Anesthesia, Forceps, Puerperium Flashcards

1
Q

Most commonly used local anesthetic

A

Lidocaine

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2
Q

Most commonly used local anesthetic for pudendal block

A

Lidocaine

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3
Q

Anesthetic used to promote uterine relaxation in internal podalic version and beech decomposition

A

Isoflurane, Halothane

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4
Q

ADR of nitrous oxide

A

Megaloblastic anemia

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5
Q

ADR of isoflurane, halothane

A

Post-op hepatitis

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6
Q

ADR of ketamine

A

Dissociative anesthesia

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7
Q

ADR of bupivacaine

A

Cardiotoxicity, neurotoxicity

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8
Q

Drugs used for spinal anesthesia for CS

A

Bupivacaine, Lidocaine

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9
Q

Most commonly used anesthetic in general anesthesia

A

Isoflurane, Halothane

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10
Q

What nerve roots are blocked in pudendal block?

A

S2-S4

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11
Q

What roots are blocked in paracervical block?

A

T11-T12 (Paracervical ganglion of Feankenhauser)

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12
Q

Where do you inject the anesthetic for a paracervical block?

A

3 and 9 o clock

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13
Q

Level of spinal sensory blockade for spinal anesthesia

A

T8

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14
Q

Anesthesia used for pain relief during the first stage of labor, also commonly used for OPD gynecologic procedures

A

Paracervical block

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15
Q

Most commonly used anesthetic procedure

A

Epidural anesthesia - Gold standard

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16
Q

Most ideal anesthesia for severe preeclampsia and eclampsia

A

Epidural anesthesia

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17
Q

Anesthesia used for internal podalic version of second twin

A

GA

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18
Q

Level of sensory blockage for CS?

A

T4

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19
Q

Most important function of forceps

A

Traction

Not rotation!

20
Q

Forceps used for delivery of a fetus with molded head

A

Simpson forceps

21
Q

Forceps commonly used in nulliparous moms

A

Simpson forceps

22
Q

Wide shank, fenestrated blade

A

Simpson forceps

23
Q

Solid blade, narrow shank

A

Tucker Mac Lane forceps

24
Q

Forceps commonly used in multiparous women

A

Tucker Mac Lane forceps

25
Q

Forceps with sliding lock, minimal pelvic curvature

A

Keilland forceps

26
Q

Forceps used for deep transverse arrest of the head

A

Keilland forceps

27
Q

Uterine incision that’s least likely to rupture

A

Transverse incision/ Kerr incision

28
Q

Kronig incision

A

Vertical incision at LUS

29
Q

Most common indication for primary CS?

A

Dystocia

30
Q

Puerperium definition

A

Delivery of placenta until 6 weeks post partum

31
Q

Uterus is restored how many weeks postpartum?

A

3 weeks

32
Q

Late onset metritis most commonly causes by what organism?

A

Chlamydia

33
Q

Weight of non-pregnant uterus

A

100g

34
Q

When does the uterus return to non-pregnant size

A

4 weeks postpartum

35
Q

When does the uterus descend into the true pelvis

A

2 weeks postpartum

36
Q

When is the entire endometrium restored

A

3 weeks postpartum

37
Q

What is the single most significant factor for the development of uterine infection

A

Route of delivery

38
Q

Only vitamin lacking in breast milk (or only in minute amount)

A

Vitamin K

39
Q

Major proteins in breast milk

A

Lactoalbumin and casin

40
Q

Uncommon but potentially fatal complication of septic abortion

A

DIC

41
Q

When can a mother start POPs after delivery?

A

2-3 weeks

Given for lactating women

42
Q

When to start COCs, DMPA, IUD after delivery?

A

6 weeks

43
Q

Proper nursing schedule for lactation amenorrhea method

A

> 2 to 3 times per night and every 4 hours during the day without supplementation

44
Q

When does menses return in non-lactating women?

A

After 6-8 weeks

45
Q

Postpartum fever

A

Fever of > 38 C that occurs on any two of the first 10 days postpartum, exclusive of the first 24 hours

46
Q

Most common cause of postpartum fever

A

Endometritis

47
Q

Anesthetic used in women with acute hemorrhage and hypotension

A

Ketamine - increases BP