OB complications Flashcards

1
Q

A patient presents with loss of patellar reflexes, respiratory depression. This is..

A

magnesium overdose, treat with Calcium gluconate

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2
Q

What are the risks of recurrence of preeclampsia?

A

5-7%

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3
Q

What are the risks of eclampsia in preeclampsia?

A

1-2%

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4
Q

What is the definition of preeclampsia?

A

Proteinuria and BP>140/90

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5
Q

How many cc/kg do you need to produce of urine?

A

0.5 cc/kg

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6
Q

What are the causes of reversible cortical blindness associated with preeclampsia?

A

PRES.

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7
Q

At what age do we not expectantly manage preeclampic patients?

A

34 weeks

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8
Q

What is a potential complication of labetol?

A

Heart block

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9
Q

What’s should a pregnant woman havin recurrent seizures receive?

A

Magnesium 4-6mg

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10
Q

What electrolyte abnormality is

Associated with Mg?

A

Hypocalcemia

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11
Q

What is a complication of preeclampsia

In the liver that must be managed by surgeons?

A

Sucapular hematoma of liver

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12
Q

What is a common mimic of preeclampsia that presents with elevated liver enzymes?

A

Acute fatty liver of pregnancy

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13
Q

A patient who had 2 C sections and previa needs manual extraction of the placenta but it seems to be adhered. This is.. (and how do you treat?)

A

accreta - treat with hysterectomy

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14
Q

How do you differentiate inevitable abortion from incomptent cervix?

A

incompetent cervix involves no uterine contractions = treat with cerclage or ligature at os
inevitable abortion - suction and curretage

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15
Q

A patient presents ith US showing snow storm appearence. This is..

A

molar pregnancy

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16
Q

When do you screen for get

Gestational diabetes?

A

24-28 weeks with glucose tolerance

17
Q

What are the risk factors for preeclampsia?

A

Previous disease, chronic disease, multi fetal pregnancy, extreme age, chronic renal disease, anti phospholipid antibody syndrome, vascular disease

18
Q

What is a therapeutic magnesium level?

A

4-7

19
Q

What are the markers of preeclampsia that needs to be managed non - expectantly?

A

Thrombocytopenia, changing LFTs, eclampsia, persistent CNS symptoms