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OB/GYN Boards > Review #2 > Flashcards

Review #2 Flashcards

1
Q

Forceps for breech

A

Pipers

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2
Q

Forceps for round unmolded head

A

Elliott

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3
Q

Forcpes for rotation of fetal head

A

Kielland

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4
Q

Forceps for molded fetal head

A

Simpson

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5
Q

McCall culdoplasty sutures

A

Nonabsorbable sutures from one uterosacral ligament to the other to obliterate the posterior culdesac (internal) AND absorbable sutures from posterior cuff to uterosacral ligaments (external)

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6
Q

Methergine dosing and time frame

A

0.2 mg IM every 2-4 hours

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7
Q

Hemabate dosing

A

0.25 mg IM every 15 to 90 minutes

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8
Q

Alternative empiric regimen for TOA (other than cefoxy/doxy/flagyl)

A

Gentamicin/clindamycin

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9
Q

When to gove progesterone supplementation following cystectomy

A

<10 wga pregnancy

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10
Q

Rate of rupture for interstitial pregnancy

A

20-50%

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11
Q

Markers of fetal lung maturity on amnio

A

Lamellar body count 30-40,000; phosphatidylglycerol present; lecithin: sphingomyelin ratio >2

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12
Q

Most common micro of ascending pyelonephritis

A

E. coli, proteus mirabilis, klebsiella pneumoniae, staph saprophyticus

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13
Q

Descending causes of pyelonephritis

A

Septicemia, endocarditis

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14
Q

Sexual behavior associated most highly with HIV transmission

A

Receptive anal intercourse

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15
Q

FDA approved non-hormonal (SERM) medication for dyspareunia in postmenopausal women

A

Ospemifene

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16
Q

Cyclic vulvar itching, thickened vulvar skin, linear ulcerations

A

Lichen sinplex chronicus

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17
Q

Platinum vased chemo most common side effects

A

Peripheral neuropathy, ototoxicity

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18
Q

Mechanism of paclitaxel

A

Microtubule stabilization

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19
Q

Mechanism of carboplatin

A

DNA crosslink

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20
Q

Mechanism of bevacizumab

A

Neutralize vascular endothelial growth factor

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21
Q

Hashimoto thuroiditis is risk factor for what type of cancer

A

Non-Hodgkin lymphoma

22
Q

Most common cause of hypothyroidism

A

Hashimoto thyroiditis

23
Q

Definition of early onset FGR

A

< 32 wga

24
Q

How much FGR is chromosomal or congenital?

A

20%

25
Q

Mechanism of indomethacin

A

Inhibits conversion of arachidonic acod to prostaglandin

26
Q

Contraindication to indomethacin

A

Gestational age > 32 wga

27
Q

Mechanism of terbutaline

A

Binds beta-2 adrenergic receptors

28
Q

Contraindication to terbutaline

A

Maternal cardiac disease or potential for massive bleeding

29
Q

Contraindication to magnsium

A

Myasthenia gravis

30
Q

Mechanism of magnesium

A

Competes with calcium at level of plasma membrane voltage-gated channels

31
Q

Nifedipine mexhanism of tocolysis

A

Inhibits calcium-dependent myosin light-chain kinase phosphorylation

32
Q

Blood flow in ductus arteriosus

A

From pulmonary artery to aorta

33
Q

Benefits of delayed cord clamping for preterm infant

A

Improved transitional circulation, better establishment of RBC volume, decreased need for blood transfusion, decreased NEC and IVH

34
Q

At what stage do inherited thrombophias usually cause pregnancy loss

A

Second trimester

35
Q

Primary amenorrhea diagnosis timing

A

15 y/o with secondary sex characteristics and no period

36
Q

Antibiotics to treat chancroid

A

Azithromycin and ceftriaxone

37
Q

Absolute contraindications to MTX

A

IUP, immunodeficiency, anemia, leukopenia, thrombocytopenia, active pulmonary disease, active peptic ulcer disease, hepatic or kidney dysfunction, breastfeeding, ruptured ectopic, hemodynamically unstable, unable to follow up

38
Q

Relative contraindications to MTX

A

Cardiac activity, beta hcg > 5000, ectopic pregnancy > 4 cm on TVUS, refusal to accept blood transfusion

39
Q

Delivery timing for placenta previa

A

36.0 to 37.6 wga

40
Q

Delivery timing for placenta accreta

A

34.0 wga

41
Q

Site of dysfunction in female athlete triad

A

Hypothalamus (GnRH)

42
Q

Gene associated with Cowden syndrome

A

PTEN

43
Q

Cowden syndrome manifestations

A

Fibromas; breast, endometrial, kidney, thyroid, and colorectal cancers

44
Q

Teratogenic effects of warfarin

A

Nasal hypoplasia, growth restriction, secondary epiphysis stippling

45
Q

Partial mole genetics

A

69, XXY (two paternal, one maternal)

46
Q

Partial mole likelihood of malignancy

A

1%

47
Q

Complete mole genetics

A

46XX (two paternal in an empty egg)

48
Q

Genetics of invasive mole

A

Androgenically diploid

49
Q

Radical hysterectomy removes…

A

Uterus, cervix, cardinal ligaments, uterine arteries to origin on internal iliac artery, 2-3 cm of proximal vagina, full ureteral dissection

50
Q

Modified radical hysterectomy removes…

A

uterus, cervix, parametrial and paracervical tissues, half of uterosacral ligaments, 1-2 cm of proximal vagina

OB/GYN Boards (8 decks)

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