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Blaylock Notes Flashcards

1
Q

Iodine requirement reproductive age

A

150mcg

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2
Q

Iodine requirement in pregnancy

A

220 mcg

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3
Q

Iodine requirement breastfeeding

A

290mcg

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4
Q

Odds ratio

A

ad/bc

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5
Q

Inferior epigastric location

A

3.7cm from midline at the level of the ASIS

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6
Q

Calorie increase intake in 2nd trimester

A

350

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7
Q

Calorie increase in 3rd trimester

A

450

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8
Q

Auto reduction

A

36% twin
53% triplet
65% quad

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9
Q

Fetal blood volume at term

A

78 mL/kg

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10
Q

Fetal blood volume for fetus and placenta

A

125mL/kg

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11
Q

HIV transmission

A

25% VL >1000

2% VL <1000

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12
Q

Fetus makes TSH by:

A

12wks gestation

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13
Q

Twins growth slows at

A

28-32wk, compared to singleton gestation

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14
Q

Tx citrate toxicity

A

Calcium chloride

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15
Q

Tx latent TB w/o risk factors

A

Isonizoid x9mos, 2-3 mos after delivery w/B6

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16
Q

Active TB tx in pregnancy

A

Isoniazid/B6 and rifampin for 9 mos, +/- ethambutol

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17
Q

Tx latent TB w/ risk factors (HIV, immunosuppressive, etc)

A

Isoniazid x 9 mos after 1st trimester w/ B6

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18
Q

Lymph drainage of upper 2/3 of vagina

A

Pelvic lymph nodes

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19
Q

Lymph drainage of lower 1/3 vagina

A

Superficial/deep inguinal and femoral

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20
Q

Restarting anticoagulation after delivery

A

SVD 4-6hr
C/S 6-12hr w/o epidural
Heparin at least 1hr after epidural removal
LMWH 12hr after epidural removal if prophylactic and 24hr after epidural if therapeutic

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21
Q

Subgaleal hematoma

A

Bleeding between skull and galea aponeurous

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22
Q

Most common indication for primary cesarean section

A

Labor dystocia/failure to progress 35%

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23
Q

Perinatal death rate

A

Reported as #still births “per 1,000 live births”

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24
Q

Fibrin glue

A

Evicel

Human fibrin and thrombin

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25
Gelatin matrix
Surgifoam | Pork and bovine gelatin matrixes
26
Glutaraldehyde adhesion
Bio glue | Bovine albumin and glutaraldehyde
27
Oxidizes generates cellulose
Surgicel | Plant cellulose
28
Microporous polysaccharide spheres
Arista | Potato starch
29
Microfibrillar collagen
Avitene | Absorbable acid salt bovine collagen
30
X-linked dominance dz
Vit D resistant rickets Rhett syndrome Aicardi syndrome
31
Oxytocin half life
3-5 minutes
32
Cyropreciptate
VIII, vWF, fibrinogen, XIII
33
Microfollicular pattern w/ numerous small collections that contain eosinophilia fluid
Call exner bodies
34
Central capillary surrounded by connective tissue and peripheral layer of columnar cells
Schiller-ducal bodies
35
Postpartum uterus
2wks is leaves abdomen | 4wks pre pregnancy size
36
MOA heparin
Binds to antithrombin III> inactivator of thrombin and factor Xa “Indirect thrombin inhibitor”
37
MOA lidocaine
Reversible blockade of sodium channels on nerve fibers
38
tx of DCIS
Wide local excision +/- radiation or tamoxifen
39
Tx NAIT
IVIG @q12-20wk weekly next pregnancy
40
Side effects of massive transfusion protocol (6)
``` Hyperkalemia Hypocalcemia Metabolic acidosis Hypothermia TRALI Transfusion-associated infections ```
41
Worse HSV complication
Maternal HSV hepatitis
42
Most common tumor with meta to placenta
Melanoma
43
Most common placental tumor
Chorioangioma
44
Average pregnancy plasma volume increase
1.5L
45
Vaginal pH
3.8-4.5
46
Amniotic fluid pH
7.1-7.3
47
Lateral vaginal wall cyst: what is it and origin
Gardner duct cyst | Wolffian ducts are embryologic origin
48
Type of progesterone in nexplanon
Etonogestrel
49
Mg of progesterone in nexplanon
68mg
50
Ovary originates from
Gonadal ridge
51
Germ cell tumors make up what percent of all ovarian neoplasms
20-25%
52
Median age of diagnosis of ovarian cancer in US
63yo
53
Recommended daily allowance of iron intake during pregnancy
27mg
54
How much does plasma volume expand in pregnancy?
40-50%
55
Most common class of fetal anomalies?
Cardiac defects
56
Most common sex chromosome aneuploidy
XXY
57
Most common non-viral sexually transmitted infection in US
Trich
58
Adding estrogen in reproductive years to a premenopausal does what (3)
Decrease pH to 4.5 Introduce lacrobacilli Increase glycogen content in vaginal epithelial cells
59
% of RV fistulas due to OB trauma in US
9%
60
The entire anal spincter complex extends up the anal canal approximately… cm
4cm
61
HIV Antiviral suggested to have increased risk of NTD in first 5-6 weeks of pregnancy
Efavirenz
62
Which antiviral will decrease efficacy of nexplanon
Efavirenz
63
% chlorhexadine for vag prep
4%
64
FGR <10%, risk of fetal death
1.5%
65
Nerve the inner area the external anal sphincter
Inferior rectal nerve
66
% of Pt with erosive lichen planus will have oral involve
70%
67
Mag toxicity-loss of DTR
9 mg/dL (7meEq/L)
68
Mag toxicity-respiratory depression
12 mg/dL (10 mEq/L)
69
Mag toxicity- cardiac arrest
30 mg/dL (25 mEq/L)
70
% of all live born newborns in US with weight 4000g or more
8%
71
pH of post menopausal patient
>4.5
72
HSV outbreak in 1st trimester is associated with
Choriorentitis
73
% of people that have been infected with HSV will report their infections
10%
74
Percent of first episode HSV infections during pregnancy are recurrent HSV
15%
75
Valacyclovir is preferred over acyclovir (3)
Increased bioavailability Greater pt adherence Comparable safety profile
76
Fetal mortality rate
Number of still births per 1,000 live and still births
77
If abnormal karyotype is found in association with still birth, is it…
T21
78
Mortality rate for hip fracture alone
30%
79
Positive anticardiolipin result is greater than
40 GPL

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