OB 2

Question 1

Lab elevated in upper GI bleed?

Answer 1

BUN b/c blood absorbed and nitrogen broken down

Question 2

Hydantoin cardiac affect?

Answer 2

VSd

Question 3

Gray baby syndrome from what?

Answer 3

Chloramphenicol

Question 4

Warfarin causes what teratogenically?

Answer 4

Nasal hypoplasia, epiphyseal stippling, limb hypoplasia

Question 5

Isotretinoin fetal affect?

Answer 5

Abortion, severe birth defects

Question 6

Tx for mac degen?

Answer 6

Antioxidents including copper and zinc

Question 7

Toxo in pregnancy?

Tx?

Answer 7

Undercooked meat or kitty litter

Mono like illness in mom

Congen in fetus

Chorioretinitis
Hydrocephalus
Intracranial calcification

Dx with serology or PCR

PYRIMETH + SULFA

Question 8

Parvovirus in fetus does what? Tx

Answer 8

Possible severe anemia

Serial ultrasounds
Do transfusion if necessary

Question 9

Varicella in fetus? Tx?

Answer 9

Pneumonia, encephalitis, might die

Tx: Prophylaxis with varicella immune globulin

Acyclovir if the mom gets it

Question 10

Blind blueberry who is deaf has what congenital heart issue?

Answer 10

PDA

Question 11

Baby with jaundice, sensorineural hearing loss?

Answer 11

Think CMV

Gancyclovir

Question 12

Teratogenic HIV med?

Answer 12

Efavirenz

Question 13

Herpes history in preggers, what do you do?

Answer 13

Acyclovir starting at 36 weeks

Question 14

What do you do if screening with RPR or VDRL is positive?

Answer 14

Confirm with FTA-ABS or MHA-TP

Question 15

Tx for pregnant woman allergic to penicillin?

Answer 15

Desensitize her, then give her penicillin

Question 16

Most common cause of bloody nipple discharge

Answer 16

Intraductal papilloma