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krok 2 me OBGYN > ob gyn 5 > Flashcards

ob gyn 5 Flashcards

1
Q

cyctic fibrosis presentation

A

ears: repeated otitis media

respiratory tract: pneumonia /bronchectasis
(s.aureus/psedudomonas auregonosa)

pancreas: pancreatic failure —>malabsorption of vit.K
steatorrhea

ileum: meconium ileus /obstruction ileum-cecum/delayed meconium

genetal tract : infertility

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2
Q

fetal distress indicates….

A

urgent c-section

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3
Q

fetal HR

A

normal: 120-160
bradycardia: less than 110
tachycardia : more than 160

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4
Q

late deceleration due to….

A

usually due to placental insufficiency

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5
Q

early deceleration due to …

A

compression of the head/normal reflex

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6
Q

variable deceleration ?

A

before and after uterine contraction

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7
Q

variable deceleration caused by …

A

umbilical cord compression

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8
Q

safe vaccination during pregnancy

A

influenza ,DTAP

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9
Q

contraindicated vaccination during pregnancy

A

live vaccine

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10
Q

rubella in first trimester

A

abortion

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11
Q

lower abdominal pain+vaginal discharge mostly…

A

endometritis

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12
Q

(+)blomberg sign + lower abdominal rigidity

A

pelvioperitonitis

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13
Q

acute endometritis..

A

usually after labor

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14
Q

acute adnexitis presentation

A

lower right/left quadrant pain
without regidiy

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15
Q

ovarian apoplexy

A

sudden onset of pain
enlargment of appenages

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16
Q

ectopic pregnancy

A

-missed period
-+b hcg pregnancy test
-vaginal bleeding
-left/right lower quadrant pain

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17
Q

antenatal hemorrhage differential…

A

-placenta previa
-placental abruption
-uterine rupture

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18
Q

post partum hemorrhage duo to…

A

uterine atony (absent contraction after birth lead to massive bleeding )

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19
Q

uterine atony risk factors

A

twins/prolonged lapor/high administration of uterotonic agents(oxytocin)

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20
Q

postpartum hemorrhage TX:

A

1st: bimanual massage
2nd:oxytocin+carboprost
3rd:balloon tamponade
4th:hysterectomy

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21
Q

placenta accreta ? tx?

A

-placenta attached to endometrium and myometrium instead of endometrium only
-placenta unable to deliver
-TX:hysterectomy

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22
Q

cause of damaged uterine cervix?

A

forceps delivery—>cervical laceration—>postpartum hemorrhage

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23
Q

herpetic infection comes as…

A

-gingivostomatitis
-genital infection
-herpetic withlow(visicle nearfinger nails)

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24
Q

anthrax route of infection

A

-bioterrorism
-cattles (farmer)

as black eschar

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25
Q

erysipelas TX

A

antibiotics(oxacillin/methicillin)

26
Q

adhesive process in small pelvice

A

laparoscopy

27
Q

posterior pituitary gland hormones…?

A

-oxytocin
-ADH(vasopressin)

28
Q

anterior pituitary hormones…?

A

-growth hormone
-prolactin
-LH
-FSH
ACTH
-TSH

29
Q

less pituitary hormones

A

1)less ACTH —>less cortisol—>low blood pressure ,fatigue

2)less GNRH—>less LH/FSH—>
no menstruation/less estogen–>
atrophy of sexual organs

3)less prolactin—>less milk—>no breast feeding

30
Q

physiological amenorrhea period ?

A

no more than 6 months

31
Q

high prolactin

A

inhibits estrogen—>amenorrhea

32
Q

PCOS symptoms

A

-amenorrhea
-acne
-hirsutism
-obesity
-hyperglycemia
-infertility

33
Q

ectopic pregnancy symptoms

A

pain in R/L LQP
(+) BHCG test
vaginal bleeding
missedperiod

34
Q

size of uterus in pregnancy

A

=weeks of gestation in CM +/- 1,2 cm

35
Q

reverse diastolic component

A

urgent C-section

36
Q

fetal/maternal distress(preeclampsia)

A

urgent delivery

37
Q

preterm new born < 34 weeks

A

give steroids to the mother befor delivery to prevent RDS
,for lung maturation

38
Q

genital herpes infection…
symptoms and diagnosis

A

vesicles
-panfull
-itching
-burning during urination
-swelling/redness

diagnosis: PCR from ruptured vesicles

39
Q

vulvar cancer cause and symptoms?

A

cause:HPV (16,18)

symptoms :ulcer,bleding does not heal by itself

40
Q

primary syphilis

A

painless ulcer

41
Q

papillomavirus

A

benign cauliflower warts

42
Q

breast cyst x-ray

A

low echogenecity
filled with fluid

43
Q

mastitis symptoms

A

fever
swelling
fissure
post partum

44
Q

breast cancer

A

lymph nodes involvement
orang peel
nipple involvement
young adults

45
Q

cancer of adipose tissue of the breast called

A

lipoma

46
Q

connective tissue ligament cancer of the breast called

A

fibrous adenoma

47
Q

fibrous adenoma is…

A

benign tumor of fibrous connective tissue of breast

round mass
mobile
estrogen sensitive
increases during menstruation
decrease during endometrial shedding
no malignant potential
high echogenecity

48
Q

abnormal labor in
first stage and management

A

1) active protraction labor (prolonged dialation time after 6 cm)—>oxytocin indication

2) active arrest labor(stopped dialation after 6cm —-> C-section

49
Q

second stage of labor management (abnormal)_

A

fetal distress
1)if fetal head engaged we use vacuum or forceps—> may cause head trauma (hematoma)

if head not engaged —> c-section

50
Q

3rd stage of labor management(abnormal)

A

placenta accreta —> hysterectomy

51
Q

sensitive test ,specific test for SLE

A

sensitive:antinuclear antibodies -SLE,auto immune diseases (not accurate)
spesific:- accurate for SLE called anti DNA antibodis

52
Q

sensitive test ,specific test for rhematoid arthritis

A

sensitive:-rheumatoid factor
specific:-anti citrullinated anti bodies

53
Q

fetus with (+) AV block –>

A

neonatal lupus

54
Q

(+) anti centromere antibodies –>

A

limited scleroderma(CREST syndrome)

55
Q

CREST syndrom

A

C :- calcinosis of skin
R :-raynaud phenomenon
E :- esophageal dysmotility (dysphagia)
S :- sclerodactyly calcification
T :- telangiectasia

56
Q

SLE serology

A

low circulating complement (c3,c4)
high immunocomplex

57
Q

prostatic cancer

A
  • elderly
  • high prostate specific antigen
  • enlargement (posterior lobes) (hard nodular enlargement )
  • digital rectal exam
  • stony density
58
Q

benign prostatic hyperplasia

A

**- elderly
- high in normal range prostatic specific antigen
- symmetrical enlargement
- weak flow of urine
- drippling of urine (urinary incontinence
- central lobes enlargement

59
Q

chronic congestion prostatitis

A
  • pain with egaculation
  • WBC in urine
60
Q
A

krok 2 me OBGYN (5 decks)

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