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OBGYN > UW OB3 > Flashcards

UW OB3 Flashcards

1
Q

Endometrial Bx Criteria

A

A. >45: AUB or postmeno bleeding
B. <45: AUB w/unopposed estrogen(obesity, anov), failed men management, lynch syndrome.
C. >35: Atypical GLANDULAR cells on pap

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2
Q

young girl w/pharyngitis, fever, lower ab pain. dx?

A

Gonococcal pharyngitis, test for w/NAAT

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3
Q

Sx of Oxytocin tox? tx?

A

3: Hyponatremia, Hypotension & TACHYSYSTOLE
tx: 3% hypertonic saline
* Oxytocin is simular to ADH

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4
Q

Sx of Mg tox? tx?

A

NV, flushing, HA, hyporeflexia, hypocal, respiratory paralysis, cardiac arrest

tx: stop Mg, IV Ca-gluconate bolus
* sx will be worse with RENAL INSUFF!

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5
Q

do OCP cause weight gain?

A

nope

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6
Q

in addition to paps what must you do for owmen <25

A

pap + gon/chal test

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7
Q

tx of postpartum endometritis

A

clindamycin + genta

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8
Q

tx of Bactauria in prego

A

Cephelaxin, amox-clau, nitrofurantoin, fosfomycin

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9
Q

how do you measure cervical length?

A

trans vag U/S

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10
Q

baby born w/thin, loose skin + small, thin umbilical cord + wide anterior fontanel. cause?

A

FGR! = do placental hystopath

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11
Q

elevated AFP indicates…

A

abdominal wall defect

*low is trisomy 18 or 21

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12
Q

define inadequate contractions?

A

<3 in 10 min w/ab soft to palp

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13
Q

Protracted labor in the active stage of labor.

A

<1.2cm/h for nullipar

<1.5cm/h for multipar
*tx w/augmentation of labor

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14
Q

Arrested labor in the acitve stage of labor.

A

no change in 4h w/good contrac

or no change in 6h w/o good contrac
*tx w/augmentation of labor

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15
Q

Protracted labor in the second stage of labor.

A

longer than 2h in nullipar (3w/epi)

longer than 1h in multipar(2 w/epi)

*tx w/operative vag del or c-section

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16
Q

Arrested labor in the second stage of labor.

A

no pro after 3h in nulli par(4 w/epi)

no pro after 2h in nulli par(3 w/epi)

*tx w/operative vag del or c-section

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17
Q

What is secondary arrest of labor? how do you tx it?

A

cessation of labor that was initially doing fine for 2h…tx w/membrane rupture manually or just watch

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18
Q

APGAR score…explain..

A

Activity, Pulse, Grimance(irritability), Appearance, Respiration(cry?)

0-2 normal is 7-10

19
Q

how long do postpartum blues lasts? when is it postpartum depression?

A

blues = less than 2wks

depression = with in 6months

20
Q

what organism causes mastitis? tx?

A

streptococcus!

Penicillin or cephalosporin

21
Q

Description of Candidiasis of the nipple. tx?

A

sore nipple, painful nipple, peeling at periphery.

tx: mom w/topical clotrimazole or miconazole; baby w/oral nystatin

22
Q

Signs babies is getting enough breastmilk

A
  • 3-4 stools in 24hrs
  • 6 wet diapers in 24hrs
  • Weight gain
  • Sounds of swallowing
23
Q

women is breastfeeding but experienceing great pain. her breasts are full and tender. what can you recommend to help?

A

frequent nuring, warm shower + hot compress, massaging breast + expressing milk to soften, good support bra, analgesic 20 min beofre breastfeeding.

24
Q
  • 6 wk prego B-hCG initially 1500, 48hrs later its 3100. She has 3 days of spotting and uterine cramping. What would you see on U/S?
A

Viable IUP = spotting common in 1st trimester & since BhCG dbled its prob a viable prego

25
Q

RF for spontaneous abortion

A

DM, chronic RF, SLE, smoking, alcohol, radiation, infections, advaced age, advanced parity

*preeclampsia is not a RF! neither is previous abortion!

26
Q

T1 DM risks to baby…

A

spontaneous abortion, congenital malformations, IUFGR, Fetal Macrosomia, polyhydramnios, preterm birth, HTN Complication

27
Q

Tx of HA in prego

A

Amitriptyline

28
Q

how do you manage asthma inprego?

A

Inhaled BB, then inhaled corticosteroids or cromolyn sodium then subQ terbutaline+steroids for acute cases

29
Q

how do you treat MVP in prego?

A

BB

30
Q

Obesity risks to baby…

A

chronic HTN, Gestational diabetes, preeclampsia, fetal macrosomia, higher C-section rates, postpartum complications

31
Q

SSRI that is not sage in prego…

A

paroxetine! other SSRIs are safe

32
Q

target HTN in prego…

A

diastolic 90-100

33
Q

risk factors for preeclampsia

A

previous hx, chronic HTN, multifetal prego, molar prego, diabetes, chronic renal dz, APLS, vascular dz, tripolidy, extremes of age

34
Q

moms bleeding, baby shows tachy w/decreased variability and sinusoidal pattern…

A

placenta abruptio! =sinusoidal pattern shows placental insufficiency

35
Q

U/S finding of RH dz…

A
  1. increase systol flow on MCA doppler.

2. Fetal Hydrops(ascites, pericardial effusions + other effusions, scalp edema)

36
Q

dafuq are lewis antibodies?

A
  • Lewis Antibodies are IgM and do not cross the placenta = not associated w/isosensitization or hemolytic disease of the fetus = no F/U needed.
37
Q

best indicator of severity of Rh hemolytic dz

A

bilirubin from amniotic fluid

38
Q

risk w/twins…

A

5x death rate, cerebral palsy, higher incidence of IUGR, increased prematurity, increased congenital abnormalities

39
Q

Twin-twin transfusion syn risks to the babies…

A

Donor: anemic, hypovol, growth retardation

surviving twin: neurological morbidity risk, cerebral palsy, cardiomegaly, tricuspid regurge, ventricular hypertrophy, hydrops fetalis

40
Q

Stages of Loss:

A 
o	Denial
o	Anger
o	Bargaining
o	Depression
o	Acceptance
41
Q

Cytotec(Misoprostol)

A

o Given prior to Pitocin

Given for women with unfavorable cervix/closed  increases cervical ripening!

42
Q

MC breech presentations

A
  • Incomplete Breech = 3-4% *one leg down
  • Complete Breech = 5-12% *baby curled into ball with legs crossed
  • Frank Breech = 48-73% *babys legs straight up into the air
43
Q

RF for breech presentation

A 
o	Prematurity
o	Multiple gestation
o	Genetic disorders
o	Polyhydramnios
o	Hydrocephaly
o	Anencephaly
o	Placenta previa
o	Uterine anomalies
o	Uterine fibroids
44
Q

Risks for baby/mom associated w/tobacco/smoking

A 
o	Placental abruption
o	Placental previa
o	IUGR
o	Preeclampsia
o	Infection

OBGYN (25 decks)

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