Review #5 Flashcards
Maternal indications for fetal echo
Retinoid exposure, IVF, first trimester Rubella exposure, pre-gestational DM
Tetanus and diphtheria vaccine type
Toxoid particles
HPV vaccine type
Virus-like particles
Max fluid deficit for isotonic medium in hysteroscopy
2500 mL
Tubal pathology difficult to dix with neosalpingostomy
Salpingitis isthmica nodosa
Stages of fetal lung development
< 5 wga embryonic 6-17 wga pseudoglandular 18-24 wga canalicular 25-37 wga terminal sac > 37 wga alveolar
What do intra-abdominal arteries become in an adult?
Internal iliac and superior vesical arteries (distal portions become medial umbilical ligaments)
Chemotherapy likely to impact fertility
Cyclophosphamide
Dermatosis of pregnancy that spares the umbilicus
Polymorphic eruption of pregnancy (PUPP)
Mastitis antibiotic in setting of PCN allergy
Erythromycin
What to do if CVS shows mosaicism
Amnio because CVS looks at placenta which can have isolated mosaicism
Data used for estimation of risk for chromosomal abnormalities prenatally
Maternal age at term
Where are estrogen receptors?
Nuclear
Posterior pituitary hormones
Oxytocin and vasopressin
Cervical length that qualifies for vaginal progesterone use
20 mm
Size of aortic root dilation for which elective repair is recommended before pregnancy
45 mm (complications increase over 40 mm)
Components of epidural anesthesia and effects
Local -> motor blockade
Opioid -> systemic effects
What increases speed of epidural onset?
Sodium bicarbonate
Type of adnexal tumor often related to appendiceal disease
Mucinous
What tumor marker is elevated with mucinous tumors?
Carcinoembryonic antigen
Max local anesthetic doses
4 mg/kg of lido - epi
7 mg/kg of lido + epi
When to do ECV
37 wga
Ideal fetal weight for ECV
2500 - 4000 g
Graves antibody
Thyrotropin receptor antibody (activates TSH receptor, causing production of thyroid hormone)
Hashimoto antibody
Thyroid peroxidase antibodies
Location of pelvic TB infection
Tubes, especially ampulla
Foot drop nerve injury
Common peroneal (usually in dorsal lithotomy during laparoscopy)
Inability to extend knee nerve injury
Femoral (often with deep retractor use)
Weakened thigh adduction nerve injury
Obturator (during lymph node dissection)
Perineal and vulvar pain nerve injury
Pudendal nerve (during sacrospinous ligament fixation)
Elagolix mechanism
Gonadotropin releasing hormone antagonist
Topical treatment for keloids
Triamcinilone acetonide
First line pharmacologic treatments for obesity and their mechanism
Liraglutide and semaglutide, GLP-1 receptor agonists
Orlistat mechanism and side effects
GI lipase inhibitor, causes flatulence and fatty stools
Reasonable second-line pharmacologic obesity treatment for postmenopausal women without heart disease and its mechanism
Phentermine-topiramate, sympathomimetic
Drainage of left and right ovarian veins
Left to renal vein, right to IVC
Pathophysiology of female athlete triad
Increased cortisol suppresses GnRH secretion
Elevated AMH and increased LH:FSH ratio
PCOS
Most common site of endometriosis recurrence after surgical treatment
Bowel
Osteoporosis medication with limited efficacy in decreasing fracture risk
Calcitonin
Most common osteoporosis fracture
Vertebral compression fracture
Treatment for ARDS
PEEP with low tidal volumes (6 mL/kg)
ACOG recommendation for earliest possible latency antibiotics in setting of PPROM
20 wga
Risk to delayed cord clamping
Increased jaundice risk
Low vertical incision -> TOLAC?
Yes
Medications that can lead to oligohydramnios
ACE inhibitors, prostaglandin synthetase inhibitors: indomethacin or celecoxib
How to screen for Factor V Leiden deficiency
Activated protein C resistance assay
Preferred dopamine agonist therapy
Cabergoline (compared to bromocriptine)
Mechanism of mifepristone
Steroidal anti-progestogen by competitive inhibition
Mechanism of ulipristal
Selective progesterone receptor modulator
What molecule in amniotic fluid is specific for neural tube defects?
Acetylcholinesterase
What does folic acid do?
Involved in one-carbon metabolism
Treatment for suspected CAH and timing in pregnancy
Dexamethasone, before 9 wga
