
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | ES1 | ||
| Gunner Goggles | i | ||
| GUNNER GOGGLES: Obstetrics and Gynecology | iii | ||
| Copyright | iv | ||
| Gunner Goggles Honors ShelfReview Series: | v | ||
| Contributors | vi | ||
| Acknowledgments | vii | ||
| Contents | viii | ||
| 1 - Introduction | 1 | ||
| I. Gunner’s Guide to a Better Test Score | 1 | ||
| II. Augmented Reality: A New Paradigm for Shelf Exam Test Prep | 2 | ||
| Presentation | 2 | ||
| Evaluation | 3 | ||
| Community Engagement | 4 | ||
| Augmented Reality Frequently Asked Questions | 4 | ||
| III. Study Smart: Mnemonics and Gunner Study Tips | 5 | ||
| Understand the Organizing Principle | 5 | ||
| Create Effective Mnemonics | 5 | ||
| Devise a Study Schedule and Stick to It | 7 | ||
| Distinguish Rotation Knowledge from Shelf Knowledge | 7 | ||
| IV. Intro to the National Board of Medical Examiners Clinical Science Obstetrics/Gynecology Subject Exam | 7 | ||
| Pregnancy, Childbirth, and the Puerperium | 9 | ||
| Female Reproductive System and Breast | 9 | ||
| 2 - General Principles | 12 | ||
| Introduction | 12 | ||
| General Knowledge | 12 | ||
| Gravidity and Parity | 12 | ||
| Trimesters | 13 | ||
| Normal Pregnancy | 14 | ||
| Ethics in Obstetrics/Gynecology | 18 | ||
| 3 - Breast Pathologies | 25 | ||
| Introduction | 25 | ||
| Breast Disorders | 25 | ||
| Infectious, Immunologic, and Inflammatory Disorders | 25 | ||
| Mastitis | 25 | ||
| Breast Abscess | 27 | ||
| Fat Necrosis | 27 | ||
| Benign Neoplasms or Masses | 27 | ||
| Solitary Breast Cyst | 27 | ||
| Fibrocystic Change | 29 | ||
| Fibroadenoma | 29 | ||
| Phyllodes Tumor (Cystosarcoma Phyllodes) | 29 | ||
| Intraductal Papilloma | 30 | ||
| Malignant Neoplasms | 31 | ||
| Breast Cancer | 31 | ||
| Inflammatory Breast Carcinoma | 33 | ||
| Paget Disease of the Breast | 33 | ||
| 4 - Infections of the Female Reproductive System | 38 | ||
| Introduction | 38 | ||
| Infectious, Immunologic, and Inflammatory Disorders | 38 | ||
| Bacterial Vaginosis | 38 | ||
| Trichomonas | 39 | ||
| Candidiasis | 40 | ||
| Bartholin Gland Cyst | 41 | ||
| Urinary Tract Infection (Cystitis) | 41 | ||
| Chlamydia | 42 | ||
| Gonorrhea | 42 | ||
| Pelvic Inflammatory Disease | 43 | ||
| Fitz-Hugh–Curtis Syndrome | 43 | ||
| Human Papillomavirus | 44 | ||
| Syphilis | 44 | ||
| Granuloma Inguinale | 45 | ||
| Lymphogranuloma Venereum | 46 | ||
| Chancroid | 46 | ||
| 5 - Neoplasms of the Ovary, Uterus, Cervix, Vagina, and Vulva | 49 | ||
| Introduction | 49 | ||
| Benign Cysts and Neoplasms of the Ovary | 50 | ||
| Functional (Physiologic) Ovarian Cyst | 50 | ||
| Luteal Cyst | 53 | ||
| Theca Lutein Cyst | 54 | ||
| Endometrioma | 54 | ||
| Serous Cystadenoma | 56 | ||
| Mucinous Cystadenoma | 57 | ||
| Mature Cystic Teratoma (“Dermoid Cyst”) | 59 | ||
| Brenner Tumor (Transitional Cell Adenofibroma) | 60 | ||
| Malignant Neoplasms of the Ovary | 62 | ||
| Epithelial Ovarian Carcinoma | 63 | ||
| Ovarian Germ Cell Tumors | 67 | ||
| Ovarian Sex-Cord Stromal Tumor | 69 | ||
| Benign Neoplasms of the Uterus | 70 | ||
| Endometrial Polyp | 70 | ||
| Leiomyomata Uteri (“Fibroids,” Uterine Leiomyomas) | 71 | ||
| Malignant and Premalignant Neoplasms of the Uterus | 74 | ||
| Endometrial Hyperplasia | 74 | ||
| Endometrial Cancer | 77 | ||
| Hydatidiform Mole (Benign Gestational Trophoblastic Disease) | 80 | ||
| Gestational Trophoblastic Neoplasia | 84 | ||
| Uterine Leiomyosarcoma | 87 | ||
| Benign Neoplasms and Cysts of the Cervix | 88 | ||
| Nabothian Cyst | 88 | ||
| Endocervical Polyp | 89 | ||
| Malignant and Premalignant Neoplasms of the Cervix | 90 | ||
| Cervical Dysplasia and Management of Abnormal Pap Smears | 90 | ||
| Cervical Cancer | 95 | ||
| Benign Neoplasms and Cysts of the Vagina and Vulva | 100 | ||
| Gartner Duct Cyst | 100 | ||
| Vulvar Lichen Sclerosus | 101 | ||
| Vulvar Lichen Planus | 103 | ||
| Malignant and Premalignant Neoplasms of the Vagina and Vulva | 104 | ||
| Condylomata Acuminata (Anogenital Warts) | 105 | ||
| Vulvar Intraepithelial Neoplasm and Vulvar Squamous Cell Carcinoma | 106 | ||
| Vaginal Intraepithelial Neoplasm and Vaginal Squamous Cell Carcinoma | 108 | ||
| Notes | 111 | ||
| 6 - Fertility, Infertility, and Birth Control | 115 | ||
| Introduction | 115 | ||
| Contraception | 115 | ||
| Sterilization | 115 | ||
| Female Infertility | 117 | ||
| Tubal Factor Infertility | 117 | ||
| Gonadal Dysgenesis 45, X (Turner Syndrome) | 117 | ||
| 7 - Menopause | 122 | ||
| Introduction | 122 | ||
| Premature Menopause/Primary Ovarian Insufficiency | 123 | ||
| Perimenopause | 124 | ||
| Premenopausal Menorrhagia | 124 | ||
| Postmenopausal Atrophic Vaginitis/Vaginal Atrophy | 124 | ||
| Postmenopausal Bleeding | 125 | ||
| Vasomotor Symptoms | 125 | ||
| Notes | 127 | ||
| 8 - Menstrual and Endocrine Disorders | 130 | ||
| Introduction | 130 | ||
| Normal Bleeding and the Hypothalamic-Pituitary-Ovarian Axis | 130 | ||
| Normal Bleeding | 130 | ||
| Types of Abnormal Bleeding | 131 | ||
| Abnormal Bleeding | 131 | ||
| Differential Diagnosis for Meno-, Metro-, and Menometrorrhagia on the Shelf | 131 | ||
| Abnormal Uterine Bleeding (Dysfunctional Uterine Bleeding) | 133 | ||
| Endometrial Polyp | 135 | ||
| Adenomyosis | 136 | ||
| Leiomyomata Uteri (“Fibroids,” Uterine Leiomyomas) | 136 | ||
| Amenorrhea | 136 | ||
| Primary Amenorrhea | 137 | ||
| Secondary Amenorrhea | 139 | ||
| Polycystic Ovarian Syndrome (PCOS, Stein–Leventhal Syndrome) | 140 | ||
| Abnormal Discomfort | 141 | ||
| Dysmenorrhea | 141 | ||
| Primary Dysmenorrhea | 141 | ||
| Premenstrual Syndrome | 142 | ||
| Secondary Dysmenorrhea | 143 | ||
| Endometriosis | 143 | ||
| Pelvic Pain | 144 | ||
| Mittelschmerz | 144 | ||
| Ovarian/Adnexal Torsion | 144 | ||
| 9 - Sexual Dysfunction | 152 | ||
| Introduction | 152 | ||
| Orgasmic Dysfunction | 153 | ||
| Persistent Sexual Arousal Syndrome | 153 | ||
| Vaginismus | 153 | ||
| Notes | 155 | ||
| 10 - Traumatic and Mechanical Disorders | 157 | ||
| Introduction | 157 | ||
| Traumatic Disorders | 157 | ||
| Asherman Syndrome | 157 | ||
| Mechanical Disorders | 158 | ||
| General Mechanical Disorders | 159 | ||
| Pelvic Organ Prolapse | 159 | ||
| Cystocele/Urethrocele | 160 | ||
| Enterocele | 160 | ||
| Rectocele | 161 | ||
| Imperforate Hymen | 161 | ||
| Ovarian Torsion | 162 | ||
| Urinary Incontinence | 162 | ||
| Stress Incontinence | 163 | ||
| Continuous Incontinence | 164 | ||
| Urge Incontinence (aka Overactive Bladder) | 164 | ||
| Overflow Incontinence | 165 | ||
| Mixed Incontinence | 165 | ||
| 11 - Congenital Disorders | 172 | ||
| Introduction | 172 | ||
| Müllerian Agenesis | 172 | ||
| Bicornuate Uterus, Uterine Didelphys | 173 | ||
| Short Cervix/Cervical Insufficiency | 173 | ||
| Neonatal Hydrocele | 174 | ||
| 12 - Adverse Effects of Drugs on the Female Reproductive System | 178 | ||
| Introduction | 178 | ||
| Medications Affecting the Female Reproductive System | 178 | ||
| Hormone Replacement Therapy | 178 | ||
| Opioids | 179 | ||
| Spironolactone | 179 | ||
| Selective Serotonin Reuptake Inhibitors | 180 | ||
| 13 - Prenatal Care | 184 | ||
| Introduction | 184 | ||
| Preconception Counseling and Care | 184 | ||
| Nutritional Assessment | 184 | ||
| Rh Screening | 185 | ||
| Immunizations and Screenings | 187 | ||
| Screening for Alpha-Fetoprotein/Neural Tube Defect | 187 | ||
| Other Assessments | 187 | ||
| Adolescent Pregnancy and Preventing Complications of Adolescent Pregnancies | 188 | ||
| Prenatal Risk Assessment/Prevention | 189 | ||
| Antepartum Fetal Evaluation | 189 | ||
| Fetal Movement Assessment | 189 | ||
| Nonstress Test | 189 | ||
| Biophysical Profile | 189 | ||
| Umbilical Artery Doppler Velocimetry | 190 | ||
| Contraction Stress Test | 190 | ||
| Genetic Screening of Newborns | 190 | ||
| Neonatal Diabetes Screening | 191 | ||
| Supervision of Normal Pregnancy | 192 | ||
| Assessment of Gestational Age | 192 | ||
| Prenatal Dating | 192 | ||
| Postnatal Dating | 193 | ||
| Iron-Deficiency Anemia and Prevention | 193 | ||
| Weight Management and Nutrition | 194 | ||
| Maternal, Fetal, and Newborn Infections | 194 | ||
| Cytomegalovirus (CMV) | 194 | ||
| Hepatitis B | 195 | ||
| Rubella | 195 | ||
| Herpes Simplex Virus (HSV)/Neonatal HSV | 196 | ||
| Human Immunodeficiency Virus | 196 | ||
| Influenza | 197 | ||
| Parvovirus B19 | 197 | ||
| Varicella Zoster Virus (VZV) | 198 | ||
| Chlamydia trachomatis (Neonatal Chlamydia) | 198 | ||
| Treponema pallidum (Congenital Syphilis) | 199 | ||
| Group B Strep (GBS) | 199 | ||
| Toxoplasma gondii–Toxoplasmosis | 200 | ||
| Amnionitis/Chorioamnionitis | 200 | ||
| Urinary Tract Infection | 201 | ||
| 14 - Obstetric Complications | 203 | ||
| Introduction | 203 | ||
| Spontaneous Abortion | 203 | ||
| Complete Abortion | 204 | ||
| Incomplete Abortion | 204 | ||
| Inevitable Abortion | 205 | ||
| Threatened Abortion | 206 | ||
| Missed Abortion | 206 | ||
| Stillbirth | 207 | ||
| Medical Complications | 207 | ||
| Acute Fatty Liver of Pregnancy | 207 | ||
| Intrahepatic Cholestasis of Pregnancy | 208 | ||
| Anemia of Pregnancy | 208 | ||
| Cardiac Conditions Worsened by Pregnancy | 209 | ||
| Cervical Insufficiency (aka Cervical Incompetence) | 210 | ||
| Ectopic Pregnancy | 211 | ||
| Gestational Diabetes | 211 | ||
| Polyhydramnios | 213 | ||
| Oligohydramnios | 213 | ||
| Hypertension During Pregnancy | 214 | ||
| Gestational Hypertension | 214 | ||
| Mild Preeclampsia | 214 | ||
| Preeclampsia With Severe Features | 215 | ||
| Superimposed Preeclampsia | 215 | ||
| Eclampsia | 215 | ||
| HELLP Syndrome | 216 | ||
| Hyperemesis Gravidarum | 216 | ||
| Rh Isoimmunization for Incompatibility | 217 | ||
| Antepartum Hemorrhage, Including Third-Trimester Bleeding | 218 | ||
| Abruptio Placentae (Placental Abruption) | 218 | ||
| Vasa Previa | 219 | ||
| Placenta Previa | 219 | ||
| Uterine Rupture | 220 | ||
| 15 - Labor and Delivery | 225 | ||
| Introduction | 225 | ||
| Assessment of the Woman in Labor | 225 | ||
| The Labor Process | 228 | ||
| Complicated Labor and Delivery | 232 | ||
| Shoulder Dystocia | 232 | ||
| Complications of Cesarean Delivery | 232 | ||
| Cord Compression | 232 | ||
| Cord Prolapse | 233 | ||
| Fetal Malpresentations (Breech) | 233 | ||
| Premature Rupture of Membranes | 233 | ||
| Preterm Gestation (Preterm Birth) | 234 | ||
| Notes | 235 | ||
| 16 - Puerperium | 237 | ||
| Introduction | 237 | ||
| Normal Postpartum Anatomic and Physiologic Changes | 237 | ||
| Disorders of Lactation and Breastfeeding | 238 | ||
| Puerperium Complications | 238 | ||
| Postpartum Cardiomyopathy | 238 | ||
| Postpartum Blues | 239 | ||
| Postpartum Depression | 240 | ||
| Postpartum Psychosis | 240 | ||
| Postpartum Hemorrhage | 241 | ||
| Uterine Atony | 242 | ||
| Sheehan Syndrome | 243 | ||
| Uterine Inversion | 244 | ||
| Postpartum Sepsis | 244 | ||
| Postpartum Endometritis | 245 | ||
| Septic Pelvic Thrombophlebitis | 246 | ||
| Postpartum Urinary Retention | 246 | ||
| NOTES | 249 | ||
| 17 - Disorders of the Newborn | 253 | ||
| Introduction | 253 | ||
| Amenorrhea and Ambiguous Genitalia | 253 | ||
| Androgen Insensitivity Syndrome | 253 | ||
| 5-Alpha Reductase Deficiency | 254 | ||
| Aromatase Deficiency | 254 | ||
| Congenital Adrenal Hyperplasia | 255 | ||
| XY Gonadal Dysgenesis (Swyer Syndrome) | 256 | ||
| Aneuploidy Disorders | 257 | ||
| Down Syndrome | 257 | ||
| Edward Syndrome (Trisomy 18) | 258 | ||
| Patau Syndrome (Trisomy 13) | 258 | ||
| Turner Syndrome | 259 | ||
| Traumatic Disorders of the Newborn | 260 | ||
| Erb-Duchenne Palsy (Upper Trunk Lesion) | 260 | ||
| Klumpke Palsy (Brachial Plexus Lower Trunk Injury) | 261 | ||
| Congenital Infections | 262 | ||
| Miscellaneous Disorders of the Newborn | 262 | ||
| Kallman Syndrome | 262 | ||
| Gastroschisis and Omphalocele | 263 | ||
| Fetal Alcohol Syndrome | 264 | ||
| 22q11.2 Deletion Syndrome (DiGeorge Syndrome, Velocardiofacial Syndrome, Conotruncal Anomaly Face Syndrome) | 264 | ||
| 18 - Adverse Effects of Drugs on Pregnancy, Childbirth, and the Puerperium | 271 | ||
| Introduction | 271 | ||
| Alcohol, Tobacco, and Other Drugs (ATODs) | 271 | ||
| Alcohol | 271 | ||
| Tobacco | 272 | ||
| Prenatal Radiation Exposure | 273 | ||
| Teratology (e.g., Angiotensin-Converting Enzyme [ACE] Inhibitors, Selective Serotonin Reuptake Inhibitors [SSRIs], Warfarin, Inf... | 274 | ||
| 19 - Systemic Disorders Affecting Pregnancy, Labor and Delivery, and the Puerperium | 278 | ||
| Introduction | 278 | ||
| Systemic Lupus Erythematosus (Lupus) | 278 | ||
| Myasthenia Gravis | 280 | ||
| Hyperthyroidism | 282 | ||
| Hypothyroidism | 283 | ||
| Appendicitis | 283 | ||
| Carpal Tunnel Syndrome | 284 | ||
| Pubic Symphysis Separation | 285 | ||
| Venous Thromboembolism (VTE) in Pregnancy | 285 | ||
| 20 - Gunner Jim’s Guide to Exam Day Success | 291 | ||
| “Master One Review Book” | 291 | ||
| “Do as Many Quality Questions as You Can” | 292 | ||
| “Review Questions on Excel” | 292 | ||
| In Summary: Read, Apply, and Review | 293 | ||
| Index | 295 | ||
| A | 295 | ||
| B | 295 | ||
| C | 296 | ||
| D | 297 | ||
| E | 297 | ||
| F | 298 | ||
| G | 298 | ||
| H | 299 | ||
| I | 299 | ||
| K | 300 | ||
| L | 300 | ||
| M | 300 | ||
| N | 301 | ||
| O | 302 | ||
| P | 302 | ||
| R | 304 | ||
| S | 304 | ||
| T | 305 | ||
| U | 306 | ||
| V | 306 | ||
| W | 306 | ||
| X | 306 | ||
| Y | 306 | ||
| How to Contribute to Gunner Goggles Obstetrics and Gynecology | ES2 |