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Guidelines > Ob Gyn UWorld > Flashcards

Ob Gyn UWorld Flashcards

1
Q

What is polyhydramnios defined by? Normal limits?

A

AFI less than 5 cm (oligo) and more than 24 cm (poly), single deepest pocket more than 8 cm is defined as polyhydramnios too

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2
Q

First line therapy for patientswith abnormal uterine bleeding?

A

Less than 45 years old, OCPs. If older then endometrial bx, if persistent sx then ednometrial biopsy

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3
Q

Different ovarian tumors and their tumor markers

A 
Yolk sac tumor - AFP
Dysgerminoma - LDH
Embryonal carcinoma - bHCG
Gestational trophoblastic disease - bHCG
Granulosa - Estrogen
Mature teratomas - sometimes elevated thyroxine
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4
Q

Mnemonic for granulosa cell tumor

A

Tell your granny to call her Ex - Call Exner bodies, rosettes are seen

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5
Q

Mandatory screening on 6 week post partum follow up

A

Edinberg depression screening scale due to high incidence

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6
Q

If a patient comes in with a BMI of less than 18 and you diagnose with AN what is the next best step

A

Only 2 options: CBT for AN or hospitalization. Following criteria apply for hospitalization:
HR <40, T <35, BP <80/60, BMI <15, organ compromise and electrolyte disturbance

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7
Q

Normal level of uterus after delivery

A

Uterine fundus at the level of umbilicus

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8
Q

Differential for Marfinoid habitus

A

Only 2, Marfan and homocysteinuria, marfan is not associated with thromboembolic events

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9
Q

How do you differentiate between CGD and LAD

A

LAD doesnt form pus

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10
Q

Preferred SSRIs

A

Sertraline and escitalopram

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11
Q

Side effects of paroxetine

A

Inhibits P450 and weight gain

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12
Q

Most common cause of placental abruption

A

HTN

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13
Q

Inspiratory stridor is pathognomonic for which pediatric disease?

A

Croup, NOT Bronchiolitis

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14
Q

What cancer is Sjrogen associated with?

A

Non hodgkins lymphoma

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15
Q

Criteria for baceterial sinusitis

A

Symptoms for 10 days, acute worsening symptoms OR fever for > 3 days

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16
Q

Longitundinal splitting of the basement membrane dx?

A

Alport syndrome

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17
Q

Learn to differentiate bipolar I and II

A

In bipolar II manic episodes do not cause functional impairment, it is the hypomanic episodes that cause functional impairment

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18
Q

For undescented testis when should we do orchopexy?

A

By age 1

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19
Q

Reactive attachment disorder or social disinhibited disorder

A

In reactive attachment disorder child doesnt connect or talk to anyone, this is the opposite of social disinhibited disorder

20
Q

Which second generation antipsyhotics are weak D2 antagonist

A

Quetiapine, clozapine and pimavanserin

21
Q

What murmur has a dual upstroke?

A

HOCM

22
Q

Indications for hypertonic saline use in adults?

A

Sodium less than 130 with any kind of symptoms in an acute setting, in chronic hyponatremia use Na when there is severe hyponatremia (<120), severe symptoms like seizures or intracranial pathology like masses or hemorrhagic stroke

23
Q

Define dehiscence and evisceration

A

Dehiscence is seperation of the layers, it can superficial like seperation of the cutaneous tissue or deep which is seperation of the rectus abdominis, evisceration is herniation of the underlying organs like loop of bowel coming out

24
Q

Management of dehiscence and evisceration

A

Dehiscence is managed conservatively with careful dressing changes, deep dehiscence can result in exposure of the internal organs and if with evisceration is definitely a surgical emergency

25
Q

Initial eval of mixed urinary incontinence and what is the tx when it is urge vs stress

A

Voiding diary, urge predominant is managed with antimuscarinic and timed voiding (voiding at fixed schedule) whereas stress predominant is Kegel exercises and miduretheral sling surgery

26
Q

What are the indications of giving rhogam

A

At 28 weeks and at any other time if there is uterine bleeding provided mother is Rh negative

27
Q

First step in posmenopausal woman with AUB

A

TVUS, if endometrium less than 4 mm observation, if more then do a biopsy

28
Q

What role does imaging have on endometriosis?

A

NO ROLE, any form of imaging has no role in dx endometriosis including US, hence the best way to diagnose is first clinical and then do diagnostic laparoscopy

29
Q

Diagnosis of atlantoaxial instability in Down’s syndrome

A

Lateral X rays of cervical spine

30
Q

Tethered cord syndrome

A

Same as atlantoaxial instability symptoms except that it happens below T12-L1 region and is associated with spina bifida, not Down’s syndrome

31
Q

Most common cause of infection in asplenic patients, starting with most to least common

A

Step pneumo, HiB and Nisseria meningitidis

32
Q

Most common cause of meningitis in children older than 1 month

A

Step pneumo and Nisseria

33
Q

First step in management if meningitis is suspected

A

If hemodynamically stable, do LP followed by IV abx, if hemodynamically unstable do IV abx to avoid delay in therapy

34
Q

First step in management if meningitis is suspected

A

If hemodynamically stable, do LP followed by IV abx, if hemodynamically unstable do IV abx to avoid delay in therapy

35
Q

Which has high risk for virilization

A

Luteomas, not theca lutean cysts

36
Q

Inheritance of CGD

A

X linked

37
Q

What are Howell Jolly bodies?

A

Remnant of nuclear material remnants in RBCs

38
Q

Which genetic disorder has hypertonia

A

Edwards

39
Q

Normal value for 1 hour glucose test in pregnancy?

A

<140

40
Q

What iatragenic device is notorious for causing blood infections?

A

Central venous catheters

41
Q

Isopropyl alcohol ingestion

A

Present with a serum osmolar gap but does NOT present with metabolic acidosis

42
Q

Heat exhaustion and exertional heat stroke cut off temp

A

104, below this is heat exhaustion

43
Q

Complications associated with short pregnancy interval

A

Preterm labor, PPROM, maternal anemia, low birth weight

44
Q

How do you differentiate between acalculous cholecystitis and acute cholangitis

A

Acute choleangitis usually happens when there is an obstruction, there will be high alk phos. Acalculous cholecystitis happens when the patient is severly ill like on ventilator or on TPN etc, there is no obstruction and normal alk phos is the hallmark which effectively rules our acute choleangitis

45
Q

How to differentiate between laryngomalacia and tracheomalacia

A

Laryngo presents with inspiratory stridor, tracheomalacia causes expiratory stridor

46
Q

Congenital hip dysplasia US/Xray cut off?

A

4 months

47
Q

First line treatment of OCD

A

SSRIs

Guidelines (8 decks)

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