Comquest Flashcards
What are 3 risk factors associated with failure of methotrexate therapy and rupture of an ectopic pregnancy?
- Beta-hCG >5000
- Gestational sac >3-4cm
- Positive fetal heart tones
What are 4 risk factors associated with PPROM?
1) Previous PPROM
2) Genital tract infection
3) Antepartum bleeding
4) Cigarette smoking
What is the next best step in management for a woman with postpartum hemorrhage who has HTN + asthma and has not responded to oxytocin?
- Misoprostol (PGE-1 analog) w/ NO contraindications
- Carboprost (PGF-2-alpha) should be avoided in asthma
- Methylergonovine should be avoided in HTN
Congenital varicella syndrome is due to maternal infection btw weeks 8-20 and is characterized by what 4 abnormalities?
- Intrauterine growth restriction
- Cicatricial (scarred) skin lesions
- Limb hypoplasia
- Chorioretinitis
Anemia, high-output CHF, and cardiomyopathy in an infant is due to maternal infection with?
Parvovirus B19 –> fetal hydrops fetalis
A tender, boggy, and enlarged uterus on PE in a pt experiencing heavy, painful, cyclic menses is associated with what condition?
Adenomyosis
What is the preferred method of biopsy for solid vs. cystic breast masses?
Solid = core needle bx Cystic = fine needle aspiration
What is the next step in management of a breast mass that returns bloody fluid on FNA?
Remove w/ excisional bx
