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OB/GYN Shelf Exam > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

Early Decels =

A

Fetal Head Compressions

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2
Q

Variable Decels =

A

Cord Compression

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3
Q

Late Decels =

A

Uteroplacental Insufficiency (hypoxia)

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4
Q

Pathophysiology of Hemorrhage S/P Inverted Uterus

A

Inverted uterus leads to inability for an adequate myometrial contraction effect –> myometrial fibers do not exert their normal tourniquet effect on the spiral arteries

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5
Q

Most common reason for hemorrhage in inverted uterus =

A

uterine atony

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6
Q

Atypical glandular cells =

A

cervical or endometrial adenocarcinoma

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7
Q

Patient with ppx hemorrhage, prolonged bleeding time, normal coag studies…

A

vWF

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8
Q

Pathophysiology of vWF

A

vWF assists in platelet adhesion and aggregation, acts as a carrier protein for factor 8

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9
Q

vaginal bleeding + lower abdominal pain + adnexal tenderness

A

ectopic pregnancy

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10
Q

_____ can cause hyponatremia and subsequent seizures.

A

Oxytocin

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11
Q

`Dx test for hyperemesis gravisdum

A

U/A for ketones

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12
Q

S/E of preeclampsia for newborn

A

small for gestational age

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13
Q

FHR = tachycardia is most likely due to…

A

maternal fever

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14
Q

Boggy uterus + symmetrically enlarged + long, heavy periods + >40

A

Adenomyosis

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15
Q

Heavy, long periods + pelvic pain + age b/w 25-35 =

A

Endometriosis

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16
Q

Major R/F for placenta previa

A

Hx of C/S

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17
Q

Active phase arrest is defined as:

A

no cervical change in > 4 hours with adequate contractions OR no change in 6 hours with inadequate contractions; managed with c/s

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18
Q

Mothers with O+ blood are at high risk for…

A

ABO incompatibility; neonates will have mild jaundice

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19
Q

Sheehan Syndrome

A

complication of massive obstetrical hemorrhage, results = amenorrhea, lactational failure, persistent hypotension

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20
Q

Anovulatory cycles in adolescents are…

A

characterized by heavy, irregular menstrual bleeding due to an immature HP axis; can stabilize with progesterone therapy

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21
Q

Thinning of vulvar skin + narrowing of vaginal introitus + loss of natural lubrication + clitoral shrinkage =

A

atrophic vaginitis

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22
Q

Green, frothy, malodorous d/c

A

Trich

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23
Q

secondary amenorrhea + elevated FSH + younger than 40 =

A

primary ovarian insufficiency

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24
Q

TX for stress urinary incontinence

A
  1. Pelvic floor muscle exercises (Kegels)
  2. Lifestyle modifications (weight loss)
  3. Continence pessary
  4. Midurethral sling procedure
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25
Q

Contraindication for mag sulfate…

A

Renal Insufficiency (dx: creatinine)

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26
Q

Mag sulfate is used for (2):

A
  1. prevention of eclamptic seizures

2. fetal neuroprotection against CP

27
Q

Tx for mag toxicity =

A

calcium gluconate

28
Q

Charcot’s Triad for acute cholangitis

A

fever + RUQ + jaundice

29
Q

abdominal pain + bleeding + loss of fetal station =

A

uterine rupture

30
Q

Pathophys for epithelial ovarian carcinoma:

A

abnormal proliferation of tubal epithelium

31
Q

TSS Sx (3)

A

fever
hypotension
diffuse red macular rash

32
Q

shallow ulcers + mild lymphadenopathy

A

HSV

33
Q

Pregnant patient with fever, N/V, R-sided abdominal pain =

A

acute appy

34
Q

Fever + any evidence of PROM =

A

chorioamnionitis

35
Q

Tx for intra-amniotic infections

A

broad spectrum IV abx

expedited delivery

36
Q

Tx for HPV warts

A

podophyllin
trichloroacetic acid
imiquimod

37
Q

Patients with PID and unstable VS should…

A

be admitted and given 1) cefotetan/cefoxitin and 2) doxycycline

38
Q

Tx regimen for preventing preterm labor

A
  1. progesterone (maintain uterine quiescence)

2. cerclage

39
Q

Pathophys for uterine fibroids

A

Proliferation of smooth muscle cells within the myometrium

40
Q

Postpartum endometritis tx

A

clindamycin + gentamycin

41
Q

Women with mullerian agenesis should be screened with…

A

renal u/s

42
Q

Patients with new onset Afib w/ RVR and PMH of sore throat…

A

Rheumatic Fever, Mitral Stenosis

43
Q

Workup for secondary amenorrhea

A
  1. b-hcg

2. prolactin, fsh, testosterone, tsh

44
Q

The elevated ______ during pregnancy stimulates the respiratory centers in the brain to cause increased _____ _____, increased minute ventilation, increased _____, and a physiological chronic compensated ______ _______.

A

progesterone
tidal volume
PaO2
respiratory alkalosis

45
Q

Uterus adherent to the right with tenderness on mobilization…

A

endometriosis

46
Q

Early signs of primary metabolic alkalosis…

A

hyperemesis gravidarum

47
Q

Best contraception for patient with breast cancer…

A

copper IUD

48
Q

Retrosternal crunching sound…

A

esophageal perforation

49
Q

Greatest risk for placental abruption…

A

DIC

50
Q

Most common cause of active labor delay…

A

cephalopelvic disproportion

51
Q

45 X

A

Turner Syndrome

52
Q

46 XX

A

Muellerian agenesis

53
Q

46 XY

A

Androgen insensitivity (genotypically male, phenotypically female)

54
Q

47 XXY

A

Klinefelter Syndrome

55
Q

47 XYY

A

Angry Man Syndrome

56
Q

Risk for babies born to moms with preeclampsia…

A

fetal growth restriction

57
Q

Klumpke Palsy

A

“claw hand”

Horner syndrome

58
Q

Contraindications to external cephalic version

A

Prior classical c/s
Prior extensive uterine myomectomy
Placenta previa

59
Q

Complete vs. partial mole

A

Complete – no fetal parts; 46 XY (two sperms and broken egg)
Partial – fetal parts; 69 XXY/XXX (two sperms on one egg)

60
Q

Call-Exner bodies

A

Granulosa Cell Tumor

61
Q

Condyloma =

A

koilocytes

62
Q

Turner’s Lab Finding =

A

high FSH

63
Q

Increased 5 alpha reductase =

A

normal presentation + hairy

64
Q

Decreased 5 alpha reductase =

A

no breasts, + hair, 46XY

OB/GYN Shelf Exam (1 decks)

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