OB/GYN Flashcards
age to do endometrial biopsy for intermenstrual bleeding
at least 35 yo
when to do C section w/o trial of labor for size
4500 g if DM
5000 g if no DM
vacuum assisted delivery increases risk of
cephalohematoma
retinal hemorrhage
shoulder dystocia
cause of bilateral nipple pain in breastfeeding woman during and between
candida
Tx of PCOS for ovulation induction
metformin and clomiphene +/- rosiglitazone
prevention of seizures in eclampsia patient
magnesium sulfate
Tx of nausea vomiting in pregnant
doxylamine (Unisom) and Vit B6
tx of intrahepatic cholestasis of pregnancy
ursodiol
sxs of intrahepatic cholestasis of pregnancy
pruritus incr bile acids incr bili incrAST incr ALT
pruritus incr bile acids incr bili incrAST incr ALT
intrahepatic cholestasis of pregnancy
age for primary amenorrhea
15
definition of secondary amenorrhea
no menses at least 3 times
mgmt of heavy menstrual bleeding
30 D+C
1st line for vaginal atrophy
vaginal estrogen
workup of primary amenorrhea
pelvic US
workup of secondary amenorrhea
TSH, LH, FSH
when to tx gestational DM
fasting glucose >100
NL / high LH and decr FSH
PCOS
placental abruption vs placenta previa
abruption: painful bleeding
previa: painless bleeding
young female w/ abnormal uterine bleeding, tx
cyclic progestin (levonorgestrel IUD)
tx for PMS
spironolactone during the luteal phase
pt found to have HSIL… in what patients can tx be deferred
adolescents
DVT during pregnancy. What to do after delivery?
continue for 6 wks with warfarin or LMWH
Tx hirsutism from PCOS
spironolactone
metformin
eflornithine
when to screen for gestational diabetes (gestational weeks)
24-28 wks
what gestational age do you use crown rump length vs biparietal diameter, femur length, etc
CRL for 11 wks
defn of postpartum urinary retention
post void bladder residual > 150 cc 6 hrs or more after delivery
management of postpartum urinary retention
intermittent self cath or transurethral catheter until spontaneous micturition
intrahepatic cholestasis of pregnancy involves elevation of
bile acids
itchy during 3rd trimester
intrahepatic cholestasis of pregnancy
best med management for antiphospholipid antibody syndrome
ASA and heparin
management of…
HPV + for 16 or 18
HPV + for not 16 or 18
HPV + for 16 or 18: immediate colposcopy
HPV + for not 16 or 18: repeat in 1 yr, if + again, do colposcopy
pap result most likely cancerous
AGC-NOS - atypical glandular cells not otherwise specified
definition of preeclampsia
HTN > 140/90 after 20 WGA
and
300 mg protein in 24 hr urine
management of HELLP syndrome
IOL with oxytocin if cervix favorable
C section if cervix unfavorable
epidurals associated w/ increased…
duration 2nd stage of labor
rate of instrument assisted deliveries
maternal fever
management of baby of HepB pos mother
vacc + IVIG w/in 12 hrs of birth
2nd vacc @ 1-2 mos
3rd vacc @ 6 mos
CI to IUD
high risk of STD (>1 sexual partner)
when can you just monitor ovarian cysts
when
absolute CI to estrogen replacement therapy
h/o breast CA
abnormal genital bleeding
thromboembolic d/o
