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OB/GYN > Questions > Flashcards

Questions Flashcards

1
Q

most common cause of inherited MR

A

fragile x syndrome

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2
Q

most effective test for looking at down’s syndrome in second trimester is

A

quadruple screen

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3
Q

braxton hicks contractions

A

short in duration, less intense than true labor, and the discomfort as being in the lower abdomen and groin areas

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4
Q

steps in umbilical cord prolapse

A

hold fetal head in vagina, perform emergency c section

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5
Q

down syndrome features

A

flattened nasal bridge, small size and small rotated, cup-shaped ears, sandal gap toes, hypotonia, a protruding tongue, short broad hands, Simian creases, epicanthic folds, and oblique palpebral fissures.

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6
Q

type 1 DM is associated with what size and glucose babies

A

small and hypoglycemia

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7
Q

septic infant appearance/activity/temperature

A

lethargic, pale,high temperature

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8
Q

infants born to diabetic mothers are at risk for:

A

hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia and respiratory distress.

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9
Q

most common cause of PPH

A

uterine atony

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10
Q

most common cause of post partum fever

A

endometritis

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11
Q

bacterial cause of endometritis

A

staph aureus and strep, aerobic and anaerobic

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12
Q

postpartum blues duration

A

less than 2 weeks of depressive symptoms

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13
Q

safest method to prevent lactation

A

breast binding, ice packs, and analgesics

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14
Q

breastfeeding decreases risk of which cancer

A

ovarian cancer

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15
Q

decrease in which hormones allow for lactation

A

estorgen and progesterone

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16
Q

level of beta hcg where it is hard to get diagnosis/ pregnancy

A
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17
Q

beta hcg should….in 48 hours until day….

A

double

42

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18
Q

of weeks to place cerclage

A

14

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19
Q

type 1 DM is associated with what risk for fetus

A

fetal growth restriction

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20
Q

screening gestation age for normal patient for diabetes

A

24-28 weeks

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21
Q

risk to mother with cardiac disease or pulmonary HTN percentage

A

25-50%

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22
Q

tx for pregnant patient with anxiety/ palpitations and murmur

A

beta blockers

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23
Q

psych drug contraindicated in pregnancy

A

paroxetine

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24
Q

paroxetine causes in pregnancy

A

cardiac malformations and pulm htn

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25
Q

cure for pruritus gravidarum of intrahepatic cholestasis

A

ursodeoxylic acid

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26
Q

safe range of diastolic blood pressure status post severe preeclampsia

A

90-100

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27
Q

test for diagnostics of how much rhogam to give

A

Kleihauer-Betke

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28
Q

best noninvasive test to monitor for severe fetal anemia

A

middle cerebral artery peak systolic velocity

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29
Q

twin gestation causes what to fundal height and to AFP

A

increased fundal height and increased AFP

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30
Q

most important thing to check if patient presents with bleeding while rpegnant

A

maternal blood type

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31
Q

radiation susceptibility of gestational age

A

8-15 weeks

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32
Q

factor 5 leiden birth complications

A

stillbirth, preeclampsia, placental abruption and IUGR.

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33
Q

smoking increases the risk of:

A

placental abruption, placenta previa, fetal growth restriction, preeclampsia, infection

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34
Q

most common cause of preterm labor

A

idiopathic

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35
Q

tocolytic agents contraindicated in diabetic patients

A

terbutaline and ritodrine

36
Q

tocolytic agents contraindicated in myasthenia gravis

A

mg sulfate

37
Q

most likely cause of preterm rupture/ primary risk

A

genital tract infections

38
Q

medication to decrease risk of PROM

A

17 alpha-hydroxyprogesterone `

39
Q

uterotonic medication contraindicated in HTN women

A

methylergonervine

40
Q

uterotonic medication contraindicated in asthma women

A

hemabate prostaglandin f2alpha

41
Q

tx of septic thrombophlebitis

A

abx and anticoagulation

42
Q

postterm pregnancies associations:

A

placental sulfatase deficiency, fetal adrenal hypoplasia, anencephaly, inaccurate or unknown dates and extrauterine pregnancy

43
Q

sx of fetal dysmaturity

A

withered, meconium stained, long-nailed, fragile and have an associated small placenta

44
Q

PID tx inpatient

A

Cefotetan or cefoxitin PLUS doxycycline or clindamycin PLUS gentamicin

45
Q

PID tx outpatient

A

ceftriaxone, cefoxitin, or other third-generation cephalosporin (such as ceftizoxime or cefotaxime) PLUS doxycycline WITH or WITHOUT metronidazole.

46
Q

normal post void amount of urine

A

50-60 cc

47
Q

overflow incontinence

A

trouble emptying bladder

sx: symptoms of pressure, fullness, and frequency, a small amount of continuous leaking

48
Q

urge incontinence - what it is and tx

A

detrusor instability, contraction of bladder with filling

tx: oxybutinin

49
Q

tx for complex cyst in postmenopausal woman after ultrasound

A

surgical exploration

50
Q

tx for endometriosis

A

oral contraceptives

51
Q

tx for hemorrhagic cysts

A

watch and wait

52
Q

tx of infertility in patient with endometriosis

A

ovarian stimulation with clomiphene citrate

53
Q

interstitial cystitis

A

chronic inflammatory condition of the bladder,

sx: recurrent irritative voiding symptoms of urgency and frequency, in the absence of objective evidence of another disease that could cause the symptoms

54
Q

progression of puberty for women

A

thelarche, adrenarche, growth spurt, menarche

55
Q

kallmann syndrome

A

olfactory tract hypoplasia and the arcuate nucleus does not secrete GnRH.

sx: poor sense of smell and no secondary sex characteristics

56
Q

mccune albright syndrome

A

premature menses without breast and pubic hair development

57
Q

tx of hirsutism with bcps

A

spironolactone

58
Q

birth control ‘ills help pain with menses by…

A

cause endometrial atrophy

59
Q

hrt causes what change in lipid profile

A

hdl incr and ldl decr

60
Q

contra indication to hrt

A

vaginal bleeding possible endometrial cancer

61
Q

common side effect to hrt

A

vaginal bleeding

62
Q

what is deficient in PMS

A

vit A E B6

63
Q

molar pregnancy risk association

A

asian race

64
Q

dx of choriocarcinoma

A

beta hcg

65
Q

lichen sclerosis chronic itch can lead to…

A

squamous cell carcinoma

66
Q

tamoxofen increases risk of…

A

endometrial cancer

67
Q

dx of lichen sclerosus

A

vulvar punch biopsy

68
Q

pseudocyesis

A

psychiatric condition in which a woman presents with nearly all signs and sx of pregnancy but negative pregnancy test and normal endometrial shape

69
Q

test for women age > 35 who are pregnant

A

cell free fetal DNA testing

looks for trisomy at 10 weeks gestation

70
Q

if evident cervical lesion present, correct diagnostic test is…

A

biopsy

71
Q

major sx associated with fibroids

A

menorrhagia

72
Q

fibroid position more likely to cause infertility

A

submucosal

73
Q

medical tx of fibroids

A

GnRH agonist

74
Q

most common place for spread of endometrial CA

A

lungs

75
Q

way for young woman to decrease risk of ovarian CA

A

birth control pills

76
Q

high stage ovarian CA after debulking needs….

A

chemotherapy

77
Q

most common ovarian neoplasm/cyst

A

functional ovarian cyst

78
Q

mccune albright syndrome - name, sx

A

polyostotic fibrous dysplasia

- fibrous dysplasia, cystic degeneration of long bones, sexual precocity, cafe au lait spots

79
Q

kallmann syndrome - name, sx

A

hypogonadtropic hypogonadism

sx: amenorrheic patient of normal stature with delayed or absent pubertal development and anosmia

80
Q

adenomyosis

A

normal endometrial glands grow into myometrium

sx: tender, symmetrically enlarged uterus without adnexal tenderness

81
Q

medical tx of endometriosis

A

danazol, progestational compound derived from testosterone

- induces psueodmenopause

82
Q

mullerian agenesis - name, sx

A

called mayerrokitanskykusterhauser syndrome

sx: amenorrhea with absence of a vagina

83
Q

Best way to tx pcos for fertility

A

Metformin

84
Q

Indomethacin side effect and mechanism

A

Oligohydramnios and prostaglandin synthetase inhibitor

85
Q

Primary spread of cervical cancer

A

Vaginal mucosa, myometrium, paracervical lymph and parametrium

86
Q

Likelihood unilateral serous carcinoma is bilateral

A

33%

87
Q

Tx of vulvodynia

A
  1. Loose clothes, no tampons, no hot tubs

2. Topical lidocaine, estrogen, steroids

OB/GYN (3 decks)

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