4/16

Question 1

21 hyroxylase deficiency electrolytes

Answer 1

hyponatremia and hyperkalemia

Question 2

what additional screening test should babies born before 32 weeks get at 1-2 weeks of life

Answer 2

cranial ultrasound to check for intraventricular hemorrhage

Question 3

Amphetamine use during pregnancy is associated with

Answer 3

preterm delivery
preeclampsia
abrupt placentae
fetal growth restriction
fetal demise

Question 4

what conditions qualify for high risk pre e

Answer 4

prior pre e
cod
chronic htn
dm
multiple gestation
autoimmune dz

Question 5

non session herpes symptoms

Answer 5

dysuria

inguinal lymphadenopathy

Question 6

pages rash

Answer 6

eczematous rash

Question 7

pages cancer

Answer 7

adenocarcinoma

Question 8

interstitial cystitis urinalysis findings

Answer 8

normal

Question 9

indications for prophylactic abc recurrent cystitis

Answer 9

2+ in 6months

3+ in a year

Question 10

what is hidradenitis suppurative

Answer 10

chronic inflammation in inguinal region, caused by occluded follicles that cause painful nodules and abscess that develop into sinus tracts and result in scaring

Question 11

what diabetes med(s)to add to metromin in dm2 wi cvd

Answer 11

1. GLP1 agonists like eventide. they slow gastric emptying

SGLT2i like canagliflozin

Question 12

what increases thyroid binding globulin

Answer 12

oral estrogen and opioids, lowers free t3.

Question 13

what can cause low TSH, High t4 and normal radio iodine

Answer 13

increased thyroglobulin iodine exposure

exogenous use

Question 14

how to dx babesiosis

Answer 14

blood smear-maltose cross

Question 15

babesiosis clinical manifestation

Answer 15

fever
fatigue
myalgia
HA
ARDS
CHF
DIC
splenic rupture
Anemia
Thrombocytopenia
increased liver labs

Question 16

babesiosis tx

Answer 16

atovaquone and azithromycin

Question 17

organic with sulfur granules

Answer 17

Actinomyces, tx penicillin

Question 18

what organism are filamentous gram positive rods with rudimentary branching

Answer 18

nocardia and actinomyces

Question 19

cmv findings

Answer 19

GI,pulm,pancytopenia, hepatitis

Question 20

Eikenella corrodes risk factor

Answer 20

poor dentition

Question 21

tx lyme in pregnancy

Answer 21

amoxicillin

Question 22

difference between case control and retrospective cohort

Answer 22

case controls determine outcome first and then look at associated risk factors.
Retro cohorts ascertain risk factor exposure and then determine outcome

Question 23

when can you assume rr and or are basically the same

Answer 23

if the disease is rare

Question 24

Hawthorne effect

Answer 24

changing behavior bd subjects know they are being studied

Question 25

How does ppv and npv change with increased prevalence

Answer 25

more ppv less npv

Question 26

how many weeks is quad screen at

Answer 26

16-18

Question 27

when should 1hr glucose tolerance be done

Answer 27

20-24 weeks

Question 28

Quad screen trisomy 21

Answer 28

AFP ⬇️ uE3 ⬇️ hCG⬆️ Inhibin A⬆️

Question 29

Quad screen trisomy 18

Answer 29

AFP ⬇️ uE3 ⬇️ hCG ⬇️ Inhibin A ⬇️

Question 30

what is cutoff value for 1hr glucose test

Answer 30

135

Question 31

pre e sever features

Answer 31

``` sbp over 160 dbp over 110 platlets less than 100,000 creatinine of 1.1 increased transaminases pulmonary edema visual or other neuroscience sx ```

Question 32

can you use warfarin when prego? when breast feeding?

Answer 32

no prego, yes breast feeding

Question 33

cocaine fetal risk

Answer 33

abrupto placentae

Question 34

ethanol

Answer 34

Fetal alcohol syndrome | (retardation, IUGR, sensory and motor neuropathy, facial abnormalities

Question 35

ACE-i fetal risk

Answer 35

renal probs, decreased skull ossification

Question 36

Aminoglycosides fetal risk

Answer 36

CN 8 damage, skeletal abnormalities, renal probs

Question 37

fetal risk Carbamazapime

Answer 37

facial abnormalities,IUGR, retardation, cv probs, neural tube defects

Question 38

fetal risk chemo

Answer 38

augur, retardation, all the anatomic abnormalities

Question 39

fetal risk diazepam

Answer 39

cleft palate, renal probs, secondary neoplasm

Question 40

fetal risk DES

Answer 40

adenocarcinoma of vagina or cervix

Question 41

Fetal risk Fluroquinolones

Answer 41

cartilage abnormalities

Question 42

Fetal risk Li

Answer 42

Epstein abnormality

Question 43

Fetal risk phenobarbitals

Answer 43

facial abnormalities, augur, retardation,

Question 44

Fetal risk phenytoin

Answer 44

kerinicterus

Question 45

Fetal risk retinoids

Answer 45

CNS abnormalities, cv probs, facial abnormalities

Question 46

Fetal risk sulfonamides

Answer 46

kerinicterus

Question 47

Fetal risk tetracylines

Answer 47

skeletal abnormalities, limb deformaties, teeth discolored

Question 48

Fetal risk thalidomide

Answer 48

limb deformities

Question 49

Fetal risk valproic acid

Answer 49

neural tube defect, cv probs, facial abnormalities, skeletal abnormalities

Question 50

Fetal risk warfarin

Answer 50

augur, cns probs, facial abnormalities, mental retardation, Dandy walker malformation

Question 51

Neonatal syphilis sx

Answer 51

``` anemia deaf hepatosplenomegaly PNA hepatitis osteodystrophy rash followed by hand and foot desquamination ```

Question 52

symmetrical causes iugr

Answer 52

congenital infection, chromosomal abnormalities

Question 53

asymmetrical causes iugr

Answer 53

poor maternal health

Question 54

PROM less than 32 weeks meds

Answer 54

steroids, mg, abx

Question 55

main risk factors pre-term labor

Answer 55

multiple gestations, PROM, smoking

Question 56

risk factors for placenta previa -remember this is painless

Answer 56

prior previa, prior c section, prior uterine surgery

Question 57

components of APGAR

Answer 57

``` color HR tone respirations response to stimuli ```

Question 58

when is methylergonovine contraindicated post partum hemorrhage

Answer 58

HTN

Question 59

when is carbost contraindicated post partum hemorrhage

Answer 59

Asthma