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ABFM First Aid > Reproductive Health > Flashcards

Reproductive Health Flashcards

1
Q

when can you see gestational sac on US?

A

5-6 weeks

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2
Q

Smoking during pregnancy is associated with…

A

low birth weight, increased risk of miscarriage, prematurity and VTE

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3
Q

When can you give methotrexate for ectopic pregnancy?

A

small <3 cm, unruptured, w/o fetal cardiac activity.

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4
Q

Normal fetal heart rate

A

120-160 bpm

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5
Q

Quad screen is offered between weeks…

A

15-18 weeks

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6
Q

When do you do a GTT?

A

24-28 weeks

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7
Q

Prego women should avoid airline travel after…

A

35-36 weeks

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8
Q

IUGR is defined as fetal growth below the —%.

A

<10%

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9
Q

Late decels indicate…

A

uteroplacental insufficiency & fetal acidemia

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10
Q

Variable decels indicate…

A

cord compression, no fetal distress

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11
Q

Early decels indicate…

A

head compression

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12
Q

Chorioamnionitis antibiotics?

A

Amp + gent

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13
Q

True/false emergency contraceptive works after implantation

A

False emergency contraceptive only works before implantation

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14
Q

Up to how many days after unprotected sex can you use emergency contraceptive?

A

Up to five days for progesterone only and combination emergency contraceptive and up to 5–8 days for copper IUD

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15
Q

Combined hormonal contraceptives are contraindicated in…

A

DVT, pulmonary embolism, thrombophlebitis, uncontrolled hypertension, CAV, CAD, MI, heavy tobacco use, any estrogen dependent cancer including breast cancer, migraines with aura, hepatic adenoma, hepatic carcinoma, pregnancy

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16
Q

True/false Combined hormonal contraceptives can only be started at the beginning of a menstrual cycle

A

False they can be started on any day of the menstrual cycle however if started on day one there’s no need for back up method. Starting any other day requires a barrier method or abstinence for 7 to 14 days

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17
Q

What should you instruct the patient to do if she misses a single dose of her OCP

A

Take her missed doast immediately in the next dose at the usual time

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18
Q

What should you instructed patient to do if she’s missed two doses of her OCP

A

Take two pills immediately and two pills the next day

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19
Q

What should you instruct the patient whose missed three or more doses of her OCP

A

Discard the pack of pills, allow withdrawal bleeding and then start a new pack

20
Q

Is the Depo-Provera estrogen or progesterone or both?

A

Medroxyprogesterone only

21
Q

True/false progesterone only methods are safe for breast-feeding mothers and babies

A

True

22
Q

Once a patient stops Depo-Provera how long does it usually take for fertility to return

A

7 to 12 months

23
Q

What is the only absolute contraindication for progesterone only contraceptives

A

Breast cancer. Caution is recommended in those with: Respecters for cardiovascular disease, uncontrolled hypertension, current DVT or PE

24
Q

Long-term use of Depo-Provera can lead to…

A

Decreased bone mineral density however this appears to return to normal after Depo-Provera is stopped.

25
Q

What supplements should you recommend for a patient on the Depo-Provera to take

A

Calcium and vitamin D in addition to weight bearing exercise to prevent bone loss

26
Q

True/false high-risk sexual activity and young age are contraindication to intrauterine contraceptives

A

False

27
Q

IUCs are contraindicated with

A

Pregnancy, active infection, anatomic abnormalities or fibroids at the store at the uterine cavity enough to make insertion difficult, current gynecological cancer, unexplained vaginal bleeding, allergy or Wilson’s disease and current/history of breast cancer(Mirena only)

28
Q

Abortion with D&C during the first trimester can be performed up to —-weeks

A

12 weeks

29
Q

First trimester abortion with mifepristone and misoprostol can be used for up to —- weeks

A

FDA approved for up to seven weeks but commonly used up to nine weeks

30
Q

If cardiac activity is detected — Weeks after medical abortion it is considered a failure and surgical abortion is needed

A

Two weeks

31
Q

What lab should you order to further evaluate an ovarian mass

A

Ultrasound to determine size, beta hCG, alpha-fetoprotein, LDH, serum CA 125

32
Q

What should you do for further evaluation of a prepubertal patient with ovarian mass

A

Ultrasound in referral to GYN has these are most likely malignant

33
Q

What should you do for a pre-menopausal patient with ovarian mass

A

Ultrasound, basic labs and if less than 10 cm can be followed with ultrasound. If persistence for more than 12 weeks referral to GYN

34
Q

What should you do for the postmenopausal patient with ovarian mass

A

Ultrasound, basic labs for 5 to 10 cm with normal CA 125 can be followed with serial ultrasounds due to low risk of malignancy. Larger system should be laparoscopically excised

35
Q

Antibiotics of choice for epididymitis individuals 14 to 35 years old

A

Treat for gonorrhea and chlamydia with Rocephin and Doxy or azithromycin

36
Q

Antibiotics of choice for epidermidis an individuals greater than 35 years

A

Bactrim or FQ

37
Q

Drug of choice and treatment duration for prostatitis

A

Bactrim or FQ. Treat for 4 to 6 weeks

38
Q

Drug of choice for treatment of trichomonas? Duration in dosage?

A

One time dose of metronidazole 2g, treat partner.

  • is treatment fails go to Flagyl 500 BID times seven days
39
Q

After an RPR what test do you have to do to confirm diagnosis of syphilis?

A

FTA-ABS

40
Q

Irregular bleeding is coming after HRT and improves after…

A

6-12 months

41
Q

Nausea and vomiting in pregnancy starts around ——and usually resolves by——.

A

4 to 8 weeks in resolves by 13 to 14 weeks

42
Q

Monitoring of MTX for ectopic pregnancy

A

After diagnosis of ectopic give single dose of methotrexate. Recheck beta hCG on days four and seven if level continues to rise patient will need laparoscopy. If Betah H she do use down trending, turned it out to zero

43
Q

Preeclampsia during pregnancy raises your lifetime risk of

A

Ischemic heart disease

44
Q

Women with preeclampsia should plan to deliver at

A

37 weeks

45
Q

MC type of ovarian cancer

A

epithelial ovarian cancer

46
Q

whats ospemifene?

A

SERM that acts as an estrogen agonist in the vagina but has no effects on the endometrium or breast. Daily pill. Side effects include hot flashes and risk of VTE. Also reduces bone turnover =)

ABFM First Aid (22 decks)

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