1/16/13

Question 1

What are the indications for US in pregnancy?

Answer 1

uncertain gestational age, size/date discrepancy, vaginal bleeding, multiple gestation, or other hi-risk situation

Question 2

What lab studies are recommended at the first prenatal visit?

Answer 2

CBC, HBsAg, HIV, VDRL, Urinalysis and urine culture, rubella Ab, blood type and Rh status w/ Ab screen, Pap smear, and cervical swab for gonorrhea and Chlamydia

Question 3

Risk for the fetus is increased once the radiation exposure is greater than ___ rads.

Answer 3

5

Question 4

What is the optimal time for the trisomy screen?

Answer 4

16-18 wks

Question 5

When are you required to do a CT prior to a lumbar puncture?

Answer 5

focal neuro signs, papilledema, or severe confusion

Question 6

What is the most common cause of bacterial meningitis?

Answer 6

pneumococcus

Question 7

What is the most common cuse of bacterial meningitis in teenagers?

Answer 7

meningococcus

Question 8

What is the tx for cryptococcal meningitis?

Answer 8

amphotericin, followed by fluconazole until T-cells up

Question 9

What is the tx for CNS Lyme disease?

Answer 9

ceftriaxone

Question 10

Which type of meningitis that causes the highest levels of protein in the CSF?

Answer 10

TB

Question 11

What 2 manifestations of TB merit corticosteroids in addition to the antibiotic treatment?

Answer 11

meningitis and pericarditis

Question 12

What 2 manifestations of TB merit corticosteroids in addition to the antibiotic treatment?

Answer 12

meningitis and pericarditis

Question 13

What 2 drugs may be used to treat close contacts of meningococcal meningitis pts?

Answer 13

ciprofloxacin or rifampin