Jan' 22

Question 1

which organisms are commonly found in TOA?

Answer 1

polymicro - E. coli, aerobic streptococci, and bacteroides

Question 2

abx to treat TOA

Answer 2

cefotetan + doxy, OR cefoxitin + doxy

Question 3

strongest risk factor for postpartum endometritis?

Answer 3

C section

Question 4

first step in placenta previa?

Answer 4

obtain IV access for possible resus

Question 5

DKA hold insulin if…

Answer 5

K <3.3

Question 6

what is the underlying pathophys of the cyclic edema associated with premenstrual syndrome?

Answer 6

alterations in RAAS, altered antidiuretic hormone function

Question 7

MCC of hyperkalemia in the ED?

Answer 7

extravascular hemolysis

Question 8

pH imbalance from diarrhea and vomiting

Answer 8

diarrhea causes a non anion gap metabolic acidosis; vomiting causes a metabolic alkalosis

Question 9

Causes of hyponatremia with fluid overload, Urine Na <20 v Urine Na >20

Answer 9

<20 - CHF, cirrhosis, nephrotic syndrome

>20 kidney failure ie drugs, hypertensive nephropathy

Question 10

….. results in euvolemic hyponatremia with urine osmolality greater than serum osmolality

Answer 10

SIADH (no fluid overload, increased water is intracellular, not intravascular)

Question 11

What causes hypovolemic hyponatremia with elevated urine sodium >20?

Answer 11

thiazide diuretics, osmotic diuresis, nephropathy, or mineralocorticoid deficiency

Question 12

besides wernicke karsakoff, what other clinical entity is associated with thiamine deficiency?

Answer 12

wet beri beri, high output cardiac failure

Question 13

complications of molar pregnancy?

Answer 13

preeclampsia, hyperthyroidism

Question 14

MCC of vaginal bleeding beyond 20 weeks gestation?

Answer 14

abruptio placenta

Question 15

ekg changes with hyperparathyroidism

Answer 15

hypercalcemia - shortened QT and osborn J waves

Question 16

dermatitis, diarrhea, dementia

Answer 16

pellagra, niacin deficiency

Question 17

sore tongue, bilateral lower extremity numbness, difficulty walking, hx of celiac sprue

Answer 17

B12 deficiency, macrocytic anemia

Question 18

giving IV calcium can cause dysrrhythmia in patients who take

Answer 18

digitalis

Question 19

what beta hcg would you expect to see a gestational sac on US?

Answer 19

1500-2000

Question 20

when is pregnancy protective of PID?

Answer 20

12 weeks

Question 21

thoracic endomeriosis can cause what

Answer 21

recurrent ptx - catamenial ptx

Question 22

labs related with hyperemesis gravidarum

Answer 22

dehydration - hypok, ketonuria

low TSH, elevated LFTs

Question 23

getting shots for fertility, became unstable, abdominal pain etc… what to do

Answer 23

hyperstimulation of ovaries. replete fluids, correct electrolytes, contact ob

Question 24

definition of moderate variability on a fetal heart tracing

Answer 24

fluctuations in baseline of fetal heart rate 6-25 bpm

Question 25

what is second stage of labor timing?

Answer 25

from full dilation of cervix to delivery of baby