Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Flash Cards OB Boards > Random > Flashcards

Random Flashcards

1
Q

5 causes of sexual dysfunction?

A

1- female sexual interest and arousal disorder (hypoactive)
2- female orgasmic disorder
3- genito-pelvic pain/penetration disorder.
4- Medications
5- Other specified and unspecified causes (Hypoactive sexual desire disorder is the most common type of sexual dysfunction, estimated prevalence between 5.4-13.6%.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How common are cervical ectopic pregnancies?

A

less than 1% of all ectopic pregnancies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 5 US signs of cervical ectopic?

A

1) No IUP
2) barrel-shaped cervix,
3) gestational sac within the cervical canal with or without cardiac activity
4) Doppler blood flow to the cervix
5) absent “sliding sign” ( intracervical sac fails to slide along the cervical canal when gentle pressure is applied to the cervix with the vaginal transducer).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

5 steps to treating cervical ectopic before proceeding to hysterectomy

A

1) MTX even in the presence of relative contraindications
2) intraamniotic Potassium chloride
3) Preoperative UAE if surgery necessary
4) transvaginal ligation of the cervical branches of the uterine arteries, cervical cerclage, or intracervical vasopressin injection
5) tamponade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

5 Long term consequences of intimate partner violence?

A

1) chronic pain syndromes,
2) neurologic disorders,
3) gastrointestinal disorders,
4) migraine headaches,
5) Psychological: PTSD, depression, anxiety disorders, substance abuse, and suicide.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

IPV (Intimate partner violence) in pregnancy is associated with:

A

1) poor pregnancy weight gain,
2) infection,
3) substance abuse,
4) low birth weight,
5) preterm delivery,
6) depression
7) maternal and neonatal death.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Arrest of the active phase of labor:

A

6 cm or more, with the amniotic membranes ruptured, and no cervical change after either:
4 hours of adequate contractions
6 hours of inadequate contractions despite oxytocin administration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Second stage arrest in women with an epidural:

A

nulliparous: allow up to 4 hours with an epidural or 3 hours of pushing without an epidural
multiparous: allow up to 3 hours with an epidural or 2 hours of pushing without an epidural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

4 US findings diagnostic of Pregnancy failure?

A

1) CRL > or equal to 7mm without FHR
2) Mean sac diameter > or equal to 25mm and no embryo
3) No FHR > or equal to 2 weeks after US showing GS without YS
4) No FHR > or equal to 11 days after US showing GS with YS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Positive FRAX indicates?

A

3% 10 year risk of hip fracture

20% 10 year risk of osteoporotic fracture (forearm, shoulder, spine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DD HELLP?

A

1) AFLP
2) TTP
3) ITP
4) Pancreatitis
5) Hepatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

AFLP lab values not found in HELLP

A

ELEVATED:
ammonia, bilirubin
NORMAL:
LDH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Alternatives for patients who can’t use heparin products?

A

Fondaparinux or Argatroban

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Loss rates for CVS? Amnio?

A

1/455, 1/769

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Components of semenalysis?

A

Pt should be abstinent >24hrs prior to providing sample
1- Volume (1,5 to 5mL)
2- Number (>15 million/mL)
3- Motility (50% within 60 min of collection)
4- pH= 7.2-7.8
5- Morphology >4% normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risk factors peripartum cardiomyopathy (5)?

A 
1- Multifetal gestation
2- Extremes of age (AMA/teen)
3- Multiparity
4- Obesity
5- Chronic HTN/Preeclampsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

5 Rs of smoking cessation?

A 
1-  Relevance
2- Risks
3- Rewards
4- Roadblocks
5- Repetition (at every visit)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

DD AFLP?

A 
1- Preeclampsia
2- HELLP
3- Viral Hepatitis
4- Autoimmune Hepatitis
5- Drug induced hepatotoxicity
19
Q

Are OCPs for cyst prevention or regression?

A

Prevention

20
Q

Syphilis ABX?

A

Primary, Secondary or early latent:
2.4 million U of benzathine PCN G x 1 dose
Tertiary, late latent, failed Tx:
2.4 million U of benzathine PCN G weekly x 3 doses
Neurosyphilis:
Aqueous Crystalline PCN G 18-24 million U I.V. qD x 14d

21
Q

When does AFLP usually present?

A

between 30-38 weeks

22
Q

Indications for cerclage:

A 
History:
3 prior 2nd tri losses without explanation
US:
CL < 25mm AND 1 prior PTD
Exam:
3cm dilation prior to 24 weeks
23
Q

DD Vulvar pruritis?

A 
GYN:
1- Lichen Sclerosus
2- Candidiasis
3- UTI
4- STD
5- Malignancy
NON-GYN:
1- Eczema/Psoriasis
2- Contact Dermatitis
3- Hemorrhoids
4- Crohns
5- Shingles
24
Q

Erbs and Klumpke:

A 
Erbs:
injury C5-C6
"Waiter's tip"
Klumpke:
C8-T1
"Claw hand" and sensory defects
25
Q

What risks are associated with HRT?

A 
Thromboembolism, 
gallbladder disease, 
breast cancer 
heart disease and stroke, 
Alzheimer's disease and dementia. 
[Estrogen therapy alone is associated with a small increased risk of ovarian cancer and unopposed estrogen in women with intact uteri are associated with increased risk of endometrial hyperplasia and cancer]
26
Q

What are elements of the “Ashkenazi Panel”?

A

1- CF
2- Tay-Sachs
3- Familial Dysautonomia
4- Canavan’s

27
Q

DD elevated FSH?

A 
1- POF
2- Menopause
3- CAH
4- Pituitary Adenoma
5- Anorexia
28
Q

APGAR Components?

A 
Appearance (skin color)
Pulse (>100bpm)
Grimace (reflex irritability)
Activity (muscle tone)
Respirations
29
Q

What could cause an elevated AFP in pregnancy?

A 
1- Incorrect Dates
2- Neural tube defect
3- Multifetal pregnancy
4- Omphalocele/Gastroschisis
5- Endodermal Sinus Tumor (Germ Cell Tumor)
30
Q

Prophylactic Lovenox and Heparin Doses?

A

LMWH: 40 mg SQ qD
Heparin: 5000 U SQ q12h

31
Q

Therapeutic Lovenox and Heparin Doses?

A

LMWH: 1 mg/kg SQ q12h
Heparin: Titrated to keep the aPTT in the therapeutic range (1.5-2.5)

32
Q

Why is Unfractionated heparin is preferred over LMWH in patients with severe renal insufficiency (eg, creatinine clearance <30 mL/min)?

A

Because LMWH metabolism is exclusively renal, while metabolism of unfractionated heparin is renal and hepatic.

33
Q

What is the other in TORCH?

A

e.g., Varicella, Parvo, Enteroviruses, Syphilis, Zika…

34
Q

Are there effective interventions for treating or preventing suspected macrosomia?

A

1- Exercise during pregnancy,
2- low glycemic diet in women with GDM, and
3- prepregnancy bariatric surgery in women with class 2 or class 3 obesity

35
Q

Contraindications to TXA?

A

1- Allergy
2- Hx of subarachnoid hemorrhage
3- Acquired defective color vision
4-Hx of VTE/Thrombophilia

36
Q

Define Tachysytole:

A

More than five contractions in 10 minutes, averaged over a 30-minute window

37
Q

Contraindications to labor induction?

A 
Vasa previa or complete placenta previa
    Transverse fetal lie
    Umbilical cord prolapse
    Previous classical cesarean delivery
    Active genital herpes infection
    Previous myomectomy entering endometrial cavity
38
Q

What is velamentous cord insertion?

A

The umbilical cord inserts into the fetal membranes (choriamniotic membranes), then travels within the membranes to the placenta (between the amnion and the chorion). The exposed vessels are not protected by Wharton’s jelly and hence are vulnerable to rupture.

39
Q

Risk factors for stillbirth?

A 
1- Obesity
2- Multifetal Gestation
3- DM
4- Smoking/Substance Abuse
5- AMA
6- African American 
7- IPV 
8- Previous stillbirth
9- IVF
10- Sleep Apnea
40
Q

Spiegelberg Criteria for ovarian ectopic (4)?

A

1- Gestational sac in ovarian region
2- Tube is intact
3- Histologically demonstrated ovargewebe in sac
4- Preg. attached to uterus by ovarian ligament

41
Q

What causes “couvelaire” uterus?

A

Abruption in which blood extravasates into myometrium

42
Q

DD etiology of polyhydramnios?

A 
Idiopathic (50-60%)
Diabetes (20%), 
Infections (fetal), isoimmunization (1%)
Oddball fetal malformations (10-15%)
Twins/multiple gestations (5-10%)
43
Q

What does McRoberts maneuver do?

A

Causes cephalad rotation of the symphysis pubis and flattening of the lumbar lordosis that can free the impacted shoulder

44
Q

How should pregnant women be counseled about vaping?

A

There are little data regarding the health effects of these agents, either in the general population or in pregnant women specifically. Nicotine in any form poses considerable health risks and has known adverse effects on fetal brain and lung tissue

Flash Cards OB Boards (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions