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OBGYN > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Whats in the biophysical profile

A

TB MAN

Tone 
Breathing
Movement 
Amniotic fluid volume
(Single fluid pocket is equal or greater to 2*1 cm or AFI greater than 5)
Nonstress test
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2
Q

nml score for biophysical profile is

A

8+

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3
Q

eczematous and or ulcerating rash localized to nipple

A

mammary pagets disease with most likely underlying breast cancer most often adenocarcinoma

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4
Q

how many diapers at 4 days old and first wk

A

4 wet diapers and first wk 6

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5
Q

birthweight regained when

A

10-14 days

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6
Q

HELLP

A

Hemolysis, elevated liver enzymes (can get liver distension too), low platelets

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7
Q

boggy uterus post preg

A

ATONY

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8
Q

tx atony

A
  1. uterine massage, oxytocin

2. If that doesn’t work then tanexamic acid which is an antifibrolytic

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9
Q

breast fed exclusive should supplement w

A

Iron

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10
Q

adrenal tumor will likely not show what sexual characteristic

A

thelarce

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11
Q

second stage of labor arrest (in active phase of labor arrest)

A

Should have >1cm q2 hours. If don’t then give oxytocin

No cervical change for 4 hours w contractions OR no cervical change for 6 hours with inadequate contractions then do c-section

lack of fetal descent after 4 hours of pushing

or with epidural of 3 hours/3 in multigrav

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12
Q

course of fibroadenomas

A

come and go during menstruation vs. galactocele which is after breastfeeding and get that same mobile mass

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13
Q

LH and FSH in klienfelters

A

High

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14
Q

testosterone levels with exogenous testosterone

A

normal

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15
Q

+VDRL , thrombocytopenia, prolonged PTT, what do to tx?

A

Antiphospholipid syndrome and give heparin

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16
Q

ph of BV, trich and candida

A

BV and trich is >4.5 whereas candida is < 4.5

both trich and candida have inflammation but BV does not

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17
Q

pretty tall person with breasts but no pubic hair

A

AIS

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18
Q

5 alpha

A

ambiguous but then at puberty you grow testicles

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19
Q

preterm labor is what timeline

A

<37 weeks

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20
Q

if labor < 32 weeks what do you do

A

give mag and steroids

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21
Q

dyspnea without fever

A

THINK PE

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22
Q

when is vag delivery contraindicted

A

prior vertical incision c-section and myectomy with uterine cavity entry

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23
Q

complication of preeclampsia is

A

pulmonary edema

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24
Q

placenta previa vs. abruption difference

A

painless, vs. painful

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25
Q

fetal demise at greater than 24 weeks what do you do?

A

can wait a little

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26
Q

primary amenorrhea is defined as

A

lack of menses with 1. no secondary char at 13 or 2. with secondary sex char at 15

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27
Q

management of primary ammenorhea

A

TSH and ultrasound

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28
Q

when inpatient PID ?

A
  1. high fever, 2. nonadherence to meds, 3. can’t take oral abx
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29
Q

10 week prenatal visit

A

STDs and Syphillis

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30
Q

elevated 17 hydroxy

A

CAH which is because of 21 deficiency

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31
Q

CAH xy or xx

A

in women virulized at birth in men, normal

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32
Q

Complication of PID mass

A

tubo-ovarian abcess

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33
Q

hydraditiform mole and uterus

A

uterus will be enlarged

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34
Q

gestational diabetes

A

fasting <95
1 hour postprandial <140
2 hours <120
first line dietary second line insulin

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35
Q

Shoulder dystocia what do you do?

A

mcroberts. flex hips against the abdomen

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36
Q

heart sounds on right

A

CDH

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37
Q

woman with lower abdominal pain that moves to become RUQ pain

A

PID leading to Fitz Hugh Curtis

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38
Q

risk if get preg too soon

A

preterm rupture

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39
Q

34-37 weeks give

A

+/-steroids (see fibronectin)

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40
Q

tocolytics

A

anticontraction think eat tacos, relax, slow labor, stop them if tachysystole.

first line calcium channel blockers and can get flushing
indomethacin anti-contractions causes oligohydramnios or premature closure of PDA.

32-34 weeks gestation

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41
Q

if > afp what do you do?

A

ultrasound because could have spina bifida, also abdominal wall defects

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42
Q

painful breast lump when schedule follow up?

A

2 months

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43
Q

decreased biliary excretion

A

biliary atresia

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44
Q

HIV viral load in mothers if >1,000 if

A

do c-section and zidovidine , if < then expectant delivery

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45
Q

prolactin supresses

A

GnrH

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46
Q

atypical glandular cells what to do next?

A

bx

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47
Q

when does erythema toxicum stop

A

within 2 weeks after birth

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48
Q

thecoma vs. sertoli leydig

A

thecoma often menopausal and have estrogen so get post-partum bleeding vs. sertoli get virilization

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49
Q

18 mo motor

A

runs and kicks ball

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50
Q

hot flashes. What do u give

A

estrogen patch

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51
Q

granulosa cells

A

produce lots of estrogen

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52
Q

dysgerminomas produce

A

LDH

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53
Q

sertoli leydig male vs. female

A

male produce estrogen, females virilization

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54
Q

intrauterine syncitichea

A

ashermans

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55
Q

rectus sheath hematomas and injury to which vessels

A

after abdominal surgery, injury to inferior epigastrics

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56
Q

RF for vesicovaginal fistula

A

prolonged labor

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57
Q

marfan syndrome vs. homocysteinuria

A

same body habitus but marfan is autosomal dominant and has aortic root dilation where homocysteinuria is autosomal recessive and has intellectual disability, thrombosis, downward lens and no heart problems

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58
Q

phenylketonuria

A

ID, fair complexion, ezcema and musty body odor

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59
Q

asx bacteruria in preg

A

always tx either cephalexin, bactrium or nitro

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60
Q

RF for endometrial cancer

A

estrone due to high estrogen, obesity

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61
Q

complication of preg

A

acute appendicitis

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62
Q

duodenal atresia vs. tracheoesophagela fistula

A

just stomach problems like polyhydramnios vs. stomach and breathing issues

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63
Q

Most common cause of STI

A

gonorrhea (remember can get sore throat) and chlamydia

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64
Q

bchg 1500-200

A

nml preg and increases q day

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65
Q

bHCg in ectopic

A

slower to rise

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66
Q

when should u see on TVUS

A

1500

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67
Q

condyloma acuminata vs. lata

A

acuminata is due to HPV 6, 11 and often painful, lata is syphillis and broader base

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68
Q

latent phase of labor vs. active phase

A

0-6 cm vs. 6-10 cm

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69
Q

normal progression in active phase of labor

A

> 1 cm every 2 hours

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70
Q

AFL of pregnancy…

A

cholangitis signs plus thrombocytopenia because liver not working and hypoglycemia

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71
Q

Gestational thrombocytopenia

A

just low thrombocytes and dont need to do anything

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72
Q

when do screen for HIV

A

third trimester

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73
Q

blood typing and antibody screening. when should be preformed?

A

1st visit

74
Q

when give rhogam?

A

28 weeks or within 72 hours of ANY procedure where can be maternal fetal mixing

75
Q

vasa previa vs. placenta previa

A

both painless but more transient blood vs. more blood

do transabdominal ultrasound to confirm

76
Q

complication of hyperemisis gravidum (vitamin deficiency)

A

thiamine def and can get wernicke encephalopathy

77
Q

how to dx endometriosis

A

lap

78
Q

palp breast mass <30 or >30

A

if <30 get ultrasound and then mammogram
if >30 get mammogram then ultrasound

*get core bx unless simple cyst and can do needle aspiration

79
Q

Preg woman with no active HSV lesions

A

start prophylactic acyclovir at 36 weeks

80
Q

Preg what do you see with Cr

A

increased GFR so lower CR

81
Q

weakened cervix and preg complications

A

cervical clercage

82
Q

exercise contraindicated in preg if

A

cervical insufficiency, antepartum bleeding, underlying medical condition

83
Q

symmetric vs. asymmetric growth

A

asymmetric where small abdomen but head is spared is due to things like placental insufficiency and HTN. whereas if symmetric then due to congenital disorders

84
Q

jaundice, cateracts vomitting, hypotonia

A

galactossemia, breast milk jaundice

85
Q

oligohydramnios, low amniotic fluid most common cause

A

premature rupture of membranes

86
Q

when can give HPV vaccination

A

9-45 years

87
Q

necrotizing enterocolitis hallmark feature

A

air in bowel wall

88
Q

post partum bleeding drugs

1) Methylergonovine
2) caroprost tromethamine
3) tranexamic acid

A

1) Don’t use if HTN
2) Don’t use if asthma
3) Don’t use if hypercoag

89
Q

new murmur in pregnancy

A

NML

90
Q

what happens to fibroids during preg?

A

they can degenerate

91
Q

brain abcess what do you do?

A

I&D

92
Q

breastmilk vs. breastfeeding jaundice

A

breastfeeding has other signs of dehydration and peaks at 1 wk whereas breastmilk a little later peaking at 2 weeks

93
Q

placental abruption RF

A

DIC

94
Q

small baby RF

A

preterm labor

95
Q

intraductal papilloma vs. infiltrating ductal carcinoma vs. pagets

A

both bloody discharge vs. has a mass and lymphadenopathy vs. eczematous plaque (adenocarcinoma)

96
Q

ADH resistance

A

pregnancy

97
Q

age <25, STI and high risk sex activity what do during prenatal visits

A

check for HIV, syph etc.

98
Q

syphillis baby sign

A

snuffles

99
Q

neuroblastoma vs. medulloblastoma

A

horners vs. cerebellar dysfunction

100
Q

babies not at risk for what neurowise

A

herniation

101
Q

uterine rupture vs. abrupto placenta

A

uterine rupture has palpable fetal parts and loss of station whereass ap has abdominal back pain

102
Q

mag tox

A

loss of reflexes, give calcium gluconate

103
Q

trastuzumab side effect so what do u do prior to starting

A

cardiotox so get echo prior to starting

104
Q

internal hemorrhoids

A

always painless

105
Q

shortened cervix what do you give

A

vaginal progesterone, thinking growing

106
Q

vasa previa when do you deliver?

A

deliver at 35 weeks

107
Q

H. ducrei vs. herpes lesion

A

pus/ulcers (more in other countries) also get inguinal lymph nodes vs ucler

108
Q

breast engorgement vs. mastitis vs. poor latch

A

when colostrum replaced by milk on two sides vs. fever on one side vs. poor latch without fever

109
Q

symptomatic polyhydramnios vs. asymptomatic

A

amniocentesis vs. expectant management

110
Q

preterm labor give

A

abx, steroids

111
Q

too much milk for kid

A

> 24 oz a day…

112
Q

tinea capitus tx

A

terabine or griseofulvin

113
Q

doppler flow for ectopic vs. torsion

A

increased vs. decreased

114
Q

RF for otitis media in kids

A

smoke exposure

115
Q

minoxidal

A

hair flow to scalp

116
Q

subconjunctival hemorrhage what do you do?

A

nothing

117
Q

hystersalpingogram is for

A

assessing uterine abnormalities. if bleeding jump to endometrial bx

118
Q

tamoxifen

A

actually can increase bone density, can lead to hot flashes. remember dont give in older adults

119
Q

fibroids can cause what type of incontinence

A

stress

120
Q

pregnant woman what acid base is nml

A

Respiratory alkalsosis

121
Q

elevated FSH

A

menopause

122
Q

lichen sclerosis vs. atrophic vag

A

LS outside the vagina

123
Q

TMN staging

A

most important prognosis factor to breast cancer

124
Q

aromatase inhibitor

A

letrozole, give in older women

125
Q

SCFE

A

referred pain to the knee

126
Q

lichen sclerosis

A

do punch bx to rule out vaginal cancer

127
Q

candida intertrigo

A

KOH prep

128
Q

intramniotic infection (cause unknown) what do you do

A

expedite delivery w/

129
Q

unilateral cryptochordism monitor until

A

6 mo

130
Q

inspiratory stridor

A

laryngeomalacia

131
Q

retracted nipple

A

inflammatory breast carcinoma

132
Q

gestational diabetes at risk for

A

type II dm

133
Q

lochia lasts up to

A

6-8 weeks

134
Q

maternal tachy due to infection can lead to

A

fetal tachycardia

135
Q

tubal ligation increased risk of

A

ectopic preg

136
Q

prostoglandin vs. indomethacin

A

keep PDA open vs. indo closes it

137
Q

primary dysmenorrhea due to

A

increased prostoglandin

138
Q

prior h/o preeclampsia give

A

aspirin

139
Q

IV progesterone when give

A

prior preterm delivery. Progesterone preterm

140
Q

POI and estrogen and FSH

A

low estrogen and high FSH

141
Q

Ashermans and estrogen

A

nml estrogen and nml FSH

142
Q

Hep C and Hep B can breast feed?

A

yes with Hep C and yes with Hep B if give vaccine and immunoglobulin

143
Q

precocious puberty ages

A

girls <8, boys <9

144
Q

food proctocolitis what to do

A

eliminate soy and dairy and switch to hydrolyzed formula

145
Q

workup for secondary amenorrhea

A
  1. preg test 2. 3 things–FSH, TSH and prolactin
146
Q

middleshmertz

A

pain at day 14

147
Q

burns what kind of feeding should you do

A

enteral as quickly as possible

148
Q

preeclampsia with severe features

A

140/90 and end organ. give either hydralazine, labetelol or nifedipine

(methyldopa used for more chronic HTN)

induce labor.

149
Q

someone w erythema nodosum and what do you do next

A

chest xray

150
Q

G of WAGR

A

GU stuff

151
Q

what can cause hydrops and pericardial effusions

A

parvo virus

152
Q

central cyanosis vs. peripheral cyanosis

A

central cyanosis where cyanosis all over vs. peripheral where just distal extremeties.
central low pao2 vs. peripheral is due to increased extraction of O2 because sluggish blood flow

153
Q

CF

A

bronchial airway dilation and erosion

154
Q

OCPS decrese risk of what cancers

A

endometrial and ovarian

155
Q

Reactive nonstress test

A

2 FHR accelerations that peak at 15 or more beats per min and last 15 or more seconds

2 accelerations in 20 minutes

if not reactive then do contraction stress test or biophysical profile
do biophysical profile if there are contraindications to labor like previa

156
Q

FGR what percent

A

<10

157
Q

ovarian cancer if mass waht do you get

A

CA 125

158
Q

what causes breech

A

leiomyomsas

159
Q

CAH vs. aromatase def

A

only latter has ambiguous genitaliae

160
Q

pelvic cyst rupture

A

dont have to do anything

161
Q

Veal chop mneumonic

A

V Cord compression
E Head compression
A OKAY
L Placental efficiency

+sinusoidal pattern is a sign of fetal anemia

162
Q

Gestational HTN and preeclampsia

A

> 20 weeks

163
Q

VACTERAL

A

Vetebral, anal atresia, cardia TE fistula esophageal atresia renal limb

164
Q

duodenal bubble (2)

A

VACTERAL and Downs

165
Q

when do cephalic version

A

37 weeks

166
Q

5 alpha reductase

A

male internal and female external but at puberty get clitiromegaly so called a girl on questions

167
Q

biggest RF for uterine rupture

A

prior surgery

168
Q

when screen for gestational diabetes

A

24-28 weeks

169
Q

brachial cyst

A

kids after URI, drainage

170
Q

TEE what do you do

A

NG tube

171
Q

fibronectin when to do

A

if <34 weeks and regular uterine contractions. If positive then give steroids

172
Q

cohort study

A

data gathered from same people over time

173
Q

erythromycin drops in newborn

A

needed prophylaxis against gonorrhea and must do for everyone

174
Q

penile cancer vs. chancre

A

chancre regresses

175
Q

DVT in preg

A

heparin not warfarin

176
Q

tdap when do you do?

A

third trimester

177
Q

prostaglandins for glaucoma vs. CA inhibitor

A

latanoprost, bimatoprost if glaucoma vs. fixed pupil

178
Q

methylene blue give

A

methemoglobinemia

179
Q

N-acetylcysteine

A

acetaminophen

180
Q

sodium thiosulfate

A

cyanide posioning

OBGYN (1 decks)

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