Womens Health

Question 1

What bloodwork do you have to get an a female who has irregular menstrual period after you test her to be positive in the urine

Answer 1

Progesterone level helps to assess the viability of the pregnancy, less than 5 ng/Ml is nonreassuring greater than 25 ng/Ml is reassuring.
Get a BhCG x2 in 48 hours
H/H, blood type and screen in a pelvic ultrasound

Question 2

At what level of beta hCG can you detect Bible intrauterine pregnancy

Answer 2

1,500-2,000iU

Question 3

Hormonal replacement replacement therapy can reduce the risk of

Answer 3

Reduce the risk of osteoporosis and fracture
Decrease colon cancer risk
improve Vasamotor symptoms of hot flashes

Question 4

Hormonal replacement therapy can increase the risk of what and which is an absolute contraindication

Answer 4

Increase the risk of breast cancer, and my, thromboembolic events, stroke. It’s an absolute contraindication to use with previous thromboemboli event

Relative contraindication with heart disease, breast cancer, and Endometrial cancer

Question 5

What’s considered high-risk sexual active women

Answer 5

Less than 25 years of age 
multiple sex partner, 
no barrier contraception, 
incarcerated, 
Drug use

Question 6

1) define asymptomatic bacteriuria in pregnant women
2) what’s considered a contaminant, whiff staple do you have to treat
3) what do you do a urine culture in pregnancy
4) treatment for asymptomatic bact

Answer 6

1) > 100,000 of single species.
2) lactobacilli and staph exc staph saprophyticus
3) first visit then if negative don’t need to excep for sickle cell
4) ke flex 250 mg qid suppressive dose qhs

Question 7

1)Which abx considered safe in pregnancy

Answer 7

1) amox
Ampicillin - high resistance rate
Clindamycin
Erythromycin 
Penicillin 
Cephalosporin

Question 8

Which abx avoid in pregnancy

Answer 8

Tetracycline
Nitrofurantoin
Sulfa
After 3 rd trimester sulfa and nitrofurantoin can be used

Question 9

1)When you are pregnant women suppressive treatment for actively congenital herpes

Answer 9

At or beyond 36 weeks with a acyclovir 400 mg TID from 36 weeks until delivery or valacyclovir 500 mg PO daily

Question 10

When do you test for HIV

Answer 10

First prenatal visit and the third trimester

Question 11

1) is Parvovirus B 12 embryo toxic or teratogenic.
What happenes if infected 1 st trimester
2nd trimester

Answer 11

1) embryotoxic
2) miscarriage
3) fetal anemia, hydrops fetalis and stillbirth- may need to do RBV transfusion

Question 12

How do you screamed for gestational DM at 24-28 weeks diabetes.

Answer 12

50 g , if > 135-140 due a 3 hour.  If positive.  (If > 190 diag GDM)
3 HR  OGTT with 100 g glucose
Fasting ---95
1 HR.------180
2 HR-------155
3hr---------140
2 or more diag GDM

Question 13

1) how much folic acid should all women consume

2) how about prev neural tube defects and seizure pt

Answer 13

1) .4 mg/ day

2) 4 mg/ day pt on Valproate and carbamazepine

Question 14

For intrapartum prophylaxis for GPS. What if allergic to penicillin.

Answer 14

Penicillin and ampicillin ——> if allergic —–>do suseptibility
If yes—> clindamycin and erythromycin
If no—–> Vancomycin 1 go IV every 12 hours

Question 15

What B hcg can you see a gestational sac on ultrasound

Answer 15

Transabdominal uz if BhCG > 3500

Transvaginal uz > 1800