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Ob/Gyn Shelf > Deck 3 > Flashcards

Deck 3 Flashcards

1
Q

pagets disease of the breast appearance

A

flaky, crusty with yellow exudate, breast tenderness

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2
Q

signs of urethral diverticulum

A

painful anterior vaginal wall mass, purulent exudate when palpated

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3
Q

can you have actinomyces as normal vag flora

A

yace

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4
Q

if a pregnant person does not want to have a csection but need one do you do it

A

nope

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5
Q

what do you do if a patient doesnt haven cervicle change

A

c section

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6
Q

management of placenta previa

A

no sex, no digital cervical exam, csection at 37 wks

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7
Q

initial eval of a premenopausal women with an adnexal mass

A

pregnancy test and ultrasound

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8
Q

clinical signs of intrahepatic cholestasis

A

intense pruritis, RUQ pain, hands and feet itchy, no rash, deveIops in third trimester

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9
Q

lab signs of intrahepatic cholestasis

A

significantly elevated liver enzymes and increased total bile acids

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10
Q

pathophys behind intrahepatic cholestasis

A

progesterone delays bile acid secretion causing backup

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11
Q

dx of a person with heavy menstrual bleeding and normal coag studies

A

von willebrands

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12
Q

what is the material if breast discharge is guiac negative and brown/white or gray

A

galactorrhea

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13
Q

signs of 5alpha reductase def

A

palpable undescended testes, virulization,

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14
Q

genotype of a 5alpha reductase person

A

46XY

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15
Q

contraindications for ablation

A

future desire for fertility, high suscpision of endometrial cancer (makes it harder to biopsy)

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16
Q

normal finding of endometrial tisue post abortion

A

2cm heterogeneous

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17
Q

hydrops fetalis maternal coombs test and blood type

A

coombs positive and blood type Rh negative

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18
Q

what to do for superficial wound dehiscence

A

regular dressing changes only

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19
Q

signs of superficial wound dehiscence from c/s

A

serosanguinous drainage but rectus fascia in tact

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20
Q

if a patient with mastitis has no improvement in systemic sx what is giong on

A

likely breast abscess

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21
Q

dx of breast abscess

A

ultrasound

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22
Q

complications of placental abruption

A

hemorrhage, DIC

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23
Q

how do you treat antiphospholipid syndrome

A

low molecular weight heparin

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24
Q

contraindications to vaginal delivery

A

placenta previa, prior classical cesarean, prior extensive uterine myomectomy

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25
what should you put patients on that have short cervix at <20 wks
progesterone
26
very preterm medications to administer to mom
mag, penicillin, betamethasone, indamethicin
27
when do we use nifedipine for tocolysis
32-34 weeks
28
types of incontinence
urge (neurogenic bladder), overflow (obstruction), stress
29
what test should be ran with a Rh factor to see if there will be Rh incompatibility
indirect coombs
30
what do you see on the ovaries of a person with choriocarcinoma
they will often have theca lutein cysts bilaterally due to hyperstimulation from all the b-hcg
31
does a mature cystic teratoma have b-hcg
nor
32
complications of labor trial with breech delivery
cord prolapse, asphyxiation of baby
33
do you have to do a c section for chorioamnionitis
no as long as the pt is progressing and baby is okay
34
when to remove a demised fetus vs. letting the body induce labor
you need to remove the fetus in a hemodynamically unstable person
35
trt of migraine in preg
acetominophen
36
signs of a galactocele
painful breast mass right as lactation starts or ends, no infection
37
bugs that cause post partum endometritis
polymicrobial; gut and skin normal flora
38
test for BV
wet mount and see clue cels
39
bugs that cause bartholin gland cysts/abscesses
mixed enteric and skin flora
40
which two bugs cause painFUL genital lesions
h ducreyi and herpes simplex
41
risk factors for uterine sarcoma
tamoxifen use, previous pelvic radiation, hx of retinoblastoma
42
do you still do paps after total hysterectomy
yes bc of risk of vaginal lesions but no if they didnt get the hysterectomy for CIN
43
what hormone causes the increase in basal body temp during ovulation
progesterone
44
how do OCPs help AUB
they synchronize the endometrium
45
mortality causes of TSS
ARDS, DIC, Seizures, etc
46
sudden onset RLQ pain with hematuria dx
kidney stone
47
how to dx kidney stone in a pregnant person
renal and pelvic U/S
48
treatment of menopause for pts. without a uterus
estrogen only
49
treatment of menopause for pts. with a uterus
combo estrogen-progesterone
50
if a patient has confirmed chlamydia only do you still treat for gonorrhea
nope only chlamydia
51
if a patient has adequate contractions and does not progress to 10cm what do you do
section that baby out of there asap
52
active phase arrest definition
>6cm dilated with no cervical change for 4 hours WITH adequate contractions or 6 hours with inadequate contractions
53
AEs of tamoxifen
hot flashes, uterine sarcoma, endometiral hyperplasia, VTE
54
do you have to deliver for asymptomatic poly
nope if theyre at term
55
can hepB + moms breastfeed
yes as long as the infant received prophylaxis immune globulin
56
what is the cause of early decels
fetal head compression
57
if a patient has active HSV lesions can they deliver vag
nor
58
hepatitis like signs in a nonpregnant sexually active female dx
perihepatitis from PID
59
do OCPs cause weight gain
nope
60
signs of asthma in pregnancy
cough, wheezing, SOB, chest tightness
61
what do you do if a pt has an asymptomatic adnexal mass (postmenopausal)
do a CA-125 level
62
lupus flare vs. preeclampsia labs
lupus flare will have RBC casts and nephrotic range proteinuria vs. preeclampsia will have eIevated P:Cr ratio but no associated sx
63
best way to reduce shoulder dystocia complications
perform simulations
64
what is ulipristal acetate
an emergency contraceptive option that has no contradinications, blocks progesterone receptors to delay ovulation
65
when can you prx antibiotics for recurrent UTI
>2 in 6mo or >3 in a year
66
if you dont know GBS status when do you still do prophylaxis
prior neonatal sepsis // <37wks // maternal fever // rupture of membranes for >18hrs
67
trtment for adolescent heavy uterine bleeding in ER setting
IV estrogen or high dose OCPs
68
trt of recurrent UTI for postmenopausal poeple
vaginal estrogen
69
drugs for uncomplicated UTIs
nitrofurantoin, TMP-SMX, fosfomycin
70
when is too close to use the same antibiotic for UTI
must be >3mo to reuse a similar antibiotic I
71
trt of hyaditiform mole
Dilation and suction curretage, serial HCG mesurements, contraception for 6 mo
72
treatment of endometritis post delivery
clinda +gent
73
signs of endometritis post delivery
fever, fundal tenderness, purulent lochia
74
risk factors for endometritis
c section, prolonged ROM, GBS +, operative vaginal delivery, hx chorio
75
what can you give for preeclampsia prevention
low dose aspirin
76
fetal complication of lupus SLE
AV block
77
signs of AV block in the fetus
low HR, and minimal variablity
78
physio of HIT
antibodies against platelets that cause clumping which can cause thrombi and therefor PE
79
what is the normal pH of urine
6-7.5
80
what is lichen planus
this is a chronic inflammatory condition that affects post menopausal women, desquamative erosion of the vulvar mucosa
81
difference between lichen planus and lichen sclerosis
planus has erythematous vulvar erosions with white borders but sclerosis is white plaques that are intensely itchy
82
do you use PTU in post partum thyrotoxicosis
nope never
83
management of post partum thyrotoxicosis
beta blocker during hyperthyroid phase and levo during hypothyroid phase if they are sx positive
84
ovarian torsion blood pressures
likely high from pain, not low (no blood loss)
85
causes of protracted active phase of labor
pelvis disproportion, baby is too large, poorly strength of contractions
86
where is round ligament pain
lower abdomen and ipsilateral labia

Ob/Gyn Shelf (4 decks)

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