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OBGYN > COMQUEST > Flashcards

COMQUEST Flashcards

1
Q

premenstrual dysphoric disorder

A

extreme symptoms of anger, irritability, occurs in luteal phase and resolves in follicular

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2
Q

treatment of premenstrual dysphoric disorder

A

SSRI

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3
Q

contraindications to tocolytic therapy

A

intraamniotic infection, lethal fetal anomaly, non-reassuring fetal status, severe preeclampsia or eclampsia, intrauterine fetal demise.

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4
Q

first line treatment of postpartum endometritis

A

clindamycin and gentamicin

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5
Q

DEXA scan

A

postmenopausal women with no other risk factors should start at age 65

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6
Q

what dose of folic acid should you give if a woman has a previous history of a pregnancy with neural tube defect

A

4000 mcg/d

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7
Q

management of suspicious breast mass

A

get a core needle biopsy regardless of imaging findings

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8
Q

management of women <30 who present with a breast mass

A

US

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9
Q

treatment for simple breast cyst that is associated with pain

A

fine needle aspiration

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10
Q

diagnostic evaluation of congenital CMV

A

amniocentesis

US is not diagnostic

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11
Q

management of non-immune mother exposure to varicella when pregnant

A

varicella zoster immune globin

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12
Q

intrauterine growth restriction is associated with an increased risk of what condition

A

cerebral palsy

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13
Q

treatment of fibroids in a pt who wishes to become pregnant

A

myomectomy

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14
Q

next step if fine need aspiration of breast mass returns bloody fluid

A

excisional biopsy

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15
Q

next step if endometriosis is refractory to medical management

A

laparoscopy

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16
Q

fetal side effects of antenatal steroids

A

decrease in HR variability, decreased movement and breathing

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17
Q

maternal side effects fo antenatal steroids

A

increased glucose and leukocytosis

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18
Q

cause of early decelerations

A

fetal head compression, increased vagal tone

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19
Q

cause of variable decelerations

A

cord compression

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20
Q

non-reassuring fetal heart tones

A

an recurrent decelerations, except early,

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21
Q

women <45 w/ AUB should get biopsy if:

A

bleeding is persistent
setting of unopposed estrogen exposure (obesity)
medical management fails
high risk of endometrial cancer (ie taking tamoxifen)

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22
Q

treatment of acute pyelonephritis in pregnancy

A

IV antibiotics (ceftriaxone or cefepime) and hospitalization for monitoring

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23
Q

what imaging should you use to asses then status of a fetus with intrauterine growth restriction

A

umbilical artery doppler assessment

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24
Q

work up of recurrent pregnancy loss

A

maternal anatomy exam
maternal anticardiolipin AB and lupus anticoagulant
paternal and maternal karyotype

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25
progression of puberty in females
thelarche, pubarche, growth spurt, menses
26
what is the most common postop complication of a C section
ileus
27
mammogram recommendations
if no risk factors: every 2 years for women 50-74
28
risk factors for DIC in pregnancy
preeclampsia, amniotic fluid embolism, sepsis, placental abruption, prolonged retention of fetal tissue after fetal demise
29
what lab level will be decreased in DIC
fibrinogen
30
safest antiviral for Hep B infection in pregnancy
tenofovir
31
congenital rubella
cataracts, cardiac abnormalities, deafness, petechial and puerperal rash
32
in first trimester, what is the most sensitive test to detect fetal anomalies
chorionic villi sampling
33
in second trimester, what is the most sensitive test to detect fetal anomalies
amniocentesis
34
how do you diagnose Rh alloimmunization?
indirect coombs test
35
false labor
uterine contractions that do not result in cervical change
36
urge incontinence/overactive bladder syndrome
inappropriate and uninhibited detrusor muscle contraction during the filling phase
37
first line treatment of urge incontinence
muscarinic receptor antagonist | oxybutinin, darifenacin, tolterodine
38
most common complication of forceps assisted delivery
perineal laceration
39
symptoms of neonatal abstinence syndrome
high pitched cry, hyperactive primitive reflex, problems eating, problems sleeping, autonomic dysfunction, failure to thrive
40
women over 25 with LSIL management
do a colposcopy
41
risk factors for brachial plexus injury
``` multiparty LFGA maternal diabetes breech previous child with injury shoulder dystocia prolonged second stage of labor ```
42
management of pt with suspected tuboovarian abscess
emergent laparotomy
43
inevitable abortion
vaginal bleeding and pelvic pain with cervical dilation
44
threatened abortion
vaginal bleeding without dilation of cervix
45
how does estrogen affect lipids and vasculature
increases HDL, decreases LDL, increased vasodilation, inhibits platelet adherence
46
when should you give Tdap vaccine in pregnancy
between 27 and 36 weeks gestation
47
asthma during pregnancy is associated with an increased risk of what
perinatal mortality and spontaneous abortion
48
what test do you use to detect fetomaternal hemorrhage
kleihauer-betkie
49
treatment of precious puberty
GnRH agonist (leuprolide and goserelin)
50
surveillance of pts with BRCA 1 and 2 mutations
MRI (starting at age 30) and mammography (starting at age 25) alternating every 6 months
51
post void residual volume >200 ml suggests what
detrusor weakness or outflow tract obstruction
52
ductal carcinoma in situ
amorphic calcification in unilateral breast
53
Congenital toxoplasmosis
intracranial calcifications, chorioretinitis, disseminated purpuric rash, hydrocephalus, hepatosplenomegaly, ascites, jaundice, seizures
54
management of PROM >34 weeks
induction of labor
55
initial treatment of a pt with septic abortion
hemodynamic stability: IV fluids
56
treatment of prolonged active stage of labor
oxytocin
57
initial labs for workup of primary amennhorea
FSH, prolactin, TSH, hCG
58
what is the biggest risk with TOLAC
uterine rupture
59
antibiotics to treat asymptomatic bacteruria in pregnant pts
cephalexin, nitrofurantoin, amoxicillin, amoxicillin-clauvante, fosfomycin
60
monochorionic, diamniotic twins
separate days 4-8 | one placenta, 2 sacs
61
congenital varicella
limb hypoplasia, skin lesions, intrauterine growth restriction, chorioretinitis
62
what is the benefit of laser vaporization vs cryoablation
preservation of the squamocolumnar junction
63
symptoms of retained products of conception
vaginal bleeding up to 2 weeks after spontaneous abortion, dilated cervical os
64
treatment of symptomatic condyloma accuminata in pregnancy
trichloroacetic acid
65
when does engagement of the fetus happen
zero station
66
antibiotic preoperative prophylaxis for C section
cefazolin
67
contraindications to methotrexate
bhCG >5000 gestational sac >3-4 cm positive fetal heart tones
68
after 20 weeks gestations, how much weight should a fetus gain a day
10 grams
69
management of pregnant pts with antiphospholipid antibody syndrome
require aspirin and heparin
70
contraindication to 15-methyl-PGF2 alpha
asthma
71
contraindication to methylergonovine
hypertensive diseases
72
diagnostic test for adnexal mass
pelvic US
73
tx of pyelonephritis in pregnancy
admit and give ceftriaxone
74
what will be elevated in serum for granulosa tumors
estradiol and inhibin
75
contraindications to hormone replacement therapy
thromboembolism, breast cancer, endometrial cancer, CAD, severe liver disease
76
side effects of metoclopramide
hyperprolactinemia
77
treatment of vulvar lichen sclerosis
topical clobetasol propionate
78
maternal anemia causes an increase risk of what during pregnancy
preterm delivery
79
cervical insufficiency
painless cervical dilation
80
what drug can you use for alcohol cessation in pregnancy
naltrexone
81
treatment of acute, uncomplicated bacterial mastitis
dicloxacillin w. continuation of breast feeding
82
what should you suspect in pts with multiple pregnancy loss
structural abnormalities
83
symptoms of acute hemolytic blood transfusion
fevers, flank pain, hemoglobinuria
84
how do you prevent transmission of Hep B to the fetus
give hep B immune globulin and Hep B vaccine immediately after birth
85
symptoms of hyperemesis gravidarum
loss of 5% of body weight and ketones in urine
86
how should you screen low risk individuals for HIV
HIV1/2 antibodies and p24antigen assay
87
during first week of life how often should you breast feed
8-12 times per day
88
ulcer in primary syphilis
painless, erythematous, round, raised edges
89
treatment of primary syphilis
IM benzathine penicillin G
90
treatment for chancroid
IM ceftriaxone
91
treatment of lymphogranulosum venerum
oral doxycycline

OBGYN (5 decks)

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