Peds/OB Flashcards

1
Q

classic triad of congenital toxoplasma?

A

hydrocephalus, intracranial calcifications, and chorioretinitis

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2
Q

age of retropharyngeal abscess and age of peritonsilar abscess?

A

2-4
10+

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3
Q

what is the cause of hypoglycemia in a baby of a mom who had diabetes during pregnancy?

A

hyperplasia of beta cells causing a lot of insulin release

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4
Q

what is normal variability in fetal heart tracing

A

6-25 BPM

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5
Q

recommended screening for cervical cancer?

A

at 21, pap alone every 3 years
starting at 30, co testing every 5 or pap alone every 3

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6
Q

if a question discusses blood type and baby has respiratory and cardiac compromise, what to immediate think?

A

RH reaction

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7
Q

how to treat preclampsia?

A

magnesium

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8
Q

what is the most serious concern with preclampsia?

A

seizure

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9
Q

how do you define baseline fetal heart rate
normal
tachy
brady

A

minimum of 2 minute tracing in any ten minute segment
110-160
over 160
under 110

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10
Q

What is minimal, moderate and marked variability?

A

less than 5
6-25
over 25

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11
Q

what is an early decel and what does it mean?

A

associated with uterine contraction
compression of the baby head

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12
Q

what is a late decel?

A

scoops down at the end of the contraction
uteroplacental insufficency

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13
Q

whats going on during variable decel?

A

cord compression, so obstruction of blood flow to baby

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14
Q

what two screenings are included in all newborn screenings?

A

PKU and thyroid

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15
Q

why is obesity a risk factor for edometrial cancer?

A

because obesity increased estrogen levels

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16
Q

two forms of menopasual hormonal therapy?

A

estrogen alone if no uterus
estrogen and pro if have a uterus

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17
Q

two first steps in treating epiglotitis?
xray sign?
bug?

A

secure airway and abx
thumb sign
h flu

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18
Q

what to use to treat croup?

A

epi

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19
Q

what is the most common cause of late trimester bleeding?

A

placental abruption

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20
Q

2 classic symptoms of cervical cancer?

A

pain during sex and post coital bleeding

21
Q

what does sinusoidal fetal heart tracing mean and what condition usually causes it?

A

severe anema
RH

22
Q

what are the two main risk factors for placenta accreta?

A

prior c sections and placenta previa

23
Q

at what age is a isolated, unilateral cleft lip repaired?

A

3-6 months

24
Q

what is the most common renal malignancy in childhood?
What age?
What associated symptom to always remmebr?

A

wilms tumor
3-4
aniridia

25
Q

how to counteract magnesium toxicity?

A

calcium gluconate

26
Q

what is the difference between gestational hypertension and preclampsia and ecclmapsia?

A

htn without proteinuria or end organ damage
htn with end organ damage and proteinuria
new onset sieuzres with preclampsia

27
Q

What is hellp synbdrome?

A

hemolysis, elevated liver enzymes, and low platelete

28
Q

upper gi series of midgut volvulus shows?

A

corkscrew or coiled

29
Q

straw colored nipple discharge, what is the condition?

A

intraductal papilloma

30
Q

what is an apt test?

A

it is used to differentiate fetal blood from maternal blood

31
Q

when to use morning after pill and what is the only med in it?

A

progestin only
within 72 hours

32
Q

women taking hormonal replacement therapy are at risk for what 3 things?

A

breast cancer
DVT
liver

33
Q

what is the most appropriate treatment for hot flashes in a current smoker?

A

venlafaxine

34
Q

female comes in with history of salpingitis with infertility. Ultrasound shoes sausage shaped cystic lesions in the fallopian tube, whats going on?

A

hydrosalpinx

35
Q

what is the cause of premuate ovarian insufficiency?

A

early atresia of the ovarian follicles

36
Q

what is the dose for folic acid for prenatal care?

A

4 mg daily

37
Q

what is he screening rec for breast cancer?

A

mammo every 2 years starting at 40

38
Q

what is the anticogulant of choice for pregnant women/

A

LMWh

39
Q

top two causes of secondary amenohrhea>

A

pregnancy
low gnRH

40
Q

what bug to always think about with cystic fibrosis?

A

pseudomonas

41
Q

what patient to think about when talking about transient synovitis?

A

4-10 age
just had URI
painful limp

42
Q

what med to treat hirsutism in PCOS?

A

spironolactone

43
Q

what do we use to increase breast production?

A

metoclopramide

44
Q

what do we use to decrease breast milk productiong?

A

bromocriptine

44
Q

what is lochia alba?

A

vaginal discharge 6-8 weeks post partum

45
Q

what thyroid hormone to remember and what does it do in preganancy?

A

total t4 levels increase

46
Q

what are two meds to use to treat turners syndrome?

A

HGH and estrogen replacement

47
Q

what is first line therapy for Tourette’s?

A

guanfacine

48
Q

what two lab markers are positive for neural tube defects in amniotic fluid?

A

alpha fetoprotein and achetcholinestrase