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Blaylock Notes Flashcards

1
Q

Iodine requirement reproductive age

A

150mcg

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2
Q

Iodine requirement in pregnancy

A

220 mcg

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3
Q

Iodine requirement breastfeeding

A

290mcg

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4
Q

Odds ratio

A

ad/bc

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5
Q

Inferior epigastric location

A

3.7cm from midline at the level of the ASIS

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6
Q

Calorie increase intake in 2nd trimester

A

350

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7
Q

Calorie increase in 3rd trimester

A

450

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8
Q

Auto reduction

A

36% twin
53% triplet
65% quad

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9
Q

Fetal blood volume at term

A

78 mL/kg

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10
Q

Fetal blood volume for fetus and placenta

A

125mL/kg

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11
Q

HIV transmission

A

25% VL >1000

2% VL <1000

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12
Q

Fetus makes TSH by:

A

12wks gestation

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13
Q

Twins growth slows at

A

28-32wk, compared to singleton gestation

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14
Q

Tx citrate toxicity

A

Calcium chloride

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15
Q

Tx latent TB w/o risk factors

A

Isonizoid x9mos, 2-3 mos after delivery w/B6

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16
Q

Active TB tx in pregnancy

A

Isoniazid/B6 and rifampin for 9 mos, +/- ethambutol

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17
Q

Tx latent TB w/ risk factors (HIV, immunosuppressive, etc)

A

Isoniazid x 9 mos after 1st trimester w/ B6

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18
Q

Lymph drainage of upper 2/3 of vagina

A

Pelvic lymph nodes

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19
Q

Lymph drainage of lower 1/3 vagina

A

Superficial/deep inguinal and femoral

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20
Q

Restarting anticoagulation after delivery

A

SVD 4-6hr
C/S 6-12hr w/o epidural
Heparin at least 1hr after epidural removal
LMWH 12hr after epidural removal if prophylactic and 24hr after epidural if therapeutic

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21
Q

Subgaleal hematoma

A

Bleeding between skull and galea aponeurous

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22
Q

Most common indication for primary cesarean section

A

Labor dystocia/failure to progress 35%

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23
Q

Perinatal death rate

A

Reported as #still births “per 1,000 live births”

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24
Q

Fibrin glue

A

Evicel

Human fibrin and thrombin

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25
Q

Gelatin matrix

A

Surgifoam

Pork and bovine gelatin matrixes

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26
Q

Glutaraldehyde adhesion

A

Bio glue

Bovine albumin and glutaraldehyde

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27
Q

Oxidizes generates cellulose

A

Surgicel

Plant cellulose

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28
Q

Microporous polysaccharide spheres

A

Arista

Potato starch

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29
Q

Microfibrillar collagen

A

Avitene

Absorbable acid salt bovine collagen

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30
Q

X-linked dominance dz

A

Vit D resistant rickets
Rhett syndrome
Aicardi syndrome

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31
Q

Oxytocin half life

A

3-5 minutes

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32
Q

Cyropreciptate

A

VIII, vWF, fibrinogen, XIII

33
Q

Microfollicular pattern w/ numerous small collections that contain eosinophilia fluid

A

Call exner bodies

34
Q

Central capillary surrounded by connective tissue and peripheral layer of columnar cells

A

Schiller-ducal bodies

35
Q

Postpartum uterus

A

2wks is leaves abdomen

4wks pre pregnancy size

36
Q

MOA heparin

A

Binds to antithrombin III> inactivator of thrombin and factor Xa

“Indirect thrombin inhibitor”

37
Q

MOA lidocaine

A

Reversible blockade of sodium channels on nerve fibers

38
Q

tx of DCIS

A

Wide local excision +/- radiation or tamoxifen

39
Q

Tx NAIT

A

IVIG @q12-20wk weekly next pregnancy

40
Q

Side effects of massive transfusion protocol (6)

A 
Hyperkalemia
Hypocalcemia
Metabolic acidosis
Hypothermia
TRALI
Transfusion-associated infections
41
Q

Worse HSV complication

A

Maternal HSV hepatitis

42
Q

Most common tumor with meta to placenta

43
Q

Most common placental tumor

A

Chorioangioma

44
Q

Average pregnancy plasma volume increase

45
Q

Vaginal pH

46
Q

Amniotic fluid pH

47
Q

Lateral vaginal wall cyst: what is it and origin

A

Gardner duct cyst

Wolffian ducts are embryologic origin

48
Q

Type of progesterone in nexplanon

A

Etonogestrel

49
Q

Mg of progesterone in nexplanon

50
Q

Ovary originates from

A

Gonadal ridge

51
Q

Germ cell tumors make up what percent of all ovarian neoplasms

52
Q

Median age of diagnosis of ovarian cancer in US

53
Q

Recommended daily allowance of iron intake during pregnancy

54
Q

How much does plasma volume expand in pregnancy?

55
Q

Most common class of fetal anomalies?

A

Cardiac defects

56
Q

Most common sex chromosome aneuploidy

57
Q

Most common non-viral sexually transmitted infection in US

58
Q

Adding estrogen in reproductive years to a premenopausal does what (3)

A

Decrease pH to 4.5
Introduce lacrobacilli
Increase glycogen content in vaginal epithelial cells

59
Q

% of RV fistulas due to OB trauma in US

60
Q

The entire anal spincter complex extends up the anal canal approximately… cm

61
Q

HIV Antiviral suggested to have increased risk of NTD in first 5-6 weeks of pregnancy

62
Q

Which antiviral will decrease efficacy of nexplanon

63
Q

% chlorhexadine for vag prep

64
Q

FGR <10%, risk of fetal death

65
Q

Nerve the inner area the external anal sphincter

A

Inferior rectal nerve

66
Q

% of Pt with erosive lichen planus will have oral involve

67
Q

Mag toxicity-loss of DTR

A

9 mg/dL (7meEq/L)

68
Q

Mag toxicity-respiratory depression

A

12 mg/dL (10 mEq/L)

69
Q

Mag toxicity- cardiac arrest

A

30 mg/dL (25 mEq/L)

70
Q

% of all live born newborns in US with weight 4000g or more

71
Q

pH of post menopausal patient

72
Q

HSV outbreak in 1st trimester is associated with

A

Choriorentitis

73
Q

% of people that have been infected with HSV will report their infections

74
Q

Percent of first episode HSV infections during pregnancy are recurrent HSV

75
Q

Valacyclovir is preferred over acyclovir (3)

A

Increased bioavailability
Greater pt adherence
Comparable safety profile

76
Q

Fetal mortality rate

A

Number of still births per 1,000 live and still births

77
Q

If abnormal karyotype is found in association with still birth, is it…

78
Q

Mortality rate for hip fracture alone

79
Q

Positive anticardiolipin result is greater than

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