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from flashcardlet > OB 4th shifting exam reviewer > Flashcards

OB 4th shifting exam reviewer Flashcards

0
Q

definition of asymptomatic bacteriuria

A

Clean urine
>100,000 org/ml of 1 or more uropathogens in 2 consecutive months midstream collection or on at least 1 catheterized urine specimen

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1
Q

Treatment for asymptomatic bacteriuria

A

Cefalexin: 500 mg BID for 7 days

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2
Q

Most common bacterial infection in pregnancy

A

UTI

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3
Q

Glucose and amino acid in UTI

A

Increased

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4
Q

Leading cause of septic shock in pregnancy

A

Acute uncomplicated pyelonephritis in pregnancy

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5
Q

Pathogen in Acute uncomplicated pyelonephritis in pregnancy

A

E. Coli 77%

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6
Q

Tx for megaloblastic anemia (folic acid def)

A

Folic acid 400 micrograms/day daily

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7
Q

Tx megaloblastic anemia (vit B12 def)

Lack of intrinsic factor

A

Vit B12 1000mg via IM monthly

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8
Q

Tx for TTP

A

Platelet <30,000
Prednisone 1 to 2 mg/kg
If recurrent: splenectomy

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9
Q

Tx hep B

70-90% transmission rate

A

HBSAg (+) mother (passive immunity wothin 12 hours from delivery

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10
Q

Most dreaded complication of varicella zoster inf

A

Pneumonia

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11
Q

Titers acute hep B

A

HBSAg +

Anti HBc +

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12
Q

Titers of resolved HEp B inf

A

Anti HBS +

Anti HBc +

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13
Q

Titers of 70-90% on hep B inf

A

HBSAg +

HBeAg +

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14
Q

Varicella prevention

A

VZIg w/in 96 hrs
125 units/10kg IM

Not effective if already infected

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15
Q

MC cause of perinatal infection

A

CMV

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16
Q

Dx of CMV primary inf

A

4x inc in IgG

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17
Q

Tx for influenza

Safe for pregnanats

A

Amantadine

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18
Q

Gold in dx Rubella

A

Virology

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19
Q

passive tx for rubeola (measles)

A

Serum globulin 5 ml w/in 3 days of exposure

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20
Q

Can cause anencephaly and myocarditis

A

Respiratory virus

21
Q

Toxic shock like symdrome

A

Grp A Strep

22
Q

High in asymptomatic carrier

Vagina or rectum

A

Grp B Strep

23
Q

Early neonatal sepsis

A

6-12hrs

24
Q

Late neonatal sepsis

A

Meningitis at 1 week or more

25
Q

2 prevention approaches for neonatal sepsis

A

Screening based app: 35-37 wks AOG: Pen G

Risk factor approach

26
Q

Org of typhoid fever

A

Salmonella typhi

27
Q

Tx of typhoid fever

A

Chloramphenicol

28
Q

Tx Hansen Dse

A

Dapsone

Clofazimine

29
Q

Screening for toxoplasmosis

A

+ anti toxoplasma IgAb

Via Sabin Feldman dye test, PCR, ELISA

30
Q

Tx amoebiasis

A

Metronidazoleorg of syphillis

31
Q

Org for syphillis

A

Treponema pallidu,

32
Q

Lesion in syphilis

A

Painless

Primary chancre

33
Q

Secondary syphillis

A

Condyloma alata

Rashes

34
Q

Screening test formsyphillis

A

VDRL or RPR

4-6 wks afterinfection

35
Q

Confirmatory test for syphillis

A

Treponemal test

Once positive,mpositive formlife

36
Q

Tx of syphillis

A

Benzathine Penicilline
2.4 M units
IM

Or Erythromycin

37
Q

Treatment for gonorrhea

A

Cefteiaxone
125mg
IM

38
Q

Tx for disseminated gonorrhea infection

A

Ceftriaxone 1000mg/ IM every 24 hours

39
Q

Tx formchlamydia

A

Erythromycin
50 mg/kg
4 divided dose
10-14’days

40
Q

Most freq lesion location of HSV

A

Vesicle 90%
Pustule
Ulcer
Crust

41
Q

Tx for HIV inf

A

Zidovudine

100mg 5x a day

42
Q

Best screenign test for HPV

A

Anti nuclear antibody ANA

43
Q

APAS Tx

A

Low dose aspirin ASA
60-80mg OD

Heparin
5000-10,000 units SQ every 12 hrs

44
Q

Cleft lip palate
Short nose with low nasal bridge
Hypertelorism

A

Fetal hydantoin syndrome

45
Q

Recommended screening time for asymptomatic bacteriuria in pregnancy

A

16 wks AOg

9-17 wks

46
Q

Cut off value for anemia in 2nd trimester

A

10.5 g/dl

47
Q

Confirmatory test for IDA

A

Low serum ferritin

48
Q

Daily requirement for folic acid

A

400 microgram/dl/day

49
Q

Upslant eye brows
Short upturned nose
Prominent forehead

A

Trimethadone fetal effects

50
Q

Sluggish
Hypotonic
Jittery
Barbiturate withdrawal

A

In utero chronic barbiturate exposure

51
Q

Inhibits production of epoxide hydrolase

A

Valproate syndrome

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