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krok 2 me OBGYN > OBGYN 6 > Flashcards

OBGYN 6 Flashcards

1
Q

impetigo (streptoderma) cause

A

s.pyogenes(group a) less common

s.aureus (group b) more common
-bullous
-non bullous

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2
Q

physiological jaundice

A

starts after 24 hr
high conjugated bilirubin (direct)
heal within firs week

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3
Q

unconjugated bilirubin increases in …

A
  • liver diseases
    UDP-GT deficiency (crigler Najjar syndrome
  • hemolysis
    ABO/RH
  • physiological jaundice
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4
Q

increased direct bilirubin

A

liver disease
bile duct disease
-biliary atresia(risk for early cirrhosis and liver failure)

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5
Q

acute pericarditid

A
  • positional chest pain
  • friction rub
  • ECG , ST elevation in all leads
  • after 3 -14 days after MI
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6
Q

pulmonary embolism

A
  • DVT
  • history of lower extremity edema unilateral
  • dyspnea
  • tachycardia
  • hypoxia
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7
Q

cardio sclerotic aneurysm after MI in…?

A

more than 2 months

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8
Q

recurrent MI findings

A

ST elevation, elevated CKMB/troponin

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9
Q

acute cardiac aneurism

A
  • after one week of MI
  • dilation of heart muscle
  • decreased stroke volume
  • low CO
  • congestion–>dyspnea–>ascites—>lower extremity edema
  • HF
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10
Q

MI complication in first 24 hrs

A
  • arrhythmia
  • pump failure–>death
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11
Q

MI complications in 3-14 days

A
  • papillary muscle rupture
  • systolic murmur on apex +dyspnea
  • ventricular septal rupture VSD
    left to right shunt
  • free wall rupture—>tamponade
    –>beck triad
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12
Q

beck triad

A

1) hypotension
2)distended jugular vein
3)distant heart sounds

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13
Q

late complication of MI 2 weeks up to month

A
  • cardio sclerotic aneurism –>HF—>mural thrombus
  • Dressler syndrom,pericarditid AI
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14
Q

eclampsia ..?
prevention ..?

A

preeclampsia+ seizures

mg sulfate + delivery

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15
Q

uterine leiomyoma
tumor type?
risk factor?
symptoms?
uterine findings?

A

1)benign tumor within the uterine cavity of smooth muscles

2) early menarch,nulliparity,estrogen,premenopause

3) dysmenorrhea,bleeding, infertility,
- liomyoma increases risk for abortion and misscariage

4)irregular enlarged uterus ,firm,assymetrical , well demarcated tumor borders

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16
Q

adenomyosis ?
tumor type?
risk factor?
symptoms?
uterine findings?

A

1) benign endometrial tissue within the uterine wall

2) early menarch,increased parity,** previous uterine surgery, **

3) dysmenorrhea , bleeding, menorrhalgia , chronic pelvic pain

4) uterine uniformly enlarged

17
Q

endometriosis?
tumor type?
risk factor?
symptoms?
uterine findings?

A

1) benign endometrial tissue outside the uterus

2) retrograde menstruation

3) dysmenorrhea , pelvic pain , bleeding , dyspareunia , dyschezia , infertility

4) uterus typically not enlarged ,
gunshot lesions, black / yellow-brown nodules/ chocolate cyst

18
Q

lung dullnes sound caused by…?

A
  • pneumonia
  • pulmonary edema
  • pleural effusion
  • atelectasis
19
Q

atelectasis ?

A

collapse of alveoli

displaced mediastinum to the same side

20
Q

pneumothorax clinical features

A

mediastinal deviation to the opposite side

hyperresonant + tympanic sound

21
Q

fibrous alveolitis on C.T scan

A

honey comb pattern

22
Q

PPI side effects

A

low Ca+ absorption –>more fractures

increased risk for C.difficiliminfection—> pseudomembranous colitis

iron deficiency

23
Q

ulcer caused by H.PYLORI

A

duodenal ulcer

24
Q

prevalence for cancer

A

C.T scan

25
Q

diagnosis for cancer

A

biopsy

26
Q

ewing sarcoma

A
  • malignant bone tumor
  • 10-20 yo
  • diaphysis of long bones
  • round blue cells on biobsy
  • B symptoms(weight loss , sewating , fever )
  • on x-ray onion like lamellar
27
Q

osteogenic sarcoma

A
  • metaphysis of long bones
  • children/adults
  • on x-ray —> sunburst
  • (+) codman triangle
28
Q

chondrosarcoma

A
  • malignant tumor
  • pelvic and ribs
  • in biopsy —> cartilage
  • > 60 Y.O
29
Q

thrombophlebitis

A

clotting from inflamed veins

palpable cord
after cancer
fever
asymmetrical pain

30
Q

prolonged rupture of fetal membrane is more than

A

18 hrs

31
Q

discharge of amniotic water
+
external os is closed

A

antenatal/premature discharge of amniotic water

32
Q

normal amniotic fluid discharge

A

during first stage of labor

33
Q

first trimester screening tests

A
  • CBC
  • RH/ABO
  • HIV/hepatitis b/ syphilis
  • rubella / varicella
  • STDs ,chlamydia/gonorrhea
  • glucose intolerance if high risk for diabetes mellitusg
34
Q

glucose intolerance test is done

A

24-28th weeks of gestation

35
Q
A

krok 2 me OBGYN (5 decks)

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