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aanp > AANP U WORLD > Flashcards

AANP U WORLD Flashcards

1
Q

Post partum depression timeline

A

4-6 weeks

MUST have >/= 2 weeks of SIGECAPS

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2
Q

Treatment of N/V in pregnancy –> 1, 2, 3, 4

A

Dietary changes
vitamin B6, H1 antihistamine
Oral dopamine and serotonin antagonists

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3
Q

N/V with > 5% body weight loss from prepregnancy weight

A

Hyperemesis gravidarum

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4
Q

RF for hyperemesis gravidarum

A

multiple gestation
migraines
GERD

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5
Q

Target BG levels in pregnancy :
Fasting
1 hour postprandial
2 hour postprandial

A

Fasting -

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6
Q

Intrahepatic cholestasis in pregnancy treatment

A

delivery at 37 weeks
Ursodeocholyic acid
Antihistamines

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7
Q

When to screen for asymptomatic bacteriuria in pregnancy

A

12-16 weeks gestation

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8
Q

Does test of cure need to be completed for pregnant people w/ UTI?

A

yes, 1-2 weeks following treatment

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9
Q

magnesium toxicity symptoms

A

loss of DTR and reduced RR

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10
Q

Cervical cancer screening age

A

> 21

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11
Q

Pain w/ in first 2-3 days of menses
N/V/D
Normal pelvic exam

A

Primary dysmennorhea

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12
Q

Annual chlamydia screening in what age group?

A

< 25 years

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13
Q

Pattern of angry irritable mood and argumentative behaviours towards authority. No stealing or aggressive violations of others

A

ODD

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14
Q

DIGFAST mneumonic for mania

A 
Distractibility
Impulsivity
Grandiosity
Flight of ideas
Activity increased
Decreased need for sleep
Talkativeness/pressured speech
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15
Q

Adult version of CD that requires evidence before age 15

A

Antisocial personality disorder

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16
Q

A 1 time hep c screening is reccomended for adults ages ___ to ____

A

18-79 years

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17
Q

What is a fibroadenoma?

A

Benign breast lump commonly occuring in upper outer quadrant, rubbery mobile and well circumscribed that decreases in size after menses
U/S indicated if < 30 years and ? aspiration if > 5 cm or persistent lesions

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18
Q

Raw scaly vesicular lesion to nipple and spreads to areola of 1 breast

A

Pagets disease

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19
Q

Diagnosis of pagets disease of the breast

A

Skin biopsy

Bilateral diagnostic mammogram +/- US

20
Q

Screening for BRCA1 & 2

A

at 30 yrs or 5-10 years before first diagnosis of breast or ovarian cancer

21
Q

Palpable ovary in menopausal woman

A

Always abnormal - rule out ovarian cancer –> pelvic/intravaginal ultrasound and referral to gyne

22
Q

When to perform PAP test:

1) during menstrual cycle
2) 10-20 days after menses
3) following douching or intercourse

A

2)

23
Q

HPV testing

A

30-65 every 5 years if cotesting w/ HPV or PAP every 3 years if not co-testing

24
Q

For pts age 21-24 w/ LSIL PAP result –>

A

Repeat PAP in 12 months

25
Q

For pts w/ LSIL 25-29 years

A

Follow up colposcopy w/ cervical biopsy

26
Q

If endometrial cells are seen in PAP test –> next steps

A

refer for endometrial biopsy

27
Q

Progestin oral pills how to take

When backup is needed for 48 hours

A

Same time each day

If missed dose >/= 3 hours

28
Q

CI to oral contraceptives

A 
DVT/VTE, smoking > 35 years (> 15 cigarettes per day), migraine w/ aura, hx or current breast ca, uncontrolled HTN (> 160/100), liver disease
Known or suspected CVD
Known or suspected pregnancy
Undiagnosed PV bleeding
< 21 days post-partum
29
Q

When starting COC how long to use backup

A

7 days

30
Q

Follow up after starting COC

A

2-3 months to check BP

31
Q

Missed 1 day of COC

A

take 2 pills/ double up

32
Q

Missed 2 consecutive days

A

take 2 pills the next 2 days to catch up and use condoms during current pill cycle

33
Q

Drug interactions w/ COC

A

anticonvulsants, antifungals, abx - ampicillin/tetracyclines/rifampin, st johns wort - BTB

34
Q

CI to IUD

A 
PID
Confirmed pregnancy
STI
Uterine or cervical abnormality (ie. bicornate uterus)
Undiagnosed vag bleed
Hx of ectopic pregnancy
35
Q

What contraceptive should be avoided in women that want to become pregnant in 12 months

A

Depo provera

36
Q

How long can you wear cervical cap

A

72 hours

37
Q

How long should diaphragm be left in vagina after intercourse

A

6-8 hrs

38
Q

What form of contraceptive has higher level of estrogen than COC

A

patch

39
Q

Ovulation may not occur for few weeks to 12 months after removal of this contraceptive option

A

Implant

40
Q

How long is implanon/Nexplanon used for

A

3 years

41
Q

Plan B - how to take if 2 pills and when to follow up

A

take 1st pill w/ in 72 hours and 2nd pill 12 hours following
Evaluate for pregnancy, spontaneous abortion or ectopic pregnancy if normal (expected) menstrual period is delayed for ≥1 week following emergency contraception, or if lower abdominal pain or persistent irregular bleeding develops `

42
Q

Missed abortion

A

Asymptomatic w/ closed cervix

43
Q

class of medication of flomax/tamosulin

A

alpha 1 blocker

44
Q

What medication for HTN slow calcium loss by stimulating osteoclasts

A

HCTZ

45
Q

Normal JVD

A

< 4 cm

46
Q

ABI score is diagnostic

A

< 0.9

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