ObGyn Randa Flashcards

1
Q

In bilateral ovarian abscess initially we give ________ and if
the abscesses have not resolved we go for laparotomy.

A

Iv antibiotics then as 2nd line we perform drainage

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2
Q

perihepatitis form of ascending RUQ pain, tenderness, & LFT elevation

A

Fitz-hugh Curtis syndrome

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3
Q

Meigs syndrome with a triad of

A

ascites, adnexal mass, and pleural effusion.

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4
Q

___ ovarian cysts are hypoechoic.

A

Benign

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5
Q

Black colored mass in labia majora is

A

melanoma

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6
Q

Trauma in vagina with no abuse is

A

furuncle

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7
Q

Lymph drainage of fundus of uterus is through

A

paraaortic lymph nodes

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8
Q

a vaginal lesion that bleeds to touch and is dark.

A

Caruncle

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9
Q

The peak of ovulation happens ____ hours after the LH surge.

A

24-36

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10
Q

PID treatment

A

Ceftriaxone IM + doxycycline oral +/-

metronidazole orally.

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11
Q

MCC of postpartum and CS fever is

A

endometritis

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12
Q

vaccines should be given pre-conception.

A

varicella; measle, mumps, rubella (most important)

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13
Q

In asthmatics avoid ___ F2 alpha as a uterotonic agent

A

carboprost

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14
Q

safe antiepileptics in pregnancy

A

Lamotrigine or Levetiracetam, carbamazepine

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15
Q

for women who is breastfeeding and does not want children for two years.

A

Depoprovera injections

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16
Q

Primary amenorrhea with full development of secondary sexual characteristics is

A

transverse vaginal septum.

17
Q

Polyhydramnios causes a risk of _______ which may lead to fetal bradycardia.

A

cord prolapse

18
Q

Oxytocin most common adverse effect is _______ which may lead to fetal bradycardia

A

uteroplacental hypoperfusion (insufficiency)

19
Q

RH immunoglobulin should be given routinely within ____ of delivery to all RH negative anti-D negative women who deliver an RH positive baby.

20
Q

The treatment of PCOS (Stein Leventhal syndrome) is divided into three categories:

A
  • Among the tests for PCOS is checking for glucose and lipid profile
  • Cycle control = Lifestyle modification by OCP
  • Infertility = clomiphene citrate+/- Metfromin +/- weight loss
  • ovarian drilling Hirsutism = OCP, spironolactone
21
Q

Contraindications to ECV are:

A
  • placenta previa
  • previous classical cesarean delivery so contraindicated vaginal delivery ( not all CS are classical there are types)

Placental abruption

22
Q

a maculopapular non-pruritic rash

Painless ulcer

23
Q

Ectopic pregnancy triad:

A

amenorrhea, unilateral abdominal/pelvic pain & vaginal bleeding

24
Q

Previous placenta abrupta is the strongest risk factor for another one and the 2nd strongest RF is ____

25
Most common type of fibroids is
intramural
26
High blood pressure that develops after week 20 in pregnancy and goes away after delivery.
Gestational Hypertension
27
Symptoms include high bp and proteinuria.
Preeclampsia
28
Women who have high blood pressure (over 140/90) before pregnancy, early in pregnancy (before 20 weeks), or continue to have it after delivery.
Chronic Hypertension
29
The discriminatory zone of β-HCG (to visualize gestational sac) is ____ mIU/mL with transvaginal ultrasonography, up to ____ mIU/mL with multiple gestates [2], and _____ mIU/mLwith abdominal ultrasonography
1500-1800; 2300 6000-6500
30
green frothy fishy vaginal discharge, motile flagella on wet mount microscopy
trichomoniasis
31
Mastitis (presents as _________) is with
redness not a mass +/- fever; Cephalexin continue breast feeding with the other breast
32
Cornu drains into _____ lymph node.
superficial inguinal
33
Vaginal discharge due to chlamydial infection is treated with
azithromycin
34
Fetal heart rate most heard at ____ if cephalic (vertex), at ____ if breech
lower quadrants v upper quadrants b
35
Cerclage should be considered if cervical length is _____ by vaginal sonography prior to 24 weeks and prior preterm birth at <34 weeks’ gestation.
<25 mm
36
Pregnant in second trimester with open cervical os we do cervical cerclage at ____ at level of internal os
14-16 weeks