ectopic

Question 1

Ectopic Pregnancy rf

Answer 1

PID, IUD, endometriosis

Question 2

unilateral abdominal pain + vaginal bleeding + amenorrhea

due to pregnancy

Answer 2

Ectopic Pregnancy

Question 3

if an Ectopic Pregnancy ruptures sxs?

Answer 3

syncope, hemorrhagic shock

Question 4

Ectopic Pregnancy diag?

Answer 4

HCG (5,000 or less), US

Question 5

Ectopic Pregnancy tx?

Answer 5

Surgery (if unstable) or MXT (folate and liver issues)

Question 6

1500-1800 what US?

6000-6500 what us?

Answer 6

TVUS + no yolk sac

Abd US

Question 7

Gestational trophoblastic disease progresses to?

Answer 7

choriocarcinoma

Question 8

Painless vaginal bleed, + bHCG (100,000), hyperemesis grav

Answer 8

Gestational trophoblastic disease

Question 9

Snowstorm/Grapes is

Answer 9

hydatidiform mole

Question 10

Gestational trophoblastic disease diag is

Answer 10

US - Snowstorm/Grapes

Question 11

Gestational trophoblastic disease tx is?

Answer 11

Evacuate Uterus, MXT, Chemo

Question 12

1st trimester bleeding diag?

Answer 12

R/o extopic preg, watchful wait

Question 13

1st trimester, if Rh -?

Answer 13

Rh checks

Question 14

When do you give Rhogam?

Answer 14

28 weeks and at birth OR after abortion, ectopic, amniocentesis

Question 15

Rh- attack can lead to?

Answer 15

Hemolytic anemia, Jaundice, Kernicterus, Hydrops fetalis

Question 16

placenta previa sxs

Answer 16

painless bright 3rd trimester bleed, no fetal distress

Question 17

placenta previa diag

Answer 17

US, no pelvic exam

Question 18

Threaghtend abortion is?

Answer 18

closed os and no passive of tissue

Question 19

inevitable abortion is?

Answer 19

os dilated and no tissue at os. Offer MXT

Question 20

incomplete abortion is?

Answer 20

os dilated and tissue is at os. Offer DnC

Question 21

Complete abortion is?

Answer 21

Closed os, all expelled

Question 22

Missed abortion is?

Answer 22

closed os, non-viable embory - DnC

Question 23

Septic abortion is?

Answer 23

Closed os, infected, DnC + Abx

Question 24

placenta previa tx

Answer 24

bed rest, no sex

Question 25

placenta previa is

Answer 25

placenta is over the os

Question 26

Abruptio placenta sxs

Answer 26

dark bleed, fetal distress, PAINFUL,

Question 27

Abruptio placenta is?

Answer 27

sepatation of placenta to uterus

Question 28

Abruptio placenta diag?

Answer 28

US, no digital

Question 29

Abruptio placenta tx?

Answer 29

stabilize mom (MVA, punched at home) Inpatient, watch for DIC, DELIVER BABY

Question 30

Vasa previa is a complication of

Answer 30

placenta previa - fetal cords cross planceta

Question 31

Vasa previa diag/tx?

Answer 31

US/ Deliver Baby

Question 32

Post partum hemorrhage causes?

Answer 32

24 hr after birth, uterine atony/rupture, infection

Question 33

Post partum hemorrhage is

Answer 33

500 cc after vaginal birth or 1000 cc after C-section

Question 34

Post partum hemorrhage sxs

Answer 34

hypovolemic shock, boggy uterus, dilated cervix

Question 35

Post partum hemorrhage tx

Answer 35

massage uterus (bimanual), artery ablation, oxytocin/misoprostol

Question 36

Cervical insuff is common in what trimester?

Answer 36

2nd - leep procedure

Question 37

Cervical insuff tx is?

Answer 37

rest, cerclage, progesterone injections

Question 38

premature labor is under what weeks?

Answer 38

37 weeks

Question 39

premature labor diag:

Answer 39

sterile pelvic, US, r/o prom & infection

Question 40

premature labor

Answer 40

Admission, ICS, tocolytics (INMT terbutaline), Abx proff

Question 41

mag tox is?

Answer 41

cardiac/ hypotonia (reflexes)

Question 42

PROM vs PPROM

Answer 42

PROM >1 before labor VS PPROM <37 weeks

Question 43

PROM sxs?

Answer 43

Smoke, gush leak fluid

Question 44

PROM diag?

Answer 44

sterile speculum, no digital exam, Nitrazine paper, Fern test

Question 45

PROM tx?

Answer 45

<34 = ICS (lungs), | if infection = deliver and abx

Question 46

Multiple gestation complication?

Answer 46

PREMATURE, IUGR, TTTS, placental issues

Question 47

Shoulder dystocia is due what 3 factors

Answer 47

power, passenger (mcRoberts/woods screw), passage

Question 48

Breech is

Answer 48

legs or butt first

Question 49

Breech is helped with what maneuver?

Answer 49

Leopold

Question 50

frank (diver) Breech is?

Answer 50

hip flex and knees ext (50degrees+)

Question 51

Complete Breech is?

Answer 51

hip and knee flexed

Question 52

Breech tx?

Answer 52

rotation by week 38, c-sec, cephalic version

Question 53

first drug of choice in patients with infertility due to anovulation with normal hormone levels

Answer 53

Clomiphene citrate

Question 54

Proliferation of the mammary ducts is under the influence

Answer 54

Estrogen

Question 55

Growth of the lobules and alveoli is under the influence of

Answer 55

Progesterone

Question 56

multinucleated giant cells is what?

Answer 56

Herpes simplex virus

Question 57

Is a leiomyoma or adenomyosis painful?

Answer 57

adenomyosis

Question 58

have menorrhagia and/ or metrorrhagia. On examination, the uterus will be larger, and irregularly-shaped. If a mass is present and it moves with the uterus, it is suggestive of a

Answer 58

Fibroid