Misc Flashcards by Cara stasz

Aortic stenosis in pregnancy

Maintain AFTERLOAD! avoid hypotension, avoid tachycardia!

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Mitral stenosis in pregnancy

AVOID AFIB! DIURESIS TO AVOID PULM EDEMA. treat with beta blockade

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teratogenicity of mycophenolate associated with”

microtia, cleft lip and palate, cardiac defect

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informed consent, ethical principle of?

autonomy

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After prolonged pushing, pt. suffers foot drop, which nerve is affected

peroneal nerve

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what cytokines are most likely involved in septic shock?

TNF alpha, IL-1

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most commonly acquired congenital viral infection

CMV

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what infectious agent which caused IUFD associated with placental abscesses

listeria

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what type of twins with cleavage at day 5?

MCDA

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how to diagnose ARDS?

new or worsening respiratory symptoms with bilat opacities not fully explained in vented patient with PEE> 5 … PaO2/FIo2 < 300!

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highest yield in determining cause of stillbirth

placental pathology

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how to get karyotype after IUFD for most likelihood of results

amniocentesis

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precursor of placental estrogen?

DHEAS

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precursor of placental progesterone

cholesterol

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what enzyme does fetus have that placental does NOT for steroid synthessis?

17 alpha hydroxylase (biosynthesis of cortisol and androgens)

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most common fetal effect in untreated PKU?

intellectual disability

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PRECONCEPTION W/ TRANSPLANT- tell patients… most likely good outcome

creatinine level < 1.5

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most prevalent aneuploidy with CDH?

Trisomy 18

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Hardy weinberg dizease frequency of mutation

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carrier frequency?

2PQ

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why dont we use nitroprusside?

reflex tachycardia, cyanide toxicity

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CCB adverse drug effect

Headache, hypotension, peripheral edema, flushing

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causes of low estriol?

placental steroid sulfatase deficiency, smith lemli opitz, CAH, anencephaly

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how to monitor improvement in DKA

anion gap

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surfactant has highest concentration of what phospholipid

PHOSPHOTIDYLCHOLINE (aka lecithin)

dermatosis with worst pregnancy outcome?

impetigo herpetiformis

what is the most common sex chromosome aneuploidy?

Klinefelter XXY

NT alone has sensitivity of what for dx of T21?

70%

what anatomic finding most associated with T21?

absent nasal bone/hypoplastic nasal bone

myelomeningocele MOMS in utero repair most benefit

decrease need for shunt placement

ADE of CCB?

peripheral edema, headache, hypotension

most confirmatory of primary CMV infection?

increasing IgG titer, 2-4 fold

amnio acid transport across the placenta by?

active transport

Medications most likely to be passed through breast milk?

lipid soluble

what cytokines are antiinflammatory

IL 10, IL 4

What cytokines are PRO inflammatory

IL 6, IL 8, TNF alpha, Interferon

what does an ROC curve represent?

diagnostic ability of binary classifier, True positive rate (SENSITIVITY) against false pOS rate (1-SPEC)

HYPERemesis with tingling/numbness/confusion... what do you need?

Thiamine! B1! wernickes enceph

what is the most likely complication from first trimester varicella infection

NOTHING! risk is very low@

in the intervillous space, maternal blood in contact with?

syncitiotrophoblasts

US feature with fetal alcohol syndrome?

microcephaly

mitral stenosis most likely to decompensate postpartum due to?

increased preload

which crosses thyroid molecule placenta most rapidly

TRH

PaO2 in the umbilical artery is approximately?

which vessel has the most oxygenated blood?

umbilical vein --> ductus venosus

best treatment for pheochromocytoma in pregnancy?

alpha blocker (phenoxybenzamine)

what infection is most likely associated with PVL?

chorioamnionitis

wedge pressure is indicative of?

LV preload

mechanism of action for beta agonist?

activation of adenyl cyclase, which then increases cAMP, activate PKP, reduce Ca+2, prevent smooth muscle contraction

for whcih infection does prenatal treatment prevent transmission to fetus?

hepatitis B

which prostaglandin relaxes the uterus

prostacyclin

renal dosing for dopamine

4 *(less than 5!)

what type of connections are most protective in TTTS?

how do you compare multiple MEANS

anova

How do you treat listeria? what about if PCN allergic?

Amoxicillin/Bactrim

what steroid most associated with sodium resorption?

fudrocortisone

what antibiotic potentiates the neuromuscular blockade effect of magnesium?

gentamycin

what is the most common complication of malaria in pregnancy? plasmodium falciparum

maternal anemia

ductus arteriosus receives blood from?

pulmonary artery

when to intubate pregnant patient?

PaCO2 > 40

PFT: what increases in pregnancy?

TV, IC, pO2, alveloral vent

PFTs: what decreases in pregnancy?

TLC, ERV, FRC, RV, pCO2

what is the most common complication of prematurity

respiratory distress syndrome