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Obgyn > UWorld 2 > Flashcards

UWorld 2 Flashcards

1
Q

What should the target fasting glucose level be for pregnant women with GDM?

A

Less than or equal to 95

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2
Q

What should the target 1-hour postprandial glucose level be for pregnant women with GDM?

A

Less than or equal to 140

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3
Q

What should the target 2-hour postprandial glucose level be for pregnant women with GDM?

A

Less than or equal to 120

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4
Q

What are the first and second line treatments for GDM?

A
  1. Diet & exercise

2. Insulin

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5
Q

Does insulin cross the placenta?

A

No

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6
Q

What does the “BECALM” acronym stand for in management of shoulder dystocia (shoulder can’t be delivered)?

A 
Breathe, do not push
Elevate legs & flex hips
Call for help
Apply suprapubic pressure
Larger with episiotomy
Maneuvers
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7
Q

What’s the definition of chronic HTN?

A

Systolic 140+ and/or diastolic 90+ prior to conception or up to 20 weeks gestation

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8
Q

What’s the definition of gestational HTN?

A

New onset elevated BP at 20+ weeks gestation; no proteinuria or end organ damage though

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9
Q

What’s the definition of preeclampsia?

A

New onset elevated BP at 20+ weeks gestation and proteinuria or signs of end-organ damage

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10
Q

What’s the definition of eclampsia?

A

Preeclampsia and new-onset grand mal seizures

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11
Q

What’s the definition of chronic HTN with superimposed preeclampsia?

A

Chronic HTN and 1 of the following:

  1. New onset proteinuria or worsening of proteinuria at 20+ weeks
  2. Sudden worsening of HTN
  3. Signs of end organ damage
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12
Q

Is preterm labor a risk of HTN?

A

Yes

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13
Q

What is preterm rupture of membranes associated with?

A

Genital tract infection

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14
Q

What placental condition is caused when the placental villi attach to the myometrium rather than the uterine decidua?

A

Placenta accreta “My, this accret really sucks without deciduous trees”

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15
Q

What vitamin deficiency is associated with neural tube defects?

A

Folate

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16
Q

What condition presents with painless vaginal bleeding after 20 weeks gestation?

A

Placenta previa

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17
Q

What is the cause of placenta previa?

A

The placenta is covering the cervix

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18
Q

What condition causes vaginal bleeding and contractions, and is caused by the separation of the placenta from the uterus prior to fetal delivery?

A

Placental abruption

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19
Q

What’s the definition of preterm labor?

A

Cervical dilation 3+cm or effacement with regular painful uterine contractions, at <37 weeks gestation

20
Q

What is the common pathogen for asymptomatic bacteriuria during pregnancy?

A

E. Coli

21
Q

What are the 3 best abx for asymptomatic bacteriuria during pregnancy?

A
  1. Cephalexin
  2. Amox-clav
  3. Nitrofurantoin
22
Q

What fetal defects do fluoroquinolones cause?

A

Bone

“fluoro-ide on your tooth bones”

23
Q

What fetal defects do tetracyclines cause?

A

Grey teeth

24
Q

Why is TMP-SMX contraindicated during the first and third but not second trimester?

A

It can interfere with folic acid metabolism in the first trimester, and it can cause kernicterus in the third trimester

25
Q

What is hyperemesis gravidarum?

A

Severe nausea/vomiting during pregnancy

26
Q

What’s a risk factor for hyperemesis gravidarum?

A

Twin gestation

27
Q

Is hyperemesis gravidarum more prevalent in young or older women?

A

Younger

28
Q

What’s the empiric treatment for chlamydia & gonorrhea?

A

Azithromycin + Ceftriaxone

29
Q

Which antibiotic covers chlamydia?

A

Azithromycin

30
Q

What is candida intertrigo?

A

Candida in skin folds

31
Q

What’s the treatment for candida?

A

Topical azoles

32
Q

What’s the treatment for hidradenitis suppurativa?

A

Doxycycline

33
Q

What’s the treatment for condyloma acuminata (HPV complication)?

A

Trichloroacetic acid

34
Q

CA-125 is a tumor marker for epithelial ________ carcinoma?

A

Ovarian

35
Q

Why do hydatidiform moles cause theca lutein ovarian cysts?

A

Due to the increased B-hCG levels

36
Q

What’s the treatment for hydatidiform mole?

A

Suction curettage

37
Q

What birth defects does Valproate cause?

A

Neural tube defects

38
Q

What’s a good option for bipolar patients to switch to from valproate?

A

Lamotrigine

39
Q

What birth defects does Carbamazepine cause?

A

Neural tube defects

40
Q

What can lithium rarely cause in a fetus?

A

Ebstein anomaly

41
Q

Which hormone surges before ovulation?

A

LH

42
Q

What might cause the inability to void 6+ hours after vaginal delivery and dribbling urine?

A

Postpartum urinary retention

43
Q

What’s the diagnosis and treatment of postpartum urinary retention?

A

Urethral catheterization

44
Q

What’s a chronic inflammatory disease common in postmenopausal women that presents with pale thinning of the vulva with fissures?

A

Lichen sclerosus

45
Q

What’s the treatment for lichen sclerosus?

A

Topical corticosteroids

46
Q

What should you do if you suspect lichen sclerosus?

A

Punch biopsy to rule out cancer

47
Q

What’s the treatment for patients with syphilis who are allergic to penicillin?

A

Skin testing and penicillin desensitization

Obgyn (6 decks)

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