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OB-Gyne > OB > Flashcards

OB Flashcards

1
Q

Mesonephric/ Wolffiab duct derivative in female

A

Gartners duct

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2
Q

Gubernaculum of female

A

Round ligament

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3
Q

Oocyte transforming growth factors

A

GDF9

BMP-15

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4
Q

Most potent estrogen

A

17B Estradiol

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5
Q

Gestational sac completely fills uterine cavity

A

14-16 weeks

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6
Q

B-HCG max levels during?

A

8-10 weeks

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7
Q

B-HCG nadir?

A

16 weeks

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8
Q

hPL detected as early as?

A

3 weeks

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9
Q

hPL rise until?

A

34-36 weeks

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10
Q

hPL functions

A

Maternal lipolysis
Anti insulin/diabetogenic
Angiogenic

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11
Q

Progesterone by corpus luteum

A

Til 6-7 weeks

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12
Q

Progesterone by placenta

A

8 weeks

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13
Q

Estriol by 2nd trim

A

Placental Syncytiotrophoblast

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14
Q

Estrogen by week 1-6 of gestation

A

Estradiol

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15
Q

Marker of fetal well being

A

Estriol

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16
Q

Testes descend by?

A

32

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17
Q

Greatest transverse diameter if head

A

Bitemporal diameter (8cm)

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18
Q

Biparietal diameter

A

9.5cm

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19
Q

Occipitofrontal diameter

A

11.5cm

Greatest circumference- 34.5cm

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20
Q

Suboccipitobregmatic

A

9.5cm

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21
Q

Smallest circumference

A

Suboccipitobregmatic 32cm

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22
Q

Paramesonephric ducts in male and female

A

Male: appendix of testes
Female: FT, Uterus, Cervix, upper 1/3 vagina

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23
Q

Landmark of Pudendal Nerve

A

Ischial spine

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24
Q

Promotes PG F2a by cervical stretching

A

Ferguson reflex

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25
Q

Occipitomental diameter

A

12.5cm

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25
Q

Brow presentation

Mgt?

A

Expectant mgt

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25
Q

Forceps for molded head

A

Simpson

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26
Q

Forceps for face presentation

A

Kielland

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27
Q

When to do elective CS for placenta previa

A

> 37 weeks

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28
Q

Anesthesia for forceps delivery

A

Pudendal

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29
Q

When to do elective CS for suspected accreta

A

> 36 weeks

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31
Q

Define polyhydramnios

A

AFI >24cm
Single pocket >/= 8cm
>2000ml

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32
Q

Define oligohydramnios

A

AF

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33
Q

Forceps for rounded head

A

Tucker Mclane

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34
Q

Forceps for aftercoming head in breech

A

Piper

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35
Q

Forceps for outlet and low forceps

A

Simpson

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36
Q

Small accessory lobe of placenta?

At risk for?

A

Succentriate lobe

Vasa previa

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37
Q

Nearly all membranes covered with villi

A

Placenta membranacea

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38
Q

Central portion of placenta disc missing

A

Placenta fenestrata

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39
Q

Fibrin and old hemorrhage in between placenta and amniochorion

A

Circummarginate placenta

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40
Q

Peripheral chorion is thick and grey white with double fold of chorion and amnion

A

Circumvallate placenta

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41
Q

Umbilical cord length

A

40-70cm

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42
Q

Umbilical cord insertion:

Anchors at placenta, more common

A

Marginal or Battledore placenta

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43
Q

Umbilical cord insertion:

Vessels spread within the membranes at distance from the margin

A

Velamentous

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44
Q

Mgt of vasa previa

A

CS

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45
Q

Umbilical cord insertion:

Central insertion but vessels lose their Wharton Jelly

A

Furcate

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46
Q

Fundic height measured when?

A

20-34 weeks

Williams

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47
Q

Puerperium

A

4-6 weeks postpartum

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48
Q

Uterus descent to true pelvis

A

2nd week postpartum

300grams

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49
Q

Uterus to prepregnancy size

A

4th week postpartum

100grams

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50
Q

Lochia serosa

Day??

A

3-4days postpartum

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51
Q

Lochia alba

Days??

A

10th day postpartum

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52
Q

Retardation of involution of uterus

A

Subinvolution/ uterine atony

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53
Q

Subinvolution mgt?

A

Methyelrgonovine

Antibiotics if with metritis

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54
Q

Extrusion of placental site

A

6 weeks

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55
Q

Return to normal of dilated ureters

A

2-8 weeks

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56
Q

Blood volume return to prepregnant levels

A

1 week postpartum

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57
Q

Prepregnancy weight achieved by?

A

6 months

58
Q

Rooming in and breastfeeding law

A

RA 7600

59
Q

Fundic height measured when?

A

20-34 weeks

Williams

60
Q

Puerperium

A

4-6 weeks postpartum

61
Q

Uterus descent to true pelvis

A

2nd week postpartum

300grams

62
Q

Uterus to prepregnancy size

A

4th week postpartum

100grams

63
Q

Lochia serosa

Day??

A

3-4days postpartum

64
Q

Lochia alba

Days??

A

10th day postpartum

65
Q

Retardation of involution of uterus

A

Subinvolution/ uterine atony

66
Q

Subinvolution mgt?

A

Methyelrgonovine

Antibiotics if with metritis

67
Q

Extrusion of placental site

A

6 weeks

68
Q

Return to normal of dilated ureters

A

2-8 weeks

69
Q

Blood volume return to prepregnant levels

A

1 week postpartum

70
Q

Prepregnancy weight achieved by?

A

6 months

71
Q

Rooming in and breastfeeding law

A

RA 7600

72
Q

Fundic height measured when?

A

20-34 weeks

Williams

73
Q

Puerperium

A

4-6 weeks postpartum

74
Q

Uterus descent to true pelvis

A

2nd week postpartum

300grams

75
Q

Uterus to prepregnancy size

A

4th week postpartum

100grams

76
Q

Lochia serosa

Day??

A

3-4days postpartum

77
Q

Lochia alba

Days??

A

10th day postpartum

78
Q

Retardation of involution of uterus

A

Subinvolution/ uterine atony

79
Q

Subinvolution mgt?

A

Methyelrgonovine

Antibiotics if with metritis

80
Q

Extrusion of placental site

A

6 weeks

81
Q

Return to normal of dilated ureters

A

2-8 weeks

82
Q

Blood volume return to prepregnant levels

A

1 week postpartum

83
Q

Prepregnancy weight achieved by?

A

6 months

84
Q

Rooming in and breastfeeding law

A

RA 7600

85
Q

CBC during prenatal consult?

A

First visit

24-28 weeks

86
Q

OGTT during prenatal consult?

A

Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week

87
Q

Gonococcal or chlamydia culture?

A

29-41 weeks

88
Q

CBC during prenatal consult?

A

First visit

24-28 weeks

89
Q

OGTT during prenatal consult?

A

Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week

90
Q

Gonococcal or chlamydia culture?

A

29-41 weeks

91
Q

CBC during prenatal consult?

A

First visit

24-28 weeks

92
Q

OGTT during prenatal consult?

A

Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week

93
Q

Gonococcal or chlamydia culture?

A

29-41 weeks

94
Q

CBC during prenatal consult?

A

First visit

24-28 weeks

95
Q

OGTT during prenatal consult?

A

Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week

96
Q

Gonococcal or chlamydia culture?

A

29-41 weeks

97
Q

What drug should be avoided in diabetics during labor

A

Beta agonist

Can cause sever insukin resistance and glucose intolerance

98
Q

Dx of hypothyroidism in pregnancy

A

TSH >10mIU/L

99
Q

Tx of hypothy

A

Levithyroxine

Regardless of FT4

100
Q

Complications with subclinical hypothy

A

Miscarriage
Placental abruption
Preterm delivery
Dec IQ at age 7-8

101
Q

Comolications of TPO+

A

Spontaneous miscarriage
Recurrent miscarriage
Preterm delivery

102
Q

Dx of hyperthyroidism

A

TSH

103
Q

Hyperthyroidsm tx 1st trim

A

PTU

104
Q

Hyperthyroidism tx after first trimester

A

Methimazole

105
Q

Sertoli cells develop

A

6-7 weeks

106
Q

Leydig cell formation

A

8-9 weeks

107
Q

Testosterone established

A

9 weeks

108
Q

Primordial follicle seen

A

11-12 weeks

109
Q

Primordial follicle max devt

A

20-25 weeks

110
Q

External genitalia comes from?

A

Anlagen

111
Q

Abortion:
Bleeding
Closed os

A

Threatened ab

112
Q

Highest risk for ectopic pregnancy

A

Tubal corrective surgery

113
Q

Epithelial layer absent in FT

A

Submucosa

114
Q

Signs and symptoms of ectopic pregnancy

A

Pain
Amenorrhea with some vaginal spotting
Pelvic tenderness

115
Q

BHCG for ectopic pregnancy

A

> 1500

116
Q

Indication for methotrexate use in ectopic pregnancy

A
117
Q

MC cause of PPH

A

Uterine atony

118
Q

Alternative drug in PPH if patient is refractory to oxytocib

A

Carboptost IM

119
Q

Definitive tx for uterine rupture

A

Abdominal delivery

120
Q

Most important risk factor for puerperal infection

A

Route of delivery

121
Q

Gold std for pelvic infections post CS

A

Clindamycin+Gentamicin

122
Q

Single most powerful predictor of preterm birth

A

TVS at 22-25 weeks

Cervix shortening

123
Q

Antidote for MgSO4 toxicity

A

Calcium gluconate

124
Q

Anti hypertensive with tocolytic effects DOC

A

Nifedipine

125
Q

DOC during preterm labor

A

Ampicillin and Gentamicin

126
Q

Corticosteroids to be given during what time?

A

24-34 weeks AOG

127
Q

Risk factor for HTN

A

primiparity

128
Q

Mode of delivery in severe pre ec at

34 week

A

Vaginal delivery

CS

129
Q

Therapeutic level of MgSO4

A

4-7 mEq/L

130
Q

MgSO4 levels

Patellar reflex disappears?
Respiratory depression?
Cardiac arrest?

A

Patellar reflex disappears 8-10
Respiratory depression 12-15
Cardiac arrest 24

131
Q

Anti HTN DOC

A

Hydralazine

132
Q

DOC for chronic hypertension

A

methyldopa

133
Q

SE of hydralazine

A

Neonatal thrombocytopenia

134
Q

Timing of delivery of eclampsia

A

34 weeks

135
Q

Anesthesia type in preggy with asthma

A

Epidural anesthesia

136
Q

Heart disease in congenital rubella

A

PDA

Pulmonary artery stenosis

137
Q

Time when VarIG is to be given to babies

A

Mothers w/ varicella 5 days before and two days after delivery

138
Q

MC perinatal infection

A

CMV

139
Q

First line for GBS prophylaxis

A

Penicillin G

140
Q

Neonatal tx for GBS

A

Ampicillin

141
Q

Malaria prophylaxis in pregnancy

A

Chloroquine

142
Q

Only prophylaxis for chloroquine resistant p falciparum

A

Mefloquine

143
Q

Triple ARV therapy in HIV

A

Tenofovir, efavirenz, lamivudine

OB-Gyne (4 decks)

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