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OB/GYN > ectopic > Flashcards

ectopic Flashcards

1
Q

Ectopic Pregnancy rf

A

PID, IUD, endometriosis

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2
Q

unilateral abdominal pain + vaginal bleeding + amenorrhea

due to pregnancy

A

Ectopic Pregnancy

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3
Q

if an Ectopic Pregnancy ruptures sxs?

A

syncope, hemorrhagic shock

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4
Q

Ectopic Pregnancy diag?

A

HCG (5,000 or less), US

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5
Q

Ectopic Pregnancy tx?

A

Surgery (if unstable) or MXT (folate and liver issues)

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6
Q

1500-1800 what US?

6000-6500 what us?

A

TVUS + no yolk sac

Abd US

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7
Q

Gestational trophoblastic disease progresses to?

A

choriocarcinoma

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8
Q

Painless vaginal bleed, + bHCG (100,000), hyperemesis grav

A

Gestational trophoblastic disease

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9
Q

Snowstorm/Grapes is

A

hydatidiform mole

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10
Q

Gestational trophoblastic disease diag is

A

US - Snowstorm/Grapes

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11
Q

Gestational trophoblastic disease tx is?

A

Evacuate Uterus, MXT, Chemo

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12
Q

1st trimester bleeding diag?

A

R/o extopic preg, watchful wait

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13
Q

1st trimester, if Rh -?

A

Rh checks

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14
Q

When do you give Rhogam?

A

28 weeks and at birth OR after abortion, ectopic, amniocentesis

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15
Q

Rh- attack can lead to?

A

Hemolytic anemia, Jaundice, Kernicterus, Hydrops fetalis

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16
Q

placenta previa sxs

A

painless bright 3rd trimester bleed, no fetal distress

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17
Q

placenta previa diag

A

US, no pelvic exam

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18
Q

Threaghtend abortion is?

A

closed os and no passive of tissue

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19
Q

inevitable abortion is?

A

os dilated and no tissue at os. Offer MXT

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20
Q

incomplete abortion is?

A

os dilated and tissue is at os. Offer DnC

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21
Q

Complete abortion is?

A

Closed os, all expelled

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22
Q

Missed abortion is?

A

closed os, non-viable embory - DnC

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23
Q

Septic abortion is?

A

Closed os, infected, DnC + Abx

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24
Q

placenta previa tx

A

bed rest, no sex

25
Q

placenta previa is

A

placenta is over the os

26
Q

Abruptio placenta sxs

A

dark bleed, fetal distress, PAINFUL,

27
Q

Abruptio placenta is?

A

sepatation of placenta to uterus

28
Q

Abruptio placenta diag?

A

US, no digital

29
Q

Abruptio placenta tx?

A

stabilize mom (MVA, punched at home) Inpatient, watch for DIC, DELIVER BABY

30
Q

Vasa previa is a complication of

A

placenta previa - fetal cords cross planceta

31
Q

Vasa previa diag/tx?

A

US/ Deliver Baby

32
Q

Post partum hemorrhage causes?

A

24 hr after birth, uterine atony/rupture, infection

33
Q

Post partum hemorrhage is

A

500 cc after vaginal birth or 1000 cc after C-section

34
Q

Post partum hemorrhage sxs

A

hypovolemic shock, boggy uterus, dilated cervix

35
Q

Post partum hemorrhage tx

A

massage uterus (bimanual), artery ablation, oxytocin/misoprostol

36
Q

Cervical insuff is common in what trimester?

A

2nd - leep procedure

37
Q

Cervical insuff tx is?

A

rest, cerclage, progesterone injections

38
Q

premature labor is under what weeks?

A

37 weeks

39
Q

premature labor diag:

A

sterile pelvic, US, r/o prom & infection

40
Q

premature labor

A

Admission, ICS, tocolytics (INMT terbutaline), Abx proff

41
Q

mag tox is?

A

cardiac/ hypotonia (reflexes)

42
Q

PROM vs PPROM

A

PROM >1 before labor VS PPROM <37 weeks

43
Q

PROM sxs?

A

Smoke, gush leak fluid

44
Q

PROM diag?

A

sterile speculum, no digital exam, Nitrazine paper, Fern test

45
Q

PROM tx?

A

<34 = ICS (lungs),

if infection = deliver and abx

46
Q

Multiple gestation complication?

A

PREMATURE, IUGR, TTTS, placental issues

47
Q

Shoulder dystocia is due what 3 factors

A

power, passenger (mcRoberts/woods screw), passage

48
Q

Breech is

A

legs or butt first

49
Q

Breech is helped with what maneuver?

A

Leopold

50
Q

frank (diver) Breech is?

A

hip flex and knees ext (50degrees+)

51
Q

Complete Breech is?

A

hip and knee flexed

52
Q

Breech tx?

A

rotation by week 38, c-sec, cephalic version

53
Q

first drug of choice in patients with infertility due to anovulation with normal hormone levels

A

Clomiphene citrate

54
Q

Proliferation of the mammary ducts is under the influence

A

Estrogen

55
Q

Growth of the lobules and alveoli is under the influence of

A

Progesterone

56
Q

multinucleated giant cells is what?

A

Herpes simplex virus

57
Q

Is a leiomyoma or adenomyosis painful?

A

adenomyosis

58
Q

have menorrhagia and/ or metrorrhagia. On examination, the uterus will be larger, and irregularly-shaped. If a mass is present and it moves with the uterus, it is suggestive of a

A

Fibroid

OB/GYN (9 decks)

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