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ER EOR > OB/GYN > Flashcards

OB/GYN Flashcards

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1
Q

primary amenorrhea

A

no menses by 13 + absence of secondary characteristics

or no menses by 15 even if secondary characteristics are present

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2
Q

secondary amenorrhea

A

3 mos if regular cycles
6 mos if irregular cycles

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3
Q

MCC secondary amenorrhea

A

pregnancy

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4
Q

MC location of ectopic pregnancy

A

ampulla of the fallopian tube

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5
Q

sx ectopic pregnancy

A

unilateral pelvic pain + vaginal bleeding + amenorrhea

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6
Q

beta hCG in ectopic pregnancy

A

decreased

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7
Q

strongest risk factor for ectopic

A

prior ectopic

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8
Q

tx ectopic

A

stable - methotrexate + follow up with serial b HCG

unstable - laparoscopic salpingostomy

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9
Q

sx endometriosis

A

dyspareunia
dyschezia
dysmenorrhea

cyclic pelvic pain 1-2 days before menses onset

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10
Q

PE endometriosis

A

uterus is fixed and retroflexed

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11
Q

dx endometriosis

A

laparoscopy + biopsy = gold standard

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12
Q

tx endometriosis

A

surgical resection
NSAIDs, OCPs

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13
Q

good NST test

A

2 accerations in 20 min + increase in HR by 15 BPM for at least 15 seconds

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14
Q

APGAR

A

appearance
pulse
grimace
activity
respirations

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15
Q

tx PID

A

IM Cef (one time) + doxy BID x 14 days

can add flagyl BID x 14 days

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16
Q

when does placenta abruption occur

A

after 20 weeks

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17
Q

sx placenta abruption

A

PAINFUL uterine bleeding
tender rigid pelvis

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18
Q

should you perform a pelvic exam in placenta abruption

A

NO

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19
Q

tx placenta abruption

A

delivery for everyone if greater than/equal to 36 weeks

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20
Q

what is placenta previa

A

placenta covers all/part of the os

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21
Q

should you perform a pelvic exam for placenta previa

A

NO

22
Q

sx placenta previa

A

painless vaginal bleeding

23
Q

premature rupture of membranes

A

> /= 37 weeks

can lead to chorioamnionitis/endometritis

24
Q

sx PROM

A

gush of clear fluid

25
Q

dx PROM

A

sterile speculum exam - pooling of secretions
nitrazine paper test - turns blue if pH > 6.5
FERN test

26
Q

GPTPAL

A

G - # times pregnant
P - # times given birth
T - term berms after 37 weeks
P - premature births
A - abortions < 20 weeks
L - living children

27
Q

MCC mastitis

A

staph aureus

28
Q

tx mastitis

A

continue breastfeeding on affected side
dicloxacilin, cephalosporin, erythromycin, clindamycin

29
Q

tx breast abscess

A

don’t breastfeed on affected side
Antibiotics and ultrasound-guided needle aspiration

30
Q

MC ovarian cyst

A

follicular

31
Q

tx ovarian cyst

A

> 5 cm –> laparoscopy

32
Q

what is the only abortion that is potentially viable

A

threatened

33
Q

MCC abortion

A

chromosomal abnormalities

34
Q

characteristics of BV

A

gray/white discharge
pH > 4.5
> 20% clue cells

35
Q

tx BV

A

metro or clinda

36
Q

characteristics of trich

A

yellow-green discharge
pH > 4.5
strawberry cervix
mobile protozoan

37
Q

tx trich

A

metronidazole 500 mg orally twice daily for 7 days

38
Q

sx ovarian torsion

A

acute onset of unilateral pelvic pain often accompanied by nausea and vomiting

They may relate previous episodes of similar pain due to intermittent torsion

39
Q

dx ovarian torsion

A

pelvic US - ovarian enlargement due to venous and lymphatic engorgement

40
Q

what is warranted for all cases of confirmed or suspected ovarian torsion

A

gyn consult

41
Q

tx abnormal uterine bleeding

A

acute hemorrhage - IV estrogen
later - COC

42
Q

definition of postpartum hemorrhage

A

Cumulative blood loss > 1,000 mL OR
Bleeding associated with signs or symptoms of
hypovolemia within 24 hours of delivery regardless of route

43
Q

Anti-D immune globulin must be administered within

A

72 hours

44
Q

What is the most accepted hCG discriminatory zone for visualizing a gestational sac on transvaginal ultrasound?

A

1,500 IU/L.

45
Q

What is the most common risk factor of placenta previa?

A

Multiparity

46
Q

beta-human chorionic gonadotropin (hCG) levels hydatiform mole

A

significantly above expected levels for gestational age

47
Q

What are the most common sites of metastasis for gestational trophoblastic neoplasms?

A

Vagina and lungs

48
Q

tx endometritis

A

inpatient empiric antibiotics are clindamycin and gentamicin

49
Q

most common risk factor for the development of placental abruption

A

HTN

50
Q
A

ER EOR (28 decks)

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