MNP

Question 1

Vitals: BP_, HR & RR_

Apgar: early-> late screen for?
_( not rate) of breathing

low apgar equal to cerebral palsy?

conjunctivities: 4 causes and timeline.

viit K produced? must give?

Answer 1

Vitals: BP low, HR & RR high

Apgar: early-> late = labor -> resuccitation/survival; quality( not rate) of breathing

low apgar not equal to cerebral palsy

conjunctivities: 2/7/21 = chem->neisseria->clam->herpes

vit K produced by bacterial flora-> must use IM

Question 2

Transients: benign

Polycethemia:
primary via _( so _ EPO)
(3) will be pathathologic
cause by _

TTN/RDS II:
similar to ARDS but not _.
manage(2)
dx is _

cephalohematoma vrs caput?

Sepsis
Early vrs late diff orgs(3)
How many days?
managment(3)

Torch
o means?
Toxo: diagnose( ini-late)
Rubella diagnose
CMV vrs toxo(2), diagnose, common(3)

Answer 2

Polycethemia:

primary via BM( so low EPO)
LGA,SGA, IDM will be path
due to delayed cord clamp

TTN/RDS II: like RDS but not preterm. give antibiotic & oxygen. dx is sepsis

cephalohematoma similar to epidural in that does not cross sutre

Sepsis
late( >7d, staph, e.coli, gbs)
manage( fluids, culture, antibiotics( amp, gen, ceftax)

Torch
other( STD's)
Igm -> PCR
Igm
periventricle, hearing loss vrs everywhere, no hearing loss; viral titers ->pcr; chorioretinitis & brain lesions, microceph

Question 3

amiontic fluid abnormaliites
produced mostly by?
oligo: major complication(1), don’t give what med, what syndrome?

Abdominal abnomalities:
omphalo vrs gastro ( accos, which wall)?

wilms tumor: eval, diag, treat(3), vrs neuroblastoma( 2)

Answer 3

placenta
cord compression, ace inhibitors, potters

mid vrs lat wall, atresias

US ->CT, surgery + , painful + neuro symptoms

Question 4

Prenatal Care
1st trimester: 
labs @ what weeks?
US @ what weeks?
most reliable for gestational age?

2nd trimester: 
Quad screen is _ + triple
Banana sign?
auscultate HR
quicking
anatomic 

3rd timester:
B-H contractins

Answer 4

1st trimester
US

2nd trimester
inhibin A
cerebellum compressed

Question 5

Ectopic pregnancy
triad ( if ruptured includes ?)
RF(3)
Diag: Bhcg/us/ lapro
Mg: 
medical management? (3 steps to surgery)
Contraindics for MXT(many + 3)

Answer 5

abd pain, vag bleed, ammenorrhea( signs of peritonitis)
RF(PID, history, IUD)
Diag: confirm/locate( or lapro if unstable)
Mg: surg if stable ruptures. fluids if unstable rupture. if not MXT-> more than 15% dec than. less than 15 -> second dose -> drop done not drop surgery
contraind( pulm, pep.ulcer, refusal for follow)

Question 6

Abortions
def: _ wks + _ weight
causes(3)
threatened vrs inevitable abortion(2)
missed?
Dizyotic twins rate increase with (2)

multiple gestation complications(3)

Answer 6

def: 12, 500
age, anatomic, 
both fetus intact but in inevitable cervix is dilated. 
fetus is dead
age, history

abortion, premature, anemia