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OB/GYN > Pre-Test 1 > Flashcards

Pre-Test 1 Flashcards

1
Q

sAB risk

A

15% for all pregnancies

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2
Q

Most common trisomy in spontaneous losses

A

Trisomy 16

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3
Q

Rad threshold for risk to fetus

A

10 rads (much less than a couple of plain films)

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4
Q

Inc. nuccal translucency risk of

A

Chromosomal abnormalities (Down’s, Cardiac defects)

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5
Q

Balance translocation risk of child with abnormality

A

100%

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6
Q

What is encephalocele

A

Out pouching of neural tissue through defect in skull

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7
Q

What is cystic hygroma

A

Emerges from base of neck with intact skull

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8
Q

Two main FAS risks

A

Cardiac abnormalities and joint dfects

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9
Q

Why no TMP/SMX in third trimester

A

Can cause kernicterus

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10
Q

Why are epileptic pt babies at risk even if mother not on meds

A

Seizures can cause transient reduction in blood flor

Folate helps

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11
Q

Screen all jewish pt’s for

A

Tay-Sachs and Canavan

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12
Q

Amniocentesis risks

A

1-2% fluid leak

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13
Q

Fractures in utero could be

A

OI

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14
Q

Streptomycin can cause what congenital abnormality

A

Hearing loss

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15
Q

When to get hep A vaccine in pregnancy

A

After exposure or before travel to endemic areas

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16
Q

Higher rates of endometritis after what kind of delivery? Why?

A

CD: more likely to have PROM, multiple exams

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17
Q

Best position for breastfeeding

A

Belly to belly

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18
Q

Intense pain and redness with breast feeding

A

Candida infection

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19
Q

How often should baby poo if being fed enough

A

3-4 times in 24 hours

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20
Q

What is needed to use MTX in ectopic

A

Hemodynamically stable, non-ruptured,

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21
Q

MCC of 1st trimester abortion

A

Autosomal trisomy

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22
Q

Almost all cases of abdominal pregnancy follow

A

Early rupture or abortion of a tubal pregnancy

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23
Q

Labor after IUFD usually occurs when

A

w/in 2 weeks

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24
Q

Donor twin is always what in twin twin transfuion

A

Anemic

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25
Q

if HCG titers rise in 2-3 weeks following a molar evacuation, what next?

A

Single agent chemotherapy

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26
Q

Avoid what med when oligohydramnios already present

A

Indomethacin –> can decrease fetal urine production and make worse

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27
Q

Why can IGUR babies have polycythemia

A

Compensation for poor placental oxygenation

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28
Q

Rh titer indicative of severe hemolytic dz

A

1:16 or greater

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29
Q

When to give rho-gam (situations)

A

After Ab or ectopic, amniocentesis, 28 weeks, w/in 3 days of delivery, at external cephalic version

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30
Q

tx for perinatal varicella exposure

A

Give child varicella ab

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31
Q

What can give a mother toxo

A

Organic or undercooked meat (French)

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32
Q

What do you give when hx of VTE in pregnancy

A

Low dose heparin throughout

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33
Q

Myoma degeneration pain localized to

A

Uterine wall

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34
Q

Who gets PUPP

A

2nd and 34d trimmest nulliparous women

35
Q

Fetal exposure to thionamides can cause

A

Goiters and hypothyroidism

36
Q

Maternal HSV

A

Cutaneous and bony defects chorioretinitis, cerebral atrophy

37
Q

Maternal rubella

A

Eye lesions, deafness

38
Q

Maternal CMV

A

Mono like in mom - baby has intracranial calcifications

39
Q

Materna Toxa

A

Calcifications, anemia, and low birth weight

40
Q

Stillbirth with lots of petechia likely

A

Maternal syphillis

41
Q

Early onset of neonatal GBS

A

Respiratory distress

42
Q

Lowest sucess rate for sexual disorders tx

A

Primary impotence

43
Q

MC contraceptives in young adult

A

OCP

44
Q

What do spermicides contain

A

Nonoxynol-9

45
Q

Clonidine vs SSRI adverse sexual effects

A

Clonidine inhibits orgasms

SSRIS inhibit libido

46
Q

COC decreases risks of what cancer? how does estrogen help

A

Endometrial and ovarian

Estrogen decrease FSH levels

47
Q

Who are progesterone only BC contra in

A

Pt’s with uterine bleeding or breast Ca

48
Q

MC complication of vasectomy

A

Hematoma

49
Q

What is Vaginismus

A

Recurrent involuntary spasm of lower 1/3 of vagina (poss early reaction to anticipated pain)

50
Q

What is dysparenuria

A

Recurrent sex pain not caused by vaginismus or lack of lubrication

51
Q

Silent menses seen

A

After first month of pill, ok

52
Q

MC type of urinary incontenence

A

Stress

Urge MC in elderly

53
Q

Hysterectomy can lead to what kind of urinary incontenence

A

Stress

54
Q

What causes urge incontenence

A

Detrussor instability –> Medically managed

55
Q

Top 3 ovarian masses in young women

A
  1. Follicular -watery straw colored fluid
  2. Corpus luteum - complex, may be hemhorragic
  3. Theca luteun - bilateral, ass w/ pregnancy
56
Q

What is vulvodynia

A

Pan with entry, tenderness over vestible

57
Q

PID tx

A

Cef + Doxy

58
Q

When do ruptured ovarian cysts hurt

A

Around ovulation

59
Q

Precocious puberty ages

A

Before 8 in girls, 9 in boys

60
Q

Prolactin in preg

A

Up to 10x normal

61
Q

What is Danzol

A

Progesterone analog for endometriosis, pseudomenopaus but doesn’t alter levels

62
Q

Fat tissue converts

A

Andosterdione to estrone

63
Q

When to start mammograms

A

50

64
Q

How often cholesterol screening

A

Every 5 years

65
Q

Leading cause of death in women 40-64

A

Cancer

66
Q

Gaurdner duct cyst features

A

From remnant of mesonephric duct alone lateral vaginal wall

Usually small and asymptomatic

67
Q

Bartholin duct cyst features

A

Large vuvlar cysts that grow in labial groove

68
Q

Cervical Ca first spreads to what nodes

A

Paravertebral

69
Q

Hydronephrosis in cervical Ca stage

A

IIIb (IIIa if in pelvic wall)

70
Q

Most radiosensitive organ in the pelvis

A

Ovaries

71
Q

What cancer is more common in pregnant women

A

Cervical Ca

72
Q

Most common ovarian tumor class in 20s

A

Germ cell

73
Q

Most common epithelial cell ovarian tumor

A

Serous (1/3 bilateral)

74
Q

Gonadoblastomas cause

A

Calcifications

75
Q

MCC of consumptive coagulopathy in pregnancy

A

Aburption

76
Q

FFP has what

A

Fibrinogen —> will promote clotting

77
Q

3 steps of breast suckling

A
  1. Dopa increased
  2. Dec. prolactin inhibitory factor
  3. In in prolactin and oxytocin
78
Q

Vaginal vs CS endometritis tx

A

Vag: Ampicillin and Gent
CD: Clinda and Gent
Amp to cover enterococcus if fever > 2-3 days post CD

79
Q

Uterine hemorrhage after first postpartum week

A

Retained placental fragments or sub involution of placental site

80
Q

Normal umbilical blood gas

A

pH >7.25-7.3
PcO2 50
PO2 20

81
Q

Breastfeeding decreases what in babies

A

Diarrhea, infections, and SID

82
Q

how long after partum until uterus gets to normal size

A

4 weeks

83
Q

Highest risk for wound infection

A

Obesity

84
Q

Fetal heart tones audible when

A

10 weeks

OB/GYN (6 decks)

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