True Learn Flashcards
What is the antidote for systemic lidocaine toxicity?
Intralipid
Intralipid is a lipid emulsion therapy given intravenously to treat local anesthetic toxicity. It works by extracting the lipid-soluble components of the local anesthetic, allowing the medication to bind to the emulsion.
What is the most common side effect leading to discontinuation of oxybutinin?
Xerostomia
(dry mouth)
Oxybutynin has many side effects, both locally and systemically, secondary to it anticholinergic properties. The most common of these are xerostomia (dry mouth), constipation, and blurry vision. Less common side effects include tachycardia, urinary retention, photophobia, and hyperthermia.
Which bacterium is more prevalent in patients with an IUD in situ?
Actinomyces
What is the maximum dose of 0.5% and 1% lidocaine without epinephrine?
4 mg/kg
What is the maximum dose of 0.5 and 1% lidocaine with epinephrine?
7 mg/kg
In the US, what percent of women experience attempted or completed rape?
20%
At what age should a woman with BRCA2 complete a prophylactic BSO?
Age 40 - 45
At what age should a women with BRCA1 complete a prophylactic BSO?
Age 35 - 40
What is the risk of ovarian cancer in women with BRCA1 mutation?
40%
What is the risk of ovarian cancer in women with BRCA2 mutation?
20%
How many episodes of vulvovaginal candidiasis per year is considered recurrent?
4+
What is the treatment for recurrent vulvovaginal candidiasis?
Intensive therapy for 10 - 14 days, followed by weekly therapy for 6 months
An effective regimen is fluconazole every 3 days for initial remission. This therapy should be followed up with weekly fluconazole for 6 months.
What is the minimum progesterone level that signifies ovulation has occurred?
2 ng/mL
A serum progesterone level is the simplest and most direct way to measure whether ovulation has occurred. It is best drawn approximately 7 days before the expected onset of the next menses.
What is the amenorrhea rate in Mirena IUD users in the first year?
20%
Which of the following gene mutations is often tested in the workup of primary ovarian insufficiency?
FMR1
Primary ovarian insufficiency (POI) is defined as the development of hypergonadotropic hypogonadism before the age of 40 years and is most commonly caused by a mutation in the FMR1 gene. This gene is also responsible for Fragile X syndrome.
What is the first-line medication used to treat for fibromyalgia?
Tricyclic antidepressants
During treatment for endometritis, how long should antibiotics be continued after a patient is afebrile?
24 hours
What is the preferred initial treatment regimen for postpartum endometritis in GBS negative patients?
Clindamycin 900 mg IV Q8h
Gentamicin 5 mg/kg IV Q24h
What is the preferred initial treatment regimen for postpartum endometritis in GBS positive patients?
Clindamycin 900 mg IV Q8h
Gentamicin 5 mg/kg IV Q24h
Ampicillin 2g IV Q6h
Which ethnic group has the highest likelihood of being Rh-negative?
European descent
Which ethnic group has the lowest likelihood of being Rh-negative?
Asian descent
At what gestational age should delivery occur in a stable patient with placenta accreta?
34 0/7 to 35 6/7 weeks
What are the contraindications to placing a postplacental IUD?
Intrauterine infection
Postpartum hemorrhage
Puerperal sepsis
What gestational age should Tdap be given during pregnancy?
27 - 36 weeks
What drug is used to treat pregnant people acutely infected with toxoplasmosis?
Spiramycin
Use of spiramycin after confirmatory testing in a reference laboratory generally requires assistance from the FDA because the drug is not commercially available in the US.
What are the indications for screening for inherited thrombophilia in pregnant patients?
Personal history
What are the indications for screening for inherited thrombophilia in pregnant patients?
Personal history
