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OB/GYN Boards > Review #5 > Flashcards

Review #5 Flashcards

1
Q

Maternal indications for fetal echo

A

Retinoid exposure, IVF, first trimester Rubella exposure, pre-gestational DM

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2
Q

Tetanus and diphtheria vaccine type

A

Toxoid particles

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3
Q

HPV vaccine type

A

Virus-like particles

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4
Q

Max fluid deficit for isotonic medium in hysteroscopy

A

2500 mL

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5
Q

Tubal pathology difficult to dix with neosalpingostomy

A

Salpingitis isthmica nodosa

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6
Q

Stages of fetal lung development

A 
< 5 wga embryonic
6-17 wga pseudoglandular
18-24 wga canalicular
25-37 wga terminal sac
> 37 wga alveolar
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7
Q

What do intra-abdominal arteries become in an adult?

A

Internal iliac and superior vesical arteries (distal portions become medial umbilical ligaments)

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8
Q

Chemotherapy likely to impact fertility

A

Cyclophosphamide

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9
Q

Dermatosis of pregnancy that spares the umbilicus

A

Polymorphic eruption of pregnancy (PUPP)

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10
Q

Mastitis antibiotic in setting of PCN allergy

A

Erythromycin

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11
Q

What to do if CVS shows mosaicism

A

Amnio because CVS looks at placenta which can have isolated mosaicism

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12
Q

Data used for estimation of risk for chromosomal abnormalities prenatally

A

Maternal age at term

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13
Q

Where are estrogen receptors?

A

Nuclear

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14
Q

Posterior pituitary hormones

A

Oxytocin and vasopressin

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15
Q

Cervical length that qualifies for vaginal progesterone use

A

20 mm

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16
Q

Size of aortic root dilation for which elective repair is recommended before pregnancy

A

45 mm (complications increase over 40 mm)

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17
Q

Components of epidural anesthesia and effects

A

Local -> motor blockade

Opioid -> systemic effects

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18
Q

What increases speed of epidural onset?

A

Sodium bicarbonate

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19
Q

Type of adnexal tumor often related to appendiceal disease

A

Mucinous

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20
Q

What tumor marker is elevated with mucinous tumors?

A

Carcinoembryonic antigen

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21
Q

Max local anesthetic doses

A

4 mg/kg of lido - epi

7 mg/kg of lido + epi

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22
Q

When to do ECV

A

37 wga

23
Q

Ideal fetal weight for ECV

A

2500 - 4000 g

24
Q

Graves antibody

A

Thyrotropin receptor antibody (activates TSH receptor, causing production of thyroid hormone)

25
Q

Hashimoto antibody

A

Thyroid peroxidase antibodies

26
Q

Location of pelvic TB infection

A

Tubes, especially ampulla

27
Q

Foot drop nerve injury

A

Common peroneal (usually in dorsal lithotomy during laparoscopy)

28
Q

Inability to extend knee nerve injury

A

Femoral (often with deep retractor use)

29
Q

Weakened thigh adduction nerve injury

A

Obturator (during lymph node dissection)

30
Q

Perineal and vulvar pain nerve injury

A

Pudendal nerve (during sacrospinous ligament fixation)

31
Q

Elagolix mechanism

A

Gonadotropin releasing hormone antagonist

32
Q

Topical treatment for keloids

A

Triamcinilone acetonide

33
Q

First line pharmacologic treatments for obesity and their mechanism

A

Liraglutide and semaglutide, GLP-1 receptor agonists

34
Q

Orlistat mechanism and side effects

A

GI lipase inhibitor, causes flatulence and fatty stools

35
Q

Reasonable second-line pharmacologic obesity treatment for postmenopausal women without heart disease and its mechanism

A

Phentermine-topiramate, sympathomimetic

36
Q

Drainage of left and right ovarian veins

A

Left to renal vein, right to IVC

37
Q

Pathophysiology of female athlete triad

A

Increased cortisol suppresses GnRH secretion

38
Q

Elevated AMH and increased LH:FSH ratio

A

PCOS

39
Q

Most common site of endometriosis recurrence after surgical treatment

A

Bowel

40
Q

Osteoporosis medication with limited efficacy in decreasing fracture risk

A

Calcitonin

41
Q

Most common osteoporosis fracture

A

Vertebral compression fracture

42
Q

Treatment for ARDS

A

PEEP with low tidal volumes (6 mL/kg)

43
Q

ACOG recommendation for earliest possible latency antibiotics in setting of PPROM

A

20 wga

44
Q

Risk to delayed cord clamping

A

Increased jaundice risk

45
Q

Low vertical incision -> TOLAC?

A

Yes

46
Q

Medications that can lead to oligohydramnios

A

ACE inhibitors, prostaglandin synthetase inhibitors: indomethacin or celecoxib

47
Q

How to screen for Factor V Leiden deficiency

A

Activated protein C resistance assay

48
Q

Preferred dopamine agonist therapy

A

Cabergoline (compared to bromocriptine)

49
Q

Mechanism of mifepristone

A

Steroidal anti-progestogen by competitive inhibition

50
Q

Mechanism of ulipristal

A

Selective progesterone receptor modulator

51
Q

What molecule in amniotic fluid is specific for neural tube defects?

A

Acetylcholinesterase

52
Q

What does folic acid do?

A

Involved in one-carbon metabolism

53
Q

Treatment for suspected CAH and timing in pregnancy

A

Dexamethasone, before 9 wga

OB/GYN Boards (8 decks)

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