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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
Q

progression of puberty in females

A

thelarche, pubarche, growth spurt, menses

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26
Q

what is the most common postop complication of a C section

A

ileus

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27
Q

mammogram recommendations

A

if no risk factors: every 2 years for women 50-74

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28
Q

risk factors for DIC in pregnancy

A

preeclampsia, amniotic fluid embolism, sepsis, placental abruption, prolonged retention of fetal tissue after fetal demise

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29
Q

what lab level will be decreased in DIC

A

fibrinogen

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30
Q

safest antiviral for Hep B infection in pregnancy

A

tenofovir

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31
Q

congenital rubella

A

cataracts, cardiac abnormalities, deafness, petechial and puerperal rash

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32
Q

in first trimester, what is the most sensitive test to detect fetal anomalies

A

chorionic villi sampling

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33
Q

in second trimester, what is the most sensitive test to detect fetal anomalies

A

amniocentesis

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34
Q

how do you diagnose Rh alloimmunization?

A

indirect coombs test

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35
Q

false labor

A

uterine contractions that do not result in cervical change

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36
Q

urge incontinence/overactive bladder syndrome

A

inappropriate and uninhibited detrusor muscle contraction during the filling phase

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37
Q

first line treatment of urge incontinence

A

muscarinic receptor antagonist

oxybutinin, darifenacin, tolterodine

38
Q

most common complication of forceps assisted delivery

A

perineal laceration

39
Q

symptoms of neonatal abstinence syndrome

A

high pitched cry, hyperactive primitive reflex, problems eating, problems sleeping, autonomic dysfunction, failure to thrive

40
Q

women over 25 with LSIL management

A

do a colposcopy

41
Q

risk factors for brachial plexus injury

A 
multiparty
LFGA
maternal diabetes
breech
previous child with injury
shoulder dystocia
prolonged second stage of labor
42
Q

management of pt with suspected tuboovarian abscess

A

emergent laparotomy

43
Q

inevitable abortion

A

vaginal bleeding and pelvic pain with cervical dilation

44
Q

threatened abortion

A

vaginal bleeding without dilation of cervix

45
Q

how does estrogen affect lipids and vasculature

A

increases HDL, decreases LDL, increased vasodilation, inhibits platelet adherence

46
Q

when should you give Tdap vaccine in pregnancy

A

between 27 and 36 weeks gestation

47
Q

asthma during pregnancy is associated with an increased risk of what

A

perinatal mortality and spontaneous abortion

48
Q

what test do you use to detect fetomaternal hemorrhage

A

kleihauer-betkie

49
Q

treatment of precious puberty

A

GnRH agonist (leuprolide and goserelin)

50
Q

surveillance of pts with BRCA 1 and 2 mutations

A

MRI (starting at age 30) and mammography (starting at age 25) alternating every 6 months

51
Q

post void residual volume >200 ml suggests what

A

detrusor weakness or outflow tract obstruction

52
Q

ductal carcinoma in situ

A

amorphic calcification in unilateral breast

53
Q

Congenital toxoplasmosis

A

intracranial calcifications, chorioretinitis, disseminated purpuric rash, hydrocephalus, hepatosplenomegaly, ascites, jaundice, seizures

54
Q

management of PROM >34 weeks

A

induction of labor

55
Q

initial treatment of a pt with septic abortion

A

hemodynamic stability: IV fluids

56
Q

treatment of prolonged active stage of labor

A

oxytocin

57
Q

initial labs for workup of primary amennhorea

A

FSH, prolactin, TSH, hCG

58
Q

what is the biggest risk with TOLAC

A

uterine rupture

59
Q

antibiotics to treat asymptomatic bacteruria in pregnant pts

A

cephalexin, nitrofurantoin, amoxicillin, amoxicillin-clauvante, fosfomycin

60
Q

monochorionic, diamniotic twins

A

separate days 4-8

one placenta, 2 sacs

61
Q

congenital varicella

A

limb hypoplasia, skin lesions, intrauterine growth restriction, chorioretinitis

62
Q

what is the benefit of laser vaporization vs cryoablation

A

preservation of the squamocolumnar junction

63
Q

symptoms of retained products of conception

A

vaginal bleeding up to 2 weeks after spontaneous abortion, dilated cervical os

64
Q

treatment of symptomatic condyloma accuminata in pregnancy

A

trichloroacetic acid

65
Q

when does engagement of the fetus happen

A

zero station

66
Q

antibiotic preoperative prophylaxis for C section

A

cefazolin

67
Q

contraindications to methotrexate

A

bhCG >5000
gestational sac >3-4 cm
positive fetal heart tones

68
Q

after 20 weeks gestations, how much weight should a fetus gain a day

A

10 grams

69
Q

management of pregnant pts with antiphospholipid antibody syndrome

A

require aspirin and heparin

70
Q

contraindication to 15-methyl-PGF2 alpha

A

asthma

71
Q

contraindication to methylergonovine

A

hypertensive diseases

72
Q

diagnostic test for adnexal mass

A

pelvic US

73
Q

tx of pyelonephritis in pregnancy

A

admit and give ceftriaxone

74
Q

what will be elevated in serum for granulosa tumors

A

estradiol and inhibin

75
Q

contraindications to hormone replacement therapy

A

thromboembolism, breast cancer, endometrial cancer, CAD, severe liver disease

76
Q

side effects of metoclopramide

A

hyperprolactinemia

77
Q

treatment of vulvar lichen sclerosis

A

topical clobetasol propionate

78
Q

maternal anemia causes an increase risk of what during pregnancy

A

preterm delivery

79
Q

cervical insufficiency

A

painless cervical dilation

80
Q

what drug can you use for alcohol cessation in pregnancy

A

naltrexone

81
Q

treatment of acute, uncomplicated bacterial mastitis

A

dicloxacillin w. continuation of breast feeding

82
Q

what should you suspect in pts with multiple pregnancy loss

A

structural abnormalities

83
Q

symptoms of acute hemolytic blood transfusion

A

fevers, flank pain, hemoglobinuria

84
Q

how do you prevent transmission of Hep B to the fetus

A

give hep B immune globulin and Hep B vaccine immediately after birth

85
Q

symptoms of hyperemesis gravidarum

A

loss of 5% of body weight and ketones in urine

86
Q

how should you screen low risk individuals for HIV

A

HIV1/2 antibodies and p24antigen assay

87
Q

during first week of life how often should you breast feed

A

8-12 times per day

88
Q

ulcer in primary syphilis

A

painless, erythematous, round, raised edges

89
Q

treatment of primary syphilis

A

IM benzathine penicillin G

90
Q

treatment for chancroid

A

IM ceftriaxone

91
Q

treatment of lymphogranulosum venerum

A

oral doxycycline

OBGYN (5 decks)

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