UWORLD Flashcards
1
Q
quad screen for down syndrome
A
- low AFP
- high hcg
- low estriol
- high inhibin A
2
Q
initial prenatal labs
A
- type/screen
- H+H
- HIV/hepB/RPR
- rubella/varicella
- Pap
- chlamydia
- u/a
- urine protein
3
Q
location of bartholin glands
A
4 and 8 oclock
4
Q
soft nontender cystic mass behind posterior labia majora
A
bartholin cyst
5
Q
condyloma accuninatata
A
gential warts
6
Q
condyloma lata
A
2ndary syhphillus
7
Q
HIV in pregnancy
A
give triple therapy
8
Q
contraindication for synthetic prostaglandin
A
asthma
9
Q
most common result of placenta previa
A
90% resolution
10
Q
OCPs and cancer
A
decrease ovarian and endometrial, no effect on breast
11
Q
contraindications for estrogen modulators
A
VTEs
12
Q
enlarged uterus with irregular contour
A
fibroids
13
Q
staging in ovarian cancer is performed with…
A
exploratory lap
14
Q
sterile pyuria with vesicles
A
herpes
15
Q
granulosa cell tumor produces
A
estrogen, can lead to endometrial hypertrophy
16
Q
fluid in the posterior cul de sac in pregnancy
A
blood in abdomen, ruptured atopic
17
Q
spontaneous menses after stopping birth control
A
1-3 months
18
Q
most common causes of secondary ammenhorria
A
- pregnancy
- HPO axis
- endocrine
19
Q
intrauterine synechiae
A
Ashmermans
20
Q
homogeneous cystic ovarian mass
A
- endometrial chocolate cyst if young
- epithelial tumor if older
21
Q
peau d’orange
A
inflammatory breast carcinoma - also breast edema and erythema
22
Q
hcg increases until…
A
end of first trimester
23
Q
indications for endometrial biopsy in above 45
A
- abnormal uterine bleeding
- post menopausal bleeding
24
Q
indications for endometrial biopsy in below 45
A
- AUB AND
- unopposed estrogen
- failed medical management
- Lynch syndrome
25
unilateral bloody nipple discharge
intraductal papilloma
26
cause of HELLP
abnormal placentation, systemic inflammation and coag/complement activation
27
delivery time with HELLP
above 34 weeks
28
risks of OCPs
- VTE
- hypertension
- stroke
29
most accurate dating method
1st trimester ultrasound
30
persistent fever after antibiotics for endometritis
septic thrombophlebitis
31
treatment for endometriosis
combined oral contraceptives
32
time for quad screen
15-22 weeks
33
treatment for stress incontinence
pessary, kegels surgery
34
risk factor for ruptured placenta
hypertension and smoking
35
BUN and creatinine in pregnancy
decreased due to increased filtration
36
breast cancer and birth control
cant use hormones, use copper
37
pap testing starts at....
21
38
only indication for hormone replacement in menopause
vasomotor symptoms
39
reason for magnesium in preterm
lower the risk of neurologic concerns
40
weekly BPPs for?
high risk patients (think MFM) - hypertension
41
preeclampsia timeline cutoff
20 weeks
42
gestational hypertension causes...
placental dysfunction, can lead to preterm labor
43
first step in evaluating possible preterm labor
transvaginal ultrasound
44
med used for prevention of preterm rupture
progesterone
45
urethral hypermobility causes...
stress incontinence
46
non-reactive NSTs mean...
fetal hypoxia
47
Gartner vs Bartholin cyst distinction
involvement of the vulva
48
G/C screening
all sexually active women under 25
49
evaluation with recurrent candida vulvovaginitis
diabetes - A1C
50
benign breast mass
fibroadenoma
51
age which menses should begin by...
15
52
ovarian mass with septations and ascites
epithelial tumor
53
most common side effect of injection bc
weight gain
54
mechanism for gestational diabetes
increase in HPL, leads to beta cell hyperplasia and increased insulin resistence
55
intervention steps with cord compression
1. maternal repositioning
| 2. amnioinfusion to decrease cord compression
56
low BPP indicates
fetal hypoxia due to placental insufficiency
57
most common side effect of epidural
hypotension
58
when can cephalic version be performed
after 37 weeks due to possible complications
59
signs of virilization
voice changes, male pattern baldness, muscle bulk and clitormegaly
60
indications for C section
nonreassuring fetal heart tracing, breech presentation, previous surgeries
61
meds to give for PPROM
antibiotics and corticosteroids, mag if less than 32
62
women that get adenomyosis
multiparous, premenopausal above 40
63
complications of vesicovaginal fistula
cystitis
64
STI with sterile pyuria
herpes
65
treatment for lichen sclerosis
topical steroids
66
thyroid changes in pregnancy
increased thyroid binding proteins, elevated total T4/T3, lower TSH
67
treatment of endometritis
clindamycin and gentamycin
68
pH in menopausal women
elevated above 4.5
69
asymmetric FGR
due to 2/3rd trimester placental insufficiency, can be caused by diabetes or hypertension
70
most effective emergency contraception
copper IUD
71
cancer risk in DES exposure
clear cell adenocarcinoma of the vagina
72
optimal fetal position
occiput anterior
73
next step after labor with herpes
c-section
74
reasons for AFP elevations
ventral wall defects, twins, neural tube defects
75
friable cervix
cervicitis or cervical cancer
76
physiologic leukorrhea
normal midcycle discharge
77
false labor
mild contractions without cervical change
78
labor MUST have....
cervical change
79
symmetric fetal growth restriction is due to....
chromosomal abnormalities, startes in first trimester
80
asymmetric fetal growth restriction
less growth of the head due to placental insufficiency
81
prior classical c section
contraindication to TOLAC
82
oxytocin is similar to what other hormone
ADH
83
effects of tamoxifen
blocks estrogen in breast, stimulates in endometrium
84
levothyroxine and placenta
does not cross
85
fetal hydantoin syndrome
exposure to phenytoin, cleft lip/palate, wide anterior fontanelle, distal phalange hypoplasia
86
risk for mag toxicity in....
renal disease
87
how to evaluate for FGR
pathology of placenta
88
itchy rash on nipple
Paget's disease (adenocarcinoma)
89
causes of bladder atony post pregnancy
epidural and pudendal nerve injury
90
presentation with loss of fetal station
uterine rupture
91
protocol after molar pregnancy
serial hcg, contraception
92
how does menopause lead to urge incontinence
less estrogen = urethral atrophy = urge incontinence
93
contraindication to vaginal delivery
classical c-section
94
definition of aresst
- no change in 4 hours with contractions
| - no change in 6 hours without good contractions
