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Step 2 Big Time Study Deck > Deck 1 > Flashcards

Deck 1 Flashcards

1
Q

signs of ovarian torsion

A

intermittant pelvic pain that has periods of time that are symptom free and patient is in no distress

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2
Q

what can cause ovarian torsion

A

masses such as or cysts, tumors, pregnancy, ovarian hyperstimulation syndrome, PID

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3
Q

pathophys of ovarian torsion

A

Twisting of the ovary and the fallopian tube around the infundibulopelvic ligament and ovarian ligament

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4
Q

management of ovarian torsion

A

diagnostic laporatomy

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5
Q

what is candiduria

A

this is when you have yeast in the urine

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6
Q

management of asymptomatic candiduria

A

nothing

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7
Q

management of postpartum thyrotoxicosis hyperthyroid phase

A

add propanolol for symptom management

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8
Q

management of postpartum thyrotoxicosis hypothyroid phase

A

levothyroxine

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9
Q

what is shoulder dystocia

A

this is when the anterior shoulder fails to be delivered

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10
Q

risk factors for shoulder dystocia

A

fetal macrosomia, maternal obesity, excessive pregnancy weight gain, gestational DM,

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11
Q

why do solely lactating mothers get amenorrhea

A

due to prolactin inhibiting GnRH

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12
Q

types of urinary incontinence

A

stress (decreased sphincter tone), urge (detrusor overactivity), overflow (impaired detrusor activity, bIadder outflow obstruction)

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13
Q

what type of incontinence do fibroids cause

A

overflow due to bladder outflow obstruction

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14
Q

significant signs of ovarian torsion

A

peritoneal fluid, low bp from blood loss

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15
Q

what is considered secondary (late) postpartum hemorrhage

A

onset of bleeding >24 hours after delivery

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16
Q

causes of secondary pp hemorrhage

A

retained products of conception, endometritis, placental site involution

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17
Q

complications of polyhydramnios

A

fetal malpresentation, umbilical cord prolapse, preterm labor, P-PROM

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18
Q

complications of oligohydramnios

A

meconium aspiration, preterm delivery, umbilcal cord compression

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19
Q

accuracy of ultrasound use in pregnancy dating in third trimester

A

low

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20
Q

signs of bupivocaine system toxicity

A

tinnitus, HTN, metallic taste in mouth, perioral numbness

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21
Q

cervical dilation rate in second phase of labor

A

> 1cm every two hours

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22
Q

causes of delayed second phase of labor

A

cephalopelvic disproportion, maternal gestational diabetes,

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23
Q

which phase of labor can neuroaxial anesthesia lengthen

A

phase 2

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24
Q

management of heavy uterine bleeding with fibroids

A

transexamic acid

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25
Q

migraines and OCPs

A

no go

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26
Q

patient population to not do an ablation in

A

people hoping to attempt pregnancy

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27
Q

most effective emergency contraception

A

IUDs

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28
Q

paresthesia of lateral thigh name

A

meralgia paresthetica

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29
Q

cause of meralgia paresthetica

A

entrapment of lateral femoral cutaneous nerve

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30
Q

signs of urethral diverticulum

A

dysuria, postvoid dribbling, dysparaneuria, anterior vaginal wall mass

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31
Q

is there an anterior vaginal wall mass in a urethral-vaginal fistula

A

no

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32
Q

what is HELLP sydrome

A

hemolysis, elevated liver enzymes, low platelets

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33
Q

why are liver enzymes elevated with HELLP

A

subcapsular thrombi causing RUQ pain

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34
Q

cause of acute dypsnea in a pre-eclamtic patient

A

pulmonary edema

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35
Q

causes of absent or minimal FHR variability

A

CNS depressants (like opioids), temorary fetal sleep, prematurity, fetal hypoxia

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36
Q

what is appropirate weight gain in pregnancy?

A

BMI < 18.5 (underweight): 28–40 lb (12.7–18.1 kg)
BMI 18.5–24.9 (normal weight): 25–35 lb (11.3–15.9 kg)
BMI 25–29.9 (overweight): 15–25 lb (6.8–11.3 kg)
BMI ≥ 30 (obese): 11–20 lb (5–9.1 kg)

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37
Q

what foods should be avoided in pregnancy

A

fish with high mercury, caffeine, unpasteurized dairy, raw meats

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38
Q

highest risk cardiac defect to avoid pregnancy

A

mitral stenosis <1.5cm

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39
Q

PCOS hormone levels

A

elevated LH:FSH level, increased DHT, moderately increased testosterone

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40
Q

what is a sertoli leydig cell tumor

A

seminiferous lined tubules with sertoli or leydig cells

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41
Q

hormone markers in sertoli leydig tumors

A

very elevated testosterone, normal DHT

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42
Q

signs of a sertoli leydig tumor

A

rapid onset virulization, hirsutism, frontal balding, cliteromegaly, oligomenorrhea, unilateral ovarian mass

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43
Q

signs of sheehan syndrome

A

lactation failure, amenorrhea, anorexia, weight loss, hypotension

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44
Q

signs of placental abruption on exam

A

sudden onset vaginal bleeding, abdominal/back pain, high freq/low intensity contractions, rigid tender uterus

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45
Q

what causes placental abruption

A

Sudden decrease in intrauterine pressure ; decompression of an overdistended uterus (e.g., ruptured membranes in polyhydramnios)

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46
Q

risks for placental abruption

A

hypertension, abdominal trauma, prior occurance, tobacco and cocaine use

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47
Q

signs of uterine ruptures

A

ability to palpate fetal body parts on abdominal exam, no contractions, decreased rigidity in the uterus

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48
Q

clinical features of lichen planus

A

dyspareneuria, vulvar pain, vulvar pruritis, friable mucosa, serosanguious discharge, gingival erosions and plaques

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49
Q

obstetric complications of amphetamine uses

A

fetal growth restriction, spontaneous fetal demise, preeclampsia, placental abruption

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50
Q

when do you give rhogam

A

at 28 weeks, and 72 hours post delivery of an Rh+ baby

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51
Q

problems to the fetus due to septate uterus

A

growth restriction due to smaller cavity size, spontaneous abortion, decreased fetal perfusion, fetal malpresentation

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52
Q

what does the uterus feel like in fibroids (leiomyota uteri)

A

enlarged with irregular contour

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53
Q

what does the uterus look like in adenomyosis

A

painful and boggy

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54
Q

signs of congenital toxo in the mother

A

fevers, myalgias, lyphadenitis, maculopapular rash nonpruritic

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55
Q

signs of congenital toxo in the baby

A

intracranial calcifications, microcephaly, chorioretinitis, hydrocephalus

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56
Q

signs of congenital toxo

A

hydrocephalus, intraparenchymal calcifications, chorioretinitis, petechiae (blueberry muffin rash), lymphadenopathy

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57
Q

signs of congenital CMV

A

small for gestational age, petechiae (blueberry muffin rash), sensorineuronal hearing loss, chorioretinitis, seizures, hepatomegaly

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58
Q

signs of congenital syphilis

A

rhinorrhea, skeletal anomalies, desquamating rash on the palms and soles

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59
Q

signs of congenital HSV infection

A

chorioretinitis, skin vesicles or scars, microcephaly

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60
Q

signs of vesicovaginal fistula

A

continuous vaginal discharge with acidic pH, raised red granulation tissue,

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61
Q

how do you dx vesicovaginal fistula

A

bladder dye test

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62
Q

cause of vesicovaginal fistula

A

obstructed labor from delayed phase 2 which results in fetal head causing damage and necrosis to vaginal tissue, this can cause fistula

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63
Q

signs of compressed femoral nerve

A

impaired walking (knee extension), decreased anteromedial thigh sensation

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64
Q

what patients need STD testing at initial and 3rd trimester

A

<25yo, prior STD, high risk sexual activity

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65
Q

hyaditiform mole presentation

A

heavy vaginal bleeding, overt hyperthyroidism, elevated b-hcg, enlarged uterus, heterogeneous cystic structure

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66
Q

ultrasound of hyaditiform moles

A

heterogeneous mass of cystic spaces, snowstorm appearance

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67
Q

causes of magnesium toxicity

A

renal insufficiency

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68
Q

what is indicative of a tumor rather than worsening PCOS

A

virulization (androgen-secreting tumor)

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69
Q

initial tests for secondary amenorrhea

A

FSH, LH, prolactin

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70
Q

what to say to a patient that wants a home birth

A

allow them and discuss contingency plans

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71
Q

signs of peripartum cardiomyopathy

A

new onset mitral regurg and S3 heart sound, pitting edema, progressive dyspnea

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72
Q

onset of peripartum cardiomyopathy

A

> 36 weeks or 5 months after delivery

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73
Q

management of peripartum cardiomyopathy

A

echo if stable, immediate delivery if unstable

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74
Q

fetal complications of late term delivery

A

macrosomia, oligohydramnios, demise, dysmaturity syndrome

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75
Q

maternal complications of late term delivery

A

severe tears, c section, PPH

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76
Q

late term vs. post term timeline

A

late term is 41 weeks, post term is 42 weeks

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77
Q

complications of asymptomatic bacteruria

A

acute pyelo or preterm delivery

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78
Q

what do you do for asymtomatic bacteruria

A

treat it

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79
Q

management of a patient with mixed incontinence

A

urinary diary

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80
Q

can you give MMR vax during preg

A

nor

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81
Q

who gets rhogam

A

Rh negative mothers

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82
Q

signs of intraductal papilloma

A

breast discharge, no mass or lyphadenopathy

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83
Q

management of intraductal papilloma

A

ultrasound + mammogram then biopsy

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84
Q

what is rectus abdominus diastasis clinically

A

this is when there is palpation of the organs on straining not supine

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85
Q

incisional hernia signs

A

palpabel mass while supine and increases in size with straining

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86
Q

what is primary dysmenorrhea

A

this is when you have extreme pain and nausea during periods

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87
Q

etiology of primary dysmenorrhea

A

excessive prostaglandin production

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88
Q

bimanual exam findings of endometriosis

A

fixed immobile uterus or adnexal masses

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89
Q

signs of pseudocyesis

A

long standing challenges of getting pregnant, negative pregnancy test in office

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90
Q

management of a patient with chorioamneitis

A

delivery (if at term)

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91
Q

what test do you do to see if fluid is amniotic fluid

A

nitrazine test

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92
Q

signs of chorioamniotis in the mother

A

leukocytosis, fever, nausea/vomitting, fundal tenderness, tachy

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93
Q

what does premature rupture of membranes put you at risk of

A

chorioamniotis

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94
Q

clear vaginal non odorus discharge

A

normal discharge near delivery/ovulation

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95
Q

why do poeple get clear vaginal discharge with ovulation

A

increased amount of estrogen near time of ovulation

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96
Q

signs of gonorrhea infection

A

purulent dischrage and tender cervix

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97
Q

management of PPROM <34 weeks

A

antibiotics, steroids, NST

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98
Q

what to do if a mother has low bp from spinal

A

phenylephrine and fluids

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99
Q

signs of a fibroadenoma

A

mobile firm smooth breast mass

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100
Q

management of fibroadenoma

A

observation and reevaluation in 6 weeks

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101
Q

age group that gets fibroadenomas

A

<30yos

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102
Q

herpes vs. h ducreyi ulcers

A

herpes is grouped with erythematous base and h ducreyi is deep ulcers with well demarcated edges

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103
Q

occiput transverse head

A

face is facing the hip bone

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104
Q

coccydynia

A

pain localized to the tailbone

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105
Q

management of previous genital HSV in asymptompatic pregnant people

A

initiate suppressive acyclovir at 36 weeks

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106
Q

management of previous genital HSV in symptomatic pregnant people

A

c section at 39 weeks

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107
Q

what causes variable decels

A

cord compression

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108
Q

trichomonas clinical ID

A

odorous thin discharge with vaginal inflammation frothy

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109
Q

bacterial vaginosis clinical

A

odorous thin discharge with fishy odor no inflammation

110
Q

which vaginosis have pH > 4.5

A

bacterial and trichomonas, candidal is normal pH

111
Q

complications of inadequate weight gain during pregnancy

A

fetal growth restriction, preterm labor

112
Q

management of firbroids in the uterus causing pregnancy loss

A

hysteroscopy with myomectomy

113
Q

what tests are ran during weeks 24-28 of pregnancy

A

glucose test, blood type, Hb/hematocrit

114
Q

initial tests for first prenatal visit

A

type and screen, RPR, syph, HIV, rubella, urine culture, urine dipstick protein, hemoglobin

115
Q

what tests do you do if a patient has abnormal glandular cells on pap smear

A

you have to evaluate for both cervical ca and endometrial CA

116
Q

when do you test for GBS

A

36-38 weeks gestation

117
Q

evaulation of a mom with hyperemesis gravidum in ER

A

urine for ketones, hematocrit/electrolytes, ABG

118
Q

features of a mass that are concerning

A

multiple irregular thickened internal separations, solid and complex mass

119
Q

what is placenta accreta

A

placenta is adhered into the uterine wall

120
Q

what to do about placenta accreta

A

hysterectomy

121
Q

obstetric compilcations of acute pyelo

A

uterine irritation causing contractions early in pregnancy

122
Q

what are the two types of uterine cancer

A

endometrial and sarcoma

123
Q

risk factors for tamoxifen use

A

uterine CA (endometrial or sarcoma)

124
Q

what medications cause renal hypoplasia

A

ACEs and ARBs

125
Q

mag toxicity signs in mom

A

hypo or areflexia, somnolence, respiratory paralysis

126
Q

management of a benign ovarian cyst

A

followup in 6 weeks

127
Q

what do patients have to have to have mastitis

A

fever!

128
Q

for heart failure what ejection fraction is okay for pregnancy

A

> 30%

129
Q

treatment of atrophic vaginitis in menopause

A

estrogen cream

130
Q

biophysical profile evaluation

A

2 points for breathing, movement, tone, and amniotic fluid volume, 10 is highest score,

131
Q

physical exam of rectal prolapse

A

concentric erythematous mass with valsalva with fecal incontinence

132
Q

nonclassic adrenal hyperplasia

A

21alpha-dehydroxyase def, causing only hyper androgenism

133
Q

signs of nonclassic adrenal hyperplasia

A

increased facial hair, amenorrhea, severe acne, accelerated bone growth

134
Q

fundal height correlation

A

fundal height equals weeks of gestation

135
Q

treatment of fibroids in a patient who wants to become pregnant

A

hysteroscopy with myomectomy

136
Q

when do you stop pap test

A

age 65

137
Q

what do you do for a likely intraductal fibroadenoma

A

imaging

138
Q

what is vasa previa

A

this is when the fetal vessels are not in the cord and instead are overlying the cervix

139
Q

management of vasa previa

A

emergency c sectino

140
Q

who needs screening for ovarian cancer

A

only women with significant family history

141
Q

signs of menopause

A

night sweats, hypertension, difficulty concentrating/cognitive changes, behavioral changes too

142
Q

what tests to run in a patient younger than 45yo with menopause sx

A

TSH, FSH, prolactin

143
Q

what is hidradenitis suppurativa

A

this is recurrent infections of the hair follicles in the intertrigious areas which presents as a solitary painful nodule that can then progress to abscesses

144
Q

next step in eval of infertility if the patient has normal anatomy and periods

A

midluteal phase (day 21) progesterone level

145
Q

pH levels in HG

A

pH elevated, bicarb high, CO2 high (resp compensation)

146
Q

risk factors for recurrent UTI

A

spermicide use, hx of cystitis <5yo, new sexual partner, post menopausal status

147
Q

signs of aromatase deficiency

A

abnormal external genitalia, anovulation, external virulization, undetectable estrogen levels

148
Q

postdural puncture headache signs

A

positional headache, neck stiffness, photophobia, hearing loss/tinnitius

149
Q

next step after non reactive NST

A

biophysical profile

150
Q

signs of amniotic fluid embolism

A

low bp, anxiety, pain, DIC, coma/seizures

151
Q

what is concerning for persistent fevers after c section

A

septic pelvic thrombophlebitis

152
Q

risk factors for HG

A

hyaditiform mole, multiple gestations, hx of previous HG

153
Q

causes of asymmetric FGR

A

uteroplacental insufficiency, maternal HTN, pregestational diabetes melitus

154
Q

causes of symmetric FGR

A

congenital infection, chromosomal abnormalities

155
Q

complications of short interpregnancy interval

A

anemia, PPROM, preterm delivery, low birth weight

156
Q

when do you begin pap testing

A

age 21

157
Q

do you have to do HPV testing to give HPV vax

A

nor

158
Q

benign apeearing endometrial cells on pap

A

normal for <45yo, >45yo concerning for a pathology

159
Q

how to test for menopause

A

FSH level increased

160
Q

inflammatory breat carcinoma

A

unilateral breath erythema with no lump and dimpIed skin

161
Q

can fibroids cause heavy uterine bleeding

A

yace

162
Q

pathophys of fibroids leimyomas

A

proliferation of myometrium smoothe muscle

163
Q

fibrocystic change characteristics

A

multiple small cyclically tender masses

164
Q

are fibroadenomas tender

A

no

165
Q

unilateral nodular cystic mass nontender and mobile

A

fibroadenoma

166
Q

intrahepatic cholestasis of pregnancy skin changes

A

itchy

167
Q

premature ROM complications

A

premature labor, placental abruption, infection, cord prolapse

168
Q

what does it mean if the fundus is not palpable after delivery

A

likely uterine inversion

169
Q

immediate treatment of uterine inversion

A

fluids and immediate manual replacement of the unterus

170
Q

signs of toxic shock

A

erythematous rash, diarrhea, vomiting, hypotension, fever

171
Q

hx of patient with toxic shock

A

long flight, prolonged use of tampon, nose bleed with packing

172
Q

what is chemical pneumonitis

A

this is aspiration of gastric contents causing irritation

173
Q

clinical signs of chemical pneumonitis

A

acute onset dyspnea, low grade fever, hypoxemia, diffuse crackles in upper lobes,

174
Q

dx of cyclic dysuria and hematuria

A

endometriosis with tissue implants in the bladder

175
Q

which antibiotics are unsafe during pregnancy

A

TMP, fluoroquinolones

176
Q

next steps for a newly discovered muellarian agenesis

A

renal ultrasoun

177
Q

fetal complications of ulcerative colitis

A

small for gestational age, preterm delivery

178
Q

description of lichen sclerosis

A

white plaques over vagina, dry, and severely itchy

179
Q

treatment of lichen sclerosis

A

superpotent corticosteroids’

180
Q

signs of androgen insensitivity syndrome

A

no axillary/pubic hair, breast development, high testosterone (in male range), no uterus/cervix and short vagina, cryptorchid testes

181
Q

difference between preeclampsia with severe features and w/out

A

without is just hypertension, severe features is with HTN and >/= 1 of: severe HTN >160, elevated liver enzymes, platelets lower than 100, creatinine >1.1

182
Q

antihypertensives in preeclampsia

A

1- labetolol (can cause bradycardia) 2- hydralazine (can cause tachycardia)

183
Q

what does indomethcin for tocolysis create as a complication

A

oligohydramnios because fetal vasocontriction from decreased prostaglandins. this causes decraesed renal perfusion and therefore oligohydramnios

184
Q

signs of sjogrens

A

dry vagina from inadequate secretions

185
Q

what tests to run at initial visit for a patient with T1 DM

A

24hr protein collection

186
Q

types of emergency contraception oral

A

levonogestrel, oral contraceptives

187
Q

what position are bartholin cysts found

A

4 and 8 oclock positions

188
Q

trtmt of intrahepatic cholecystis

A

ursodeoxycholic acid and antihistamines

189
Q

appearance of endomitriomas on the adnexa via ultrasound

A

unilocular masses with low level echoes

190
Q

what meds to administer for a late preterm patient

A

roids and antibios (if GBS unknown)

191
Q

signs of cervical cancer

A

cervical lesion, postcoital bleeding, intermenstrual bleeding,

192
Q

what is normal lochia

A

persistent bloody discharge up to 8 week pp

193
Q

what should patients with gestational DM be tested for at their 6 wk appt

A

DM again because it can persisit

194
Q

first step in eval of post menopausal bleeding

A

transvaginal ultrasound or endometrial biopsy

195
Q

best route of delivery for fetuses with fatal anomolies

A

vaginal even if breech bc it doesnt matter if something traumatic happens bc the baby is already going to die

196
Q

when can you dx preeclampsia

A

> 20 weeks

197
Q

what patients should do the cell free test

A

patients >35, prior chromosomal anomolies

198
Q

signs of hydrops fetalis

A

ascites, skin edema, polyhydramnios, placental thickening

199
Q

what things can cause hydrops fetalis

A

alpha thal major, Rh incombatiblity, parvo

200
Q

what is considered polyhydramnios

A

single greatest pocket >8cm

201
Q

what is cervical conozation

A

where you take out the ectocervix in a cone like maneuver

202
Q

what defines fetal growth restriction

A

fetal growth <10th percentile

203
Q

what to look for when a fetus is small for gestational age

A

look at the balance!! is it all the same or just the body is small and not head

204
Q

causes of symmetric FGR

A

chromosomal abnormality or congenital infection

205
Q

why doe moms get hypotensive with the epidural

A

vasodilation and venous pooling

206
Q

what causes theca lutein cysts

A

hyaditiform mole from excess hCG stimulating the ovaries

207
Q

presentation of theca lutein cysts

A

bilateral multilocular cysts

208
Q

signs of pelvic symphysis diastasis

A

pain inferior to bladder, pain with ambulating, hx of operative delivery/fetal macrosomia

209
Q

what med is contraindicated in pt with HTN for PPH

A

methergine or methylergonovine

210
Q

what is the rash called thats limited to abdominal striae

A

polymorphic eruption

211
Q

delivery method of a monoamniotic twin gestation

A

must be C section bc the cords can become entagled

212
Q

braxton hicks type

A

irregular painful contractions with NO cervical change

213
Q

tuberous sclerosis inheritance

A

auto D

214
Q

does intraductal papilloma have a mass

A

nor,

215
Q

if there is bloody discharge with a mass what is it

A

invasive ductal carcinoma

216
Q

what type of birth control should patients with breast cancer use

A

copper IUD

217
Q

serious AEs of oxytocin

A

hyponatremia (seizures)

218
Q

treatment of stress incontinence

A

midurethral sling

219
Q

treatment of urgency incontinence

A

antimuscarinic

220
Q

treatment of overflow (neurogenic bladder) incontinence

A

alpha blockers

221
Q

what does hemoglobin do during pregnancy

A

it goes down physiologically due to increase in plasma volume even though there is an increase in hemoglobin

222
Q

renal lab findings during pregnancy

A

decreased creatinine, decreased BUN, increased protein excretion in the urine

223
Q

what type of stroke can occur during preeclampsia

A

acute ischemic from increased HTN either due to microthrombi or from ruptured vessels

224
Q

complications of functional hypothalamic amenorrhea

A

amenorrhea, low estrogen state, decrease in bone density

225
Q

first step in therapy for pelvic organ prolapse

A

pessary fitting, surgical repair second line

226
Q

should a patient with unexplaned vaginal bIeeding get an IUD

A

nor

227
Q

changes to TSH and T4 during pregnancy

A

TSH goes down bc of HCG, T4 increases

228
Q

procedures in which a trial of labor is contradinicated

A

myomectomy with uterine cavity entry, vertical incision csection

229
Q

hormone therapy for patients with turners

A

progestin and estrogen

230
Q

cholelithiasis sx

A

RUQ and midepigastric pain, vomiting and nausea

231
Q

cause of AUB in a 14yo recent onset menarche

A

physiologic immature HPA axis

232
Q

what should patients who had a cervical conization get during pregnancy

A

US to estimate cervical length

233
Q

uniformly dilated loops of bowel management and dx

A

this is ileus and just bowel rest

234
Q

stress urinary incontinence in pregnancy presentation

A

leakage when standing or coughing, pool of clear fluid

235
Q

description of condylomata accuminata

A

nontender, fleshy, verracuous growths, friable and bleed with manipulation

236
Q

can you chest xray a pregnant person

A

yace as long as you shield the fetus

237
Q

management of PPROM with purulent discharge

A

immediate induction

238
Q

management of GDM

A

preprandial glucometer check and post prandial 1-2 hrs later

239
Q

pathophys of sheehan

A

pituitary ischemic necrosis

240
Q

contraindications to exercise in pregnancy

A

PPROM, cervical insufficiency, preeclampsia etc

241
Q

causes of stillbirth

A

congenital syphilis, hemoglobinopathy, antiphospholipid syndromes, severe GDM

242
Q

treatment of HG

A

pyridoxine and doxylamine succinate and then odansetron

243
Q

risks for placenta previa

A

smoking, prior csection, multiparity

244
Q

can you do colposcopy on a pregnant person

A

yace for high grade lesions ID’d via pap

245
Q

ureter changes in pregnancy

A

hydronephrosis and dilation of the ureter

246
Q

if a patient has dysparenia but not pain with speculum whats the dx

A

endometriosis

247
Q

trtment of endometriosis

A

OCPs

248
Q

signs of postpartum urinary retention

A

lower abdominal pain/pressure (overdistention of bladder), small volumes/inability to void, constant dribbling

249
Q

what do you do for a septic abortion

A

suction curretage

250
Q

management in following months after a complete hyaditiform mole

A

contraception bc pregnancy would make it hard to tell what the real b-HCG is

251
Q

US findings of placenta previa

A

numerous lacunae and myometrial thickening

252
Q

HELLP syndrome

A

hemolysis, elevated liver enzymes, low platelets

253
Q

what age is the cutoff for HPV vax

A

26yo

254
Q

risks factors for osteoporosis

A

white race, smoking, late menarche

255
Q

typical time of onset of an amniotic fluid embolism

A

during delivery or shortly thereafter, rare up to 48 hours later

256
Q

uterus exam findings of ectopic pregnancy

A

still firm and consistent in size with the gestational age

257
Q

when is platelet infusion indicated

A

<10k

258
Q

what receptors caus the uterus to contract

A

sympathetic, parasympathetic causes it to relax

259
Q

what kind of fluid is serosanguinous

A

bloody liquidy discharge

260
Q

what is succenturiate placenta

A

this is an accessory lobe of the placenta and you often see miscellaneous vessels coming off the main pole

261
Q

do you see anything on US of pyelonephritis

A

nor

262
Q

what antibiotic for mastitis

A

dicloxacillin

263
Q

can you still have breast cancer without findings on mastectomy

A

yace

264
Q

do you need a hysterosalpingogram to dx PID

A

nor

265
Q

what is a hysterosalpingogram

A

this is where you inject dye to make sure the fallopian tubes are patent

266
Q

treatment of condyloma accuminata

A

lazer or podophyllum resin

267
Q

should ovaries be palpable after menopause

A

nor

268
Q

risk factors for endometrial CA

A

unopposed estrogen from chronic anovulation, obesity, nulliparity, early menarche/late menopause, PCOS

269
Q

do functional ovarian cysts have echogenicity on US

A

no

270
Q

contraindications for an IUD

A

recent STI, PID, anotomical abnormalities, gestational trophoblastic disease, active breast cancer

271
Q

dx for a patient with dysparenia/dysmenorrhea and infertility

A

endometriosis

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