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Shelf Exams > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

Down syndrome + UMN findings

A

AA instability

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2
Q

Definition of urinary retention

A

Post-catheter void over 150 mL

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3
Q

Fluoroquinolones in pregnancy

A

QT prolongation

Tendon problems

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4
Q

Avoid Bactrim when?

A

1st and 3rd trimesters

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5
Q

Treatment options for asymptomatic bacturia or UTI or cystitis

A

Macrobid
Amoxicillin
Augmentin
Fosfomycin

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6
Q

Treatment for pyelo in pregnancy

A

Hospitalize, IV abx, then oral abx for 10-14 days after 24 hrs of no fever

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7
Q

Dx and Tx options for stones in pregnancy

A

Dx - U/S

Tx - conservative, uteroscopy, nephrostomy

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8
Q

Pregnancy + unresponsive fever w/ no apparent cause + pain in pelvis

A

Septic pelvic thrombophlebitis

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9
Q

How to manage shoulder dystocia

A

BE CALM

Be calm
Elevate legs into McRoberts
Call help
Apply suprapubic pressure
Larger vaginal opening
Maneuvers
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10
Q

Goals in gestational DM

A

Fasting under 95
1 hr under 140
2 hrs under 120

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11
Q

Tx options in gestational DM

A
  1. Dietary mod.

2. INSULIN or glyburide/metformin

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12
Q

When are tocolytics contraindicated?

When is magnesium contraindicated?

A

34 weeks

32 weeks

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13
Q

See Pre-eclampsia workup

A

?

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14
Q

When is vaginal delivery of dead baby the only option?

A

24+ weeks

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15
Q

Progression of abortion types

A 
Threatened - alive, bleeding
Missed - closed
Inevitable - dilated
Incomplete - partial out
Complete - all out, closed
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16
Q

Placenta previa vs. vasa previa - whose blood? Is baby ok?

A

PP - mom blood, baby ok

VP - baby blood, baby in trouble

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17
Q

1st trimester, severe vomiting, AMS, ocular dysfunction, ataxia

Tx?

A

Thiamine deficiency

Thiamine, then glucose

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18
Q

Symmetric SGA - when? Causes?

A

1st trimester

Chromosomal, infection

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19
Q

Asymmetric SGA - when? Causes?

A

T2 or T3

Vascular or malnutrition

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20
Q

Eclampsia - tx?

A

DELIVER

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21
Q

High fetal fibronectin…when normal?

When a problem?

Signifies what?

A

T1 and term

T2 or T3 before term

Pre-term risk

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22
Q

Painless bleeding in pregnancy…causes?

A

PP, VP, SAB

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23
Q

Uterus in molar pregnancy

A

LGA

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24
Q

T3, HTN, elevated liver enzymes, anemia

A

HELLP

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25
Q

T3, elevated liver enzymes, N/V, jaundice, normotensive, leukocytosis, hypoglycemia, elevated creatinine

A

Acute fatty liver of pregnancy

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26
Q

Pregnancy, fever, tachycardia (mom or baby), uterine tenderness

A

Chorio

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27
Q

When does vasa previa bleeding present?

A

After ROM

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28
Q

Respiration in pregnancy

A

Increased (progesterone stimulates primary respiratory center)

29
Q

BP in pregnancy

A

Decreased (progesterone causes smooth muscle relaxation)

30
Q

H/H in pregnancy

A

Decreased (increased plasma volume)

31
Q

Creatinine in pregnancy

A

Decreased (increased RBF, etc.)

32
Q

Pregnant in hospital - Hypotension, bradycardia, respiratory depression

A

Total spinal anesthesia gone wrong

33
Q

Woman w/ short cervix - how to prevent pre-term birth

A

Topical progesterone

34
Q

Woman w/ prior pre-term birth - how to prevent repeat?

A

IM progesterone

35
Q

When to deliver Pre-E in severe vs. not severe

What else to do?

A

Severe - 34 weeks
Not severe - 37 weeks

Anti-HTN + Mg

36
Q

Endometriosis Tx options

A
  1. NSAIDs or OCPs or Mirena

2. TAH w/ BSO

37
Q

Hypoplastic thoracic cavity, fetal demise

A

Osteogenesis imperfect type 2

38
Q

Red discharge 1-2 days after delivery, composed of blood, fetal membranes, decidua, etc.

A

Lochia rubra

39
Q

Brown or pink discharge 3-10 days after delivery, composed of RBCs, WBCs, cervical mucus, BACTERIA

A

Lochia serosa

40
Q

Yellow-white discharge 2-6 weeks after delivery

A

Lochia alba

41
Q

Prior surgical contraindications for vaginal birth

A

Vertical C/S

Myomectomy w/ cavity entry

42
Q

Complete active phase arrest for 4+ hrs…tx?

A

C/S

43
Q

Slowed active phase…tx?

A

Oxytocin

44
Q

Pre-eclampsia under 20 weeks

A

Molar pregnancy

45
Q

Pregnancy…when to give flu vaccine?

A

Every pregnancy ASAP

46
Q

When to do DM screening in pregnancy?

A

24-28 wks unless high risk

47
Q

When to do G/C screening in pregnancy?

A

High risk only - under 25, new partners, history of it

48
Q

When to do Hep C screening in pregnancy?

A

High risk only

49
Q

Risk of Mg toxicity when?

Tx?

A

Renal insufficiency

Calcium gluconate

50
Q

What does Mg do in premies?

A

Decreases CP risk

51
Q

Labor induction/supplementation –> tonic-clonic seizures, H/A, abd pain, lethargy

Lab finding?

A

Oxytocin OD (similar to ADH –> free water retention)

Hyponatremia

52
Q

Normal AFI finding

A

5+ or 1 pocket 2x1

53
Q

Normal body movement finding

A

3+ movements

54
Q

Normal flexion/extension finding

A

1+ movement

55
Q

Normal breathing finding

A

1+ breathing for 30+ sec

56
Q

CI’s to breast feeding

A 
Rec Drugs
HIV
Chemo/Rad
Active herpes on breast
Acute varicella
Acute TB
57
Q

1º treatment for gestational HTN

How to choose?

A

Labetalol or Hydralazine

No labetalol in bradycardia or hypotension (beta and alpha blocker)

58
Q

2º treatment option for gestational HTN

A

Nifedipine (oral, not in emesis)

59
Q

When is methyldopa used?

A

Chronic HTN in pregnancy

60
Q

When is Loop used in pregnancy?

A

Pulmonary edema

61
Q

Risk factors for post-partum bladder atony (6)

A 
Nullip
C/S
Instrumental delivery
Prolonged labor
Regional analgesia
Perineal injury
62
Q

Risks in poor pregnancy weight gain (3)

A

Pre-term delivery
Fetal growth restriction
Polycythemia

63
Q

2 functions of abx after PPROM

A
  1. Reduce infxn risk

2. Delay labor

64
Q

3 risks for HG

A
  1. History
  2. Mole
  3. Multiple gestations
65
Q

Lab findings in HG (K, H, Cl, Glc, H/H, urine)

A 
Low K, high H+ (shift)
Low Cl (vomiting)
Low glc (malnutrition)
High H/H (low volume)
Ketonuria (malnutrition)
66
Q

Variable decels - definition

A

15+ HR drop for 15-120 seconds

67
Q

Abnormal tri screen in T1…what next?

When to do quad screen?

A

CVS (11) or amnio (18)

NEVER (no need)

68
Q

AFP, B-hCG, Est, Inhib A…

Low, low, low normal

Low, high, low, high

A

Edwards

Downs

69
Q

Adverse effects of oxytocin

A

Hyponatremia
HYPOtension
Uterine tachysystole

Shelf Exams (2 decks)

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