OnlineMedEd: Obstetrics - "Medical Disease"

Question 1

What are the two treatment options for asymptomatic bacteriuria?

Answer 1

• 1st: amoxicillin
• 2nd: nitrofurantoin

They were formerly interchangeable, but recent studies show that amoxicillin is safer than nitrofurantoin.

Question 2

After treating asymptomatic bacteriuria, you need to ________.

Answer 2

screen for clearance of bacteria

Question 3

____________ is the first-line treatment for pyelonephritis.

Answer 3

Ceftriaxone

Question 4

If a woman presents with symptoms of pyelonephritis but the 10-day course of ceftriaxone doesn’t clear it, then ____________.

Answer 4

it is likely an abscess that needs to be drained

Question 5

If a urinalysis has epithelial cells in it, then it was likely _____________.

Answer 5

contaminated

Question 6

Hyperthyroidism can cause ____________ in pregnancy.

Answer 6

fetal demise

Question 7

Which medicine for hyperthyroidism is safe in pregnancy?

Answer 7

Propylthiouracil

Methimazole is also “probably safe,” but PTU is the classic test answer.

Note: radioactive iodine is used to treat nonpregnant adults with hyperthyroidism – because it ablates the thyroid –but fetuses cannot be exposed to the radiation.

Question 8

Which seizure drugs are safe in pregnancy?

Answer 8

The Ls: levetiracetam and lamotrigine

Question 9

For women with preexisting diabetes, it’s standard to switch them from oral agents to __________.

Answer 9

insulin