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USMLE Step 2 OBGYN > 1. Ch 2 - Failed Pregnancy > Flashcards

1. Ch 2 - Failed Pregnancy Flashcards

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USMLE® Step 1 flashcards
1
Q

vacuum curettage for abortion can b performed before __ weeks

A

13

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2
Q

drugs used for medical abortion

A

Mifepristone - (Mifiprex) a progesterone antagonist

Misoprostol - (Cytotec) Prostaglandin E1

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3
Q

in rare cases of medical abortion ___________ sepsis has been reported

A

clostridium sordellii

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4
Q

medical abortion can be used before ____ days

A

63

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5
Q

fetacidal agents

A

KCl

digoxin

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6
Q

when inducing labor for abortion which agents can be used to stimulate uterine contractions and cause cervical dilation

A

Hypertonic solution (intra-amniotic saline or urea)
Prostaglandins
- intra amniotic PGF2a
- vaginal PGE2 (dinoprostone)
- IM 15-methyl PGF2a (carboprost tromethamine)
- PGE1 (misoprostol)

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7
Q

bleeding that occurs before 12 weeks gestation.

A

spontaneous abortion

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8
Q

sono - nonviable pregnancy

no vaginal bleeding, uterine cramping, or cervical dilation

A

Missed abortion

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9
Q

management of missed abortion

A

suction D+C, conservative management, or misoprostol

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10
Q

sono - viable pregnancy

vaginal bleeding, no cervical dilation

A

Threatened abortion

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11
Q

management of threatened abortion

A

observation

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12
Q

vaginal bleeding, uterine cramping, cervical dilation

no POC passed

A

inevitable abortion

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13
Q

management of inevitable abortion

A

emergency suction D+C

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14
Q

vaginal bleeding, uterine cramping, cervical dilation

some POC passed

A

incomplete abortion

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15
Q

management of incomplete abortion

A

emergency suction D+C

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16
Q

sono - no intrauterine debris
vaginal bleeding, uterine cramping, cervical dilation
all POC passed

A

completed abortion

17
Q

management of completed abortion

A

if previous uterine pregnancy confirmed - conservative

otherwise - weekly BhCG until negative (rule out ectopic)

18
Q

in utero death of a fetus after 20 weeks gestation before birth

A

fetal demise

19
Q

most serious complication of prolonged fetal demise (>2 weeks)

A

DIC from tissue thromboplastin release

20
Q

threshold BhCG to detect pregnancy on ultrasound

A

vaginal sono - 1500 mIU (5 weeks)

abdominal sono - 6500 mIU (6 weeks)

21
Q

management of unruptured tubal ectopic pregnancy

A

Methotrexate or
laparoscopic salpingostomy

follow up with BhCG titers and rhogam

USMLE Step 2 OBGYN (5 decks)

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