Brainscape's Knowledge GenomeTM

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


See full index

Year 3 > Obstetrics > Flashcards

Obstetrics Flashcards

1
Q

Most likely cause of symmetrical growth restriction

A

prolonged period of poor intrauterine growth in early pregnancy
Down syndrome
Maternal hypothyroidism
Malnutrition

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

most likely cause of asymmetrical small for gestational age

A

placental insufficiency

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

ligament that connects the uterus to the labia majora and commonly causes pain during pregnancy by its stretch

A

round ligament
pain is sharp, intermittent in lower abdomen/ groin area

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

medical management of sever pre-eclampsia

A

labetalol

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

pathophysiology of haemolytic disease of the newborn

A

maternal IgG antibodies against fetal red blood cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

drugs to avoid in pregnancy

A

LAMBAST
Lithium
Amiodarone
Methotrexate
Benzos
Aspirin
Sulphonamides
Tetracyclines

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

what medication can cause Ebstein’s anomlay ( defect in tricuspid valve) if used in pregnancy

A

lithium

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

what medication is used for medical termination of pregnancy? and what order

A

MiFepristone = First (antiprogestogen)
MiSoprostol = Second (prostaglandin)

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

how should premature rupture of membranes be managed?

A

admission, antibiotics and steroids (to promote foetal lung maturation)

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

management of breech baby >36 weeks

A

external cephalic version

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

management of postpartum thyroiditis?

A

usually self limiting- provide symptomatic relief e.g. propranolol

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

what is oligohydramnios?

A

decreased amniotic fluid for gestational age

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

Causes of oligohydramnios

A

premature rupture of membranes
Potter sequence - bilateral renal agenesis + pulmonary hypoplasia
intrauterine growth restriction
post term gestation
pre-eclampsia

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

What is the guidance around contraceptive management post partum?

A

IUS - inserted <48 hours or after 4 weeks
COCP- > 6weeks
progesterone only pill - anytime

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

Management of placental abruption

A

administer steroids- foetal lung development
deliver baby via c-section usually

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

What type of bleeding is placental abruption

A

painful bleeding

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

What type of bleeding is placenta praevia

A

painless bleeding

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

What should be prescribed to moderate to high risk pre-eclampsia patients?

A

low-dose aspirin - 75mg from 12 weeks until birth

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

Management of endometritis

A

admission - IV clindamycin and gentamicin

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

Methods of induction

A

membrane sweep
prostaglandin pessary
artificial rupture of membranes + oxytocin
cervical balloon
misoprostol

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

Does dopamine inhibit or activate prolactin

A

inhibits

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

First line management of gestational hypertension without proteinuria

A

Oral Labetalol

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

Management of positive culture of GBS in current pregnancy or previous?

A

IV antibiotics - benzylpenicillin (or vancomycin if allergy) during labour

24
Q

Screening result for down syndrome on quadruple testing (done between weeks 14-20)

A

low AFP, high inhibin, high hCG and low oestriol

25
Q

When is a combined screening test carried out?

A

between weeks 10 - 13+6 weeks

26
Q

complete molar pregnancy

A

no presence of normal foetal growth
- COMPLETELY no growth
snowstorm appearance on US
can progress to choriocarcinomas

27
Q

partial molar pregnancy

A

Some evidence of foetal development with abnormal growth
- triploidy chromosome arrangement

28
Q

Management of post partum haemorrhage after ABCDE

A

bimanual uterine compression - stimulate contraction
IV oxytocin and/or ergometrine
IM carboprost
Rectal Misoprostol
Surgical intervention e.g. balloon tamponade

29
Q

Causes of PPH

A

4 Ts
Tone- i.e. uterine atony in most cases
Trauma- e.g. perineal tear
Tissue - retained placenta
Thrombin - e.g. clotting/bleeding disorder

30
Q

first line medication for vomiting in pregnancy

A

antihistamines - promethazine

31
Q

What is Sheehan syndrome?

A

anterior pituitary gland damage after significant blood loss

32
Q

woody uterus

A

think placental abruption

33
Q

medical management of ectopic pregnancy

A

IM methotrexate

34
Q

What is the safest anti-epileptic to use in pregnancy

A

lamotrigine

35
Q

name of test that measures b-hCG, PAPPA-A and nuchal translucency

A

combined test - offered at 11-13+6 weeks

36
Q

PAINLESS abdominal pain and bleeding in later stages of pregnancy

A

placenta praevia

37
Q

when should at risk patients of pre-eclampsia take aspirin

A

12 weeks gestation until delivery

38
Q

correct position of women who have cord prolapse

A

on all fours

39
Q

when should delivery be aimed for with obstetric cholestasis

A

37-38 weeks

40
Q

what does the combined text consist of

A

serum oestriol, hCG, alpha-fetoprotein and inhibin A

41
Q

‘strawberry cervix’ foul smelling discharge

A

trichomonas vaginalis
Tx = metronidazole

42
Q

respiratory system changes in pregnancy

A

pulmonary ventilation increased and tidal volume (progesterone effects on respiratory centre) - leads to respiratory alkalosis

43
Q

drugs to avoid in pregnancy

A

ACEi/ARBs - renal hypoplasia
androgens -
anti-epileptics - cardiac, facial, neural tube defects
cancer treatment - multiple defects
lithium - CVS defects
methotrexate - skeletal defects
warfarin - limb and facial defects
aspirin - brain and liver damage

44
Q

what pregnancies require 5mg Folic Acid

A

previous neural tube defect
taking anti-epileptics
coeliac disease
diabetes
thalassaemia trait
BMI > 30

45
Q

when to offer external cephalic version if baby is breech

A

> 36 weeks

46
Q

what is the definition of large for dates

A

> 2cm fundal height than expected

47
Q

what are the three shunts in foetal circulation

A

ductus venosus -
foramen ovale -
ductus arteriosus -

48
Q

management of hypertension in pregnancy

A

1st= labetalol
2nd = if asthmatic Nifedipine
3rd = methyl dopa

49
Q

management of eclampsia

A

magnesium sulphate IV bolus 4g over 5-10 minutes
if respiratory depression of mother - give calcium gluconate

50
Q

what nutrient is deficient in breast milk and what is done about this

A

vitamin K - new borns prophylactically injected with vit K after birth

51
Q

when is gestational diabetes diagnosed

A

24-28 weeks gestation
oral glucose tolerance testing is used

52
Q

what are the risk factors for gestational diabetes

A

family history of diabetes
previous macrosomic baby of >4.5kg
BMI >30

53
Q

first line strong analgesia management in latent stage of labour

A

IM diamorphine

54
Q

crown rump length >7mm and no foetal heartbeat

A

miscarriage

55
Q

when is anti-D needed in misscariage

A

maternal rhesus -ve and over 12 weeks gestation
or <12 weeks and uterine instrumentation

56
Q
A

Year 3 (13 decks)

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