Jan 3 2020 Flashcards

1
Q

What is the initial investigation for MIXED incontinence?

A

A voiding diary - keep track of fluid intake, urine output, leaking episodes, etc. to determine the predominant type

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2
Q

should you wait for spontaneous labour in IUD?

A

No - this generally takes 2-3 weeks and can cause coagulopathies

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3
Q

how should you deliver a women with IUD (>24 weeks)

A

induced vaginal delivery when they are ready

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4
Q

does a woman with O blood have anti-A or anti-B antibodies during her first pregnancy?

A

YES - we are exposed early in life from antigens in food - she will have igG antibodies

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5
Q

is ABO hemolytic disease serious?

A

No it is often very mild - may be asymptomatic or baby may have mild anemia/jaundice

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6
Q

does severe diarrhea cause acidosis or alkaloisis?

A

acidosis - from the loss of bicard

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7
Q

A sharp decline in spontaneous conceptino rates begin in what age in a woman?

A

35

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8
Q

what causes the decline in conception rates seen in women in their late 30s?

A

diminished ovarian reserve

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9
Q

do patients with 5-alpha-reductase deficiency develop breasts at puberty?

A

No - testosterone binds to the androgen receptor and prevents this

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10
Q

do patients with androgen insensitivity have breast development at puberty?

A

Yes - they have resistance to testosterone so breast development is not inhibited by it

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11
Q

Genotype of a patient with 5-alpha-reducatse deficiency?

A

XY

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12
Q

Genotype of a patient wiht androgen insensitivity syndrome?

A

XY

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13
Q

What changes are seen in a patient with 5-alpha reductase at puberty?

A

-virilization - a XY (phenotypically female) patient will have acne, male pattern hair development, increased muscle mass, etc. due to the increase in testosterone at puberty

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14
Q

3 causes of late post-partum hemorhage?

A
  • retained products of conception
  • placental site subinvolution
  • postpartum endometritis
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15
Q

why are patients with intrapartum infection at increased risk for retained products of conception?

A

the inflamation allows the tissue to adhere more

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16
Q

sinusoidal wave patterns on a CTG are suggestive of…

A

severe fetal anemia (can be from blood loss)

17
Q

lab findings of acute fatty liver of pregnancy

A
  • hypoglycemia
  • increased aminotransferase
  • increased bilirubin
  • thrombocytopenia
  • DIC
18
Q

management of acute fatty liver of pregnancy

A

immediate delivery

19
Q

what happens to fibroids after menopause?

A

they usually decrease in size and become asymptomatic

20
Q

how do you treat recurrent UTIs in a post-menopausla woman?

A

-topical estrogen therapy

+ consider antibiotic prophylaxis

21
Q

a woman has atypical glandular cells on pap smear.. what are the next steps?

A
  • colposcopy
  • endocervical curretage
  • endometrial biopsy
22
Q

Interstitial cystitis AKA

A

painful bladder syndrome

23
Q

presentation of interstitial cystitis

A

pain exacerbated by bladder filling and releived by voiding

24
Q

interstitial cystitis is associated with…

A

-other pain disorders (IBS, fibromyalgia), and psychiatric disorders

25
presentation of primary syphilis
painless ulcer
26
presentation of secondary syphilis
- diffuse rash (palms and soles) - lymphadenopathy - conyloma latum - oral lesions - hepatitis
27
presentation of latent syphilis
asymptomatic
28
presentation of tertiary syphilis
CNS - tabes dorsalis, dementia Cardiovascular - (aortic aneurysm, insufficiency) Gummas
29
onset of anaphylaxis to blood transfusion
seconds to minutes
30
cause of anaphylaxis to blood transfusion
recipient igA antibodies against donor igA
31
Presentation of anaphylaxis to blood transfusion
- angioedema, hypotension, respiratory distress/wheezing, shock - igA deficient
32
onset of acute hemolytic reaction to blood transfusion
within an hour
33
cause of acute hemolytic reaction to blood transfusion
ABO incompatibility (clerical error)
34
presentation of acute hemolytic reaction to blood transfusion
- fever - flank pain - hemoglobinuria - DIC - + coombs test
35
which of the following has associated hemoglobinuria: acute anaphylaxis to blood transfusion or acute hemolytic reaction?
acute hemolytic reaction
36
immediate management of acute hemolytic reaction
IV fluids