UWSA1 Flashcards
What is the normal rate of cervical change during the active phase of labor? (i.e. cervical dilation from 6-10 cm).
> or equal to 1 cm every 2 hours. If this is not seen in 2 hours then give oxytocin (protraction). If longer than 4 hours with no change then it is arrest (do c-section).
What color is a chylothorax?
Milky/white. If the pleural fluid is not milky (i.e. yellow, ect) then another cause of an exudative effusion (Light’s criteria) must be considered (in this case the only other exudative effusion was a TB pleural effusion).
What is a potential presentation of superior vena cava syndrome?
Headaches that get worse with leaning forward (suspect in a patient with lung cancer) (question stem had video showing unilateral venous distension on one side of the neck).
What is the treatment for superior vena cava syndrome?
Radiation therapy as a palliative measure.
What should raise suspicion for SBP in a patient with ascites/cirrhosis?
Temperature greater than or equal to 100 degrees F.
Are prophylactic antibiotics for infective endocarditis indicated for mitral valve prolapse?
No. Only give prophylactic antibiotics before dental procedures/ect. for prosthetic valves, a prior history of IE, congenital heart disease,ect).
What does a macrocytic anemia with hyposegmented neutrophils in the setting of setting of anemia, thrombocytopenia, and leukopenia suggest?
Myelodysplastic syndrome (MDS). Perform a bone marrow biopsy (would show a hypercellular marrow).
What is the next best step for a pregnant woman with pleuritic chest pain, tachycardia, tachypnea, hypoxia, and respiratory alkalosis whose V/Q scan showed a low probability for PE?
CT angiogram (if V/Q scan says low probability but there is a high pre-test suspicion for PE then do further imaging such as CTA). (Initially put D-dimer but that has no use in pregnancy).
What is the next best step for vaginal bleeding >20 weeks GA?
Transabdominal ultrasound to assess for placental location (placenta previa, ect). (remember that painless vaginal bleeding after 20 weeks is most likely placenta previa).
