World OB 2 Flashcards
what reduces mortality and breast cancer in BRCA
hysterectomy w/ salping and OOpherectomy.
no ovaries, less breast cancer.
when is PAPP helpful
1st trimester
~13 weeks
when can you do amniocentesis
16-20 weeks
When is chorionic villus sampling done
10-13 weeks
trisomy 21 labs
↑ HcG and Inhibin A
↓ afp, estriol
when can you do cell free DNA
over 10 weeks
sensitive and specfic for aneuploidy
When you get a + GBS prego test, do you treat then?
Nope. Treat in labor. GBS will grow back super quick
At what week # do you use tocolytics?
Before 34 weeks. After that, the harm> bennefit
At what age can external cephalic version be done
> 37 weeks
what gestational tumor likes to go to lungs
chorio.
physical exam finding in ovarian torsion
adnexal mass
A short cervical length is a strong predictor for?
preterm labor
What mimics HELLP but w/ normal BP?
Acute fatty liver of prego
____________ suppresses the mid-cycle surges of LH and FSH.
Danazol, a 17-alpha-ethinyl testosterone derivative
Pelvic congestion syndrome is ?
chronic pelvic pain b/c of pelvic varicosities.
chronic dilatation with stasis leading to vascular congestion.
Can you use metronidazole in prego
yup- and you should for BV etc
How does a dermoid appear on US
calcifications
hyperechoic nodules
Endometrioma on US
homogeneous cystic appearance
How do you increase fertility in Hypo Pit failure
pulsitile GnRH
Most common med for treating UTI in prego
1- nitrofurontin
2- Amoxicillin
3- Cephalexin
UTI antibiotics NOT to use in prego
flouroquinilone
TMX- SMT
HcG does what to the thyroid
HcG stimulates TSH–> ↑ total thyroid. NORMAL free thyroid b/c estrogen ↑ thy-binders
What is the dangerous complication of dermoids?
Torsion
When do you conduct oral glucose test in prego
26-28 weeks
Heavy bleeding and contraction pain, dilated cerxic, smooth mass, w/ negative HcG
submucous fibroid prolapsing thru cervix
Do you screen a prego for toxoplasmosis
yes- if they have symtpoms
NO OTHERWISE
Reasons to move to c/s fear of uterine rupture
prior c/s
Extensive fibroid removal
What are the maternal complications of abruptio placenta
DIC
Hypovolemic shock
OCPs can cause?
Hypertension
Where do bartholin cysts occur
4-8 o’clock at base of labia majora
Where/what are gartner cysts
anterior vagina cysts
incomplete regression of wolffian ducts
1st line treatment for essential HTN of prego
labetalol
methydopa
CC blocker hydralazine
Placenta previa must abstain from?
intercourse- risk of hemorrhage
