uworld dec 29 Flashcards

1
Q

will patients with androgen insensitivity have normal pubic hair/axillary hair?

A

NO - sparse due to minimal effects of androgens

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2
Q

what is pseudothrombocytopenia?

A

a lab error caused by platelet aggregation in vitro caused by incompletely mixed blood sample or antibodies to the anticoagulant EDTA

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3
Q

what will be seen on a slide when there is pseudothrombocytopenia?

A

clumps of platelets

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4
Q

what is glanzman thrombasthenia?

A

An AR disorder of platelet aggregation - > mucocutaneous bleeding

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5
Q

how should you EMPIRICALLY treat acute cervicitis?

A

Ceftriaxone and azithromycin (most commonly caused by gonorrhea or chlamydia)

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6
Q

how do you treat a patient with myasthenia gravis who has preeclampsia with severe features?

A

Valproic acid for seizure prevention (Mg Sulfate contraindicated as it may induce disease flare up)

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7
Q

intermenstrual spotting without prolonged periods or uterine englargement =

A

endometrial polyps

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8
Q

when should a rubella-non immune pregnant woman be vaccinated?

A

immediately post-partum

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9
Q

a hydatidiform mole can present wiht preeclampsia wiht severe features, T or F?

A

TRUE

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10
Q

Management of intrahepatic cholestasis of prgenancy?

A

ursodeoxycholic acid, antihistamines, delivery at 37 weeks

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11
Q

what biopsy is required in a patient iwth a granulosa cell tumour?

A

endometrial biopsy (due to increased estorgen -> risk of malignancy in uterus)

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12
Q

normal vaginal ph?

A

3.8 to 4.5

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13
Q

how does the vaginal ph change after menopause?

A

it may increase due to loss of lactic acid production from decreased glycogen content

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14
Q

2 or more consecutive painless second trimester pregnancy losses =

A

cervical insuffiency

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15
Q

T or F, if cervical length is greater than 2.5 that means there is NO cervical insufficency

A

FALSE

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16
Q

which drugs are used to acutely decrease BP in severe preeclampsia?

A

IV hydralazine, IV labetalol, or oral nifedipine

17
Q

contraindication to labetelol?

A

bradycardia