Preg

Question 1

Gestation diabetes screen is done when and with what test (preferably)?

Answer 1

24-28 wks
OGTT

Question 2

What 2h OGTT is diagnostic of diabetes

Answer 2

> 200

Question 3

What are the fasting glucose targets in gestational diabetes and the 1&2h post prandial targets?

Answer 3

Fasting- <95
1h PP- <140
2h PP- <120

Question 4

HELP Syndrome components

Answer 4

Hemolysis
Elevated Liver enzymes
Low Platelet

Can cause end organ vasospasm ie. seizures

Question 5

Suspected miscarriage with open cervical Os =

Answer 5

Inevitable absorption

Question 6

Differences between placenta previa and abruptio placenta

Answer 6

Placenta previa- painless bleeding, non tender uterus and often fetal VS will be fine (initially)

Abruptio placenta - bleeding, painful uterus

Question 7

Prophylactic HSV treatment can be initiated when

Answer 7

36 weeks

Question 8

Treatment of eclampsia

Answer 8

Mag sulf
Delivery
Control BP

Question 9

When to screen for post party depression

Answer 9

6 weeks post partum

Question 10

Postpartum blues resolve by ——?

Answer 10

2 weeks

Question 11

Pt with normal BMI has recommended weight gain of what during pregnancy?

Answer 11

25-35 lbs

Question 12

Tubal scarring from PID or hx of c-section increases risk of what

Answer 12

Ectopic preg

Question 13

3rd trimester
Upper R quad pain
Itching in hands and feet
Elevated bile acids
Elevated liver enzymes (<2x)

Answer 13

Inteahepatic cholestasis in preg

Question 14

Ursodeoxycholic acid is treatment for what

Answer 14

Intrahepatic cholestasis of preg

Question 15

Pregnancy rhinitis treatment

Answer 15

Saline nasal spray
Regular exercise to increase physiologic vasoconstrict and prevent epistaxis

Question 16

Pt is RH pos - what’s the risk of Rh(D) alloimunization?

Answer 16

None

Risk only in Rh Neg parent

Question 17

Anti D Immunoglobulins are given to who and when (routinely)

Answer 17

Rh Neg pregnant with no immunity

At 28 weeks and within 72h of delivery

Question 18

+ VDRL & + FTA-ABS

Treatment?

Answer 18

Penicillin G
Allergic and preg- get skin test and desensitization therapy to penicillin
Allergic and non preg- doxy

Question 19

Which of the following abx classes can be given in preg;
Fluroquinalones
Macrolides
Tetracyclines
Cephalosporins

Answer 19

Macrolides and cephalosporins

Question 20

When are pts screened for GBS?

Answer 20

36-38 weeks
Treatment- penicillin

Question 21

3ed trimester pruritic rash on abdomen, near striae, spares umbilicus

Answer 21

Polymorphic eruption of pregnancy
Treatment is topical steroids

Question 22

Normal Beta HCG trend in 1st trimester

Answer 22

Should increased by at least 50% a 48-72h for initial 6-8 weeks

Question 23

Common causes of Metabolic Alkalosis during preg?
What metabolic shift is more common in preg and considered physiologic variant?

Answer 23

Metabolic Alkalosis- hyperemesis gravidarum

Respiratory alkalosis is more common in preg

Question 24

DVT treatment in preg?

Answer 24

Low molecular weight herparin ie. enoxaparin

Question 25

Flu like symptoms,localized pain and welling to breast, cessation in breast feeding in hx Tx?

Answer 25

Lactational mastitis Tx- abx ie. dicloxacillin or cephalexin and keep breastfeeding to clear!

Question 26

Pre-eclampsia prevention

Answer 26

Daily ASA started at 12 wks

Question 27

Asymptomatic bacteruria is screened for when- Defined as what count- Treatement-

Answer 27

12-16 wks >100 000 Cephalexin or amoxi-clav or nitrofurantoin

Question 28

Nausea and vomitting in 1st trimester preg treatment after lifestyle interventions

Answer 28

Vit B6 & H1 antihistamine ie. promethazine

Question 29

Naegeles rule

Answer 29

First date of LMP - 3 months + 7d