Review #6 Flashcards

1
Q

EEG findings with PNES

A

Alpha rhythm (awake and alert)

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2
Q

Periventricular intracranial calcifications, thrombocytopenia, sensorineural hearing loss, hepatosplenomegaly, microcephaly

A

CMV

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3
Q

Diffuse intracranial calcifications, hydrocephalus, chorioretinitis

A

Toxoplasmosis

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4
Q

Which vitamin is thiamine?

A

B1

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5
Q

Percent of endometrial lining sampled with pipelle

A

4%

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6
Q

Treatment for gonorrhea

A

Ceftriaxone 500 mg IM x1 (add doxycycline 100 mg BID x7 days if CT not ruled out)

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7
Q

Which follicle type is recruited at the beginning of each menstrual cycle?

A

Antral (then the one that outgrows the others becomes the Graafian follicle that reaches the preovulatory stage)

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8
Q

What to do for thyroid nodule in pregnancy

A

Ultrasound

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9
Q

Finding in first trimester cffDNA associated with risk for placental abruption

A

Low fetal fraction

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10
Q

What to do for cystotomy < 1 cm during surgery

A

No repair and continuous drainage x 2 weeks

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11
Q

What to do for cystotomy > 1 cm during surgery

A

Two-layer closure and post-operative bladder drainage

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12
Q

Genetic testing that can be done on early SAB fetal tissue

A

SNPs (karyotype is best but can only be done on tissue that can be cultured)

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13
Q

Pregnancy risks for women who had DES exposure in utero

A

Ectopic, pregnancy loss, preterm birth, pre-eclampsia, stillbirth

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14
Q

REI methods with increased risk of multiple gestations

A

GnRH agonists + timed intercourse
Clomid + IUI
Letrozole + IUI
IVF risk depends on number of embryos implanted

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15
Q

SMA genes

A

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)

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16
Q

Which antibodies cross the placenta?

A

IgG (enter syncytiotrophoblast then attach to neonatal Fc receptor

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17
Q

Erb Palsy nerve roots injured

A

C5-6

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18
Q

Recurrence risk for shoulder dystocia

A

10%

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19
Q

Baoari flap used to repair what injury

A

Mid-ureteral

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20
Q

Cholestyramine use predisposes to what vitamin deficiency?

A

Vitamin K (fat soluble)

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21
Q

Primary source of estrogen during pregnancy

A

Placenta

22
Q

Why conization for AGC?

A

Skip lesions possible

23
Q

TP53 is what type of gene?

A

Tumor suppressor (Li-Fraumeni)

24
Q

Gene associated with familial adenomatous polyposis

A

APC tumor suppressor gene (autosomal dominant)

25
Q

First-line treatment for isolated hypertriglyceridemia

A

Fibric acids

26
Q

On what ovarian cells does LH work to promote estrogen production?

A

Theca interna (encourages them to produce androgens, which are then transported to granulosa cells for conversion)

27
Q

On what ovarian cells does FSH work to promote estrogen production?

A

Granulosa (encourages them to produce aromatase to convert androgens from theca interna cells)

28
Q

Cardinal movements of labor

A
Engagement
Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion
29
Q

Factors that make pessary fitting more likely to fail

A

Hx of hysterectomy or surgery for POP

30
Q

Ultrasound criteria for PCOS

A

> 12 antral follicles

31
Q

Anomalies most often associated with Mullerian agenesis

A

Urinary tract or skeletal

32
Q

Dose of Rhogam for bleeding / loss before 12 wga?

A

50 mcg

33
Q

PCOS can be accompanied by mild elevation in…

A

Prolactin

34
Q

Psychiatric disease that often precedes bulimia

A

Anxiety

35
Q

Location of ureter at cuff

A

1.5 cm lateral to internal cervical os and posterior to uterine artery

36
Q

Timing if chemo needed in pregnancy

A

After first trimester (organogenesis)

37
Q

Type of incision for which inferior epigastric vessels are transected

A

Maylard

38
Q

Mutifollicular development and longer half-life of the ovulation induction agents

A

Clomid

39
Q

How to assess bone age

A

X-ray of left hand and wrist

40
Q

Which phase of menstrual cycle is always 14 days?

A

Luteal (follicular is variable)

41
Q

What does BRCA do?

A

Repair double-stranded DNA breaks

42
Q

First line vasopressor for septic shock

A

Norepinephrine

43
Q

Where to place vacuum

A

3 cm anterior to posterior fontanelle and along sagittal suture

44
Q

First line oral treatment for vulvodynia

A

TCAs like amitriptyline

45
Q

Fish that can be eaten in pregnancy

A

Anchovies, mussels, salmon, trout, crab… (and more)

46
Q

Hormonal changes related to milk let-down

A

Decreased progesterone; increased prolactin, insulin, and cortisol

47
Q

AMH related to…

A

Likely response to fertility treatment

48
Q

Neck circumference related to increased OSA risk

A

41 cm

49
Q

Periventricular intracranial calcifications

A

CMV

50
Q

Dispersed intracranial calcifications

A

Parvo