ObGyn Randa Flashcards
In bilateral ovarian abscess initially we give ________ and if
the abscesses have not resolved we go for laparotomy.
Iv antibiotics then as 2nd line we perform drainage
perihepatitis form of ascending RUQ pain, tenderness, & LFT elevation
Fitz-hugh Curtis syndrome
Meigs syndrome with a triad of
ascites, adnexal mass, and pleural effusion.
___ ovarian cysts are hypoechoic.
Benign
Black colored mass in labia majora is
melanoma
Trauma in vagina with no abuse is
furuncle
Lymph drainage of fundus of uterus is through
paraaortic lymph nodes
a vaginal lesion that bleeds to touch and is dark.
Caruncle
The peak of ovulation happens ____ hours after the LH surge.
24-36
PID treatment
Ceftriaxone IM + doxycycline oral +/-
metronidazole orally.
MCC of postpartum and CS fever is
endometritis
vaccines should be given pre-conception.
varicella; measle, mumps, rubella (most important)
In asthmatics avoid ___ F2 alpha as a uterotonic agent
carboprost
safe antiepileptics in pregnancy
Lamotrigine or Levetiracetam, carbamazepine
for women who is breastfeeding and does not want children for two years.
Depoprovera injections
Primary amenorrhea with full development of secondary sexual characteristics is
transverse vaginal septum.
Polyhydramnios causes a risk of _______ which may lead to fetal bradycardia.
cord prolapse
Oxytocin most common adverse effect is _______ which may lead to fetal bradycardia
uteroplacental hypoperfusion (insufficiency)
RH immunoglobulin should be given routinely within ____ of delivery to all RH negative anti-D negative women who deliver an RH positive baby.
72 hours
The treatment of PCOS (Stein Leventhal syndrome) is divided into three categories:
- 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
Contraindications to ECV are:
- placenta previa
- previous classical cesarean delivery so contraindicated vaginal delivery ( not all CS are classical there are types)
Placental abruption
a maculopapular non-pruritic rash
Painless ulcer
Syphilis
Ectopic pregnancy triad:
amenorrhea, unilateral abdominal/pelvic pain & vaginal bleeding
Previous placenta abrupta is the strongest risk factor for another one and the 2nd strongest RF is ____
HTN
Most common type of fibroids is
intramural
High blood pressure that develops after week 20 in pregnancy and goes
away after delivery.
Gestational Hypertension
Symptoms include high bp and proteinuria.
Preeclampsia
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
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
green frothy fishy vaginal discharge, motile flagella on wet mount microscopy
trichomoniasis
Mastitis (presents as _________) is with
redness not a mass +/- fever; Cephalexin
continue breast feeding with the other breast
Cornu drains into _____ lymph node.
superficial inguinal
Vaginal discharge due to chlamydial infection is treated with
azithromycin
Fetal heart rate most heard at ____ if cephalic (vertex), at ____ if breech
lower quadrants v
upper quadrants b
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
Pregnant in second trimester with open cervical os we do cervical cerclage at ____ at level of internal os
14-16 weeks
