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Obgyn > UWorld 4 > Flashcards

UWorld 4 Flashcards

1
Q

How does the uterus feel when there is uterine atony?

A

Large and boggy

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2
Q

Which medication do you use to treat trich?

A

Metronidazole

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3
Q

Which antibiotic is used to treat Chlamydia?

A

Doxycycline

“Clams at the docks”

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4
Q

What’s the most effective emergency contraception method?

A

Copper IUD

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5
Q

Can you use a copper IUD 3-5 days after unprotected sex for emergency contraception?

A

Yes

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6
Q

Where does the uterine fundus appear if the uterus is well contracted?

A

At the level of the umbilicus

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7
Q

What condition might cause heavy menses, pelvic pain, constipation, and infertility?

A

Leiomyomas (fibroids)

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8
Q

What condition causes painful bumps that leave acneiform scars in the groin?

A

Hidradenitis suppurativa

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9
Q

What is Hidradenitis Suppurativa?

A

An inflammatory condition in intertrigenous areas due to occluded follicles

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10
Q

What heart disease can worsen during pregnancy?

A

Rheumatic mitral stenosis

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11
Q

What heart condition during pregnancy can cause rapid onset heart failure at >36 weeks?

A

Peripartum cardiomyopathy

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12
Q

Can you have a vaginal birth with placenta previa?

A

No, it requires a C-section

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13
Q

Which vaginal infection doesn’t relate to vaginal pH?

A

Candida

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14
Q

What condition causes painful periods, sporadic pelvic pain, and pain during bowel movement?

A

Endometriosis

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15
Q

What’s the best treatment for endometriosis?

A

OCPs

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16
Q

What’s the best treatment for endometriosis with h/o infertility, need for definitive therapy, contraindications to hormonal birth control?

A

Laparoscopy

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17
Q

Can endometriosis cause a fixed, mobile uterus?

A

Yes

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18
Q

What’s the definition of uterine tachysystole?

A

> 5 contractions/10 minutes

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19
Q

What’s the management of uterine tachysystole?

A

Discontinue uterotonic agents

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20
Q

What’s the etiology of early decelerations?

A

Fetal head compression (normal)

“You’re early, that’s good”

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21
Q

What’s the etiology of variable decelerations (4)?

A
  1. Cord compression
  2. Oligohydramnios
  3. Cord prolapse
  4. Uterine rupture
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22
Q

What’s the etiology of late decelerations?

A

Uteroplacental insufficiency

“You’re late, thats bad”

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23
Q

What’s the best initial treatment for recurrent variable decelerations?

A

Maternal repositioning

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24
Q

Which category of FHR tracings only includes early decelerations (no late or variables)?

A

Category I

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25
Q

Does a category III tracing require a c-section?

A

Yes

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26
Q

How do women with Sheehan Syndrome typically present?

A

With the inability to breastfeed

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27
Q

Which STI has small and shallow ulcers, large, painful inguinal lymph nodes (buboes), and inclusion bodies?

A

Lymphogranuloma venereum (Chlamydia)

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28
Q

Does syphilis have a single, indurated, well-circumscribed ulcer?

A

Yes

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29
Q

Which STI has multinucleated giant cells and intranuclear inclusions?

A

Herpes

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30
Q

Which STI has deep ulcers with a gray/yellow base?

A

Chancroid (H. ducreyi)

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31
Q

What do you treat asymptomatic bacteriuria with in pregnancy (4)?

A
  1. Cephalexin
  2. Amoxicillin-clav
  3. Nitrofurantoin
  4. Fosfomycin
32
Q

When is TMP-SMX contraindicated?

A

During the 1st trimester (interferes with folic acid synthesis)

33
Q

What dx is painless vaginal bleeding >20 weeks gestation?

A

Placenta previa

34
Q

What’s the management of placenta previa?

A

No intercourse, no digital cervical exam, admit for bleeding episodes

35
Q

Dx for irregular uterine contour that may be palpable as a globular mass?

A

Leiomyoma (fibroid)

36
Q

What’s the biggest risk of maternal hypertension?

A

Preterm labor

37
Q

How do you differentiate between gestational vs chronic hypertension?

A

Chronic is prior to 20 weeks

38
Q

What’s the best way to position the patient and maneuver to prevent shoulder dystocia?

A

Lower the head of the bed, flex the hips against the abdomen

39
Q

What are the first and second line treatments for GDM?

A
  1. Lifestyle

2. Insulin

40
Q

Patients under age 45 who have failed medical management require what?

A

Endometrial biopsy

41
Q

What are the 2 main risk factors for intrauterine adhesions?

A
  1. Infection (septic abortion)

2. Intrauterine surgery

42
Q

How do you evaluate for intrauterine adhesions?

A

Hysteroscopy

43
Q

Is a c-section for a breech baby for the baby or mom’s benefit?

A

The baby’s, so if a baby is nonviable, regular vaginal delivery is indicated even if baby is in breech position

44
Q

Which maternal virus causes fetal brain calcifications and microcephaly?

A

CMV

45
Q

What’s the definition of eclampsia?

A

New onset HTN (140+/90+) plus proteinuria (300+, or protein:creatinine 0.3+, or dipstick 1+), or signs of end-organ damage

46
Q

What’s the difference between preeclampsia vs. preeclampsia with severe features?

A

Severe features form has end-organ damage

47
Q

What’s the treatment for a septic abortion?

A

Broad spectrum abx and suction curettage

48
Q

When is screening mammography initiated?

A

50+

49
Q

What’s the best tx for a short cervix with no history of preterm labor?

A

Vaginal progesterone

50
Q

What’s the best tx for a short cervix with a history of preterm labor?

A

Cerclage & serial TVUS

51
Q

How do you measure cervical length?

A

Transvaginal US

52
Q

How do you diagnose chorioamnionitis?

A

Maternal fever plus 1+ of the following:
Fetal tachycardia >160
Maternal leukocytosis
Purulent amniotic fluid

53
Q 
What diagnosis has the following quad screen results?:
AFP: down
hCG: down
estriol: down
inhibin: normal
A

Trisomy 18

“Prince Edward was 18 and very down”

54
Q 
What diagnosis has the following quad screen results?:
AFP: down
estriol: down
hCG: up
inhibin: up
A

Trisomy 21

“In Down’s, hCG is up”

55
Q

What diagnosis has the following quad screen results?:
AFP: up
everything else: normal

A

Neural tube or abdominal wall defect

56
Q

Do twins have a higher risk of preterm labor?

A

Yes

57
Q

Don’t forget to look at what things during the exam?

A

BMI
Imaging findings
BP
Labs

58
Q

What’s the most common cause of asymmetric fetal growth restriction (big head, small abdomen)

A

HTN

59
Q

What’s the most common cause of symmetric fetal growth restriction (small head, small abdomen)?

A

Congenital disorders or first trimester infections

60
Q

What color discharge does BV have?

A

Grey

61
Q

What’s the treatment for intrahepatic cholestasis of pregnancy?

A

Ursodeoxycholic acid & antihistamines

62
Q

What antibiotic do you use to treat pyelonephritis or gonorrhoeae in pregnancy ?

A

Ceftriaxone

“Ax the py so it’s gone”

63
Q

What’s the best tx for PID?

A

Ceftriaxone + Azithromycin

“Zith up the clam”

64
Q

What’s the best tx for lactational mastitis?

A

Dicloxacillin

65
Q

What’s the best tx for GBS prophylaxis and syphilis?

A

Penicillin

66
Q

What’s the best tx for breast abscesses?

A

Vancomycin

67
Q

What’s the best tx for postpartum endometritis?

A

Clindamycin + Gentamicin

“Now that the baby’s out and it’s infected, get the mice in there”

68
Q

What’s the best tx for PROM?

A

Ampicillin + Erythromycin

“I’m amped up for PROM cuz I got rhythm”

69
Q

What’s the best tx for HPV genital warts?

A

Trichloroacetic acid

70
Q

What’s the best tx for premies prior to 32 weeks for neural protection?

A

Magnesium sulfate

71
Q

What’s the best tx for up to 36w6d for fetal lung development?

A

Corticosteroids

72
Q

When do you check for Down syndrome and how?

A

10 weeks with fetal free DNA

73
Q

When can you check chorionic villus?

A

10-12 weeks

“Villains go first”

74
Q

When can you check amniocentesis?

A

15-20 weeks

75
Q

Which type of incontinence?:
Impaired detrusor muscles
“Oh no my juicer won’t work so it’s overflowing! We need to give Bethane a chol!”

A

Overflow

76
Q 
Which type of incontinence?:
Hypermobility of the urethra and bladder neck
Pelvic floor muscles
Urethra
Bladder neck
Tx: kegels, pessary, clamp
A

Stress incontinence

77
Q

Which type of incontinence?:
Overactivity of detrusor the juicer
Tx: oxybutynin

A

Urge

“I have the urge to try oxy”

Obgyn (6 decks)

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