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OB/GYN shelf > NBMEwrongs > Flashcards

NBMEwrongs Flashcards

1
Q

down syndrome causes what values in quad screen

A

increase inhibin and bhcg

decrease afp and estriol

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2
Q

what lab values would you see in myelomemngiocele

A

high afp

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3
Q

at what weekn does placenta tak eover progesterone production

A

week 8-12 (6-12 week is provided by corpos luteal

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4
Q

does chlamydia cause urethritis

A

yes !

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5
Q

when should rhoD immunoglobulin be administered

A

28 weeks of gestation and 72 hrs within postpartum

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6
Q

how to galactocele treated

A

warm compresses

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7
Q

define puerperal sepsis

A

tachycardi, tachypnea, hypotention, fever during puerperium –>perioid of 6 weeks after childbirth

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8
Q

when is hypothyroidism screening performed

A

within 2 to 4 days of bitrht

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9
Q

what does we tmount help differentiate

A

bacterial vaginosis and trachmoniases

since they both rpesent with watery foul smelling dischagre

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10
Q

how to treat chorioamniotis

A

ampicillin and gentamycin

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11
Q

how does ocp work

A

synchonization of endometrium by providing progesterone that will cause endometrial shedding

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12
Q

indication of endometrial biopsy

A

age greater than 45 post menaupasual with bleeding

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13
Q

how does chemotherapy relate to infertility

A

chemo induced premature ovarian failure –>menaupasu like symptoms

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14
Q

if gestation age is 32 and fundal height is 30 –>next management ?

A

do ultrasound whener there is size discrepancy

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15
Q

prolonged lithotomy position during childbirth causes what nerve damage

A

femoral nerve damage due to inguinal ligamnt compressin

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16
Q

multiple sclerosis can cause what kind of bladder problems

A

hyperreflexia with urgency and frequncy

MS cause loss of inhibtory neurons

17
Q

seizure drug in pregancy (not due to eclampsia )

A

phenytoin

18
Q

how would atelectasis present after preganncy

A

after c section present as fever and decreased breath sounds

19
Q

complication of d/C ?

A

amennrhea and adhesions (aka uterie synechiae )

20
Q

what is uterine synechia

A

asherman syndrome (adhesions of the uterus )

21
Q

when should forceps be used

A

second stage of labor

22
Q

when to use amnioinfusion

A

to releive ecord compression after maternal reposition fails to increase fetal heart rate

23
Q

young sexually active female with poist coital bleeding

A

cervicitis

24
Q

condyloma accuminta apresentaion

A

white verrucous lesion over upper vagina cause d by hpv 6 and 11

25
Q

uteroplacental artery thrombus

A

causes IUFD

26
Q

doppler flow vs duplex venous ultrasoun

A

doppler flow for artery

duplex for vein dvt

27
Q

what is a succenturiate placenta

A

accessory placenta capable of causing psot partum hemmorhage

28
Q

how to test for PPROM

A

use sterile technice not digital examination

29
Q

montevedo unit

A

number of contractions * strength of each = normal level is 200 or higher

30
Q

how to treat condyloma accuminata

A

HPV 6 and 11 treat with podophyllum resin therapy

31
Q

what is a risk factor for wound dehiscene

A

dibeties mellitus

32
Q

what causes fascial disruption

A

suture breaking through the fasia

33
Q

10 week gestation with fluid wave + rebound tenderness+ bleeding for 1 day +cervix is closed +tissue passed that floats as a frond pattern

A

corpos luteal rupture

34
Q

what is the first sign of hypovolemia

A

decreased renal perfusion and dec urine output

35
Q

how to test for asherman syndrome

A

hysterosalphinogroam

36
Q

persisitent unexplained fever in the psotpartum period

A

septiv thrombophelibitis

37
Q

difference between missed and complete abortion

A

missed - not bleeding anaymore

OB/GYN shelf (4 decks)

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