Women and Baby stuff

Question 1

Amniotic fluid embolism can present after artificial rupture of membranes when amniotic fluid gets into the maternal circulation it causes what kind of reaction?

Answer 1

anaphylactoid reaction with the triad of hypoxia, hypotension and disseminated intravascular coagulation

bleeding from acupuncture sites

Question 2

Amniotic fluid embolism diagnosis and treatment

Answer 2

diagnosis is with urgent coagulation studies and treatment is with massive blood product transfusion

(prognosis is poor)

Question 3

What are the three types of Cyanotic congenital heart defects

Answer 3

Transposition of the great arteries

Tetralogy of Fallot

Hypoplastic left heart syndrome

• these cause a right to left shunt with cyanosis and hypoxemia that is variable depending on the presence of a PDA

Question 4

What does the hyperoxia test used for in a baby with cyanosis ?

Answer 4

it helps to differentiate cyanosis caused by cyanotic congenital heart disease vs. pulmonary pathologies like meconium aspiration

hyperoxia test: supplemental 100% FiO2 will not improve cyanosis in a baby that has a congential heart defect

Question 5

Evaluation of a cyanotic congenital heart defect

Answer 5

echocardiogram is stable

Prostaglandin E1 if unstable

Question 6

infertility is defined as?

Answer 6

lack of conception after 12 months of unprotected intercourse in women age <35 or 6 months for women >35

Question 7

when infertility suggests female factor infertility initial evaluation includes assessment of?

Answer 7

tubal patency, ovulation and ovarian reserve

Question 8

what is the serum marker of ovarian reserve?

Answer 8

Antimullerian hormone

(diminished ovarian reserve if numbers are low)

Question 9

primary ovarian in sufficiency is?

Answer 9

accelerated depletion of ovarian follicles leading to elevated FSH and low estradiol before age 40

Question 10

when is the tdap shot given in pregnancy?

Answer 10

27-36 weeks (not in prepregnancy)

Question 11

what vaccines are given preconception?

Answer 11

live vaccines (varicella, measles, mumps, rubella)

Question 12

if a patient has asthma and are taking glucocorticoids and long acting beta agonists are they safe if she is considering becoming pregnant

Answer 12

yes they are safe in pregnancy, continue their use

Question 13

BMI 32 preconception counseling

Answer 13

lose weight