Review #2 Flashcards
Forceps for breech
Pipers
Forceps for round unmolded head
Elliott
Forcpes for rotation of fetal head
Kielland
Forceps for molded fetal head
Simpson
McCall culdoplasty sutures
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)
Methergine dosing and time frame
0.2 mg IM every 2-4 hours
Hemabate dosing
0.25 mg IM every 15 to 90 minutes
Alternative empiric regimen for TOA (other than cefoxy/doxy/flagyl)
Gentamicin/clindamycin
When to gove progesterone supplementation following cystectomy
<10 wga pregnancy
Rate of rupture for interstitial pregnancy
20-50%
Markers of fetal lung maturity on amnio
Lamellar body count 30-40,000; phosphatidylglycerol present; lecithin: sphingomyelin ratio >2
Most common micro of ascending pyelonephritis
E. coli, proteus mirabilis, klebsiella pneumoniae, staph saprophyticus
Descending causes of pyelonephritis
Septicemia, endocarditis
Sexual behavior associated most highly with HIV transmission
Receptive anal intercourse
FDA approved non-hormonal (SERM) medication for dyspareunia in postmenopausal women
Ospemifene
Cyclic vulvar itching, thickened vulvar skin, linear ulcerations
Lichen sinplex chronicus
Platinum vased chemo most common side effects
Peripheral neuropathy, ototoxicity
Mechanism of paclitaxel
Microtubule stabilization
Mechanism of carboplatin
DNA crosslink
Mechanism of bevacizumab
Neutralize vascular endothelial growth factor
Hashimoto thuroiditis is risk factor for what type of cancer
Non-Hodgkin lymphoma
Most common cause of hypothyroidism
Hashimoto thyroiditis
Definition of early onset FGR
< 32 wga
How much FGR is chromosomal or congenital?
20%
Mechanism of indomethacin
Inhibits conversion of arachidonic acod to prostaglandin
Contraindication to indomethacin
Gestational age > 32 wga
Mechanism of terbutaline
Binds beta-2 adrenergic receptors
Contraindication to terbutaline
Maternal cardiac disease or potential for massive bleeding
Contraindication to magnsium
Myasthenia gravis
Mechanism of magnesium
Competes with calcium at level of plasma membrane voltage-gated channels
Nifedipine mexhanism of tocolysis
Inhibits calcium-dependent myosin light-chain kinase phosphorylation
Blood flow in ductus arteriosus
From pulmonary artery to aorta
Benefits of delayed cord clamping for preterm infant
Improved transitional circulation, better establishment of RBC volume, decreased need for blood transfusion, decreased NEC and IVH
At what stage do inherited thrombophias usually cause pregnancy loss
Second trimester
Primary amenorrhea diagnosis timing
15 y/o with secondary sex characteristics and no period
Antibiotics to treat chancroid
Azithromycin and ceftriaxone
Absolute contraindications to MTX
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
Relative contraindications to MTX
Cardiac activity, beta hcg > 5000, ectopic pregnancy > 4 cm on TVUS, refusal to accept blood transfusion
Delivery timing for placenta previa
36.0 to 37.6 wga
Delivery timing for placenta accreta
34.0 wga
Site of dysfunction in female athlete triad
Hypothalamus (GnRH)
Gene associated with Cowden syndrome
PTEN
Cowden syndrome manifestations
Fibromas; breast, endometrial, kidney, thyroid, and colorectal cancers
Teratogenic effects of warfarin
Nasal hypoplasia, growth restriction, secondary epiphysis stippling
Partial mole genetics
69, XXY (two paternal, one maternal)
Partial mole likelihood of malignancy
1%
Complete mole genetics
46XX (two paternal in an empty egg)
Genetics of invasive mole
Androgenically diploid
Radical hysterectomy removes…
Uterus, cervix, cardinal ligaments, uterine arteries to origin on internal iliac artery, 2-3 cm of proximal vagina, full ureteral dissection
Modified radical hysterectomy removes…
uterus, cervix, parametrial and paracervical tissues, half of uterosacral ligaments, 1-2 cm of proximal vagina
