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ObGyn > Qs > Flashcards

Qs Flashcards

1
Q

Mammo recs

A

Age 50-75
Every 2 years

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2
Q

Trichomonas

A

Anaerobic flagella Protozoa
Foul smell, frothy
Purulent d/c
pH>4.5

Metronidazole (pt and partners)

Strawberry cervix w/ punctuate hemorrhages

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3
Q

Gardnerella vaginalis

A

Clue cells
Fishy, gray/milky d/c
pH>4.5

Metronidazole or Clindamycin

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4
Q

Disseminated gonococcal sympt and treat

A

Dermatitis pustular feet
Septic arthritis

Treat doxycycline or IV ceftriaxone

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5
Q

Lithium

A

1st trimester
Epstein- atrial RV, tricuspid regurg, RA enlarge

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6
Q

Breech at 38 wk

A

Offer ext cephalic conversion if want vaginal delivery

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7
Q

Uterine atony

A

Massage
Oxytocin
Misoprostol
Carbopost (prostaglandin)
TXA

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8
Q

Enterocele or rectocele

A

Upper 1/3 vaginal wall protrusion
Recto—middle 1/3 vagina
Herniated section intestines
Lax spinctor tone

Risks: multiparity, post menopausal, prior pelvic surgery

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9
Q

Threatened abortion

A

<20wks, VB
Closed cervix
Fetus has cardiac activity

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10
Q

HELLP

A

Pre-eclampsia (HTN)
Hemolysis (low hgb, haptoglobin)
High LDH, indirect bili
High liver enzymes
Low plts

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11
Q

When deliver HELLP

A

34 wks

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12
Q

Complete abortion

A

Bleed
No cardiac activity

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13
Q

Missed abortion

A

No bleeding
No cardiac activity

Double decidual sac sign
No expulsion of fetal parts

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14
Q

Common cause of 1st trimester losses

A

Chromosome abnormalities

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15
Q

PCOS treat

A

1st line—COC

2nd line—Spironolactone

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16
Q

Genital herpes

A

HSV2
Painful, Pruritic vesicles (that rupture and leave ulcerations)
Inguinal lymphadenopathy

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17
Q

Uterine inversion

A

Postition manually or surgical repair
Brisk PPH
no palpable fundus, mass protruding from vagina

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18
Q

Active labor

A

> 6cm dialation

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19
Q

PROM and risk factors (2)

A

LOF before onset of labor/uterine contractions

Risk: smoking, multiple pregnancies

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20
Q

Adnexal mass with septations

A

Epithelial ovarian cancer

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21
Q

Urgency incontinence treat

A

Oxybutynin (muscarinic antagonist)
Mirabegron (symp agonist)

22
Q

Overflow incontinence

A

Bethanechol (cholinergic agonist)

Intermittent self catherization

23
Q

Stress incontinence

A

Kegel exercises

Midurethral sling

24
Q

Endometritis treat (PP)

A

Gentamicin
Clindamycin both

25
Q

Galactocele

A

Mobile breast mass
After stop breastfeeding
Resolve spont
Variable echogenicity on US

26
Q

Reactive NST

A

2 accel
15s
>15bpm
In 20min

27
Q

Tamoxifen

A

Antagonist at breast
Agonist endometrium and bone

28
Q

E. coli cystitis treat

A

TMP SMX

29
Q

Chorioamnitits symptoms and risks what bc of this

A

Mat fever
Malodor amniotic fluid
^fetal HR
Uterine tenderness

Risks of this are prolonged labor PPROM

30
Q

Preg w Pyelo

A

IV cefotaxime (3rd Gen)

31
Q

Gestational trophoblastic Dz

A

> 100,000

Choriocarcinoma or molar preg

32
Q

Graves/hyperthyroidism 1st trimester treat

A

Propylthiouracil

33
Q

2nd and 3rd trimester graves/hyperthyroidism treat

A

Methimazole

34
Q

Uterine rupture symptom and management

A

X contractions
Loss fetal station
Bleeding

Exploratory laparotomy, c section

35
Q

Acute Fatty liver Dz

A

Leukocytosis
Low plts
Increase PT
Hyperbili
Increase AST/ALT
Hemolysis
Hypoglycemia

Immediate delivery

36
Q

Thinning myometrium on US

A

Placenta accreta

37
Q

Placental abruption symp

A

Rigid uterus
Hypertonic cx

38
Q

Preg opioid d/o

A

Buprenorphine
Or
Methadone

39
Q

Umbilical cord proplapse

A

Thick, Pulsating cord
Fetal bradycardia
Recurrent decels

C section

40
Q

When to give rhogam

A

28 wks to Rh - mom

41
Q

Hypothyroidism and infertility

A

Can increase PRL which x GnRH so x LH, FSH

So treat with levothyroxine to correct hypothyroidism

42
Q

Cervical insuff

A

Bulging bag w/fetal parts
Painless cervix dialation

Cerclage place

43
Q

Bartholin gland cysts

A

Post vulvular vestibule

44
Q

Preg with watery diarrhea

A

Listeria
IUFD

45
Q

Epidural SE

A

Hypotension

46
Q

Cervical insuff sign

A

Cervical length <25mm

47
Q

Monoamniotic monochorionic twins at risk of what

A

No mem visible
At risk umbilical cord entanglement

48
Q

Vaginal hematoma

A

Vaginal mass
Hypovolemic shock

49
Q

Ashermans syndrome

A

Normal FSH, estrogen
After D/C adhesions/fibrosis

2 amenorrhea

50
Q

Chorioamnitits treat (vag vs CS)

A

Ampicillin and gentamicin (vag)

Those + Clindamycin (CS)

51
Q

Chancroid Ab

A

Ceftriaxone
Azithromycin

ObGyn (1 decks)

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