OBGYN questions Flashcards
Treatment for disseminated gonococcal infection
Ceftriaxone 1 g IV a.m. plus azithromycin 1 g as a single dose. Uncomplicated can I come infection requires only 250 g
Timeline for pre-clamp Sia
Usually in the late 2nd to 3rd trimester and up to seven days postpartum
How to differentiate hyper emesis gravidarum from other diagnoses
Abdominal tenderness. If tennis consider appendicitis cholecystitis etc.
Anabiotic treatment for mastitis
First line is dicloxacillin. Other options are Augmentin or cephalexin. If narcissist specked it maybe clindamycin or Bactrim
At what size are are follicular cysts a problem
Greater than 3 cm is considered pathological. Torsión is associated with cysts that are greater than 5 cm
Common complications of follicular cyst and corpus luteum cyst’s
Follicular cyst most commonly rupture During sex or otherwise. If the corpus luteum cyst rupture it can cause life-threatening hemorrhage.
Most common cause of initial postpartum hemorrhage versus delayed postpartum hemorrhage
Initial earth in 24 hours is uterine atony. Delayed or after 24 hours who is retained products of conception
Disposition for Fitz
Hue Kurtis syndrome
Discharge with outpatient anabiotic’s
Indications for admission for pelvic inflammatory disease
Pregnancy, severe disease/unstable, to ovarian abscess, and failed outpatient treatment after 72 hours.
Pregnancy, severe disease/unstable, to ovarian abscess, and failed outpatient treatment after 72 hours.
She likely has retained price of conception cost vasovagal reaction.
She likely has retained price of conception cost vasovagal reaction.
Evaluate the cervical Us for retained productsof conception
I didn’t hemodynamic instability and fetal distress, what is the most dreaded complication of placental abruption?
DIC
List all the tools we have at our disposal for controlling postpartum hemorrhage
First thing is oxytocin. Second line as misoprostol, carboprost, methyl are giving, Tranexqmic acid. 10 miles physical treatment such as packing, Foley insertion, checking with our suspected price of conception, embolization by IR and finally surgical treatment like DNC and hysterectomy
Features of Braxton-Hicks contractions
Irregular, improve with movement or certain positions, localized to the front of the abdomen, not associated with cervical dilation or face meant
What are the main tocolytics?
Magnesium sulfate. Indomethacin. Beta agonist such as terbutaline but they have a risk of maternal pulmonary edema and cardiac ischemia. Lastly nifedipine.
When do you use tocolytics?
Using took a loser controversial. Consult with OB. They can be used to delay birth for about 48 hours to get a time for corticosteroids to work. And for transfer the patient to a high-risk MFM unit
When to use abx and tocolytics?
And preterm premature rupture of membranes less than 34 weeks.
Rates of cord prolapse by presentation
Incomplete breach has umbilical cord prolapse about 10% of the time, complete breach about 5%, Frank breach about .4 and vertex about .14%
When to give HIV prophylaxis for sexual assault?
Although this is based on patient preference and case by case basis, the CDC recommends PEP prophylaxis for patients assaulted by multiple assailants, known HIV positive assailant, and less than 72 hours from the assault
Describe the different maneuvers for shoulder dystocia
The first is Mcriberts maneuver with hyper flexed knees and hips. Then suprapubic pressure, then Woods corkscrew maneuver, the Rubin maneuver, the Gaskin maneuver. Deliver the posterior arm also known as Jacquemir maneuver.
Describe the rubin maneuver
You place your hand on the on the babies back, rotate the shoulders about 30° until it is off center with the mothers pelvis, and then squish the shoulders from behind to make them adduct that’s reducing the overall diameter of the shoulders
