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Step 3 > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

tx of N/V in pregnancy that is not hyperemesis gravidarum?

A

lifestyle changes, bland food and small freq meals

vit B6 and doxylamine

diphenhydramine

meclizine

ondansetron

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2
Q

when during pregnancy should triple screen be performed?

A

15-20 weeks

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3
Q

when during pregnancy should screening for gestational diabetes be done?

A

24-28 weeks

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4
Q

when during pregnancy do you give RhoGAM?

A

28 weeks, after delivery, fetomaternal hemorrhage

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5
Q

when do you screen for GBS in pregnancy?

A

35-37 weeks

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6
Q

how do you treat positive syphilis in pregnancy to patient allergic to PCN?

A

PCN G IM after desensitization

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7
Q

teratogen associated with ebstein cardiac anomaly?

A

lithium

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8
Q

teratogen associated with clear cell adenocarcinoma of vagina?

A

diethylstilbestrol

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9
Q

teratogen associated with microcephaly, intellectual disability, smooth philtrum

A

alcohol

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10
Q

teratogen associated with gray baby syndrome

A

chloramphenicol

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11
Q

teratogen associated with phocomelia

A

thalidomide

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12
Q

teratogen associated with craniofacial anomalies, fingernail hypoplasia, developmental delay

A

phenytoin

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13
Q

abx for tx of PID: outpatient and inpatient?

A

outpatient: cef + doxy
inpatient: cef + doxy IV or clinda + gent

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14
Q

increased AFP on second trimester maternal serum screening?

A

neural tube defects, abd wall defects, multiple gestations, incorrect dating

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15
Q

decreased AFP, decreased estriol, increased hCG

A

down syndrome

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16
Q

decreased AFP, decreased estriol, decreased hCG

A

trisomy 18

17
Q

What does fetal heart rate pattern of early deceleration indicate?

A

head compression

18
Q

what does fetal heart rate pattern of variable deceleration indicate?

A

umbilical cord compression

19
Q

what does fetal heart rate pattern of late deceleration indicate?

A

fetal hypoxia

20
Q

what does fetal heart rate pattern of sinusoidal indicate?

A

severe fetal anemia

21
Q

tx of molar pregnancy?

A

suction curettage

serial beta-hcg

22
Q

tx of urge incontinence?

A

lifestyle, antimuscarinic (oxy, tolterodine)

23
Q

tx of intrahepatic cholestasis in pregnancy?

A

ursodeoxycholic acid, early delivery, hydroxyzine

24
Q

Cause of amenorrhea in ballet dancer with eating disorder?

A

functional hypothalamic amenorrhea

25
Q

Cause of amenorrhea with short stature, low set ears, webbed neck?

A

turner syndrome

26
Q

Cause of amenorrhea following dilation and curettage after spontaneous abortion?

A

asherman syndrome

27
Q

Cause of amenorrhea following cyclic pelvic pain + blue buldge at introitus on exam

A

imperforate hymen

28
Q

Cause of amenorrhea with elevated testosterone level and no axillary or pubic hair on exam

A

androgen insensitivity syndrome

29
Q

Cause of amenorrhea with overweight female with acne and hirsutism

A

PCOS

30
Q

Cause of amenorrhea with postpartum patient unable to breastfeed

A

sheehan syndrome

31
Q

Cause of amenorrhea with patient with anosmia

A

Kallmann syndrome

32
Q

Cause of amenorrhea with patient with galactorrhea

A

prolactinoma

33
Q

Cause of amenorrhea with most common cause?

A

pregnancy

34
Q

tx of gardnerella vaginalis and presentation?

A

thin, gray-white fishy odor with clue cells and whiff test

tx: metronidazole, clinda

35
Q

tx of candida vaginal discharge?

A

thick, white, cottage cheese like

tx: oral fluconazole, topical clotrimazole, miconazole, nystatin

36
Q

tx of trich vaginalis

A

frothy yellow/green color

tx: metronidazole

37
Q

tx of endometritis?

A

gent + clinda

38
Q

tx of mastitis?

A

continue breast feeding
dicloxacillin
vanc
I&D for abscess

Step 3 (30 decks)

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