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OB/GYN > U-Wise 2 > Flashcards

U-Wise 2 Flashcards

1
Q

IUPC measures?

A

If contractions are adequate

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2
Q

What makes a good acceleration

A

More than 15 bpm lasting more than 15 seconds

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3
Q

Prolonged fetal tachycardia seen with

A

Maternal fever or chorioamnionitis

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4
Q

Variable deceleration shape

A

Rapid fall and variable upslope

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5
Q

Initial measurement to treat fetal hypoperfusion

A

Move patient to left lateral decubitus position, discontinue tocolytics, fluids

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6
Q

Why no methylgonovine in pt’s with pre-eclampsia or HTN

A

Vasodilator, can cause bleeding

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7
Q

Who can’t get Prostaglandin F2

A

Asthmatics, has a bronchoconstrictive effect

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8
Q

Low lying placenta w/ hx of c-section worry

A

Placenta accreta

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9
Q

Risks for retained placenta

A

Prior C section
Uterine leiomyomas
Prior uterine curettage
Succenturiate lobe of placenta

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10
Q

How is oxytocin administered to prevent uterine atony

A

Rapid infusion of a dilute solution (20-80 units)

Not an IV push

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11
Q

Suture to prevent uterine atony in surgery

A

B-lynch suture (uterine compression suture)

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12
Q

Complications of epidural

A

Spinal headache, localized back pain, and meningitis

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13
Q

Gentamicin gets what kind of bugs

A

Gram negs

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14
Q

Erythromycin good for

A

URIs

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15
Q

What increases risk of UTI post delivery

A

Indwelling catheter

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16
Q

What causes breast engorgement

A

Exaggerated response to lymphatic and venous congestion associated with lactation

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17
Q

Post partum fever spikes and normal exam, suspect?

A

Septic pelvic thromboembolus

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18
Q

First step in fever day 1 post c section

A

Chest xray (atelectasis)

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19
Q

What does preg class C mean

A

Animal studies have shown hard but no human studies have been done

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20
Q

Hx of psychiatric illness risk factor for

A

Post-partum depression (up to 1/3 of patients report a problem)

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21
Q

Most common SSRI adverse effect

A

Insomnia

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22
Q

SSRIs in breastfeeding

A

OK, is in breast milk but no detectable levels in infant

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23
Q

AE of SSRIs in 3rd trimester use

A

Agitation and poor feeding of newborn

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24
Q

When are symptoms of PMDD found

A

In luteal phase, absent in beginning of follicular phase

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25
Q

Post-partum pyschosis feature

A

Visual or auditory hallucinations

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26
Q

Tests to do in post term patients

A

NST and assessment of amniotic fluid volume

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27
Q

Post term pregnancies associated with

A

Placental sulfatase def, fetal adrenal HYPOplasia, anencephaly

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28
Q

Dx of post-term pregnancy based on

A

Establishment of an accurate gestational age

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29
Q

Amnioinfusion for

A

Repetitive variable decelerations

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30
Q

What do fetal dysmaturity babies look like

A

Withered, meconium stained, long nailed and fragile

Associated small placenta

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31
Q

Cardiac defects most common in what trisomy

A

21 (up to 50%)

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32
Q

Most commonly used cervical ripening agents

A

Prostaglandins

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33
Q

Maternal vascular diseases lead to

A

Uteroplacental insufficiency (asymmetric IUGR)

34
Q

What do you do after IUGR is diagnosed

A

Antenatal testing of fetal well being

35
Q

US of fetal well being not useful when

A

If used more than once every 2 weeks

36
Q

NST based on the principle that

A

When fetus moves, its HR accelerates

37
Q

1st trimester crown-rump length dates how accurate

A

+/- 4-5 days

38
Q

Macrosomia definition

A

> 4000 grams in a diabetic and >4500 in a non diabetic

39
Q

Lacerations more common in forceps or vacuum?

A

Forceps

40
Q

Most likely complication with tubal ligation

A

Unplanned pregnancy

41
Q

When should irregular bleeding end after depo shot

A

2-3 months

42
Q

OCPs decrease risk of

A

Ovarian and endometrial cancer

43
Q

Tubal ligation reduces the risk of what cancer

A

Ovarian

44
Q

Strongest predictor of regret for permanent sterilization

A

Age (under 25 biggest risk)

45
Q

Fever and bleeding with a dilated cervix is? Tx?

A

Septic abortion

Surgical abortion and antibiotics

46
Q

Two lupus anticoagulant Ab? Prevention?

A

Anticardiolipin and beta-2 glycoprotein antibody

Help prevent with heparin

47
Q

Why mifepristone and then misoprostol in medical abortion

A

Misoprostol – antiprogestin

Misoprosol – prostaglandin that induces uterine contractions

48
Q

Gestational age limit for vacuum abortion

A
49
Q

First step in heavy bleeding after termination of pregnancy

A

Dilation and curettage

50
Q

Most common cause of vaginitis

A

BV

51
Q

Chronic pruritus with vagina not involved is

A

Lichen sclerosis

52
Q

Sever pain of vestibular touch or attempted vaginal entry

A

Vulvar vestibulitis

53
Q

What causes lichen simplex chronicus

A

Chronic scratching and rubbing

Tx: steroids and antihistamines

54
Q

GC mixed tx

A

Ceftriaxone and azithromycin

55
Q

Least invasive tx for pelvic organ prolapse

A

Pessary fitting

56
Q

Exposure to hep B regimen

A

HBIG and start hep B vaccination series

57
Q

Mucopurulent cervicitis + bi adnexal and uterine tenderness? tx?

A

Salpingitis

IV cefotetan and doxy + gent

58
Q

What causes overflow incontinence

A

Underactive detrusor muscle or obstruction (prolapse)

59
Q

What type of urinary incontinence is due to detrusor instability? Tx?

A

Urge (uninhibited contraction of the bladder with filling)

Tx: Oxybutynin

60
Q

What type of incontenence is caused by urethral hypermobility

A

Stress incontinence

61
Q

Stress incontinence best surgery

A

Retropubic urethropexy

62
Q

Tx for urethral intrinsic sphincteric def

A

Urethral bulking procedure

63
Q

What is colpoclesis

A

Vagina is surgically obliterated –> good for severe prolapse in elderly

64
Q

First step when US shows complex cyst in an older woman

A

Surgical exploration

65
Q

First and 2nd line endometriosis drugs

A
  1. COC

2. Danazol (synthetic estrogen but lots of AE)

66
Q

Definitive dx for endometriosis

A

Diagnostic laparoscopy (surgery and biopsy)

67
Q

First step for hemhorragic cyst

A

repeat US in 2 months as should resolve

68
Q

Sudden onset of pain and nausea and cyst on US likely?

A

Ovarian torsion

69
Q

Good workup for unknown chronic pelvic pain

A

Laparoscopy (endometriosis present even in the youngens)

70
Q

What is interstitial cystitis

A

Chronic inflammation of the bladder –> recurrent voiding symptoms and frequency in absence of evidence of any other disease

71
Q

How do GnRH agonists work

A

Down-Regular hypothalamic pituitary gland production

72
Q

New onset of pelvic pain often associated with

A

Abuse (up to 40% of pelvic pain)

73
Q

Pelvic adhesions think

A

Chronic PID

74
Q

Pelvic congestion features

A

worse during periods and pregnancy, aggravated by standing, fatigue, and coitus

75
Q

Iilohypogastric nerve senstation

A

sensation to skin and groin overlying pubis

76
Q

What nerve damage would keep patient from being able to adduct thigh

A

Obturator

77
Q

Best time to get a prolactin level

A

Not during physical exam, which may stimulate prolactin

78
Q

Tx for cervical dysplasia

A

LEEP

79
Q

Complications from LEEP

A

Cervical stenosis, preterm delivery

80
Q

LSIL in youngen

A

Repeat pap in 1 yer

81
Q

Vulvar lesion unresponsive to medical therapy needs

A

Biopsy

82
Q

Best way to begin workup for an incidental mass

A

Pelvic US

OB/GYN (6 decks)

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