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USMLE STEP 2, for real tho > World OB > Flashcards

World OB Flashcards

1
Q

Granulosa cell tumor s/s

A

estrogen producing

  • breast tenderness, post- menopausal bleeding, precoucious puberty
  • ↑ estrogen –> endometrium hyperplasia–> carcinoma
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2
Q

what is a risk of LEEP

A

cervical stenosis–> ↓ fertility and pre-term labor

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3
Q

When is symmetric fetal growth restriction seen

A

early prego problems: infection, chromosomes, genetics, etc

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4
Q

When is asymmetric fetal growth restriction seen

A

maternal vascular disease

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5
Q

What must you avoid while taking metronidazole

A

Alcohol+ metro= di-sulfrum reaction

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6
Q

OCPs protect for

A

benign breast disease

ovarian and endometrial cancer

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7
Q

What is step 1 when you suspect lichen sclerosis

A

punch biopsy, need to rule out squamous cell cancer

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8
Q

What are the symptoms of uterine rupture

A

recession of baby during labor (going from + 1–> -3)

severe sudden ab pain

fetal heart rate abnormal

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9
Q

pregos with herpes should do what

A

prophylactic anti-viral at 36 weeks

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10
Q

Neonatal thyrotoxicosis

A

maternal graves anti-TSH AB crosses the placenta

*levothyroxine does not cross the placenta

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11
Q

Neonatal thyrotoxicosis Rx

A

Methimazole and B blocker

usually will self resolve

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12
Q

Most common side effect of tamoxifen

A

Hot flash

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13
Q

Tamoxifen dangers

A

endometrial cancer

venous thromboembolism

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14
Q

Endometriosis Rx

A

NSAIDs
OCPs
Progesterone IUD

Asymptomatic= no treatment

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15
Q

When would a baby need to NOT breastfeed

A

galactosemia

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16
Q

What does lithium do to babies and when

A

Ebstein congenital heart abnormality (big LA w/ VSD)

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17
Q

Can a woman use asthma meds in prego

A

YES! albuterol and steroid inhalers are fine

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18
Q

Is mom/baby ABO incompatibility a problem

A

sorta, but not really. Might get jaundice.

Rh is a big deal.

19
Q

Accurate prolactin levels are best obtained

A

in the fasting state. If still elevated, then a TSH level and brain MRI would be indicated to rule out a pituitary tumor.

20
Q

Post partum women may continue to produce milk for up to ?

A

two years after cessation of breastfeeding.

21
Q

A ___________ is usually indicated in patients who have bloody discharge from a single breast duct.

A

ductogram

22
Q

HPV vaccine is recommended for

A

all girls 9-26

regardless of HPV status and sexual activity

23
Q

Prognosis of ERB Duchenne palsy

A

C5, C6 (~C7) damage
80% resolve in 3 months
surgery if no improvement by 6 months.

24
Q

What contraception cant be used in breast cancer

A

All hormonal methods

Copper IUD would be a GOOD choice

25
Q

One reason you would not do a contraction stress test

A

Reasons labor itself would be bad

IE Previa

26
Q

What is a good fetal nonstress test

A

> 2 accelerations

Fetal HR monitor for 20-40 minutes

27
Q

What is a biophysical profile

A

Amniotic fluid index
Fetal breathing, movement, and tone
8-10 points is normal

28
Q

What next after non reactive fetal non-stress test

A

BPP or CST

29
Q

What do you do for a very abnormal fetal BPP

A

ex: 0/10– 4/10

Immediate delivery- fetal hypoxia due to placenta dysfx

30
Q

What is the presenting s/s of intraductal papilloma

A

unilateral bloody nipple discharge

benign condition

31
Q

When would you do a LEEP on a prego lady

A

colopscopy indicates invasive cancer

32
Q

Risk factors for uterine atony include

A

most common cause of postpartum hemorrhage

 precipitous labor
 multiparity
general anesthesia
 oxytocin use in labor
prolonged labor, macrosomia
hydramnios
twins 
chorioamnionitis.
33
Q

Can you use sulfonylurea in prego?

A

no, crosses placenta

34
Q

How can you determine the anti-D dose in high risk exposure moms

A

Kleihauer betke test

Looks at blood on slide, gets ratio of mom to baby blood–> determines dose

35
Q

Trastuzumab treats?

A

HER2 breast cancer

36
Q

Trastuzumab s/e

A

cardiotoxic. Get an ECHO first

37
Q

Can you give Hep A and B vaccine to pregos

A

yes- and you should if they didn’t before

38
Q

How do you treat syphilis in prego

A

penicillin

IT DOES NOT MATTER IF YOU ARE ALLERGIC

Get ova that sh!t

39
Q

What should make you think a baby is dystocia

A

turtle sign- head retracts to perineum

40
Q

Fetal growth restriction is a risk factor for

A

polycythemia

41
Q

lymph obstruction of fetal neck

A

cystic hygroma

42
Q

Diagnostic criteria for premature ovarian failure

A

3 months with menopausal FSH and no periods

43
Q

What hormone stimulates resp alk in prego

A

progesterone acts on resp drive

↑ TV, minute ventilation, PaO2–> compensated chronic resp alk

USMLE STEP 2, for real tho (16 decks)

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