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OBGYN > APGO Questions > Flashcards

APGO Questions Flashcards

(92 cards)

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1
Q

hemodilutional anemia

A

lower hemaglobin

normal MCV

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2
Q

acute pulmonary edema in pregnancy

A

tocolytics
preeclampsia
fluid overload
cardiac disease

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3
Q

tocolytics

A

prevent labor

terbutaline, magnesium sulfate, nifedipine

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4
Q

SVR

A

decreases during pregnancy

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5
Q

next step with molar pregnancy

A

chest x ray

lungs are come sites for metastases

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6
Q

BMI <18.5

A

gain 28-40 lbs

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7
Q

BMI 18.5-24.9

A

gain 25 -35 lbs

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8
Q

BMI 25 -29.9

A

gain 15-25 lbs

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9
Q

BMI >30

A

gain 11-20 lbs

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10
Q

women with poorly controlled A1c

A

organ defects - especially cardiac and CNS

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11
Q

CVS

A

10-12 weeks

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12
Q

best screen for trisomy 21

A

sequential screen

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13
Q

fetal loss with CVS

A

1%

not associated with previous miscarriages

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14
Q

First Trimester Screening

A

Maternal Age
Fetal Nuchal Translucency Thickness
maternal serum-free Bhcg
PAPP-A

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15
Q

Down Syndrome

A

elevated Bhcg, low PAPP-A

low MSAFP, elevated Hcg, low Ue3

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16
Q

Second Trimester Screening

A

AFP, hcg, UE3

16-20 weeks

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17
Q

AFP

A

open neural tube defects

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18
Q

acetylcholinesterase

A

open neural tube defect

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19
Q

trisomy 18

A

low AFP, hcg, UE3

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20
Q

sequential screening

A

first and second trimester screening, disclose both

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21
Q

integrated screening

A

first and second trimester screening, disclose after both

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22
Q

dilation

A

cervical os widening

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23
Q

complete dilation

A

10 cm

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24
Q

effacement

A

shortening or thinning of cervix

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25
nromal cervical length
>3.5
26
station
position o ffetal presenting part in relation to ischial spines
27
high station
-2 and higher | above ischial spines
28
low station
+2 and lower
29
position of cervix
posterior, mid, anterior
30
latent labor
onset of CTX and cervical change until 4 cm
31
active labor
4 cm to delivery of baby
32
greater bishop score
shorter latent labor
33
length of latent labor
6.5 h, 5h
34
First Stage of Active Labor
dilation from 4 cm to complete | 4.5h, 2.5h
35
second stage of active labor
complete until baby delivery | 60 min, 30 min
36
third stage of labor
baby delievry to placental delivery
37
3 Ps of labor
``` power passenger pelvis (pelvic type) ```
38
power
strength, duration, frequency of contractions | use MVU or IUPC
39
passenger
clinical estimation of fetal weight, presentation, lie
40
1st degree perineal lacerations
vaginal mucosa
41
2nd degree perineal laceration
underlying subcutanous tissue
42
3rd degree perineal laceration
through rectal sphincter
43
4th degree perineal laceration
extends into rectal mucosa
44
pregnant pt with preexisting diabetes
IUGR
45
gestational diabetes conditions
shoulder dystocia preeclampsia polyhydraminos fetal macrosomnia
46
folic acid supplementation
0.4mg | 4 mg for previous NTD
47
variable decelerations
umbilical cord compression
48
late decelerations
uteroplacental insuff
49
fibronectin test
negative predictive value
50
delay labor in PPROM
antibiotics
51
bleeding and cracked nipples
due to poor positioning of infant
52
lactation suppression
breast binding, ice packs, analgesics
53
syphilis treatment during pregnancy
penicillin only
54
Hcg discriminatory zone
2000 miU/ml
55
progesterone level in pregnancy
>25
56
mifepristone
progesterone receptor antagonist
57
treatment for ectopic pregnancy
MTX | laparoscopy
58
spontaneous abortion
ends before 20 weeks | any or all POC passed
59
Complete abortion
expulsion of all POC
60
incomplete abortion
partial expulsion of POC
61
threatened abortion
vaginal bleeding before 20 weeks | no expulsion of POC
62
Missed abortion
retain all POC
63
first trimester spontaneous abortions
genetic abnormalities
64
most common chromosomal abnormalities in abortions
autosomal trisomy
65
diseases associated with early pregnancy loss
DM chronic renal dz lupus thyroid dz
66
grand mal seizure in pregnancy, treat with
magnesium sulfate
67
normal Mag levels
4-7
68
fetal anemia
tachycardia | sinusoidal pattern
69
increase AFP
twins NTD cystic hygroma
70
fraternal twins
2 separate placentas dividing membrane greater than 2mm twin peak/lambda sign
71
twin twin syndrome - surviving twin
neurological squelae
72
CVS - when
10-12 weeks
73
amniocentesis - when
>15 weeks
74
when to give Rhogam
28 weeks + within 72 hours of delivery | bleeding
75
how to detect severe fetal anemia
doppler ultrasonography/peak systolic velocity
76
Rh disease can be associated with
``` fetal hydropis (fluid collection in two cavities) polyhydroaminos ```
77
Rh disease - what to measure for indicating severity of dz in amniotic fluid
bilirubin
78
placenta previa
placenta over internal cervical os
79
placenta accreta
invasion of placenta into uterine wall (superficial myometrium)
80
placenta increta
placenta invades myometrium
81
placenta percreta
placenta invades to uterine serosa
82
if you have placenta previa, at risk for
placenta accreta, particulary if c/s hx
83
placenta abruption symptoms
bleeding pain hypertonicity of uterus fetal distress
84
risk factors for placental abruption
smoking, cocaine chronic htn trauma
85
bloody show
friable cervix that bleeds easily
86
uncontrolled diabetes =
birth defects
87
DM vs APAS vs hypothyroid
polyhydro in DM | oligohydro in APAS, hypothyroid
88
painless cervical dilation
cervical incompetence/insufficiency
89
primary risk factor for PPROM
genital tract infection
90
hyperthecosis
hyperplasia of theca interna of ovary
91
colpocleisis
surgical obliterate the vagina | no general anesthesia
92
greatest risk for endometritis
prolonged labor

OBGYN (5 decks)

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