Oh god make it stop- OB

Question 1

_________ is a tocolytic used to delay the progression of labor to allow for the benefit of betamethasone to hasten pulmonary maturation.

Answer 1

Nifedipine

Question 2

__________ are medications used to suppress premature labor.

Answer 2

Tocolytics

Question 3

Intra-amniotic infection rx

Answer 3

Intra-amniotic infection cannot be cured without delivery

Question 4

Indomethacin is contraindicated at ?

Answer 4

33 weeks due to risk of premature ductus arteriosus closure.

associated with oligohydramnios.

Question 5

Magnesium sulfate works by ?

Answer 5

competing with calcium entry into cells.

Question 6

Terbutaline is a ?

Answer 6

beta-adrenergic agent. Side effects include tachycardia, hypotension, anxiety and chest tightening or pain.

Question 7

Terbutaline is bad when?

Answer 7

used over 48-72 hours.
mom is tachy cardiac
mom is diabetic

Question 8

When is Mg sulfate great

Answer 8

under 32 weeks EGA when delivery is likely

Question 9

Who gets progesterone therapy

Answer 9

hx of preterm birth

short cervix

Question 10

High levels of magnesium sulfate may cause

Answer 10

respiratory depression (12-15 mg/dl) or cardiac depression (>15 mg/dl)

Prior to developing respiratory depression diminished or absent deep tendon reflexes (areflexia).

Question 11

Fetal fibronectin is good because

Answer 11

has a negative predictive value of 99.2% in symptomatic women — 99 out of every 100 patients with a single negative test result will not deliver in the next 14 days

Question 12

what ratio helps you ddx preeclampsia

Answer 12

protein/ creatinine >0.3

or 24 protein > 300

Question 13

Can you ddx appendicitis w/ ultrasound

Answer 13

YES! esp helpful in a prego

if US fails, then MRI

Question 14

When is Ca- 125 diagnostic

Answer 14

in a post menopausal lady.

Question 15

Postmenopausal lady w/ ovarian cyst and negative Ca-125 managment

Answer 15

Observation

Question 16

Chorioamnionitis rx

Answer 16

deliver the baby vaginaly (unless there was some other reason you were gonna do c-section)

Question 17

Most common side effect to fluoxetine

Answer 17

insomnia

Question 18

SSRIs and breast feeding

Answer 18

Current recommendations state that SSRI medications can be safely used during lactation.

Question 19

Third trimester maternal use of SSRIs has been associated with what in baby

Answer 19

abnormal muscle movements (extrapyramidal signs or EPS) 
 withdrawal symptoms --> agitation
abnormal muscle tone
tremor
sleepiness
severe difficulty breathing
difficulty in feeding.

Question 20

Premenstrual Dysphoric Disorder

Answer 20

severe form of PMS that includes physical and behavioral symptoms that usually resolve with the onset of menstruation.

occur in the luteal phase and are absent in the beginning of the follicular phase.

Question 21

Post partum blues symptoms

Answer 21

insomnia 
easy crying 
depression,
poor concentration
irritability 
labile affect and anxiety
Symptoms often last a few hours per day and are mild and transient.

Question 22

The primary risk factor for preterm rupture of membranes is

Answer 22

genital tract infection, especially associated with bacterial vaginosis.

Question 23

Variable decelerations are a result of ?

Answer 23

cord compression

Question 24

Antibiotic therapy with _________ given to patients with PPROM has been found to prolong the latency period by 5-7 days, & ↓ incidence of maternal amnionitis and neonatal sepsis.

Answer 24

ampicillin and erythromycin

Question 25

ampicillin and erythromycin for PPROM has been found to?

Answer 25

prolong the latency period by 5-7 days

↓ incidence of maternal amnionitis and neonatal sepsis.

Question 26

Maternal signs of _____________ are indications for delivery vaginally (unless c/s for other reason)

Answer 26

chorioamnionitis or other evidence of intra-amniotic infection

Question 27

A ___________ is an indication of intra-amniotic infection on amniocentesis

Answer 27

low amniotic fluid glucose

Question 28

_______________- med has been shown to reduce the risk of premature labor.

Answer 28

17 alpha-hydroxyprogesterone

administered weekly (16-20 weeks) until 36 weeks gestation.

Question 29

Vitamin deficiency of ________ have been associated with an increase in PMS.

Answer 29

A, E and B6

Question 30

during the luteal phase of the menstrual cycle.
1-_____is characterized by mild to moderate symptoms,
2- ______is associated with severe symptoms that seriously impair usual daily functioning and personal relationships.

Answer 30

1- PMS

2- PMDD

Question 31

Symptoms of __________ can mimic typical symptoms of PMS,

Answer 31

hypothyroidism

Question 32

Psych drug Rx for PMS

Answer 32

SSRI effective in alleviating PMS and PMDD symptoms. Patients can take the medication either every day or for 10 days during the luteal phase.

Question 33

Risk factors for PMS include

Answer 33

a family history of premenstrual syndrome (PMS) and Vitamin B6, calcium, or magnesium deficiency.

Question 34

______________- are significant risk factors for developing premenstrual dysphoric disorder (PMDD).

Answer 34

Previous anxiety, depression or other mental health problems

Question 35

Methylergonovine is an ergot alkaloid, which is a ?

Answer 35

potent smooth muscle constrictor.
vasoconstrictive agent a
should be withheld from women with hypertension and/or preeclampsia.

Question 36

Postpartum hemorrhage is defined as bleeding in excess of

Answer 36

500 cc after a vaginal delivery or in excess of 1000 cc after a Cesarean delivery.

Question 37

uterotonics and used to increase uterine contractions and decrease uterine bleeding are?

Answer 37

. Methylergonovine, prostaglandins and oxytocin

Question 38

___________ has been shown to be effective in the management of unresponsive uterine atony.

Answer 38

A uterine compression suture such as a B-Lynch

Question 39

Septic pelvic thrombophlebitis is diagnosed how?

Answer 39

exclusion

CT may also help

Question 40

Septic pelvic thrombophlebitis rx

Answer 40

treatment requires addition of anticoagulation to antibiotics and resolution of fevers is generally rapid

Question 41

Septic pelvic thrombophlebitis s/s

Answer 41

non specfic
high fever
all other causes ruled out

Question 42

_________ are the most common source of fever on the first postpartum day

Answer 42

The lungs, esp if you had anesthesia for delivery