Review #6 Flashcards
EEG findings with PNES
Alpha rhythm (awake and alert)
Periventricular intracranial calcifications, thrombocytopenia, sensorineural hearing loss, hepatosplenomegaly, microcephaly
CMV
Diffuse intracranial calcifications, hydrocephalus, chorioretinitis
Toxoplasmosis
Which vitamin is thiamine?
B1
Percent of endometrial lining sampled with pipelle
4%
Treatment for gonorrhea
Ceftriaxone 500 mg IM x1 (add doxycycline 100 mg BID x7 days if CT not ruled out)
Which follicle type is recruited at the beginning of each menstrual cycle?
Antral (then the one that outgrows the others becomes the Graafian follicle that reaches the preovulatory stage)
What to do for thyroid nodule in pregnancy
Ultrasound
Finding in first trimester cffDNA associated with risk for placental abruption
Low fetal fraction
What to do for cystotomy < 1 cm during surgery
No repair and continuous drainage x 2 weeks
What to do for cystotomy > 1 cm during surgery
Two-layer closure and post-operative bladder drainage
Genetic testing that can be done on early SAB fetal tissue
SNPs (karyotype is best but can only be done on tissue that can be cultured)
Pregnancy risks for women who had DES exposure in utero
Ectopic, pregnancy loss, preterm birth, pre-eclampsia, stillbirth
REI methods with increased risk of multiple gestations
GnRH agonists + timed intercourse
Clomid + IUI
Letrozole + IUI
IVF risk depends on number of embryos implanted
SMA genes
Deletion of one copy of SMN1 = carrier
Deletion of two copies of SMN1 = affected
Some people have one chromosome with both and one with both missing (more common in African American)
Which antibodies cross the placenta?
IgG (enter syncytiotrophoblast then attach to neonatal Fc receptor
Erb Palsy nerve roots injured
C5-6
Recurrence risk for shoulder dystocia
10%
Baoari flap used to repair what injury
Mid-ureteral
Cholestyramine use predisposes to what vitamin deficiency?
Vitamin K (fat soluble)
Primary source of estrogen during pregnancy
Placenta
Why conization for AGC?
Skip lesions possible
TP53 is what type of gene?
Tumor suppressor (Li-Fraumeni)
Gene associated with familial adenomatous polyposis
APC tumor suppressor gene (autosomal dominant)
First-line treatment for isolated hypertriglyceridemia
Fibric acids
On what ovarian cells does LH work to promote estrogen production?
Theca interna (encourages them to produce androgens, which are then transported to granulosa cells for conversion)
On what ovarian cells does FSH work to promote estrogen production?
Granulosa (encourages them to produce aromatase to convert androgens from theca interna cells)
Cardinal movements of labor
Engagement Descent Flexion Internal rotation Extension External rotation Expulsion
Factors that make pessary fitting more likely to fail
Hx of hysterectomy or surgery for POP
Ultrasound criteria for PCOS
> 12 antral follicles
Anomalies most often associated with Mullerian agenesis
Urinary tract or skeletal
Dose of Rhogam for bleeding / loss before 12 wga?
50 mcg
PCOS can be accompanied by mild elevation in…
Prolactin
Psychiatric disease that often precedes bulimia
Anxiety
Location of ureter at cuff
1.5 cm lateral to internal cervical os and posterior to uterine artery
Timing if chemo needed in pregnancy
After first trimester (organogenesis)
Type of incision for which inferior epigastric vessels are transected
Maylard
Mutifollicular development and longer half-life of the ovulation induction agents
Clomid
How to assess bone age
X-ray of left hand and wrist
Which phase of menstrual cycle is always 14 days?
Luteal (follicular is variable)
What does BRCA do?
Repair double-stranded DNA breaks
First line vasopressor for septic shock
Norepinephrine
Where to place vacuum
3 cm anterior to posterior fontanelle and along sagittal suture
First line oral treatment for vulvodynia
TCAs like amitriptyline
Fish that can be eaten in pregnancy
Anchovies, mussels, salmon, trout, crab… (and more)
Hormonal changes related to milk let-down
Decreased progesterone; increased prolactin, insulin, and cortisol
AMH related to…
Likely response to fertility treatment
Neck circumference related to increased OSA risk
41 cm
Periventricular intracranial calcifications
CMV
Dispersed intracranial calcifications
Parvo
