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OBSTETRICS and GYNE > PULMONARY > Flashcards

PULMONARY Flashcards

1
Q

At term, what happens to diaphragm? Subcostal angle?

A

Diaphragm rises

Subcostal angle widens

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2
Q

At term, what happens to thoracic circumference? Thoracic cage?

A

Thoracic circumference increases

Thoracic cage widens

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3
Q

Term lung volumes

Inspiratory capacity

A

Increases

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4
Q

Term lung volumes

Functional residual capacity

A

Decreases

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5
Q

Term lung volumes

Tidal volume

A

Increases

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6
Q

Term lung volumes

Expiratory Reserve Volume

A

Decrease

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7
Q

Term lung volumes

Residual volume

A

Decreases

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8
Q

Term lung volumes

Total lung capacity

A

Decreases

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9
Q

Peak expiratory flow rates

A

Increase progressively

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10
Q

Airway conductance

A

Increases

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11
Q

Total pulmonary resistance

A

Decreases

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12
Q

Lung compliance

A

Unchanged

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13
Q

Hormone affecting airway conductance and total pulmonary resistance

A

Progesterone

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14
Q

Term lung volumes

Vital capacity

A

Unchanged

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15
Q

Asthma complications in pregnancy.

Maternal

A

Depression
Miscarriage
CS
Preeclampsia

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16
Q

Asthma complications in pregnancy

Fetal

A

Fetal growth restriction

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17
Q

Acute asthma first line treatment

A

Beta agonist

Terbutaline

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18
Q

When to admit pregnant asthma?

A

Respiratory distress

Status asthmaricua

19
Q

Stepwise treatment in Asthma

A 
Mild intermittent: SABA
Persistent
— mild: SABA, low dose ICS
— mod: SABA, low dose ICS, LABA
— severe: SABA, high dose ICS, LABA
— very severe: SABA, high dose ICS, LABA, OCS
20
Q

Classify Asthma

Symptoms throughout the day

A

Severe persistent

21
Q

Classify Asthma

Nocturnal awakenings 3-4x a month

A

Mild, persistent

22
Q

SABA Daily

A

Moderate Persistent

23
Q

Classify Asthma

Activity limitation, minor

A

Mild persistent

24
Q

Classify Asthma

SABA 2 or less days/week

A

Intermittent

25
Q

Classify Asthma

Day symptoms 2 days per week

A

Intermittent

26
Q

Classify Asthma

Night awakening 3-4x a month

A

Mild persistent

27
Q

Classify Asthma

FEV 80% predicted

A

Mild persistent

28
Q

Classify Asthma

60-80% predicted

A

Moderate persistent

29
Q

Classify Asthma

FEV1/FVC Normal

A

Intermittent or mild persistent

30
Q

Classify Asthma

FEV1/FVC reduced 5%

A

Moderate persistent

31
Q

Classify Asthma

FEV1/FVC reduced >5%

A

Severe persistent

32
Q

Low dose ICS safe in pregnancy

A

Budesonide

33
Q

LABA safe in pregnancy

A

Salmeterol

34
Q

OCS safe in pregnancy

A

Prednisone

35
Q

Most common etiology of CAP

A

Strep pneumonia

36
Q

Most common cause of influenza pneumonia

A

Influenza A and B

37
Q

Most frequent pneumonia complication

A

Premature rupture of membranes

38
Q

Pneumonia complications in fetus

A

Low birth weight

39
Q

Bacterial pneumonia management

A

Hospitalize pregnant women with pneumonia by Xray

40
Q

Antibiotic therapy in bacterial pneumonia

A

Macrolide - initial monotherapy
Fluoroquinolone - severe cases
B-lactams (co-amox)

41
Q

Management of influenza pneumonia

A

Supportive

Neuraminidase inhibitors to shorten course

42
Q

Fetal response to maternal hypoxemia

A

Decrease cardiac output

43
Q

Sign of a Potentially fatal asthma attack

A

Central cyanosis

OBSTETRICS and GYNE (5 decks)

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