Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step II CS > OBGYN > Flashcards

OBGYN Flashcards

1
Q

RF for osteoporosis

A

low ER, lo Ca, malnutrition, lo vit d, etoh, cigarettes, steroids, AEDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pelvic pain worse w sex and bladder filling. nocturia, frequency, incontinence

A

interstitial cystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Amniotic fluid embolus

A

DIC can happen too. Resp failure - 1st step is to breathing support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long is levognorgestrel good for (plan b)?

A

120 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Screen all pregnant ladies for:

A

HIV, RPR, HBV regardless of RFs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ASCUS after 25

A

get HPV DNA too. If Pos - colpo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Chlamydia tx

A

Azithromycin (doxy too)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gonorrhea tx

A

ceftriaxone. thayer martin media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Painless vaginal bleeding in 3rd trimester

A

Placenta previa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

No vaginal exams in 3rd trimester bleeding unless you’re certain where placenta is

A

Get US plz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

OCP while breastfeeding

A

progesterone only plz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Post partum hypoxia, cardiogenic shock and DIC

A

AF embolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When to give rho gam

A

28 w and at delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Excessive fetal-maternal hemorrhage (like abruption), the standard rho gam dose is insufficient. can result in maternal isoimmunization

A

Excessive fetal-maternal hemorrhage (like abruption), the standard rho gam dose is insufficient. can result in maternal isoimmunization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Premature ovarian failure causes/ hormone levels

A

can be due to AI/chemo/radiation. Low ER, so high fsh and lh because no negative feedback. FH/LH >1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Symmetric v asymmetric causes of IUGR

A

Symmetric - fetus (chromosome, congenital, TORCH)

Asymmetric - maternal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How to dx endometriosis

A

Laparoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What to do if fetus is dx’d with condition incompatible with life and labor is imminent

A

No steroids. Just let labor proceed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Endometritis tx

A

gent and clinda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Irregular shaped uterus, heavy and prolonged menstrual bleeding. Bowel/bladder incontinence

A

Fibroids can compress local structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Endometrial hyperplasia without atypical features

A

Very low progression to to cancer. Tx cyclic progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Low grade T, shaking chills, increased WBC and vaginal d/c immediate post partum

A

totally normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Tx and dx for PMS

A

menstrual diary and ssri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

tx for gestational dm

A

insulin. want fasting glucose below 95

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How does peripheral fat make more androgens?

A

aromatizes androgens to ER made in adrenals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Irregular cycles in pubertal females

A

Normal, btw. But caused by HPA producing inadequate hmns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

LH Levels in PCOS

A

Elevated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

How to confirm IUFD

A

US. autopsy fetus and placenta to figure out why

29
Q

Missed abortion

A

CLOSED OS. brownish discharge. no passage of contents. still in gest sac

30
Q

Complete abortion

A

Empty uterus. Pain subsides after passage of contents. CLOSE OS

31
Q

Amenorrhea, normal breasts, absent pubic and axillary hair, absent internal reproductive organs, 46 xy, male-range testosterone

A

Androgen insensitivity (Mullerian agenesis will have 46 xx)

32
Q

How to suppress lactation ?

A

No drugs - just decrease nipple stimulation - tight bra and ice packs and such

33
Q

Abnl MSAFP. Next step?

A

US - multiple gestations and dating error more common than NTD/Trisomy

34
Q

Retained POC, increased vascularity, thick endometrial stripe, echogenic material in cavity on pelvic US. Fever, chills, abd pain, bloody/purulent d/c,

A

Septic Abortion - history will tip you off as well

35
Q

Septic Abortion Tx

A

Broad spectrum Abx and suction and curettage - emergency

36
Q

BPP score of 4 or less

A

Deliver, regardless of fetal lung maturity. If after 26 weeks.

37
Q

BPP score of 6 with oligohydramnios

A

If less than 32 weeks - monitor daily

If greater than 32 weeks - deliver immediately

38
Q

BPP score of 6 without oligohydramnios

A

If greater than 37 - deliver

If less than 37 - check again in 24 h, deliver if not improved`

39
Q

Arrest of stage I labor, tx?

A

Amniotomy/pitocin. C Section if all else fails

40
Q

Arrest of stage 2 labor, tx?

A

Pitocin, assisted vaginal delivery or c section

41
Q

Initial tx for PCOS to induce fertility?

A

weight loss

42
Q

Cone biopsy v colpo and targeted biopsy?

A

Cone - for higher grade lesions where cytology and targeted biopsy do not correlate
Colpo/targeted - for lower grade lesions to rule out CIN

43
Q

How often should women over 50 get mammogram?

A

Every year, even if asx or no RFs

44
Q

OCPs are associated with decreased risk of what cancers?

A

Ovarian and endometrial

45
Q

dysmenorrhea causes?

A

endometriosis more common than leiomyoma

46
Q

adnexal mass in postmenopausal female. Initial workup includes?

A

Transvaginal US, CA125. Don’t needle aspirate

47
Q

First trimester. Mom wants to check for possible chromosomal abnormalities. What test do you do?

A

Chorionic villus sampling. Early amniocentesis can be done if CVS can’t

48
Q

Most significant RF for fetal limb reduction in CVS?

A

Gestational age. Higher risk at less than 10 weeks

49
Q

Vaginal d/c and vulvar pruritis. Thin, malodorous d/c, foul smelling with marked vaginal and vulvar erythema. Increased vaginal pH (5-6). Dx?

A

Trichomonas vaginalis - may look like BV, but BV does not typically have inflammation and pruritis.

50
Q

Variable decelerations. Caused by and tx?

A

Cord compression. Give mom O2 and change position. Variables are typically abrupt (30s from onset to nadir)

51
Q

Late decels. Caused by and Tx?

A

UP insuff. DELIVER. Gradual (greater than 30s from onset to nadir)

52
Q

1) Most effective parameter to measure fetal weight in US in suspected growth restriction? 2) How do we differentiate asymmetrical from symmetrical growth restriction

A

1) Abd circumference

2) head to abdomen circumference ratio

53
Q

Quad screen for Downs? for Edwards? (MSAFP, BhCG, Estriol, Inhibin A)

A

Downs: hi BhCG, hi inhibin A, lo MSAFP, lo estriol
Edwards: lo everything

54
Q

LH/FSH in turners?

A

both elevated. Ovarian dysgenesis leads to no inhibitory feedback, so really high fsh and lh

55
Q

Treatment for threatened abortion (which typically occurs in first trimester?)

A

REassurance and follow up. No need for hospitialization

56
Q

Mom, multiple spontaneous abortions. Positive VDRL, prolonged PTT

A

Think Antiphospholipid abs - tx with LMWH and ASA

57
Q

Abnormal uterine bleeding in adolescent. reason? tx?

A

Most likely due to immature HPA/ovarian axis, so you get anovulatory cycles. Persistent endometrial proliferation followed by heavy menses. Tx - oral progestins, estreogens, OCPs (all high dose), or tranexamic acid

58
Q

respiratory distress in pre-E?

A

Probably due to pulm edema. Common sequelae of Pre-E. Magnesium tox would have NM probs and decreased Resp effort

59
Q

Cervical mucous is thin/clear, can stretch to 6 cm, basic pH, will demonstrate ferning

A

This is ovulatory phase.

60
Q

treatment for vaginismus?

A

kegels and pneumatic dilaiton

61
Q

IUFD in a mom with low coag profile. What do you do?

A

Induce labor. Mom may develop DIC with retained fetus

62
Q

What BhCG level do can wee see IUP on transvaginal US?

A

1500 +

63
Q

Granulosa theca cell tumors secrete what hormone?

A

ER

64
Q

What endocrine disorder can mimic menopause sx?

A

Hyperthyroid. Get FSH/TSH to figure out

65
Q

Hypertensive drug of choice in pregnancy?

A

Hydralazine/labetalol > mdopa

66
Q

how do you allow for premature ovarian failure patients to become pregnant?

A

in vitro fert with egg donor. GNRH and such wont help. low er, HIGH FSH and LH.

67
Q

Cystic mass in premenopausal woman. Fluid aspirated is clear/yellow. What’s the next step?

A

Just observe. RTC in 4-6 weeks. Only send for cytology if fluid is bloody or foul smelling

68
Q

Stress incontinence. Tx?

A

kegels and urethropexy

69
Q

Vasa previa v Placenta previa. When there’s bleeding how do you know the difference?

A

Vasa: baby bleeding. So you;ll see late decels and UP insuff. Normal mom vitals
Placenta: mom’s vitals will be wacko

Step II CS (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions