4/16 Flashcards

1
Q

21 hyroxylase deficiency electrolytes

A

hyponatremia and hyperkalemia

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2
Q

what additional screening test should babies born before 32 weeks get at 1-2 weeks of life

A

cranial ultrasound to check for intraventricular hemorrhage

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3
Q

Amphetamine use during pregnancy is associated with

A
preterm delivery
preeclampsia
abrupt placentae
fetal growth restriction
fetal demise
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4
Q

what conditions qualify for high risk pre e

A
prior pre e
cod
chronic htn
dm
multiple gestation
autoimmune dz
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5
Q

non session herpes symptoms

A

dysuria

inguinal lymphadenopathy

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6
Q

pages rash

A

eczematous rash

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7
Q

pages cancer

A

adenocarcinoma

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8
Q

interstitial cystitis urinalysis findings

A

normal

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9
Q

indications for prophylactic abc recurrent cystitis

A

2+ in 6months

3+ in a year

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10
Q

what is hidradenitis suppurative

A

chronic inflammation in inguinal region, caused by occluded follicles that cause painful nodules and abscess that develop into sinus tracts and result in scaring

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11
Q

what diabetes med(s)to add to metromin in dm2 wi cvd

A
  1. GLP1 agonists like eventide. they slow gastric emptying

SGLT2i like canagliflozin

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12
Q

what increases thyroid binding globulin

A

oral estrogen and opioids, lowers free t3.

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13
Q

what can cause low TSH, High t4 and normal radio iodine

A

increased thyroglobulin iodine exposure

exogenous use

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14
Q

how to dx babesiosis

A

blood smear-maltose cross

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15
Q

babesiosis clinical manifestation

A
fever
fatigue
myalgia
HA
ARDS
CHF
DIC
splenic rupture
Anemia
Thrombocytopenia
increased liver labs
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16
Q

babesiosis tx

A

atovaquone and azithromycin

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17
Q

organic with sulfur granules

A

Actinomyces, tx penicillin

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18
Q

what organism are filamentous gram positive rods with rudimentary branching

A

nocardia and actinomyces

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19
Q

cmv findings

A

GI,pulm,pancytopenia, hepatitis

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20
Q

Eikenella corrodes risk factor

A

poor dentition

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21
Q

tx lyme in pregnancy

A

amoxicillin

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22
Q

difference between case control and retrospective cohort

A

case controls determine outcome first and then look at associated risk factors.
Retro cohorts ascertain risk factor exposure and then determine outcome

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23
Q

when can you assume rr and or are basically the same

A

if the disease is rare

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24
Q

Hawthorne effect

A

changing behavior bd subjects know they are being studied

25
Q

How does ppv and npv change with increased prevalence

A

more ppv less npv

26
Q

how many weeks is quad screen at

A

16-18

27
Q

when should 1hr glucose tolerance be done

A

20-24 weeks

28
Q

Quad screen trisomy 21

A

AFP ⬇️
uE3 ⬇️
hCG⬆️
Inhibin A⬆️

29
Q

Quad screen trisomy 18

A

AFP ⬇️
uE3 ⬇️
hCG ⬇️
Inhibin A ⬇️

30
Q

what is cutoff value for 1hr glucose test

A

135

31
Q

pre e sever features

A
sbp over 160
dbp over 110
platlets less than 100,000
creatinine of 1.1
increased transaminases
pulmonary edema
visual or other neuroscience sx
32
Q

can you use warfarin when prego? when breast feeding?

A

no prego, yes breast feeding

33
Q

cocaine fetal risk

A

abrupto placentae

34
Q

ethanol

A

Fetal alcohol syndrome

(retardation, IUGR, sensory and motor neuropathy, facial abnormalities

35
Q

ACE-i fetal risk

A

renal probs, decreased skull ossification

36
Q

Aminoglycosides fetal risk

A

CN 8 damage, skeletal abnormalities, renal probs

37
Q

fetal risk Carbamazapime

A

facial abnormalities,IUGR, retardation, cv probs, neural tube defects

38
Q

fetal risk chemo

A

augur, retardation, all the anatomic abnormalities

39
Q

fetal risk diazepam

A

cleft palate, renal probs, secondary neoplasm

40
Q

fetal risk DES

A

adenocarcinoma of vagina or cervix

41
Q

Fetal risk Fluroquinolones

A

cartilage abnormalities

42
Q

Fetal risk Li

A

Epstein abnormality

43
Q

Fetal risk phenobarbitals

A

facial abnormalities, augur, retardation,

44
Q

Fetal risk phenytoin

A

kerinicterus

45
Q

Fetal risk retinoids

A

CNS abnormalities, cv probs, facial abnormalities

46
Q

Fetal risk sulfonamides

A

kerinicterus

47
Q

Fetal risk tetracylines

A

skeletal abnormalities, limb deformaties, teeth discolored

48
Q

Fetal risk thalidomide

A

limb deformities

49
Q

Fetal risk valproic acid

A

neural tube defect, cv probs, facial abnormalities, skeletal abnormalities

50
Q

Fetal risk warfarin

A

augur, cns probs, facial abnormalities, mental retardation, Dandy walker malformation

51
Q

Neonatal syphilis sx

A
anemia
deaf
hepatosplenomegaly
PNA
hepatitis
osteodystrophy
rash followed by hand and foot desquamination
52
Q

symmetrical causes iugr

A

congenital infection, chromosomal abnormalities

53
Q

asymmetrical causes iugr

A

poor maternal health

54
Q

PROM less than 32 weeks meds

A

steroids, mg, abx

55
Q

main risk factors pre-term labor

A

multiple gestations, PROM, smoking

56
Q

risk factors for placenta previa -remember this is painless

A

prior previa, prior c section, prior uterine surgery

57
Q

components of APGAR

A
color
HR
tone
respirations
response to stimuli
58
Q

when is methylergonovine contraindicated post partum hemorrhage

A

HTN

59
Q

when is carbost contraindicated post partum hemorrhage

A

Asthma