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OBGYN Uworld Random > Week 4 Uworld > Flashcards

Week 4 Uworld Flashcards

1
Q

what is coccydynia?

A

tail bone pain at coccyx that is worse with sitting

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2
Q

when does coccydynia get worse?

A

with sitting

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3
Q

what is an OB cause of coccydynia?

A

vaginal assisted delivery

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4
Q

what is rx for coccydynia?

A

analgesics

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5
Q

what is rash associated with maternal toxoplasmosis?

A

non pruritic diffuse maculopapular rash

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6
Q

in preterm labor when do you stop giving tocolytics?

A

34 weeks

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7
Q

what sx of dysmenorrhea are concerning for a secondary cause?

A

unilateral pain, minimal constitutional symptoms, symptoms start past 25 yo

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8
Q

what are symptoms of acute hemolytic transfusion reaction?

A

hemoglobinuria, flank pain, fever chiils and hypotension

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9
Q

what is test for acute hemolytic transfusion reaction?

A

direct coombs test

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10
Q

what are two complications of acute hemolytic transfusion reaction?

A

DIC and renal failure

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11
Q

what type of pain can occur with imperforate hymen?

A

low back pain, pelvic pressure and defecatory pain

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12
Q

what is postpartum management of baby from HIV+ mom with viral load less than 1000?

A

zidovudine

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13
Q

what is postpartum management of baby from HIV+ mom with viral load more than 1000?

A

combo ART

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14
Q

what are indications for HIGH risk STI qualifications in pregnancy?

A

age less than 25, prior STI multiple partners, sex worker,

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15
Q

what testing is done at initial prenatal visit in high risk STI patients?

A

RPR, chlamydia, gonorrhea, Hep B and HIV

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16
Q

what testing is done at 3rd trimester prenatal visit in high risk STI patients?

A

RPR, chlamydia, gonorrhea, Hep B and HIV

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17
Q

anyone that is high risk for STIs in pregnancy gets testing when?

A

1st prenatal visit and 3rd trimester

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18
Q

aside from obstetric trauma and pelvic surgery, what are four other risk factors for rectovaginal trauma?

A

crohns, diverticulitis, colon cancer, pelvic radiation

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19
Q

how does a rectovaginal fistula appear in vagina?

A

dark red velvety lesion

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20
Q

patient has cyclic breast pain and exam totally normal, what should be done/

A

NSAIDs and supportive bra

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21
Q

patient has cyclic breast pain and exam finds a mass, what should be done?

A

imaging

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22
Q

what is a common symptom of type 2 perineal tear?

A

pain with urination

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23
Q

what bug can be found on pap smear and is not very specific?

A

actinomyces

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24
Q

why is actinomyces found in women?

A

often part of the GI/GU flora

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25
Q

what is a risk for actinomyces infection in upper GU area?

A

IUDs

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26
Q

what can actinomyces cause in GU tracts?

A

pelvic inflammatory disease

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27
Q

if patient has actinomyces on pap testing and is asymptomatic what do you do?

A

nothing…unlikely she has PID

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28
Q

if patient has actinomyces on pap testing and is symptomatic what do you do?

A

remove IUD and treat with penicillin

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29
Q

how does uterus feel on examination of abruptio placentae?

A

rigid and diffusely tender uterus

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30
Q

3 teratogenic anti epileptics

A

carbamazapine, phenytoin and valproate

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31
Q

teratogenic anti epileptics can cause what issues in fetuses?

A

fetal hydantoin syndrome

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32
Q

what is fetal hydantoin syndrome?

A

after exposure to anti epileptic fetus has cleft lip and palate, wide anterior fontanelle, distal phalange hypoplasia and cardiac anomalies

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33
Q

what are the signs of fetal hydantoin syndrome?

A

cleft lip and palate
wide anterior fontanelle
distal phalange hypoplasia
cardiac anomalies

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34
Q

an abdominal mass that increases with valsava maneuver is concerning for what?

A

incisional hernia

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35
Q

when do incisional hernias usually present

/

A

can be months to years post op

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36
Q

what type of incision increases risk for incisional hernias?

A

vertical or midline

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37
Q

what are symptoms of incisional hernia?

A

usually asymptomatic actually `

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38
Q

ABO disease of newborn is what severity level?

A

usually pretty mild

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39
Q

what is cause of hemolytic disease of newborn?

A

ABO incompatibility…O mom

40
Q

what are symptoms of hemolytic disease of newborn

A

jaundice only minimal though

41
Q

2 concerning signs for sepsis in a neonate?

A

respiratory distress and poor peripheral perfusion

42
Q

what should be screened for at post partum visit that is social issue?

A

intimate partner violence

43
Q

what effect does indomethacin have on fetus?

A

decrease prostaglandin so leads to vasoconstriction

44
Q

what does indomethacin cause in fetus if vasoconstriction bad?

A

can lead to oligohydramnios from constriction of renal artery

45
Q

three drugs that can cause minimal variability on a Fetal heart tracing?

A

opioids, alcohol, illicit drugs

46
Q

with persistent pyelonephritis what can happen to the kidney?

A

renal abscess

47
Q

what is a risk factor for renal abscesses?

A

pregnancy

48
Q

what is rx for renal abscess in pregnancy?

A

kidney ultrasound then broad spectrum abx

49
Q

if baby is not latching well and is using improper technique, what symptoms can mom experience?

A

nipple pain even between feedings and breast engorgement

50
Q

what can happen to the skin with improper latching technique in breastfeeding?

A

linear abrasions,,bloody

51
Q

what does in utero DES exposure increase womens risk for?

A

clear cell adenocarcinoma of vagina

52
Q

what two meds should be used in severe preeclampsia acutely?

A

hydralazine or labetalol

53
Q

what is a rare complication of ovulation stimulation with hCG?

A

ovulation hyperstimulation syndrome

54
Q

what are the symptoms of ovulation hyperstimulation syndrome?

A

ascites, hemoconcentration, DIC and multiorgan failure

nausea and vomiting

55
Q

when does ovulation hyperstimulation syndrome onset?

A

1-2 weeks after stimulation

56
Q

what tests should be done if you see atypical glandular cells on pap smear?

A

endo biopsy, colposcopy, and endocervical curettage

57
Q

define uterine tachysystole

A

more than 5 contractions in 10 minutes

58
Q

what type of bladder pain is common in interstitial cystitis?

A

pain with filling that is relieved with voiding

59
Q

is dysuria common in interstitial cystitis?

A

no

60
Q

what is rx for interstitial cystitis?

A

amitryptiline

61
Q

why do girls right after menarche often not have consistent bleeding?

A

lack of GnRH and minimal progesterone so endometrium doesnt slough off

62
Q

what can you give to determine if no gnrh is reason for abnormal bleeding in menarchal female?

A

progesterone `

63
Q

3 causes of stress urinary incontinence in women

A

obesity, multiparity and exercise

64
Q

when does post partum psychosis generally onset?

A

usually 1-2 weeks post partum

65
Q

prenatal US signs of placenta accreta?

A

multiple lacunae and thin myometrium

66
Q

severe hyperemesis gravidum can lead to what other disorder?

A

thiamine deficieny

67
Q

what are the features of thiamine deficiency?

A

occulomotor changes, gait ataxia, and encephalopathy

68
Q

what is rx for patient with chorioamnionitis and PPROM?

A

immediate delivery and abx

69
Q

aside from hyst what is an rx option for fibroid?

A

uterine artery embolization

70
Q

what sx do patients have after uterine artery embolization? why

A

pelvic pain from fibroid necrosis

71
Q

what is a physical exam sign of endometriosis?

A

cervical motion tenderness and lateral cervical displacement

72
Q

4 infections that are contraindications to breast feeding

A

TB HIV, varicella and breast herpes

73
Q

what are symptoms of choriocarcinoma?

A

vaginal bleeding, enlarged uterus and pelvic pain

74
Q

when can choriocarcinoma occur?

A

molar pregnancy, regular pregnancy and abortion

75
Q

where does choriocarcinoma spread?

A

lung and vagina

76
Q

what test can you do to confirm choriocarcinoma?

A

hcg

77
Q

what point post delivery does symptoms from chroiocarcinoma ccour?

A

6 months

78
Q

if pregnant patient has risk factors for gestational diabetes when do you screen?

A

at 1st visit

79
Q

what is rx for MVP in pregnancy?

A

beta blockers

80
Q

pregnant patient with myasthenia gravis has preeclampsia with severe features, what can you not give her?

A

Mg sulfate

81
Q

pregnant patient with myasthenia gravis has preeclampsia with severe features, what can you not give her? what can you give instead?

A

mg sulfate…give valproic acid

82
Q

what two places can lichen planus effect

A

mouth and vagina

83
Q

who gets lichen planus?

A

women age 50-60

84
Q

what do lichen planus lesions look like?

A

erosive lesions with white border

85
Q

how do you diagnose lichen planus?

A

biopsy

86
Q

how do you treat lichen planus?

A

strong topical steroids

87
Q

four characteristics of hydatiform mole that mom can experience

A

theca lutein cyst
uterine larger than expected
abnormal bleeding
high HCG

88
Q

three emergency contraception options

A

ulipristal
levonogestrel
copper IUD

89
Q

what is management of vasa previa?

A

usually admitted in week 34-35 and c sxned

90
Q

what are signs of vasa previa?

A

ROM with blood following fluid

91
Q

what are the symptoms of pubic symphysis diastasis?

A

suprapubic pain that radiates to the back and legs

92
Q

what makes pubic symphysis diastasis worse?

A

walking!

93
Q

two complications of inadequate maternal weight gain in pregnancy

A

preterm birth and low birth weight

94
Q

what hormone causes slowed emptying of gallbladder in pregnancy?

A

progesterone

95
Q

what hormone causes increased bile in pregnancy?

A

increased estrogen

96
Q

what is the main symptom of cholelithiasis in pregnancy?

A

intermittent RUQ pain

97
Q

how do you dx cholelithiasis in pregnancy?

A

US

OBGYN Uworld Random (5 decks)

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