Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step 2 Stuff > OBGYN stuff > Flashcards

OBGYN stuff Flashcards

1
Q

Abd pain, n/v, in young patient with known adnexal mass WITHOUT doppler flow - think?
Tx?

A

ovarian torsion

Laparoscopy with cystectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Syphilis is pregnancy - do you still treat?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hypothyroidism - what happens to demand for levo during pregancy?
So do what?

A

Demand increases

So increase the dose when pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Gestational hypertension vs chronic hypertension?

A

Chronic needs two separate measurements BEFORE 20 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Chronic hypertension in pregnancy - increases risks of what (5 major FAPPS)?

A 
Fetal growth restriction
Abruptio placentae
Preterm labor
Preeclampsia (superimposed)
Stillbirth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Urinary retention after birth (esp. with epidural) - due to?
do what?
To check what?

A

Bladder atony
Urethral cath
To check post void residual less than 150 (normal) otherwise likely to be overflow incontinence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Persistent fever postpartum or postop, unresponsive to ABX - think?
Veins affected?
Treat?

A

Septic thromboembolism
Deep pelvic or ovarian veins
Anti-coag and broad-spectrum ABX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pharyngitis, fever, lower abd pain in sexually active woman?

A

Gonococcal pharyngitis with assoc PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Effect of OCPs on ovarian and endometrial cancer risk?

And on HTN?

A

Reduce it

Can worsen HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How to stop HIV transmission from mom to baby?

A

Triple anti-retroviral tx for mom in pregnancy and zidovudine for neonate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pregnancy labs: up, down, or normal?

Hgb, Cr and BUN, PLT, LFTs, GFR, protein in urine?

A

Hgb down, Cr and BUN down, PLT normal/down, LFTs normal, GFR up, protein urine up (1+)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Vaginal yeast infx tx?

A

topical nystatin or oral azole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When is a diagnostic lap indicated in suspected endometriosis?

A

After failure of NSAIDs and hormonal contraceptives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In placenta previa where is the placenta?

So what is contraindicated?

A

Over the internal cervical os

No labor or vaginal delivery (get CS 36-37 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

High grade intraepithelial lesion (HSIL) on PAP, next step? And for pregnant patients?

A

LEEP

If pregnant, colposcopy then LEEP if invasive cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Raditing suprapubic pain after traumatic delivery, worse when walking - think?
treat?

A

Pubic symphysis diastasis

supportive care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Heat exhaustion vs heat stroke?

A

No CNS probs in heat exhasution
Heat exhaustion caused by inadequate water and sodium replacement so drop in cardiac output
Heat stroke due to thermoregulation failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pharm tx for PCOS (to induce ovulation)?

But not until you’ve tried what lifestyle mod?

A

Clomiphene

Weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Amenorrhea in athletes due to?

A

hypothalmus (eg GnRH defic), so decreased LH secretion and decreased estrogen (so decr bone density too)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Oxytocin can cause what complications (3)?

A

Tachysystole (all induction agents can), hyponatremia, hypptension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Contraindications to breastfeeding (mom 6) and kid (1)?

A

Mom: untreated TB, varicella infx, herpetic breast lesions, current chemo, illicit drug use, HIV
Kid: galactosemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Abnormal first trimester screen - next step?

A

10-13 weeks chorionic villi sampling

15-20 weeks amniocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ectopic pregnancy mgmt - stable vs unstable?

A

Stable: methotrexate
Unstable: surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Most accurate test for determining fetal gestational age?

A

First trimester US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

UNIateral bloody nipple discharge - suggests?

Benign or malignant?

A

Intraductal papilloma

benign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Vaginosis tx?

A

Metro or clinda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Week cutoff for delivery rather than tocolytics in preterm labor?

A

34 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Postpartum endometritis presenting with fever ?24 hours postpartun, puluent lochia and uterine tenderness - bugs? and drugs?

A

polymicrobial

clinda and gentamicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Acute onset unilateral pelvic pain after sex or exercise - think?
Diagnose with

A

Ruptured ovarian cyst

US showing free fluid in pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Etiologies of incontience:
Stress?
Urge?
Overflow?

A

Urethral hypermobility
Detrusor overactivity
Impaired detrusor contractility or bladder outlet obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Mechanism of hypotension after epidural anesthesia?

A

Vasodilation and venous pooling in LE (from sympathetic blockade)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Infertility in PCOS is due to?

A

failed follicular maturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Greatest risk factor for clear cell adenocarcinoma of vagina and cervix

A

Daughters of women given DES in pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Lichen sclerosus dx test?

Rx?

A

Vulvar punch bx

Topical steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Nuchal cord decels?

A

variable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Loss of fetal station during labor - (with abd pain, bleeding, fetal HR abnormalities) - think?

A

uterine rupture

37
Q

Do you treat partner in trichomonas?

A

YES

38
Q

Palpable breast mass next steps:
adolescents?
<30?
>30?

A

observe through 1-2 menstrual cycles
ultrasound (+/- mammogram)
mammogram (+/- US)

39
Q

Amenorrhea after chemo - think?

A

ovarian failure

40
Q

When fetus is anything but occiput anterior it’s called?

A

Fetal malposition

41
Q

Painful, heavy menstrual bleeding progressing to chronic pelvic pain - think?
Uterus on exam?

A

adenomyosis

Boggy, tender, uniformly englarged

42
Q

Major role of bHCG?

A

preservation of corpus luteum in early pregnancy

43
Q

Dry vagina, and mucosal membranes, and dental caries - think?

A

lack of lubrication due to Sjogrens

44
Q

Raloxifene when given for osteoporosis …
Indication:
Contraindication:

A

High risk for breast cancer

Hx of thromboembolism (etc.)

45
Q

Maternal complications of abruption?

A

Hypovolemic shock and DIC

46
Q

Trisomy 21 AFP and bHCG levels?
Neural tube marker?
Trsiomy 18?

A

low AFP and high bHCG and inhibin A
high AFP
normal inhibin A and low everything else

47
Q

Decels linked to:
Early?
Late?
Variable?

A

fetal head compression/normal (same time as contraction)
uteroplacental insuff
cord compression/oligohydramnios/cord prolapse

48
Q

Persistent variable contractions - next step?

A

Re position mom ( to alleviate cord compression)

49
Q

Best test for risk of preterm delivery after cervical surgery?

A

Trans vaginal US

50
Q

Best contraception for pts with breast cancer?

A

Copper IUD

51
Q

3 modifiable breast cancer risk reducers?

A

reduce alcohol, increase exercise, breastfeed

52
Q

Hypertension casues symmetric or asymmetric growth restriction?

A

Asymmetric

53
Q

Inevitable abortion, hemodynamically unstable - next step?

A

suction curettage (surgery)

54
Q

When can you perform external cephalic version (i.e. after how many weeks)?

A

37

55
Q

Pelvic mass and ascites with highly suspected ovarian cancer - Next step?

A

Ex lap

56
Q

1 lifestyle mod to lower BP?

A

DASH diet

57
Q

Maternal fever and fetal tachycardia - suspect?

A

Chorioamnionitis

58
Q

Preeclampsia urine protein/Cr ratio?

A

> 0.3

59
Q

Magnesium is renally or hepatically excreted?

A

Renally

60
Q

PPROM before 34 weeks - next step?

When to deliver (3)?

A

steroids and antibiotics

after 34 weeks, intrauterine infection, deteriorating fetal/maternal status

61
Q

Major risk factor for chorioaminonitis?

Tx?

A

prolonged rupture of membranes

amoxicillin & genta plus oxytocin to speed up labor

62
Q

Itchy rash on nipple, post-menopausal woman - think?

A

paget dz of breast (underlying adenocarcinoma)

63
Q

Postmenopausal adnexal mass - next step? Then?

A

CA-125
if normal then periodic US
if elevated or suspicious features on USthen MRI/CT

64
Q

How close to cervical os does placenta need to be to be contraindication to vaginal delivery?

A

<2cm

65
Q

When does quad screen take place?

A

Second trimester

66
Q

Primary ovarian insuff vs hypogonadotropic hypogonadism?

A

FSH is high in ovarian insuff and low in in HH

67
Q

AUB - indications for endometrial biopsy?

A

All with AUB >45

If less than 45 with AUB then get biopsy if chronic anovulation due to obesity

68
Q

Postaprum woman with enlarged uterus, irregular vaginal bleeding, pulm sx, CXR infiltrates - think?
Best test?

A

Choriocarcinoma

bHCG

69
Q

Which gyn cancer is smoking a risk factor for?

A

Cervical

70
Q

Do graves TSH antibodies cross placenta?

A

yes

71
Q

Gestational DM - 1st and 2nd line tx?

A

1st: diet mod and exercise
2nd: insulin, metformin, glyburide

72
Q

Initial steps for shoulder dystocia?

A

suprapubic pressure and McRoberts (hip flexion toward abd)

73
Q

Decreased fetal movement, first and possible second tests?

A

NST, then biophysical profile if nonreactive

74
Q

When to give RhoGam (anti D immune globulin)?

A

in negatvie moms, 28-32 weeks and again if baby is positive

OR after miscarriage or abortion, whenever blood might mix

75
Q

Preterm labor pharm?

A

Steroids (betamethasone)
If <34 weeks add Tocolytics (indomethacin, nifedipine)
If <32 weeks add Mg
And if GBS positive add PCN

76
Q

Lung complication to look out for in pre-eclampsia?

A

pulmonary edema

77
Q

DA-agonsits to stop lactation?

A

NO! avoid stimulation wear a supportive bra and OTC analgeiscs and ice packs for engorgement pain

78
Q

Risks for being underweight in pregnancy?

A

fetal growth restriction and preterm delivery

79
Q

> 35 yo with atypical gladular cells on PAP - what next?

A

endometrial biopsy

80
Q

Most effective emergency contraception?

A

Copper IUD

81
Q

Looks like breast cancer but bx shows foamy macrophages and fat globules, hx of surgery or trauma?

A

Fat necrosis

82
Q

Gonorrhea and chlamydia tx?

A

Azithromycin + ceftriaxone

UNLESS it is confirmed to be only chlamydia, then ONLY azithro

83
Q

Eclampsia/preeclampsia/HELPP - pathology?

A

abnormality in placents triggers SYSTEMIC inflammation and activation of coag system and complement, with PLT consumption

84
Q

Fibroids: type of incontinence assoc?

Imaging modality?

A

Stress

US

85
Q

Clear, thin cervical mucus (accompanied by LH surge haha) - due to?

A

Ovulation

86
Q

Tamoxifen - estrogen acitivity in breast vs uterus?

A

Antagonist in breast, agonist in uterus/endometrium

87
Q

Vaginal cancer, age >60, risk factors same as cervical, foul bloody discharge - type of cancer?

A

squamous cell carcinoma

88
Q

Young woman, sexually active, no barrier contraception: PID with liver involvement (painful)?

A

Fitz-Hugh-Curtis dz

Step 2 Stuff (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions