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Step 2 Big Time Study Deck > 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
Q

what should you put patients on that have short cervix at <20 wks

A

progesterone

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26
Q

very preterm medications to administer to mom

A

mag, penicillin, betamethasone, indamethicin

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27
Q

when do we use nifedipine for tocolysis

A

32-34 weeks

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28
Q

types of incontinence

A

urge (neurogenic bladder), overflow (obstruction), stress

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29
Q

what test should be ran with a Rh factor to see if there will be Rh incompatibility

A

indirect coombs

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30
Q

what do you see on the ovaries of a person with choriocarcinoma

A

they will often have theca lutein cysts bilaterally due to hyperstimulation from all the b-hcg

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31
Q

does a mature cystic teratoma have b-hcg

A

nor

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32
Q

complications of labor trial with breech delivery

A

cord prolapse, asphyxiation of baby

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33
Q

do you have to do a c section for chorioamnionitis

A

no as long as the pt is progressing and baby is okay

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34
Q

when to remove a demised fetus vs. letting the body induce labor

A

you need to remove the fetus in a hemodynamically unstable person

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35
Q

trt of migraine in preg

A

acetominophen

36
Q

signs of a galactocele

A

painful breast mass right as lactation starts or ends, no infection

37
Q

bugs that cause post partum endometritis

A

polymicrobial; gut and skin normal flora

38
Q

test for BV

A

wet mount and see clue cels

39
Q

bugs that cause bartholin gland cysts/abscesses

A

mixed enteric and skin flora

40
Q

which two bugs cause painFUL genital lesions

A

h ducreyi and herpes simplex

41
Q

risk factors for uterine sarcoma

A

tamoxifen use, previous pelvic radiation, hx of retinoblastoma

42
Q

do you still do paps after total hysterectomy

A

yes bc of risk of vaginal lesions but no if they didnt get the hysterectomy for CIN

43
Q

what hormone causes the increase in basal body temp during ovulation

A

progesterone

44
Q

how do OCPs help AUB

A

they synchronize the endometrium

45
Q

mortality causes of TSS

A

ARDS, DIC, Seizures, etc

46
Q

sudden onset RLQ pain with hematuria dx

A

kidney stone

47
Q

how to dx kidney stone in a pregnant person

A

renal and pelvic U/S

48
Q

treatment of menopause for pts. without a uterus

A

estrogen only

49
Q

treatment of menopause for pts. with a uterus

A

combo estrogen-progesterone

50
Q

if a patient has confirmed chlamydia only do you still treat for gonorrhea

A

nope only chlamydia

51
Q

if a patient has adequate contractions and does not progress to 10cm what do you do

A

section that baby out of there asap

52
Q

active phase arrest definition

A

> 6cm dilated with no cervical change for 4 hours WITH adequate contractions or 6 hours with inadequate contractions

53
Q

AEs of tamoxifen

A

hot flashes, uterine sarcoma, endometiral hyperplasia, VTE

54
Q

do you have to deliver for asymptomatic poly

A

nope if theyre at term

55
Q

can hepB + moms breastfeed

A

yes as long as the infant received prophylaxis immune globulin

56
Q

what is the cause of early decels

A

fetal head compression

57
Q

if a patient has active HSV lesions can they deliver vag

A

nor

58
Q

hepatitis like signs in a nonpregnant sexually active female dx

A

perihepatitis from PID

59
Q

do OCPs cause weight gain

A

nope

60
Q

signs of asthma in pregnancy

A

cough, wheezing, SOB, chest tightness

61
Q

what do you do if a pt has an asymptomatic adnexal mass (postmenopausal)

A

do a CA-125 level

62
Q

lupus flare vs. preeclampsia labs

A

lupus flare will have RBC casts and nephrotic range proteinuria vs. preeclampsia will have eIevated P:Cr ratio but no associated sx

63
Q

best way to reduce shoulder dystocia complications

A

perform simulations

64
Q

what is ulipristal acetate

A

an emergency contraceptive option that has no contradinications, blocks progesterone receptors to delay ovulation

65
Q

when can you prx antibiotics for recurrent UTI

A

> 2 in 6mo or >3 in a year

66
Q

if you dont know GBS status when do you still do prophylaxis

A

prior neonatal sepsis // <37wks // maternal fever // rupture of membranes for >18hrs

67
Q

trtment for adolescent heavy uterine bleeding in ER setting

A

IV estrogen or high dose OCPs

68
Q

trt of recurrent UTI for postmenopausal poeple

A

vaginal estrogen

69
Q

drugs for uncomplicated UTIs

A

nitrofurantoin, TMP-SMX, fosfomycin

70
Q

when is too close to use the same antibiotic for UTI

A

must be >3mo to reuse a similar antibiotic I

71
Q

trt of hyaditiform mole

A

Dilation and suction curretage, serial HCG mesurements, contraception for 6 mo

72
Q

treatment of endometritis post delivery

A

clinda +gent

73
Q

signs of endometritis post delivery

A

fever, fundal tenderness, purulent lochia

74
Q

risk factors for endometritis

A

c section, prolonged ROM, GBS +, operative vaginal delivery, hx chorio

75
Q

what can you give for preeclampsia prevention

A

low dose aspirin

76
Q

fetal complication of lupus SLE

A

AV block

77
Q

signs of AV block in the fetus

A

low HR, and minimal variablity

78
Q

physio of HIT

A

antibodies against platelets that cause clumping which can cause thrombi and therefor PE

79
Q

what is the normal pH of urine

A

6-7.5

80
Q

what is lichen planus

A

this is a chronic inflammatory condition that affects post menopausal women, desquamative erosion of the vulvar mucosa

81
Q

difference between lichen planus and lichen sclerosis

A

planus has erythematous vulvar erosions with white borders but sclerosis is white plaques that are intensely itchy

82
Q

do you use PTU in post partum thyrotoxicosis

A

nope never

83
Q

management of post partum thyrotoxicosis

A

beta blocker during hyperthyroid phase and levo during hypothyroid phase if they are sx positive

84
Q

ovarian torsion blood pressures

A

likely high from pain, not low (no blood loss)

85
Q

causes of protracted active phase of labor

A

pelvis disproportion, baby is too large, poorly strength of contractions

86
Q

where is round ligament pain

A

lower abdomen and ipsilateral labia

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