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OB/GYN > U-Wise > Flashcards

U-Wise Flashcards

1
Q

Two things for ASCUS

A

Colposcopy and high risk HPV testing

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2
Q

Pap test after hysterectomy when

A

For cervical Ca or high risk dysplasia

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3
Q

Can co test HPV and pap how often

A

5 years for co test

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4
Q

What is cryotherapy for a pap issue?

A

No tissue biopsy results

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5
Q

Mucopurulent cervicitis with symptoms worsening during and after menstruation classically

A

Gonnorrhea

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6
Q

High suspicion for syphillis test

A

Treponemal-specific test

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7
Q

Herpes culture false negative rate

A

10-20%

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8
Q

What age should you start DEXA scans

A

65 (unless high risk)

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9
Q

When does ACOG recommend mammograms tart

A

40 years

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10
Q

When to do a colonoscopy below 50

A

If patient had before 60 (do 10 years before youngest diagnosis)

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11
Q

2 vaccines contra in preg

A

MMR and Varicella

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12
Q

1 kiler in women

A

Heart disease

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13
Q

Anemia in pregnancy due to

A

Hemodilution (increase in plasma volume greater than increase in RBC mass)

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14
Q

Acid-base status in pregnancy

A

Increased minute ventilation causes a compensated respiratory alkalosis

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15
Q

PFT increases in pregnancy

A

Inspiratory capacity increases due to increase in tidal volume and respiratory reserve volume

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16
Q

Why is pulmonary edema a greater risk in pregnancy

A

Plasma osmolarity is deceased in pregnancy

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17
Q

What murmers are always abnormal in pregnancy

A

Diastolic

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18
Q

Why does the right ureter dilate more than the left in pregnancy

A

Protection from sigmoid colon on the right side

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19
Q

Most common site for gestational trophoblastic dz to met to

A

Lungs

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20
Q

Weight gain in pregnancy

A

Underweight (18.5) 28-40
Overweight (25-39) 15-25
Obese 11-20 pounds

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21
Q

Who gets beta thalassemia

A

Mediterranean populations

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22
Q

Valproic acid increased risk of what defect

A

Neural tube, hydrocephalus, and craniofacial

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23
Q

Congenital defects with DM in organogenesis

A

CNS (neural tube) and cardiac

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24
Q

Fetal loss associated with Chorionic villus samplic

A

1%

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25
Q

Most common cause of inherited mental retardaiont

A

Fragile X

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26
Q

When can quad screen be used

A

2nd trimester

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27
Q

BS goals in pregnancy

A

Fasting below 90 and 1-2 post prandial below 120

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28
Q

Daily folic acid for low risk and high risk pts

A

At least 0.6 low risk

4 for high risk

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29
Q

Most common valproic acid anomaly

A

Lumbar meningomyelocele

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30
Q

When can pregnant woman stop taking ibuprofen

A

32 weeks

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31
Q

What are brixton-hick contractions

A

Shorter than true labor, in the lower abdomen, no cervical changes

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32
Q

What do you do if you see umbilical cord prolapse during delivery

A

Elevate fetal head with hand and do c section

elevating head avoids compression of umbilical chord

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33
Q

Single greatest risk factor for 3rd and 4th degree laceration

A

Episiotomy

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34
Q

Down syndrome appearance

A

flattened nasal bridge, small cup shaped ears, sandal gap toes, hypotonia

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35
Q

What do chorioamnionitis babies look like

A

Lethargic, pale, high temp

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36
Q

What can you see in infants born to DM mothers

A

Hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia, respiratory distress

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37
Q

Best position for peep in newborn

A

Sniffing position (head back and titled chin)

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38
Q

MCC of PPH

A

Uterine atony

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39
Q

Most common cause of fever post partu

A

Endometritis

40
Q

Feature of PPD vs Baby blues

A

Ambivalence toward newborn

41
Q

What causes lactation after delivery

A

Rapid dec in progesterone (inhibits lactation)

42
Q

Candida of nipples feature

A

Intense pain –> check babies mouth

43
Q

MCC of 1st trimester SaB

A

Autosomal trisomy

44
Q

Chronic dz associated with first trimester loss

A

Lupus, DM, Chronic renal dz

45
Q

Tx for incompetent cervix in pregnancy

A

Cerclage at 14 weeks

46
Q

MCC of sepsis in pregnancy

A

Pyelonephritis

47
Q

Thyroid storm acute tx

A

Thioamides (PTU), propanolol, sodium iodide, dexamethasone

48
Q

GDM screening

A

24-28 weeks, unless high risk then as soon as possible

49
Q

Why do you treat BV in pregnancy

A

Reduces risk of preterm delivery

50
Q

Highest risk of maternal mortality from

A

Things that cause diminished right ventricular filling

51
Q

Most common complication for overweight patients in pregnancy

A

Hypertension

52
Q

Tx for lupus flare in pregnancy

A

Steroids

53
Q

SSRI contra in pregnancy

A

Paroxetine –> cardiac malformations and persistant pulmonary HTN

54
Q

Drug for intrahepatic cholestasis of pregnancy

A

Ursodeoxycholic acid

55
Q

Test for suspected appendicitis in pregnancy

A

Graded compression US

56
Q

Gestation HTN criteria

A

HTN after 20 weeks in the absence of proteinuria or other pre-eclampsia features

57
Q

BP for pre-eclampsia to recommend mag

A

160/110

58
Q

Mag levels and tox

A

Loss of DTR at 7-10
Resp depression 10-14
Cardiac arrest at 15

59
Q

Feature for pre-term delivery in severe pre e

A

Thrombocytopenia

60
Q

Tracing for placental abruption

A

Fetal anemia like (sinusoidal pattern)

61
Q

Diastolic BP goal when over 100 in pregnant

A

90-100

62
Q

Percent chance of isoimunization if no rho-gam

A

2% antepartum, 7% after full delivery, 7% next pregnancy

63
Q

Best test for fetal anemia

A

MCA peak systolic flow velocity

64
Q

What is fetal hydrops

A

Collection of fluid in two or more body cavities

65
Q

What does the Kleihauer-Betke test measure

A

Incidence and size of fetal transplacental hemorrhage (can measure how much fetal blood mother was exposed to)

66
Q

What do you measure in amniotic fluid to get severity of hemolytic disease in fetus

A

Bilirubin

67
Q

US features of di di twins

A

Twin peak (lambda sign), two placentas, dividing membrane > 2mm

68
Q

Infant death rate in twins vs single preg

A

5x higher

69
Q

Twin-twin transfusion syndrome most common in what kind of twins

A

Monochorionic diamniotic

70
Q

Biggest complication for twins

A

Preterm birth

71
Q

Birthplan for twins if Twin A breach

A

C-section

72
Q

Risk of developing brain damage at what gestational age

A

8-15 weeks

73
Q

Hx of DVT and fetal demise likely

A

Factor V mutation in mother

74
Q

What should be checked on all women with vaginal bleeding in pregnancy

A

Maternal blood type

75
Q

IUFD in 3rd trimester with no bleeding likely

A

Unctrolled DM

76
Q

MTX vs misopristol for abortions

A

MTX for ectopic and LMP 6 weeks

77
Q

Causes of breech presentation

A

Prematurity, twins, previa, fibroids

78
Q

Active phase of labor at how many Cm

A

4cm

79
Q

Largest risk factor for shoulder dystocia

A

GDM

80
Q

Oxytocin only when

A

Contractions aren’t adequate

81
Q

Most common type of breech

A

Frank (butt first)

82
Q

Placenta accreta greatest risk by location

A

Low lying

83
Q

What does FFP contain

A

Fibrinogen, Factor V, Factor VIII

84
Q

What does cryoprecipitate contain

A

Fibrinogen, VII, VWF

85
Q

Smoking complications of pregnancy

A

Abruption, previa, IUGR, preeclampsai, and infection

86
Q

If looks like bloody show but cervix closed, think what?

A

Cervicitis

87
Q

MCC of preterm labor

A

Idiopathic

88
Q

When to not use tocolytics

A

Chorioamnionitis

89
Q

Toco’s contra in DM patients

A

Terbulatine and ritodrine

90
Q

What toco is contra in MG

A

Mag sulfate

91
Q

B agonists do what in the cell

A

inc cAMP, decreasing free calcium

92
Q

Terbutaline MOA

A

B-agonist

93
Q

Amniotic level ass w/ indomethacin

A

Oligohydramnios

94
Q

Best medicine to prolong labor in PPROM

A

Antibiotics (5-7 days)

95
Q

Amniotic fluid test for infection

A

Low amniotic glucose levels

96
Q

PPROM at 36 weeks, what do you do

A

Induction of labor

OB/GYN (6 decks)

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