NBME Flashcards

1
Q

CIN 2-3 treatment, f/u

A

excision, cotesting @ 12/24mo -> continue routine for 20 yrs

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2
Q

CIN 1 treatment, f/u

A

CIN 1 w/ HSIL = excision vs 12/14mo cotesting

CIN 1 w/ LSIL/ASCUS - cotesting in 1 yr

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3
Q

immune thrombocytopenic purpura in mom will do what to fetus?

A

fetal platelet destruction (Abs cross placenta)

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4
Q

painful ulcer

A

chancroid (H ducreyi)

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5
Q

respiratory collapse + DIC following delivery

A

amniotic fluid embolism

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6
Q

double footling (incomplete breech) at risk for what?

A

umbilical cord prolapse, shoulder entrapment

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7
Q

bugs + drugs: endometritis

A

mixed anaerobes + aerobes; tx w/ gentamicin, clindamycin

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8
Q

chemo affects infertility via what mechanism?

A

kills follicles -> hypogonadism

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9
Q

prolonged pushing in lithotomy position

A

injury to femoral nerve

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10
Q

suspected intraamniotic infxn at 38 wks

A

abx (gent + amp) -> vaginal delivery

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11
Q

hoarse cry, large fontanelles, large protruding tongue, umbilical hernia, dry skin, hypotonia in newborn

A

congenital hypothyroidism (in newborn screen)

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12
Q

quad screen: inc AFP

A

NTD

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13
Q

quad screen trisomy 21

A

low AFP + uE3, high BhCG + inhibin A

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14
Q

quad screen trisomy 18

A

low everything

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15
Q

epithelial cells w/ halo around nucleus

A

koilocytes - indicate HPV infection

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16
Q

recent pregnancy w/ super high BhCG

A

choriocarcinoma -> tx w/ chemo

17
Q

screening for Rh(-) moms at initial visit

A

indirect antiglobulin (coombs) test