2 Flashcards
when do women start getting paps every 5 years instead of 3?
age 30
herpes test is sensitive or specific
specific
so high false negative rate
CO increases by what in pregnancy
up to 33%
what is the most common met for metastatic trophoblastic molar pregnancy
lungs
how much weight should women gain in pregnancy
underweight (BMI <18.5): 28-40 lbs
normal weight (BMI 18.5-25): 25-35 lbs
overweight (BMI 25-30): 15-25 lbs
obese (BMI >30): 11-20 lbs
what tests should you give african americans for testing for sickle cell trait
hemoglobin electropheresis and CBC
diseases associated with ashki jews
tay sachs neimann-pick gaucher fanconi cystic fibrosis Canavan bloom syndrome
fetuses with diabetic moms increased risk for
CNS and CV anomalies
chorionic villous sampling tests for
chromosomal abnl
CF
which screen has the highest detection rate for downs syndrome
cell free DNA screen
percent risk of fetal loss with chorionic villous sampling
1% (not related to prior miscarriages)
most common disease of mental retardation
fragile x syndrome
most common indication for hysterectomy vs peripartum hysterectomy
1) fibroids
2) placenta accreta
diagnosis of placenta accreta
US: clear zone, lacunae, interruption of bladder lines
MRI
elevated second trimester MSAFP
manage placenta accreta
ceserean hysterectomy 34-37 weeks
ureteral stents, balloon occlusion used for internal iliac arteries
diagnose vasa previa
transvaginal US
risk factors vasa previa
bilobed, succenteriate, or low lying placenta
multifetal pregnancy
IVF
which weeks optimal for delivery if woman has chronic HTN
38-39 weeks
risk factors for preeclampsia
nulliparity age >35 connective tissue disorders HTN diabetes renal damage obesity multiple gestations
proteinuria qualifications in preeclampsia
> 300 mg on 24 hour collection
0.3 mg/dL on protein: Cr ratio
+1 on dipstick
diagnosis of preeclampsia
140/90 +any of the following:
proteinuria platelet <100,000 Cr>1.1 AST/ALT doubled pulm edema cerebral or visual changes
which week of delivery if preeclampsia
37 weeks
diagnosis of severe preeclampsia
> 160/110 on two occasions four hours apart + the other features mentioned
BP goes up or down usually in pregnancy
down (so dont confuse lowered BP in hypertensive people)
are teratomas more malignant in men or women
men
