TrueLearn Flashcards
What treatment for zoster reduces new lesion formation, total number of lesions and improved constitutional symptoms of started within 24 hrs l
Acyclovir
How much of an Increased risk of wound infection in diabetic patients compared to non diabetics
50%
What percentage of women experience fetal-maternal hemorrhage when giving birth in the third trimester
45%
Definition of failed induction of labor
failure to generate adequate contractions and cervical change after 24 hours with rupture of membranes if feasible
Birads 2
Mass benign
Birads 3
Lesion likely benign
Birads 1
No abnormality identified
Absolute contraindications to UAE
current pregnancy, pelvic inflammatory disease, uterine malignancy, and asymptomatic fibroids.
When do you start screen for elder abuse
65
Sexual aversion disorder
a persistent or recurrent aversive response to genital contact with a sexual partner that causes marked distress or interpersonal difficulty.
Unilateral cryptorchism fertility rate
80%
Most common infectious cause of fetal anemia
Parvovirus
Half life of rhogam
23 days. Redose after 3 wks
At what endometrial thickness in the setting of pmb should sampling occur.
4 mm
Miranda iud failure rate
.5 per 1000 after 1 year. 1.1 after 5
Essure failure rate per 1000 procedure
2.6 after 5 years
Who needs stress dose steroids
Patients are at risk for HPA suppression when taking more than 20 mg/day of prednisone for more than 3 weeks or who have Cushing syndrome.
Effect of fetal exposure of flouroquinolones
Fetal cartilage development
Effect of fetal exposure to aminoglycosides
Ototoxicity
Effect of fetal exposure to tetracycline
Tooth discoloration
Max benefit rhogam
72 hrs
Latest time evidence for protective benefit rhogam
28 days
Medication to treat OAB
Mirabegron
Medication to treat urge in continence
Oxybutinin
Medication to treat interstitial cystitis
Amitryptoline or pentosan polysulfate sodium
Most common identified mutation in women who have VTE in pregnancy
Heterozygous factor V Leiden. Testing IS reliable furing pregnancy and acute thrombosis
When is periviable period
periviable period as a delivery that occurred between 20 weeks 0/7 days and 25 weeks 6/7 days
Acog definition of discriminatory zone
3500
Risk of preterm birth after CKC
Double background risk , 6.6%
When is aCvs performed
Between 10-12 wks
When is amnio performed
After 15 weeks
MOA of asa
Irreversible binds Cox 1! inhibit platelet activation by preventing the synthesis of the intermediates leading to thromboxane A2. It inhibits aggregation by decreasing the expression of COX-1
When is vicryl fully absorbed
60-70 days
When does vicryl lose full tensile strength
28 days
What percentage of women are readmitted with post embolization syndrome
10%
What symptoms encompass post embolization syndrome
pelvic pain, cramping, nausea/vomiting, low-grade fever, and malaise
Pathophys of primary dysmenorrhea due to
increased prostaglandins E2 and F2 alpha. Leads to uterine contractions, increased pressure , temporary ischemia and activation of pain fibers
the recommended age for a risk-reducing bilateral salpingo-oophorectomy in women with a BRCA 1 gene mutation who have completed childbearing
35-40
the recommended age for a risk-reducing bilateral salpingo-oophorectomy in women with a BRCA 2gene mutation who have completed childbearing
40-45
Most reliable test to assess if ovulation ocurred
A serum progesterone level is the most reliable and objective way to assess whether ovulation has occurred. Levels greater than 3 ng/mL signify ovulation when checked approximately one week prior to the next anticipated menstrual cycle.
What is Allen-Masters window associated with
defect or pocket in the peritoneal surface where endometrial cells have been trapped. These “windows” may appear as shallow defects or openings into the peritoneal surface. Like other pathognomonic findings, they are often found near the cul-de-sac or uterosacral ligaments.
What is GIFT
oocytes and sperm are deposited within the fallopian tube via laparoscopy, allowing fertilization to occur in vivo.
Gadolinium exposure in pregnancy
Gadolinium exposure in the first trimester is associated with a higher risk of any rheumatologic, inflammatory, and infiltrative skin disorders.
At what percentage is a pregnant patient’s total blood volume expanded above that found in nonpregnant women?
30-50
Umbilical vein drains into what by way of ductus venosus?
IVC
percentage lifetime risk of ovarian cancer in the general population?
1.43
What GA start screening TTTS?
16
what gestational age does the fetal thyroid gland begin producing thyroid hormone?
12 w
How to differentiate between CAH and PCOS?
CAH Will have elevated 17 OHP ( above 200 suspicious, above 1500 diagnostic )
Most likely malignant component of a mature dermoid cyst
Squamous cell carcinoma
Post maturity syndrome
decreased subcutaneous fat, decreased vernix, decreased lanugo, meconium-stained amniotic fluid, and oligohydramnios.
Gnrh independent precocious puberty
Mccune Albright
Max dose of lidocaine with epi
7 mg/kg
Max dose of lidocaine without epi
4.5 mg/kg
Most common cause of ambiguous genitalia
CAH
What percent of the female population is seropositive for HSV-2.
26
Klinefelter phenotype
long limbs, primary hypogonadism, severe oligospermia or azoospermia, and greater learning intellectual disability
Most common chromosomal abnormality in infertile men
Klinefelter
Erb palsy
C5 and c6
Klumpke palsy
C8 and t1
How do you manage transaction of ureter at pelvic brim
Ureteroureterostomy
Max dose of lidocaine with epi
7 mg per kg
Stage II gtn
Extend outside uterus it limited to genital structures
Stage iii gtn
Extends to lungs with it without genital involvement
Dose limiting side effect of cisplatin
Nephroyoxicity
What level of DHEAS is concerning for adrenal tumor
Greater than 700
Presacral neurectomy can help with what type of endometriosis pain
Midline
What is the most thrombogenic thrombophilia
Antithrombin iii Thrombosis risk of 11-40% in preg.
Normal blood gas change in preg
Respiratory alkalosis due to increased minute ventilation and blowing off co2.
Daily suppressive therapy reduces Hsv outbreak recurrence by
70-80
Daily suppressive therapy for HSV decreases recurrences by ?
70-80%
Daily suppressive Hsv therapy decreases sexual transmission by
50%
Main blood supply to anterior abdominal wall
Deep inferior epi gastric
Elevated AFP and acetylcholinesterase
NTD
Cystometry urge incontinence
No abdominal pressure with increased detruser pressure and leaking
