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Step 2 flashcards > gyn - Sheet1 > Flashcards

gyn - Sheet1 Flashcards

1
Q

Gestational diabetes, when to screen

A

24-28 weeks

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2
Q

chorionic villus sampling (CVS), when to do

A

10-12 weeks

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3
Q

CVS: fetal loss rate

A

1%

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4
Q

Pt has gestional diabetes, goals of glucse:

A

Fasting <6%

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5
Q

50g glucose challenge test

A

<140 is normal

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6
Q

100g glucose challenge test

2+ to be abnl = gestional diabetes

A

Fasting <140

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7
Q

Folate acid requirements

A

non-high risk patieng: 0.4 mg/day

pt w previous baby w NTD: 4 mg/day

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8
Q

pt does wants non-invasive dx of DS:

A

detailed fetal US and echocardiogram at 18-20 wks

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9
Q

1st trimester screen for Down Syndrome

11-13,6 weeks

A

Nuchal translucency
PAPP-A
b-hcg
85% detection rate

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10
Q

2nd trimester screen for Down Syndrome

15-22,6 weeks

A 
AFP
b-hcg
inhibin A
uE3
80% detection rate on its own
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11
Q

Had PPROM, risk of it happening again

A

32%

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12
Q

PPROM at 28-34 wks

A

50% go into labor w/in 24 hours

80% go into labor w/in 48 hours

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13
Q

PROM at term

A

90% go into labor w/in 24 hours

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14
Q

Fetal fibronectin, when to do

A

24-35 wks, pts w sxs of labor

normal? means 1% chance of going into labor in 2 weeks

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15
Q

Betamethasone steroid use

A

24-34 weeks

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16
Q

Obesity classes

A

Class 1: BMI 30-35
Class 2: BMI 35-40
Class 3: BMI 40+

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17
Q

Cerclage

A

place at 14 weeks

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18
Q

Normal weight pt appropriate weight gain

A

25-35 pounds

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19
Q

appropriate weight gain for obese pt (BMI >30)

A

11-20 pounds

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20
Q

appropriate weight gain for underweight pt (BMI <18.5)

A

28-40 pounds

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21
Q

appropriate weight gain for overweight pt (BMI 25-30)

A

15-25 pounds

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22
Q

preeclampsia onset

A

anytime after 20 wks

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23
Q

appropriate number of diapers for well-fed baby

A

3-4 in 24 hours

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24
Q

appropriate number of wet diapers for well-fed baby

A

6 wet diapers in 24 hours

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25
Q

Negative fetal fibronectin test (24-35 weeks)

A

99% of women will not delivery in the next 2 weeks

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26
Q

RhoGam routinely given at…

A

28 weeks

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27
Q

Time limit to give rhogam after delivery of Rh+ baby

A

72 hours

28
Q

GBS screen

A

> 35 weeks

29
Q

Amniocentesis can be performed…

A

15-20 weeks

30
Q

Preterm labor

A

24-37 weeks

31
Q

Radiation –> mental retardation/microcephaly

A

8-15 weeks

32
Q

PROLONGED latent phase of nullipara

A

> /=20 hours

33
Q

PROLONGED latent phase of multiparous

A

> /= 14 hours

34
Q

Calcium in pregnant girl <19 yrs of age

A

1300mg/day

35
Q

Calcium in pregnant girl >19 yrs of age

A

1000mg/day

36
Q

Calcium in post-menopausal woman

A

1200mg/day

37
Q

When to give abx in PPROM

A

<34 weeks

38
Q

Indomethacin as a tocolytic

A

<32 weeks

39
Q

17OHP as preterm labor ppx

A

16-36 weeks

40
Q

When to deliver a severe preelamptic

A

34 weeks

41
Q

When to deliver a preeclamptic

A

37 weeks

42
Q

BP nadirs during pregnancy

A

24-28 weeks

43
Q

Vitamin deficiency assoc w PMS

A

Decr vitamin A, E, B6, calcium, magnesium

44
Q

Postpoartum screening for T2DM

A

6-12 weeks

45
Q

Steroid use in PPROM

A

<32 weeks

46
Q

When to deliver in PPROM

A

> 34 weeks

47
Q

when to deliver chronic HTN

A

37 weeks

48
Q

when to deliver IUGR

A

37+ weeks

or if there’s oligo

49
Q

Herpes zoster vaccine

A

age 60
(live attenuated vaccine)
no efficacy in preventing HSV

50
Q

GC and CT

A

check annually <25 yrs

51
Q

Check lipid profile

A

age 45, q 5 years

52
Q

Fasting blood glucose

A

age 45, q 3 years

53
Q

Check TSH levels

A

age 50, q 5 yrs

54
Q

Menopause, Low hormones:

A

AMH, Inhibin B, estrogen (FSH high)

55
Q

BPP < 4

A

deliver the baby if >26 weeks

56
Q

Prolonged active phase for nulliparous

A

<1.2 cm/hr

57
Q

Prolonged active phase for multipara

A

<1.5 cm/hr

58
Q

Category 1 tracing

A

Normal baseline and variability (accels and early decels may or may not be present)
no late or variable decelerations

59
Q

Category 3

A

Abnormal tracing

60
Q

Normal length second stage of labor

A

Nulli and Multip: <3 hours

61
Q

Positive anti-rh(d) titers

A

> 1:6

62
Q

Premature ovarian failure

A

FSH and LH both incr, FSH/LH >1.0

63
Q

external cephalic version

A

indicated >37 weeks, <labor

64
Q

Protracted length of Active phase of labor

A

N: <1.5 cm/hour

65
Q

Arrest of active phase of labor

A

N and M: no cervical dilation for >2 hrs

66
Q

Protracted 2nd stage of labor

A

N and M: >2 hrs / (E) >3 hrs

67
Q

Delayed puberty

A
  • no secondary sexual characteristics by age 13
  • no menses by age 15-16
  • no menses 5 yrs after thelarche

Step 2 flashcards (7 decks)

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