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OBGYN > Comprehensive 1 > Flashcards

Comprehensive 1 Flashcards

1
Q

What 4 things are we worried about happening to baby if mom is type 1 diabetic?

A

Spontaneous abortions
Congenital malformations
Big baby
Also small baby

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2
Q

How do we compare incidence of varicella in a pregnant vs. non pregnant lady?

A

Similar

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3
Q

WHat is the most appropriate first step in stimulating baby while still in mom but head is available?

A

Digital fetal scalp stimulation. If it is positive, then you know Ph is above 7.2 in 90% of cases.

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4
Q

What are the 3 things to confirm initially in the management of postpartum bleeding?

A

Uterus is well contracted
No retained placental tissue
Look for lacerations

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5
Q

When is a good time to offer induction?

A

39 weeks

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6
Q

What time frame does the Plan B pill work for emergency contraception?
What time frame does copper IUD work for emergency contraception?

A

Within 72 hours

Within 5 days from unprotected intercourse

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7
Q

What do we do if a pregnant lady comes in and desires an abortion and has irregular periods?

A

Do an US to confirm age of baby

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8
Q

If I see dysmenorrhea, dyspareunia, and uterosacral ligament modularity, what am I thinking?

A

Endometriosis

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9
Q

What two nerves can be damaged with a low transverse incision in female pelvic surgeries?
Which one provides sensation to the medial/inner thigh?

A

Ilioinguinal and iliohypogastric

Inguinal goes to inner thigh

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10
Q

What do you do if lady has white nippled discharge on exam, how do you go about treating?

A

Want to make sure you do a fasting prolactin level after a 24 hour period of no nipple stimulation. If its high, then do brain MRI

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11
Q

What is the Rotterdam diagnosis of PCOS?

A

Two of the following are required:

  1. Anovulation or oligo ovulation
  2. Hyper androgen either physically or chemically
  3. polycystic ovaries on US
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12
Q

What is a common side effect of the nexplanon?

A

Irregular spotting or bleeding

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13
Q

What is first line therapy for painful periods?

A

NSAIDS

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14
Q

What is most effective treatment for hot flashes?

A

Lowest dose, shortest time of estrogen

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15
Q

How to best treat PMS?

A

Oral contraceptive pills

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16
Q

In ladies 21-24, what do you do if you get HPV high risk type back from pap?

A

Cytology alone in 12 months

17
Q

3 contraception methods that have less than 1% pregnancy rate?

A

Depot
Sterilization
LARC like nexplanon

18
Q

What is the single most important test to rule out ectopic pregnancy?

A

Beta HCG, even over US

19
Q

What med is typically given pre and post surgical abortion and why?

A

Doxycycline, or another abx, to prevent post abortion infection

20
Q

What ovarian cyst is described as ground glass appearance?

A

Endometrioma

21
Q

What am I thinking if I see more than normal painful periods and talking about stuff other places like ovary or tubes?

A

Endometriosis

22
Q

If we do a fine needle aspiration of a breast mass and there is blood, what do we need to always make sure to do?

A

Excisional biopsy of the mass

23
Q

Which diagnostic test helps confirm kallmann syndrome?

A

Olfactory challenge

24
Q

What is the most common lower genital tract malformation in females?
What two things are not developed in Mayer Rokintasky Kuser Hasuer Syndrome?
How do we best describe Asherman syndrome?

A

Imperforate hymen
No uterus or vagina
Secondary amenorrhea due to intrauterine scarring

25
Q

What to always keep in mind that can cause asherman syndrome?

A

Tons of D and C’s or procedures to the uterus scarring it

26
Q

How can we treat severe pain during menses that isn’t relieved by ibuprofen?

A

Oral contraceptives

27
Q

What to always remember with antipsychotics and ladies?

A

Block dopamine and you raise prolactin and drop FSH

28
Q

What mineral supplements has shown to improve PMS symptoms?

A

Calcium

29
Q

In molar pregnancies what hormone is elevated?

What effect does this have on reflexes, ovaries, weight, BP and TSH and thyroid?

A

Increased reflexes, ovarian cysts, weight loss, high blood pressure, and low TSH?

30
Q

How to best treat fibroids in young women who still want to have kids?
What role does GNRH agonists play in the treatment of fibroids?

A

Myomectomy is they are the cause of infertility

Shrink the size of the fibroids until surgery or menopause

31
Q

What ethnicity has a higher incidence of molar pregnancies?

A

Asian

32
Q

What is the standard management for molar pregnancies?

A

Suction curettage

OBGYN (18 decks)

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