Deck 2 Flashcards

1
Q

what is the bp like in aortic dissection

A

it is initially elevated due to pain and if it ruptures then you have hypotension

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2
Q

sx of a granulosa cell tumor

A

juvenieles: precocious puberty // adults: postmenopausal bleeding, AUB, breast tenderness

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3
Q

what is considered polyuria (in terms of output)

A

> 3L output over 24hrs

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4
Q

other hormone abnormalities for a patient with hypothyroid

A

hyperprolactinemia

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5
Q

TRH affect on prolactin levels

A

elevates prolactin so you get hyperprolactinemia with hypothyroidism

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6
Q

what is considered oligohydramnios

A

<2cm in deepest pocket

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7
Q

treatment for bacterial vaginosis

A

clinda or metronidazole

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8
Q

illness course of HSV

A

likely resolution of warts

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9
Q

quad screen levels in down syndrome

A

estrodiol: low // inhibin A: increased // HCG: high // AFP: low

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10
Q

if a patient still has increasing levels of HCG after d and c what is dx

A

ectopic pregnancy

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11
Q

what drug can you give for ectopic preg

A

methotrexate

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12
Q

friable plaque on the vulva dx

A

vulvar squamous cell CA

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13
Q

FSH/estrogen levels in ashermans

A

normal

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14
Q

FSH in primary ovarian insufficiency

A

high

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15
Q

what is considered hypertension for preeclampsia

A

> 140 or>90 systolic

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16
Q

estrogen levels in breastfeeding patients

A

low bc prolactin inhibits gnrh release

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17
Q

when to give progesterone for pregnancy

A

prior episode of preterm labor or or short cervix (<2.5cm)

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18
Q

who should get baby aspirin prophylaxis

A

prior preeclampsia, CKD, chronic HTN, multiple gestation, DM, autoimmune diseases

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19
Q

next step in dx ovarian ca after imaging

A

ex lap

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20
Q

management of a GDM patient on insulin testing

A

post prandial blood glucoses and also regular NSTs

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21
Q

if a breast cyst is still painful after FNA what do you do

A

core needle biopsy

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22
Q

criteria of cervical insufficiency

A

> 2 precipitous painless 2nd trimester losses, cervical length less than 2.5

23
Q

what causes FHR sinusoidal pattern

A

severe fetal anemia (blood loss)

24
Q

signs of antiphospholipid syndrome

A

> 3 first trimester spontaneous abortions, >1 still birth, hx of DVT or PE, etc.

25
complications of antiphospholipid syndrome
miscarirages, uteroplacental insufficiency from thrombi
26
do you need renal imaging to dx pyelo
no
27
treatment/management of pyelo in prenant people
inpatient IV antibiotics
28
what type of incontinence do you get from estrogen deficiency
urgency from uretogenital atrophy
29
US findings of mature teratoma
partially calcified, with multiple thin echogenic bands
30
next step in eval of a recent vaginal delivery with fecal incontinence
endoanal ultrasoundography
31
signs of spinal epidural abscess
malaise, focal pain (lower back pain), neurological findings
32
what else would you expect to see on U/S for a fetus with duodenal atresia
VACTERL/Down syndrome things like VSD, ASD, esophageal atresia, etc.
33
management of a retained foreign body in vagina
apply topical anesthetic and irrigate
34
signs of retained foreign body in vagina
mucopurulent discharge, irritation, etc.
35
signs of acute fatty liver of pregnancy
nausea/vom, RUQ pain/epigastric pain, liver failure
36
lab findings of acute fatty liver of pregnancy
profound hypoglycemia, increased AST/ALT, increased bilirubin, thrombocytopenia, DIC
37
signs of vasa previa
painless vaginal bleeding with ROM or contractions, FHR abnormalities, fetal demise
38
what do nuchal cords cause on FHR monitoring
variable d-cels
39
signs of uteroplacental insufficiency
late decels, oligohydramnios, etc.
40
trt of mag toxicity
calcium gluconate
41
trtment of a patient with endometrial hyperplasia
they need an IUD or something to prevent endometrial hyperplasia
42
what do sertoli leydig cells secrete
testosterone
43
if a patient that is pregnant has LRQ pain what is it
appendicitis
44
treatment options for overactive bladder
aka urgency incontinence, oxybutinin (M3 blocker), or megabegron (B3 agonist)
45
blood types of parents with newborns who have ABO hemolytic disease
when mom is O and dad is AB
46
signs of ABO hemolytic disease in newborns
jaundice, hyperbilirubinemia,
47
when do you do suction curretage for miscarriage
when the patient is hypotensive/tachy and showing signs of anemia
48
description of inflammatory breast cancer
thickened skin dimpling, orange peel like skin
49
what is a likely thin walled cyst
normal physiologic cyst
50
when should you use operative delivery
when the patient is >3 hrs pushing in a prime or >2 hours in a multip
51
why is there decreased fetal movement with uteroplacental deficiency
blood is diverted from the extremities to the internal organs
52
what is adequate weight gain in pregnancy
22-35lbs (normal bmi) , 25-30lbs (overweight), obese, ~10lbs
53
complications of preeclampsia in the fetus
SGA, low birth weight because of chronic placental insufifciency