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COMLEX 2 > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Sheehan Syndrome

A

Infarction of pituitary d/t postpartum hemorrhage., Presents as failure of postpartum lactation, failure to resume menses after delivery, Labs: LOWWW TSH

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2
Q

Tx. of Depression during pregnancy

A

ECT

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3
Q

What method is used by gyn surgeons to ensure that ureters were not accidentally damaged?

A

IV Indigo Carmine Administration, The ureter is deep within the female pelvis and courses along lateral side of the uterosacral ligament where it then enters the base of the broad ligament. It also passes under the uterine artery at the level of the cervical os. 50-80% of ureteral damage during surgery is during gynecological procedures.

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4
Q

Chlamydial bacterial conjunctivitis

A

mucopurulent discharge 5-14 days post delivery

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5
Q

What do you give to pregnant mother with chlamydia?

A

Azithromycin

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6
Q

Risk factors for Breast ca.

A

Female, older, hx. of breast ca. OR Fibrocystic change with cellular atypia, Breast ca. in 1st degree relative, Nulliparity

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7
Q

Breast Ca. Staging

A

0: Cis, 1:

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8
Q

Most common causal organism for Breast Abscess? Tx.

A

Staph species, Tx: Cephalexin and Dicloxacillin

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9
Q

Erythema toxicum neonatorum

A

benign “eczema” of red pustules with halos, and Eosinophils that shows up 1-3 days after delivery and resolves in 1-2 wks without treatment

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10
Q

Amniotic Band Syndrome (Streeter Dysplasia)

A

Multiple constricted bands (e.g. on fingers) due to fibrous bands that result from sac disruption

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11
Q

Phocomelia

A

Seal flipper fins assoc. with Thalidomide use

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12
Q

Radiation exposure in pregnancy

A
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13
Q

Risk factors for Eclampsia

A

Multiple gestations, Hydatidiform mole/extrauterine pregnancy, African American/Hispanics, Age >35 y.o., DM, collagen vascular dz, thrombophilia

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14
Q

Renal manifestation in Turner Syn

A

Horseshoe kidney

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15
Q

Tx for chorioamnionitis and postpartum endometritis

A

Ampicillin + Gentamicin OR Clindamycin + Gentamicin

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16
Q

Maternal complications associated with chorioamnionitis

A

Uterine atony, Endometritis, C-section

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17
Q

Tx Incomplete Abortion?

A

Dilatation and curettage, Misoprostol if

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18
Q

Rubella Ab Titers are to be obtained when? Why? Tx

A

Initial prenatal visits. Congenital rubella syndrome has defects with hearing, heart, eyes. Pregnant women should not receive rubella vaccine until postpartum

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19
Q

HELLP

A

Hemolysis, Elevated Liver enzymes, Low Platelets, Dx: Peripheral blood smear showing schistocytes

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20
Q

Premature Ovarian Failure (primary hypogonadism

A

Inc. FSH and LH, FSH:LH >1.0, Dec. Estrogen levels

21
Q

Asymptomatic Bacteruria, Risks? Tx?

A

> 100K CFU with no S&S UTI, cystitis –> acute pyelonephritis –> maternal/fetal morbidity, Tx: Amoxicillin x 10d, Nitrofurantoin, Cephalexin

22
Q

Tx. for Opioid-dependent pregnant woman

A

Methadone

23
Q

Post-partum blues resolve by

A

Wk 2

24
Q

Premenstrual Dysphoric disorder (PMDD) reolves when

A

1-2 days after onset

25
Q

Ovarian germ cell tumor/embryonal carcinoma tumor marker?

A

AFP (will also have elevated BhCG)

26
Q

Sequelae of Gestational Diabetes

A

hypoglycemia (2ndary to hyperinsulin state), respiratory distress, polycythemia and hyperbilirubinemia, hypocalcemia/hypomagnesemia

27
Q

Breastfeeding Failure Jaundice

A

happens 1st wk of life, decreased bilirubin elimination (d/t lactation failure), S&S: dehydration, no yellow stools passed, Tx: Breastfeed 15 min per side q2-3 hrs

28
Q

Breast Milk Jaundice

A

starts at age 3-5d, high levels B-glucoronidase in breast milk deconjugates intestinal bilirubin and increased enterohepatic circulation

29
Q

Newborn with Milk Protein Allergy

A

diarrhea and vomiting 4-7d after starting cow-based formula, Note: Lactose is present in breast milk, and patients with a Congenital Deficiency of Lactase will also have symptoms while breastfeeding. Symptoms only after starting cow’s milk is more of a Milk Protein Allergy.

30
Q

Fanconi Anemia

A

AutoRec. chromosomal breaks on genetic analysis, S&S: aplastic anemia, abnormal thumbs, cafe au lait, large freckles, deafness, Tx: Hematopoietic stem cell transplant

31
Q

Absence Seizures keywords

A

daydreaming episodes

32
Q

Fitz Hugh Curtis, d/t

A

Pain in: RUQ, RLQ, shoulder, gallbladder, Cervical os discharge and motion tenderness, d/t Chlamydia

33
Q

Tx. pyelonephritis in pregnancy

A

Ceftriaxone

34
Q

Hepatic Adenoma, S&S, assoc. w/, Tx.

A

benign epithelial tumor that shows up as encapsulated, well circumscribed mass with central area of necrosis and calcifications on CT, assoc. w/ women of childbearing age, OCP and steroid use, Tx: cessation of OCP/steroids

35
Q

Endometriosis keywords, Tx

A

dyspareunia and dysmenorrhea, radiating to rectum, Tx: COCPs - they induce atrophy of the ectopic endometrial tissue

36
Q

Postpartum Thyroiditis, Tx

A

diffusely enlarged, firm, painless thyroid, Tx: Propranolol

37
Q

Primary dysmenorrhea

A

recurrent crampy abdominal pain but no pelvic pathology present

38
Q

Secondary dysmenorrhea

A

recurrent crampy abdominal pain secondary to pelvic pathology

39
Q

What drug is used to prevent pre-term birth in patients with cervical insufficiency? When is it given?

A

17-a-Hydroxy-Progesterone Caproate, At 16 weeks

40
Q

When is an Anatomic Screen using Ultrasound indicated And for what?

A

Weeks 18-20, Used to diagnose NTDs, anencephaly, encephalocele, myelomeningocele

41
Q

When is a surgical cerclage be performed?

A

At weeks 13-14. (As gestational increases, risk of cervical dilation increases)

42
Q

Tx. Gestational HTN, pre-eclampsia (before delivery)

A

Labetalol (unless she has asthma), M-dopa, Hydralazine, Nifedipine

43
Q

Adding what med to Tamoxifen or Anastrozole will increase disease-free survival in premenopausal women with Stage I or II breast ca?

A

Zolendronic Acid (a bisphosphonate)

44
Q

What spinal levels is uterine contraction and visceral pain?

Descent of the head into perineum results in somatic pain of what spinal levels?

A

T10-L1

S2-S4

45
Q

Levels of TBG, TSH, Total T4, and Free T4 in Normal Pregnancy

A

Estrogen causes TBG to increase so…

Inc. TBG
No change TSH
Inc. Tot T4
No change Free T4

46
Q

Treatment of choice for DVT in pregnancy?

A

SQ LMWH (e.g. Dalteparin, Enoxaparin)

47
Q

Phyllodes Tumor keywords

Tx

A

large, solid (hypoechoic), well circumscribed, smooth, polylobulated mass that rapidly grows

Tx: Wide Local excision

48
Q

Tx. Pelvic Inflammatory Disease (PID) inpatient and outpatient

A

Inpatient: Clindamycin + Gentamicin

Outpatient: Ceftriaxone + Doxycycline (Azithromycin if pregnant)

49
Q

Which types of HPV are associated with vulvar cancer?

A

16, 18

31

COMLEX 2 (19 decks)

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