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finals > obstetrics > Flashcards

obstetrics Flashcards

1
Q

mother with previous group B strep what is the prophylaxis for her next pregnancies

A

IV antibiotics during labour

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2
Q

gestational diabetes if blood glucose not controlled by metformin and diet what is next step

A

to add insulin

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3
Q

what diabetes medication is safe during pregnancy and breastfeeding

A

metformin

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4
Q

what is done for Down syndrome antenatal screening

A

nuchal translucency - thickened
B-hCG - increased
pregnancy associated plasma protein A - reduced

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5
Q

is rivaroxaban safe in pregnancy

A

no

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6
Q

investigation for gestational diabetes

A

oral glucose tolerance test at 24-28 weeks

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7
Q

when to stop methotrexate before conception

A

at least 6 months

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8
Q

management of chickenpox in pregnancy

A

oral acyclovir

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9
Q

what is a cholestatic picture on LFT

A

high ALP and GGT

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10
Q

1st line management of post partum haemorrhage if patient stable

A

uterine massage

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11
Q

when is latest before no foetal movement becomes a concern

A

24 weeks

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12
Q

what is associated with low alpha fetoprotein

A

down syndrome

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13
Q

what is the contraindication of vaginal delivery after c section

A

vertical (classical) caesarean scar

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14
Q

medication given to suppress lactation

A

cabergoline

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15
Q

what causes group B streptococcal disease

A

Streptococcus agalacticae

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16
Q

what is gestational hypertension

A

hypertension with no protienuria

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17
Q

if no heartbeat on doppler what is next investigation

A

ultrasound

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18
Q

does no vaginal bleeding rule out placental abruption

A

no
- patient can present as collapse, cold and in extreme pain

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19
Q

investigation to do if ‘sudden gush of fluid’

A

speculum

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20
Q

what is a category 1 c section

A

one that needs to be done urgently in next 30 minutes

21
Q

what causes a raised alpha fetoprotein

A

uterine wall defects e.g. omphalocele

22
Q

first line management for gestational diabetes

A

insulin

23
Q

group B streptococcus prophylaxis

A

IV benzylpenicilin

24
Q

what hormone in pregnancy causes smooth muscle relaxation

A

progesterone

25
Q

what nerve is blocked in instrumental delivery

A

pudendal nerve

26
Q

symptoms of toxoplasma gondii

A

asymptomatic or flu like

27
Q

what causes postpartum blues

A

progesterone withdrawal - peaks about 3 days and resolves within 10 days

28
Q

what is frank breach

A

when legs are extended fully up to the shoulders

29
Q

what is a large BMI

A

> 30kg

30
Q

gestational diabetes diagnosis figures

A

5678

fasting glucose >5.6
2 hours glucose >7.8

31
Q

what food should be avoided in pregnancy

A

cooked liver

32
Q

definition of placenta percreta

A

villi through myometrium

33
Q

management is fasting glucose >7

A

immediate insulin

34
Q

category 2 c section must occur within

A

75 minutes

35
Q

what antidepressants can be taken during breastfeeding

A

sertraline or paroxetine

36
Q

pregnant mother BP >160 do you admit

A

admit

37
Q

screening post natal depression

A

Edinburgh scale

38
Q

is it safe for a mother with hepatitis B to breast feed

A

yes

39
Q

labour in patient with intrahepatic cholestasis of pregnancy

A

induction Labour at 37-38 weeks

40
Q

what is the end of 1st stage of labour

A

10cm dilation

41
Q

Edward syndrom quadruple test result

A

AFP - low
oestriol- low
hCG - low
inhibin A - normal

42
Q

most common cause of PPH

A

uterine atony

43
Q

chickenpox exposure in 20 week pregnant female but has negative zoster antibodies what is the next best step

A

commence varicella zoster immunoglobulin

44
Q

management of magnesium sulphate induced respiratory depression

A

calcium gluconate

45
Q

can you give aspirin to breastfeeding mother

A

no

46
Q

main complication of induction of labour

A

uterine hyperstimulation

47
Q

what immunoglobulin is responsible for attack in rhesus negative

A

IgG

48
Q

pregnant women with DVT that is underweight or overweight what should be monitored

A

anti-Xa activity

49
Q

most common cause of secondary postpartum haemorrhage between day 2 and 10

A

postpartum endometritis

finals (25 decks)

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