Pre-Test 1 Flashcards
sAB risk
15% for all pregnancies
Most common trisomy in spontaneous losses
Trisomy 16
Rad threshold for risk to fetus
10 rads (much less than a couple of plain films)
Inc. nuccal translucency risk of
Chromosomal abnormalities (Down’s, Cardiac defects)
Balance translocation risk of child with abnormality
100%
What is encephalocele
Out pouching of neural tissue through defect in skull
What is cystic hygroma
Emerges from base of neck with intact skull
Two main FAS risks
Cardiac abnormalities and joint dfects
Why no TMP/SMX in third trimester
Can cause kernicterus
Why are epileptic pt babies at risk even if mother not on meds
Seizures can cause transient reduction in blood flor
Folate helps
Screen all jewish pt’s for
Tay-Sachs and Canavan
Amniocentesis risks
1-2% fluid leak
Fractures in utero could be
OI
Streptomycin can cause what congenital abnormality
Hearing loss
When to get hep A vaccine in pregnancy
After exposure or before travel to endemic areas
Higher rates of endometritis after what kind of delivery? Why?
CD: more likely to have PROM, multiple exams
Best position for breastfeeding
Belly to belly
Intense pain and redness with breast feeding
Candida infection
How often should baby poo if being fed enough
3-4 times in 24 hours
What is needed to use MTX in ectopic
Hemodynamically stable, non-ruptured,
MCC of 1st trimester abortion
Autosomal trisomy
Almost all cases of abdominal pregnancy follow
Early rupture or abortion of a tubal pregnancy
Labor after IUFD usually occurs when
w/in 2 weeks
Donor twin is always what in twin twin transfuion
Anemic
if HCG titers rise in 2-3 weeks following a molar evacuation, what next?
Single agent chemotherapy
Avoid what med when oligohydramnios already present
Indomethacin –> can decrease fetal urine production and make worse
Why can IGUR babies have polycythemia
Compensation for poor placental oxygenation
Rh titer indicative of severe hemolytic dz
1:16 or greater
When to give rho-gam (situations)
After Ab or ectopic, amniocentesis, 28 weeks, w/in 3 days of delivery, at external cephalic version
tx for perinatal varicella exposure
Give child varicella ab
What can give a mother toxo
Organic or undercooked meat (French)
What do you give when hx of VTE in pregnancy
Low dose heparin throughout
Myoma degeneration pain localized to
Uterine wall
Who gets PUPP
2nd and 34d trimmest nulliparous women
Fetal exposure to thionamides can cause
Goiters and hypothyroidism
Maternal HSV
Cutaneous and bony defects chorioretinitis, cerebral atrophy
Maternal rubella
Eye lesions, deafness
Maternal CMV
Mono like in mom - baby has intracranial calcifications
Materna Toxa
Calcifications, anemia, and low birth weight
Stillbirth with lots of petechia likely
Maternal syphillis
Early onset of neonatal GBS
Respiratory distress
Lowest sucess rate for sexual disorders tx
Primary impotence
MC contraceptives in young adult
OCP
What do spermicides contain
Nonoxynol-9
Clonidine vs SSRI adverse sexual effects
Clonidine inhibits orgasms
SSRIS inhibit libido
COC decreases risks of what cancer? how does estrogen help
Endometrial and ovarian
Estrogen decrease FSH levels
Who are progesterone only BC contra in
Pt’s with uterine bleeding or breast Ca
MC complication of vasectomy
Hematoma
What is Vaginismus
Recurrent involuntary spasm of lower 1/3 of vagina (poss early reaction to anticipated pain)
What is dysparenuria
Recurrent sex pain not caused by vaginismus or lack of lubrication
Silent menses seen
After first month of pill, ok
MC type of urinary incontenence
Stress
Urge MC in elderly
Hysterectomy can lead to what kind of urinary incontenence
Stress
What causes urge incontenence
Detrussor instability –> Medically managed
Top 3 ovarian masses in young women
- Follicular -watery straw colored fluid
- Corpus luteum - complex, may be hemhorragic
- Theca luteun - bilateral, ass w/ pregnancy
What is vulvodynia
Pan with entry, tenderness over vestible
PID tx
Cef + Doxy
When do ruptured ovarian cysts hurt
Around ovulation
Precocious puberty ages
Before 8 in girls, 9 in boys
Prolactin in preg
Up to 10x normal
What is Danzol
Progesterone analog for endometriosis, pseudomenopaus but doesn’t alter levels
Fat tissue converts
Andosterdione to estrone
When to start mammograms
50
How often cholesterol screening
Every 5 years
Leading cause of death in women 40-64
Cancer
Gaurdner duct cyst features
From remnant of mesonephric duct alone lateral vaginal wall
Usually small and asymptomatic
Bartholin duct cyst features
Large vuvlar cysts that grow in labial groove
Cervical Ca first spreads to what nodes
Paravertebral
Hydronephrosis in cervical Ca stage
IIIb (IIIa if in pelvic wall)
Most radiosensitive organ in the pelvis
Ovaries
What cancer is more common in pregnant women
Cervical Ca
Most common ovarian tumor class in 20s
Germ cell
Most common epithelial cell ovarian tumor
Serous (1/3 bilateral)
Gonadoblastomas cause
Calcifications
MCC of consumptive coagulopathy in pregnancy
Aburption
FFP has what
Fibrinogen —> will promote clotting
3 steps of breast suckling
- Dopa increased
- Dec. prolactin inhibitory factor
- In in prolactin and oxytocin
Vaginal vs CS endometritis tx
Vag: Ampicillin and Gent
CD: Clinda and Gent
Amp to cover enterococcus if fever > 2-3 days post CD
Uterine hemorrhage after first postpartum week
Retained placental fragments or sub involution of placental site
Normal umbilical blood gas
pH >7.25-7.3
PcO2 50
PO2 20
Breastfeeding decreases what in babies
Diarrhea, infections, and SID
how long after partum until uterus gets to normal size
4 weeks
Highest risk for wound infection
Obesity
Fetal heart tones audible when
10 weeks
