Rosh 29

Question 1

_____________ is safe and most accurate tfor diagnosis of placenta previa​

Answer 1

Transvaginal ultrasound

Question 2

__________ is the most common surgical emergency in pregnant women.

Answer 2

Acute appendicitis

Question 3

Le Fort Fracture pneumonic

Answer 3

Say no evil: I- occurs between the base of the maxilla and pterygoid plate and nasal septum

See no evil- II- involves the maxilla bilaterally and the hard palate in a pyramidal fracture pattern

Hear no evil- III- extends through the orbits and involves the bilateral frontozygomatic sutures and the nasal bones. There is complete craniofacial dissociation as the face is freely moveable from the rest of the cranium with manual manipulation

Question 4

Treatment for isoniazid-associated seizures consists of _______________

Answer 4

intravenous pyridoxine

Question 5

Isoniazid (INH) Toxicity

Answer 5

↓ B6 (pyridoxine) → ↓ GABA → refractory seizures with anion gap metabolic acidosis

Question 6

Le Fort Fracture

Answer 6

I: transverse fracture separating maxilla from pterygoid and nasal septum
II: maxilla and palate fractured
III: craniofacial dissociation
II/III: CSF rhinorrhea

Question 7

HIV Meningitis

Answer 7

Meningitis, CD4 < 100: Cryptococcus

Question 8

Chronic watery diarrhea with HIV

Answer 8

Cryptosporidium

Question 9

Beta-Blocker Toxicity

Answer 9

PE will show hypotension, bradycardia, and heart block
Labs will show hypoglycemia
Treatment is glucagon, high dose insulin

Question 10

if you cant reduce a nuchal cord, what do you do?

Answer 10

clamp and cut the cord

Question 11

conjunctivitis in neonates

Answer 11

early- N gonrhea

Late- clamidia

Question 12

X-ray will show bilateral fracture of C2 pedicles, wide canal at C2

Answer 12

Hangman’s Fracture

Most commonly caused by extreme hyperextension

Question 13

How soon after potential exposure to Rh-positive fetal blood does an Rh-negative mother need to receive RhoGAM for it to be effective?

Answer 13

Within 72 hours.