Review #7 Flashcards
In adults, ring-enhancing lesions on brain scan
Toxo
Treatment options for vaginal cuff cellulitis
Augmentin
TMP-SMX + metronidazole
Lithium safety in breastfeeding?
No
Pudendal nerve comes from which roots?
S2-4
Adjunct in treating NAS
Clonidine (over phenobarbital)
Do not mix Flibanserin with…
Alcohol or fluconazole (CYP3A4 inhibitors)
Hormones increased in pre-eclampsia
Endothelin, thromboxane, platelet-derived growth factor (vasoconstrictors)
Hormones decreased in pre-eclampsia
Prostacyclin, nitrous oxide (vasodilators)
How toxo is passed to fetus
Transplacental transfer of tachyzoites
When to give progesterone to support a pregnancy
After ovulation, during the luteal phase
How long to wait for surgery after placement of cardiac stent
1 year
Why elderly may need less anesthesia
Decreased GFR
Primary cell type present during first few days of wound healing
Polymorphonuclear lymphocytes
Time frame for postpartum blues
2 weeks
Surveillance for male carriers of BRCA2
Monthly SBE, annual CBE starting at 35 y/o; annual prostate cancer screening starting at 40 y/o
Second line mastitis treatment for women who are breastfeeding a neonate under one month
Clindamycin (TMP-SMX would be fine except it’s not recommended for small babies)
Most common medication error
Dosing
Which structure of a blastocyst forms the embryo?
Inner cell mass
Hysteroscopy media needed for monopolar energy use
Electrolyte-poor (1.5% glycine or 3% sorbitol)
Vaginal pH with vaginal candidiasis
Normal (<4.5)
Where is AMH produced?
Granulosa cells of growing follicles
Hormone related to development of ovarian hyperstimulation syndrome
VEGF
BRCA inheritance pattern
Autosomal dominant
Which hormones are produced in hypothalamus but stored and then released from posterior pituitary?
Oxytocin and vasopressin
Hcg levels after embryo transfer in someone with obesity
Lower than others (but rise at same rate)
Call-Exner bodies (coffee-bean nuclei)
Granulosa cell tumor
Dose of epinephrine for anaphylaxis
0.5 mg IM
Dose of epinephrine for cardiac arrest
1.0 mg IV
Hormone related to increased breast cancer risk for patients on HRT
Progesterone
Most frequent trisomy resulting in miscarriage
Trisomy 16
Remove placenta before fixing inversion?
No
Caput succadenum
At point of contact, can travel over sutures, resolves in 48-72 hours
Caphalohematoma
Does not cross sutures, resolves over 2-3 weeks, firm then more fluctuant
Subgaleal hemorrhage
Beneath epicranial aponeurosis, ill-defined borders, most dangerous
Which receptor most specific to detrusor?
M3
Signs of severe ovarian hyperstimulation syndrome
Electrolyte abnormalities, hct >55%, WBC > 25, elevated Cr or LFTs
Step of TLH/BSO at highest risk of ureteral injury
Ligation of IP
Strawberry cervix
Trich
Prior to what gestational age can miso be used to induce labor in prior C/S patient?
28 wga
Ovarian malignancy associated with Peutz-Jegher
Sex cord tumor with annular tubules
When to start endometrial biopsies in patients with Lynch syndrome
30-35 y/o
Teratogen: facial and ear anomalies, congenital heart disease
Isotrenitoin
Teratogen: hypoplastic nails, typical facies, FGR
Phenytoin
Teratogen: vaginal adenocarcinoma
DES
Teratogen: Enamel hypoplasia, discolored teeth
Tetracycline
Teratogen: Ebstein anomaly
Lithium
Teratogen: facial dysmorphism, chondrodysplasia
Warfarin
Teratogen: mental retardation, NTDs
Valproate / carbamazepine
Teratogen: Craniofacial abnormalities, oligohydramnios
ACE inhibitors
Teratogen: SAB, microcephaly, cardiac anomalies
Vitamin A
