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$$MS3 > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

Causes of ovarian torsion and when does it usually occur?

A

Ovarian cyst

14 weeks or right after delivery

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2
Q

Dx of placenta abruption?

A

clinical

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3
Q

How long does corpus luteum produce progesterone during gestation?

A

Till 10th to 12th weeks of gestation

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4
Q

What are category III fetal heart abnormality?

A

Recurrent late and variable deceleration
Bradycardia
Sinusoidal pattern

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5
Q

What symp would you see if a pt has pregnancy associated fatty liver disease?

A

Hypoglycemia

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6
Q

What are the complication of intrahepatic cholistasis in pregnancy, PUPP and herpes gestationis

A

fetal preterm/demise for ICP
and none for PUPP
Neonate might get skin lesion from herpes gestationis

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7
Q

What respiratory symp would you see with HELLP syndrome (aka severe preeclampsia)? and tx?

A

Pul edema

100% O2

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8
Q

What is Posterior Reversible encephalopathy syndrome and how to tx it?

A

Headache/encephalopathy/seizure/visual problems

Tx: antiHTN. anti seizure and ICU

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9
Q

Pt who has chronic HTN now develops proteinuria, what is it?

A

Superimposed preeclampsia

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10
Q

Protein/Cr ratio in preeclampsia pt

A

> or = 0.3

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11
Q

Pathophysiology of preeclampsia

A

Vasospasm and leaky vessels

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12
Q

When does preeclampsia pt start to have HTN? and what drug should be avoided postpartum for these pts?

A

after 20 weeks GA so does gestational HTN

NSAIDS—>might increase BP

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13
Q

What is the one complication of severe preeclampsia that necessitate delivery?

A

DIC

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14
Q

See severe preeclampsia, aka HELLP, do?

A

Meg sulfate and deliver

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15
Q

MC cause of death in woman with eclampsia

A

Intracerebral hemorrhage

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16
Q

What to do with pt with mild preeclampsia at preterm and term?

A

Preterm —>expectant management

Term —>deliver

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17
Q

What symp indicate preterm delivery with severe preeclampsia?

A

Pul edema and DIC

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18
Q

What test is used to monitor prego with chronic HTN?

A

Biophysical profile

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19
Q

First sign of Meg sulfate toxicity?

A

Hyporeflexia

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20
Q

What test can you do to dx preterm labor, and what drugs to give to the mother

A

Fibronectin assay

Terbutaline, IV steroid and Meg Sulfate (prevent cerebral palsy)

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21
Q

What are tocolytics?

A

Drugs that suppress preterm labor

like beta 2 agonist like terbutaline or indomethacin and nifedipine

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22
Q

What anatomical features indicate high risk for preterm labor?

A

Short cervix or funneling

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23
Q

Which infxn is strongly associated with preterm delivery

A

Gonococcal cervicitis

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24
Q

Tocolytics would increase what post delivery?

A

Hemorrhage, since the uterus can’t contract, thus it is contraindicated in placenta abruption

25
Q

What does PPROM and what are the fetal symptoms? How do you dx it?

A

Chorioaminoitis
Fetal tachycardia
Gram stain via amniocentesis

26
Q

What should be give to pt with PPROM

A

Antibiotics

27
Q

What organism causes chorioaminoitis without PPROM?

A

Listeria

28
Q

What is the fetal sign of parvovirus infection?

A

Fetal hydrops–polyhydramnios

29
Q

What is the indication of severe fetal anemia on FHR?

A

Sinusoidal pattern

30
Q

What would you see on MCA Doppler with fetal anemia?

A

Increase flow

31
Q

Common causes of polyhydramnios ?

A

Fetal duodenal atresia

Isoimmunization

32
Q

When to deliver via C action vs vaginal for HIV or? And should the mother breast feed?

A

Viral load under 1000—vaginal
Viral load over 1000—c section (before ROM)
No breast feed

33
Q

What to give fetus once delivered with mother having hep B?

A

Hep B Ig and vaccination

34
Q

Tx for chlamydia infection during pregnancy?

A

PO azithromycin or amoxicillin

35
Q

Does c section effect transmission of hep C?

A

Nah

36
Q

Tx for hyperthyroidism during pregnancy

A

PTU in first trimester and then switch to methimazole

37
Q

What happens to the thyroid level during pregnancy?

A

Increase thyroid binding globulin and total T4

38
Q

What study helps to dx IUGR? And what finding on the study is worrisome?

A

Umbilical artery Doppler

Reverse end diastolic flow

39
Q

What can pyelonephritis cause in pregnant women?

A

Preterm labor or ARDS

40
Q

Pt presents with fever after c section, MC cause? And MC bacteria?

A

Endomyometritis

Anaerobic

41
Q

What would you give the pt before c section?

A

PPX abx

42
Q

Mastitis pt with persistent fever after 48 hours of abx

A

Abscess

43
Q

Tender mass in afebrile postpartum woman

A

Galactocele

44
Q

What hormones cause insulin resistance during pregnancy?

A

hPL
Progesterone
Cortisol

45
Q

What changes happens to CO, tidal volume and acid base during pregnancy?

A

Increased CO and tidal volume

Respiratory alkalosis

46
Q

When should pregnant mothers receive TdaP vaccine?

A

At 28-36 weeks regardless of prior vaccination

47
Q

How often do you do cervical cytology on HIV pt?

A

Every year

48
Q

Pathology of amenorrhea of athletes

A

Hypothalamic dysfunction—>low estrogen

49
Q

Pyelonephritis after hysterectomy, what is it and how to dx?

A

Urethral injury

CT

50
Q

MC site for ureteral injury

A

Cardinal ligament

51
Q

What to give before pt undergoes hysterectomy

A

First gen cephalosporin

52
Q

Continuous blood tinged drainage from incision site, diagnosis? And what if bowel protrude through it?

A

Fascial disruption

Evisceration

53
Q

Dx and risk factors of PID?

A

Laparoscopy

Nulliparity/IUD

54
Q

What’s the more common cause of mucopurulent cervical discharge, chlamydia or gonnorrhea?

A

Chlamydia

55
Q

Period pain following menarche

A

Primary dysmenorrhea

Too much prostaglandins

56
Q

What’s behind the groove sign?

A

LGV

57
Q

What drug to give pt before fibroid surgery?

A

GnRH agonist like leuprolide

58
Q

What level of B-hCG would you start see anything on u/s?

A

1500-2000

$$MS3 (8 decks)

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