quiz 5 Flashcards
incidence in gen pop of: twinning?
monozygotic twins?
1 in 90;
1 in 250;
the perinatal morbidity in multifetal gestation is how many times higher than for a comparable singleton preg?
3-4
avg time of delivery of twin preg?
35wks
Dx of multiple gestation is usually made by?
U/S
in multiple gestation, periodic U/S are done approx every 4wks begining at about?
16wks
in what percent of twin gestations is each member of the twin pair in cephalic presentation at the beginning of labor
40
chorionicity can first be determined at what gestational age
9-10wks
bronchial asthma is encountered in what percent of preg pts
4-8
severe asthma is assoc w less than what percent FEV1 or peak flow?
60
pts w which cardiac disease is it best advised not to become preg?
uncorrected TOF
in nml pts, CO increases in preg by approx
40%
Sxs of NYHA class 1 ?
no cardiac decompensation or limitation of physical activity
Sxs of NYHA class 2?
no Sxs of cardiac decompensation at rest, minor limitations of physical activity
Sxs of NYHA class 3?
no Sxs of cardiac decompensation at rest, marked limitations of physical activity
Sxs of NYHA class 4?
Sxs of cardiac decompensation at rest, increased discomfort w any physical activity
fetuses of pts w fxnlly sign cardiac disease are at increased risk for ?
low birth weight
OB pts w cardiac disease are most likely to die in what period?
postpartum
characteristic of pts at increased risk for peripartum cardiomyopathy
Hx of preeclampsia
what percent of offspring of pts w Marfans will inherit the disease?
50
about this percent of pts w rheumatic HD have mitral stenosis
90
MOA of thiazides
decreased plasma vol and CO
MOA of methyldopa
false neurotransmission, CNS effect
MOA of nefedipine
Ca channel blocker
MOA of hydralazine
direct peripheral vasodilation
serum conc in mg/dL magnesium sulfate is assoc w decreased patellar reflexes
8-12
what percent of eclamptic seizures happen before overt proteinuria?
10
appropriate management of preeclampsia at 31 wks ?
additional management at 34 wks?
biweekly biphysical profiles ;
antihypertensive med
% of preg women w ASx cervical colonization by beta-hemolytic strep?
what % of infants exposed will become colonized
30!! ;
50
what incr in serologic titers for syphilis is an indication for further therapy?
fourfold
sucessful Tx of neonatal gonococcal ophthalmia in newborn of a women w N. gon?
Tetracycline
which is NOT assoc w congenital rubella
MSK anomalies ie phocomelia
most classic eye finding in fetal congenital rubella
cataracts
what % of americans infected w HIV are women?
30
what % of pediatric HIV is d/t breastfeeding w an infected mother?
50
C-section indicated when lesion consist of HSV and…
the suspected infection is recurrent
type of Hepatitis MC in the US?
E
type of Hepatitis that is waterborne?
E
latency period from HIV to AIDS is about … yrs
11
Tx for HPC lesions during preg includes all BUT
podophylin and 5-FU
antiviral HIV Tx should decr risk of perinatal trsnmsn to as low as …
planned c-sec is recomended at … wks if viral load is greater than ..
1-2%;
38;
1,000
RR of devel breast ca. in woman w fibroadenoma is …
1.0
woman living in US has what lifetime risk of devel breast ca..
1 in 8
BI-RADS cat 1 report in a 55y should be followed up w mammogram in?
12mos
53 yo w category 4 BI-RADS next step..
biopsy
explain category 0 BI-RADS report
a finding is noted tat warrants further imaging
2cm breast tumor, stage is..
T4
what portion of ejaculate contains greatest density of sperm?
results of semen analysis excludes a male cause for infertility in what % of cases?
first quarter;
90%
bilateral proximal tubal occlusion, best option for conception is
invitro
Fecundability is what? in a healthy young couple it is estimated to be ?
a live birth in one menstrual cycle;
20-25%
ovulation occurs how long after detectable LH surge
24hrs
% of pts w an STD that have more than one STD?
20-50%
first lesions seen in primary genital herpes
vesicles
when do sxs appear after initial infection w N. gon?
lower genital tract infections are c/b?
3-5 DAYS;
purulent discharge
after single infection w N gon probability of infertility is ?
after 3 episodes of N gon salpingitis risk of infertility is?
15%;
75%
HPV types 16 and 18 acct for what % cervical ca
66
condyloma acuminatum may be confused w ?
SECONDARY SYPHILIS
HPV found in what % of sexually active women
80
what makes pt more resistant to therapy for condyloma acuminatum
diabetes
most contagious stage of syphilis ? what us characteristic of this stage?
secondary;
rash of palms/soles…. low grade fever, HA, malaise, sore throat, anorexia, lymphadenopathy
incubation period for new herpes
2-3days
incubation period for primary syphilis
10-60days
causative agent of chancroid
Haemophilis ducreyi
causative agent of lymphogranuloma venerum
chlamydia trachomatis
causative agent of granuloma inguinale
klebsiella
3cm condyloma best treated w
laser
when is false positive test for AIDS more likely
pt taking OCP
risk for ectopic incr by how much after salpingitis
7-10times
19yo w suspected gonorrhea most likely confirmed through
culture
response to syphilis therapy monitered by
VDRL
admitted for TOA, inital therapy
parenteral ABX
greatest RF for PID
prior PID
