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Step 2 Big Time Study Deck > Deck 2 > Flashcards

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
Q

complications of antiphospholipid syndrome

A

miscarirages, uteroplacental insufficiency from thrombi

26
Q

do you need renal imaging to dx pyelo

A

no

27
Q

treatment/management of pyelo in prenant people

A

inpatient IV antibiotics

28
Q

what type of incontinence do you get from estrogen deficiency

A

urgency from uretogenital atrophy

29
Q

US findings of mature teratoma

A

partially calcified, with multiple thin echogenic bands

30
Q

next step in eval of a recent vaginal delivery with fecal incontinence

A

endoanal ultrasoundography

31
Q

signs of spinal epidural abscess

A

malaise, focal pain (lower back pain), neurological findings

32
Q

what else would you expect to see on U/S for a fetus with duodenal atresia

A

VACTERL/Down syndrome things like VSD, ASD, esophageal atresia, etc.

33
Q

management of a retained foreign body in vagina

A

apply topical anesthetic and irrigate

34
Q

signs of retained foreign body in vagina

A

mucopurulent discharge, irritation, etc.

35
Q

signs of acute fatty liver of pregnancy

A

nausea/vom, RUQ pain/epigastric pain, liver failure

36
Q

lab findings of acute fatty liver of pregnancy

A

profound hypoglycemia, increased AST/ALT, increased bilirubin, thrombocytopenia, DIC

37
Q

signs of vasa previa

A

painless vaginal bleeding with ROM or contractions, FHR abnormalities, fetal demise

38
Q

what do nuchal cords cause on FHR monitoring

A

variable d-cels

39
Q

signs of uteroplacental insufficiency

A

late decels, oligohydramnios, etc.

40
Q

trt of mag toxicity

A

calcium gluconate

41
Q

trtment of a patient with endometrial hyperplasia

A

they need an IUD or something to prevent endometrial hyperplasia

42
Q

what do sertoli leydig cells secrete

A

testosterone

43
Q

if a patient that is pregnant has LRQ pain what is it

A

appendicitis

44
Q

treatment options for overactive bladder

A

aka urgency incontinence, oxybutinin (M3 blocker), or megabegron (B3 agonist)

45
Q

blood types of parents with newborns who have ABO hemolytic disease

A

when mom is O and dad is AB

46
Q

signs of ABO hemolytic disease in newborns

A

jaundice, hyperbilirubinemia,

47
Q

when do you do suction curretage for miscarriage

A

when the patient is hypotensive/tachy and showing signs of anemia

48
Q

description of inflammatory breast cancer

A

thickened skin dimpling, orange peel like skin

49
Q

what is a likely thin walled cyst

A

normal physiologic cyst

50
Q

when should you use operative delivery

A

when the patient is >3 hrs pushing in a prime or >2 hours in a multip

51
Q

why is there decreased fetal movement with uteroplacental deficiency

A

blood is diverted from the extremities to the internal organs

52
Q

what is adequate weight gain in pregnancy

A

22-35lbs (normal bmi) , 25-30lbs (overweight), obese, ~10lbs

53
Q

complications of preeclampsia in the fetus

A

SGA, low birth weight because of chronic placental insufifciency

Step 2 Big Time Study Deck (29 decks)

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