OB/GYN Flashcards
tx of N/V in pregnancy that is not hyperemesis gravidarum?
lifestyle changes, bland food and small freq meals
vit B6 and doxylamine
diphenhydramine
meclizine
ondansetron
when during pregnancy should triple screen be performed?
15-20 weeks
when during pregnancy should screening for gestational diabetes be done?
24-28 weeks
when during pregnancy do you give RhoGAM?
28 weeks, after delivery, fetomaternal hemorrhage
when do you screen for GBS in pregnancy?
35-37 weeks
how do you treat positive syphilis in pregnancy to patient allergic to PCN?
PCN G IM after desensitization
teratogen associated with ebstein cardiac anomaly?
lithium
teratogen associated with clear cell adenocarcinoma of vagina?
diethylstilbestrol
teratogen associated with microcephaly, intellectual disability, smooth philtrum
alcohol
teratogen associated with gray baby syndrome
chloramphenicol
teratogen associated with phocomelia
thalidomide
teratogen associated with craniofacial anomalies, fingernail hypoplasia, developmental delay
phenytoin
abx for tx of PID: outpatient and inpatient?
outpatient: cef + doxy
inpatient: cef + doxy IV or clinda + gent
increased AFP on second trimester maternal serum screening?
neural tube defects, abd wall defects, multiple gestations, incorrect dating
decreased AFP, decreased estriol, increased hCG
down syndrome
decreased AFP, decreased estriol, decreased hCG
trisomy 18
What does fetal heart rate pattern of early deceleration indicate?
head compression
what does fetal heart rate pattern of variable deceleration indicate?
umbilical cord compression
what does fetal heart rate pattern of late deceleration indicate?
fetal hypoxia
what does fetal heart rate pattern of sinusoidal indicate?
severe fetal anemia
tx of molar pregnancy?
suction curettage
serial beta-hcg
tx of urge incontinence?
lifestyle, antimuscarinic (oxy, tolterodine)
tx of intrahepatic cholestasis in pregnancy?
ursodeoxycholic acid, early delivery, hydroxyzine
Cause of amenorrhea in ballet dancer with eating disorder?
functional hypothalamic amenorrhea
Cause of amenorrhea with short stature, low set ears, webbed neck?
turner syndrome
Cause of amenorrhea following dilation and curettage after spontaneous abortion?
asherman syndrome
Cause of amenorrhea following cyclic pelvic pain + blue buldge at introitus on exam
imperforate hymen
Cause of amenorrhea with elevated testosterone level and no axillary or pubic hair on exam
androgen insensitivity syndrome
Cause of amenorrhea with overweight female with acne and hirsutism
PCOS
Cause of amenorrhea with postpartum patient unable to breastfeed
sheehan syndrome
Cause of amenorrhea with patient with anosmia
Kallmann syndrome
Cause of amenorrhea with patient with galactorrhea
prolactinoma
Cause of amenorrhea with most common cause?
pregnancy
tx of gardnerella vaginalis and presentation?
thin, gray-white fishy odor with clue cells and whiff test
tx: metronidazole, clinda
tx of candida vaginal discharge?
thick, white, cottage cheese like
tx: oral fluconazole, topical clotrimazole, miconazole, nystatin
tx of trich vaginalis
frothy yellow/green color
tx: metronidazole
tx of endometritis?
gent + clinda
tx of mastitis?
continue breast feeding
dicloxacillin
vanc
I&D for abscess
