UWorld Flashcards

1
Q

fever, uterine tenderness postpartum, foul-smelling lochia. Dx? RF?

A

endometritis. RF = prolonged ROM/labor, operative delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

management of SAB

A

check VS and hemoglobin -> D&C if unstable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

modifiable risk for osteoporosis

A

excess alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

trisomy workup

A

suspicion based on serum -> confirm dates first w/ US

suspicion based on NT -> proceed to CVS (10-13wks) or amnio (after 15wks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pseudocyesis

A

psych pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

gross proteinuria + RBC casts + ANA

A

SLE glomerulonephritis (not pre-eclampsia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

placenta abruptio mgmt

A

stable -> allow vaginal delivery

unstable/nonreassuring/not in labor -> c/s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

gestational maternal virilization + virilization of XX fetuses, normal internal genitalia. Elevated testos, undetectable estrogen

A

aromatase def

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

mgmt of variable decels

A

cord compression -> lateral position + oxygen + discontinue uterotonic drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

PCOS tx

A

OCP + metformin (if 2hr glucose >140)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

normal contraction stress test ->

A

antepartum fetal testing in 1 wk (don’t need BPP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

4 options of antepartum fetal surveillance

A
  1. NST: want 2 or > accelerations in 20-40min -> if normal then weekly testing antepartum
  2. BPP: (US + AFV + breathing + mvmt + tone) want 8 or 10, equivocal if 6 and abnormal if 4 or < or oligohydramnios
  3. CST: want no late or recurrent variable decels
  4. ubmilical artery doppler: want high velocity diastolic flow; abnormal is decreased/absent/reversed end-diastolic flow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dx fo GDM

A

GLT > 140

GTT: F>95, 1h>180, 2h>155, 3hr>140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

intolerance to PO i/s/o PID ->

A

IV cefotetan + doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

vaginismus

A

kegel (to relax) + gradual dilatation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

galactorrhea workup

A

pregnancy test, TSH/PRL, pituitary MRI

17
Q

acute unilateral midcycle adnexal pain w/ benign hx and clinical exam

A

Mitttelschmerz

18
Q

Evaluation of primary amenorrhea that started w/ PUS

A

+uterus -> FSH ->

  1. increased = karyotyping
  2. decreased = cranial MRI
  • uterus -> karyotype and testosterone ->
    1. 46XX + low testosterone = abnormal Mullerian
    2. 46XY + high testosterone = androgen insensitivity syndrome
19
Q

first step in mgmt of a patient p/w menopausal sx

A

TSH and FSH

20
Q

Postterm complications for baby

A
oligo
meconium aspiration
still birth
macrosomia
convulsion
21
Q

postterm complications for mommy

A

c/s
infection
hemorrhage
perineal trauma

22
Q

low platelets

A

HELLP or DIC

23
Q

phase? profuse cervical mucus, basic pH

A

ovulatory

24
Q

latent phase of labor vs. active phase of labor

A

6cm dilation

25
Q

protraction of labor

A

<1.2-1.5cm/hr during active labor

26
Q

arrest of labor

A

no change for 4 hrs despite adequate contractions OR no change for 6 hrs w/ inadequate contractions (200 Montevideo units)

27
Q

mgmt of complete placenta previa

A

scheduled c/s