OB 1 Flashcards

1
Q

What is schizoaffective disorder?

A

Mood disorder comes and goes but schizophrenia always there!

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2
Q

What is embryonic age?

A

Measured from fertilization. But gestational used more often from last period.

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3
Q

Due date calculator?

A

1 week minus 3 months

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4
Q

Preterm vs abort? What is the cutoff?

A

20 weeks is cutoff

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5
Q

Full term starts when?

A

37 weeks

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6
Q

What happens to BUN and Cr in pregnancy?

A

Goes down b/c more filter

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7
Q

Chronic pancreatitis lab test with most sensitivity and specificity?

A

Low fecal elastase

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8
Q

Vitamins you should get in pregnancy?

A

Folate and Iron

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9
Q

When do you screen for diabetes in preggers?

A

24-28 weeks

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10
Q

What do you do after weird quadruple screen?

A

US to observe for things like dating or multiple gestation

The Chorion Villus Sampling or Amnio

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11
Q

Tx vomiting in preggers?

A

Vitamin B6 or doxylamine (antiacetylcholine)

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12
Q

History of hyperemesis gravid arum?

A

Lose 5% of weight loss, dehydration, abnormal labs

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13
Q

What causes gestational diabetes?

A

Human placental lactogen

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14
Q

DM fetal surveillance starts week 32-34 weeks?

A

Oh ok. Makes sense.

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15
Q

Congen malformations in diabetic moms?

A

Cardiac and CAUDAL REGRESSION SYNDROME

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16
Q

Pregestational diabetes mom has what special test?

A

Fetal echo during second trimester for heart defects

17
Q

Deliver babies of pre gestational moms when?

A

39-40 weeks

18
Q

Asymptomatic bacteriurea screened for at first prenatal battle. Tx?

A

Treat it and repeat urine culture one week after antibiotic.

19
Q

Big clue that it is pyelo and not cystitis?

A

WBC casts! b/c came from kidney

20
Q

Preggers and pyelo tx?

A

ADMIT and big gun IV antibiotics empirically

Then treat rest of pregnancy

21
Q

Tx of gestational htn?

A

Close monitoring for progression

22
Q

Definition of severe preeclampsia?

A

160/110 or preeclampsia with end organ dysfunction

23
Q

Tx of severe preeclampsia?

A

Lower BP
Magnesium to stabilize
Delivery

24
Q

Reversal treatment for too much magnesium sulfate?

A

Calcium gluconate

25
Q

Anticoag post DVT in preggers?

A

Heparin for 6 weeks

THEN NO MORE ESTROGEN CONTAINING OCP!

26
Q

Pregnany mom who has PE symptoms but with DIC?

A

LIKELY AMNIOTIC FLUID EMBOLISM

27
Q

Preeclempsia dx?

A

New HTN and 300 mg/day proteinurea

Or new organ failure