U-Wise Flashcards by Robby Skinner

Two things for ASCUS

Colposcopy and high risk HPV testing

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Pap test after hysterectomy when

For cervical Ca or high risk dysplasia

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Can co test HPV and pap how often

5 years for co test

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What is cryotherapy for a pap issue?

No tissue biopsy results

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Mucopurulent cervicitis with symptoms worsening during and after menstruation classically

Gonnorrhea

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High suspicion for syphillis test

Treponemal-specific test

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Herpes culture false negative rate

10-20%

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What age should you start DEXA scans

65 (unless high risk)

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When does ACOG recommend mammograms tart

40 years

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When to do a colonoscopy below 50

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

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2 vaccines contra in preg

MMR and Varicella

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1 kiler in women

Heart disease

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Anemia in pregnancy due to

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

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Acid-base status in pregnancy

Increased minute ventilation causes a compensated respiratory alkalosis

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PFT increases in pregnancy

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

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Why is pulmonary edema a greater risk in pregnancy

Plasma osmolarity is deceased in pregnancy

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What murmers are always abnormal in pregnancy

Diastolic

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

Protection from sigmoid colon on the right side

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Most common site for gestational trophoblastic dz to met to

Lungs

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Weight gain in pregnancy

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

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Who gets beta thalassemia

Mediterranean populations

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Valproic acid increased risk of what defect

Neural tube, hydrocephalus, and craniofacial

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Congenital defects with DM in organogenesis

CNS (neural tube) and cardiac

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Fetal loss associated with Chorionic villus samplic

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Most common cause of inherited mental retardaiont

Fragile X

When can quad screen be used

2nd trimester

BS goals in pregnancy

Fasting below 90 and 1-2 post prandial below 120

Daily folic acid for low risk and high risk pts

At least 0.6 low risk | 4 for high risk

Most common valproic acid anomaly

Lumbar meningomyelocele

When can pregnant woman stop taking ibuprofen

32 weeks

What are brixton-hick contractions

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

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

Elevate fetal head with hand and do c section | elevating head avoids compression of umbilical chord

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

Episiotomy

Down syndrome appearance

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

What do chorioamnionitis babies look like

Lethargic, pale, high temp

What can you see in infants born to DM mothers

Hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia, respiratory distress

Best position for peep in newborn

Sniffing position (head back and titled chin)

MCC of PPH

Uterine atony

Most common cause of fever post partu

Endometritis

Feature of PPD vs Baby blues

Ambivalence toward newborn

What causes lactation after delivery

Rapid dec in progesterone (inhibits lactation)

Candida of nipples feature

Intense pain --> check babies mouth

MCC of 1st trimester SaB

Autosomal trisomy

Chronic dz associated with first trimester loss

Lupus, DM, Chronic renal dz

Tx for incompetent cervix in pregnancy

Cerclage at 14 weeks

MCC of sepsis in pregnancy

Pyelonephritis

Thyroid storm acute tx

Thioamides (PTU), propanolol, sodium iodide, dexamethasone

GDM screening

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

Why do you treat BV in pregnancy

Reduces risk of preterm delivery

Highest risk of maternal mortality from

Things that cause diminished right ventricular filling

Most common complication for overweight patients in pregnancy

Hypertension

Tx for lupus flare in pregnancy

Steroids

SSRI contra in pregnancy

Paroxetine --> cardiac malformations and persistant pulmonary HTN

Drug for intrahepatic cholestasis of pregnancy

Ursodeoxycholic acid

Test for suspected appendicitis in pregnancy

Graded compression US

Gestation HTN criteria

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

BP for pre-eclampsia to recommend mag

160/110

Mag levels and tox

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

Feature for pre-term delivery in severe pre e

Thrombocytopenia

Tracing for placental abruption

Fetal anemia like (sinusoidal pattern)

Diastolic BP goal when over 100 in pregnant

90-100

Percent chance of isoimunization if no rho-gam

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

Best test for fetal anemia

MCA peak systolic flow velocity

What is fetal hydrops

Collection of fluid in two or more body cavities

What does the Kleihauer-Betke test measure

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

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

Bilirubin

US features of di di twins

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

Infant death rate in twins vs single preg

5x higher

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

Monochorionic diamniotic

Biggest complication for twins

Preterm birth

Birthplan for twins if Twin A breach

C-section

Risk of developing brain damage at what gestational age

8-15 weeks

Hx of DVT and fetal demise likely

Factor V mutation in mother

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

Maternal blood type

IUFD in 3rd trimester with no bleeding likely

Unctrolled DM

MTX vs misopristol for abortions

MTX for ectopic and LMP 6 weeks

Causes of breech presentation

Prematurity, twins, previa, fibroids

Active phase of labor at how many Cm

4cm

Largest risk factor for shoulder dystocia

GDM

Oxytocin only when

Contractions aren't adequate

Most common type of breech

Frank (butt first)

Placenta accreta greatest risk by location

Low lying

What does FFP contain

Fibrinogen, Factor V, Factor VIII

What does cryoprecipitate contain

Fibrinogen, VII, VWF

Smoking complications of pregnancy

Abruption, previa, IUGR, preeclampsai, and infection

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

Cervicitis

MCC of preterm labor

Idiopathic

When to not use tocolytics

Chorioamnionitis

Toco's contra in DM patients

Terbulatine and ritodrine

What toco is contra in MG

Mag sulfate

B agonists do what in the cell

inc cAMP, decreasing free calcium

Terbutaline MOA

B-agonist

Amniotic level ass w/ indomethacin

Oligohydramnios

Best medicine to prolong labor in PPROM

Antibiotics (5-7 days)

Amniotic fluid test for infection

Low amniotic glucose levels

PPROM at 36 weeks, what do you do

Induction of labor