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Shelf - Obstetrics and Gynecology > LEARN > Flashcards

LEARN Flashcards

1
Q

Precocious puberty (2ndary sex characteristics <8y), multiple cystic bone lesions, cafe au lait spots

dx?

A

Polystotic fibrous dysplaisa (McCune Albright)

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2
Q

define variable decels (BPM and etiology)

A

at least 15/min below baseline with no relationsiph to uterine contractions

etiology: cord compression, polyhydraminos

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3
Q

severe variable decels assoc with?

A

fetal acidosis –> do NST

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4
Q

renal failure, hypoglycemia, hyperBr, coagulopathy (PT and PTT elevated) in a 34wk woman

A

acute fatty liver of pregnancy

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5
Q

all cause what: uteroplacental insufficiency caused by uterine hyperactivity or hypertonicity, maternal supine hypotension, epidural or spinal anesthesia, placenta previa, abruptio placente, hypertensive disorders, postmaturity, intrauterine growth restriction, diabetes mellitus, and intraamniotic infection

A

late decelerations

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6
Q

if meconium is present during labor we should proceed how?

A

administer amnioinfusion therapy to reduce fetal distress & risk of MAS

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7
Q

Uterine hyperstimulation from oxytocin presents with what in fetus

A

late decelerations

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8
Q

tx of pp endometritis

A

clindamycin and gentamycin

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9
Q

define chorioamnionitis/intraamniotic infection

A 
maternal fever (greater than 100.4) and at least one+ of: 
uterine tenderness, fetal tachycardia, malodorous amniotic fluid, purulent vaginal discharge
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10
Q

transvaginal ultrasound reveals intrauterine gestational sac with yolk sac, but no fetal pole. what happened?

A

missed abortion

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11
Q

threatened abortion - describe

A

tv-u/s shows intrauterine gestational sac with yolk sac, and a fetal pole/fetal HR.

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12
Q

BPP: name the 5 parts

A 
NST
Amniotic fluid volume
fetal movements
fetal tone
fetal breathing movements
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13
Q

Normal Amniotic Fluid Volume in BPP

A

slingle fluid pocked more than 2cm x 1cm

OR

AFI greater than five

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14
Q

Normal fetal movements and fetal tone

A

greater or equal to three fetal mvmts

greater or equal to one F/E of limbs or spine

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15
Q

define chronic HTN v gestational HTN

A

chronic is mroe than 140/90 BEFORE 20 weeks

gestational is new onset elevated BP at greater than or equal to 20 weeks (without proteinuria or signs of end organ damage)

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16
Q

normal non stress test

A

2 or more HR accelerations that are 15 or more beats above baseline and 15 or more seconds long in a 20 minute period

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17
Q

syphilis tx

A

PenG

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18
Q

in a severe preeclamptic with pressures rising, why would you give hydralazine instead of labetalol?

A

if the woman was bradycardic, wounldn’t give labetalol because its B-blocker property will lower HR.

give hydralazine instead because it is a vasodilator.

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19
Q

MCC of arrest of descent

A

fetal malposition (nonocciput anterior)

arrest of second stage of labor occurs when no fetal descent after pushing more than 3 or 2hrs nulli/multi

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20
Q

Nitrazine positive fluid in the vagina and closed cervix at 34 weeks. Management how?

A

this is PPROM 34-37wks:

abx

+/- CS

deliver

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21
Q

Nitrazine positive fluid in vagina and closed cervix at 33 weeks. management how?

A

sign of infection or fetal compromise?

No: abx, CS, surveilance

Yes: abx, CS, Mg if less than 32 weeks, deliver

22
Q

definitive karyotype diagnosis: timing for Chorionic Villus sampling v. amniocentesis

A

CVS 10-13 weeks

amnio 15-20 weeks

23
Q

what thyroid hormones increase during pregnancy?

A

TBG

Total T3

24
Q

most effective screening test for Down Syndrome

A

Cell-free DNA, from 9wks to brith

25
Q

is IUGR seen in women with pre-existing diabetes or in women who develop gestational diabetes?

A

pre-existing

26
Q

Symptom that distinguishes postpartum depression from blues or normal?

A

ambivalence toward newborn

27
Q

side effect of Depot medroxyprogesterone

A

weight gain

28
Q

best contraception for postpartum who wants to breastfeed and lose weight

A

IUD

29
Q

difference in bleeding between retained products of conception and perforated uterus

A

retained: profuse vaginal bleeding
perforation: scant (and fever, lower bad tenderness, rebound, guarding,)

30
Q

thrombocytopenia, need for 3 or more bp meds, LFTs x2 normal, eclampsia, persistent CNS sx - do what?

A

in this setting of severe preeclamsia, `deliver

31
Q

Induce labor in a pt with an unfavorable cervix how?

A

cytotec first, then pitocin induction

32
Q

foley bulb and AROM cannot be perfomred in a pt with what type of cervix?

A

closed cervix

33
Q

give betametasone/CS at what weeks.

associated with what in newborn (hemorrhage)

A

24-34.

decreased intracerebral hemorrhage

34
Q

bs abx for endometritis

A

clindamycin + gentamycin

35
Q

ROM more than 18hrs, give what abx?

A

amoxicillin

36
Q

most likely arisk associated with tubal ligation

A

future pregnancy

37
Q

MCC of salpingitis.

think what if pt comes in with fever, and abdominal G/R/T

A

MCC is G/C

Think b/l tuboovarian abscess (complex masses)

38
Q

Incontinence type:

pressure, fullness, frequency, small amount of continuous leaking. not associated with positional change or events

A

overflow

39
Q

Incontinence type: increased intraabd pressure causes urethral-vesical junction to descned causing detrusor muscle to contract

A

mixed

40
Q

Incontinence type: continuous loss of urine

A

vesicovaginal fistula

41
Q

Incontinence type: caused by increased itrabd pressure (cough, sneeze) when pt in upright position. caused by overactivity of detrusor mm, resulting in uninhibited contractions, causing increase inbladder pressure over urethral pressure= urine leak

A

stress

42
Q

what type of incontinence is associated with cystocele or urethrocele

A

stress

43
Q

BRCA mututation carriers, 1st degree relatives of BRCA mutation carriers, li-fraumeni, women with hx of radiation bw 10-30y: offer what?

A

breast mri and mammo

44
Q

premature menses before breast and pubic heair developlemtn - what syndrome

A

mccune albright

45
Q

Normal TSH, prl, total T, and DHEAS in a young woman with a 1y hx of hirsutism and acne… what next?

A

17-OHprogesterone test to r/o late onset 21-hydroxylase deficiency

46
Q

what are these: well circumscribed, non encapsulated myometrial nodules

A

fibroids

47
Q

what are these: hyperplastic overgrowth of endometrial glnads/stroma

A

endometrial polyps

48
Q

what is this: invasion of endometrial glands into the myometrium

A

adenomyosis

49
Q

before performing B/l oophorectomy to alleviate severe PMS, refractory to everything else, do what?

A

admin GnRH agonist to mimic menopause and see if improvement with this. if so, then b/l ooph will likely be successful treatment

50
Q

positive endocervical curettage - then what?

A

cervical conization

Shelf - Obstetrics and Gynecology (10 decks)

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