Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Oral Boards > OB - 1 > Flashcards

OB - 1 Flashcards

(69 cards)

Start Studying
1
Q

What are the muscles of the anterior abdominal wall?

A

Internal Oblique, External Oblique, Transversalis, Rectus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What dermatome is the nipple?

A

T4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What dermatome is the sternum?

A

T8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What dermatome is the umbilicus?

A

T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What dermatome is the pubis?

A

T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the nerve roots of the pudendal?

A

S2,3,4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What nerves innervate labor pain felt in the first stage?

A

T11-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What nerves innervate labor pain felt in the second stage?

A

S2-4 (Pudendal N.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nerve roots and palsy of: iliohypogastric n.

A

T12-L1; sensory loss of skin over pubic symphysis down to labia majora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nerve roots and palsy of: ilioinguinal n.

A

T12-L1; sensory loss of medial aspect of labia majora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nerve roots and palsy of: femoral n.

A

L2-4; sensory loss of anterior medial leg and thigh, motor loss of quadriceps, unable to lift knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nerve roots and palsy of: lateral peroneal n.

A

L4-S2; motor loss: foot drop, foot inversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nerve roots and palsy of: sciatic n.

A

L4-S3; motor loss: weak hamstring, leg flexion compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Nerve roots and palsy of: Erb’s.

A

C5-6; waiter’s tip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nerve roots and palsy of: Klumpke’s.

A

C8-T1: hand and wrist paralysis, arm hangs flaccid at side, grasp reflex lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the (3) parameters of the: pelvic inlet?

A

Diagonal conjugate, retropubic space, pectineal line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the (3) parameters of the: mid pelvis?

A

Hollow of sacrum, ischial spines, sacrospinous ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the (3) parameters of the: pelvic outlet?

A

Coccyx, infrapubic angle, inter tuberous diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What muscles are cut in an episiotomy?

A

Bulbospongiosis, superficial transverse perineal, deep transverse perineal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the cardinal movements of labor?

A

Engagement
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
Expulsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the elements of an Apgar score?

A

HR, RR, Tone, Reflex, Color

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the elements of a Bishop score?

A

Position, Consistency, Dilation, Effacement, Station

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 4Ts etiologies of PPH?

A

Tone (Atony)
Tissue (Placenta)
Tears (Lacs)
Thrombus (Coagulopathy/DIC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What factors does Wafarin/Coumadin act upon?

A

Factors 2, 7, 9, 10 (extrinsic and intrinsic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What factors does heparin act upon?
Inhibits factor 10a and acts as a co-factor for antithrombin III
26
What are normal changes in the clotting system for pregnancy?
Increased factor 5, 7, 9 , 10 , 12, fibrinogen Mild resistance to protein C and S Increased plasminogen activator type 1+2
27
What are risk factors for fetal macrosomia?
History of macrosomia Excessive weight gain in pregnancy Positive 1h GCT but neg 3h GTT Diabetes Obesity GA > 40w
28
What interventions have been shown to reduce the risk of fetal macrosomia?
Low glycemic index diet Exercise in pregnancy Bariatric surgery prior to pregnancy
29
What factors are associated with decreased success of ECV?
Obesity Fetal macrosomia Oligohydramnios Anterior placenta Short/nuchal cord Frank breech
30
What are contraindications (relative or absolute) for ECV?
Maternal: cardiac disease Fetal: multiple gestation, IUGR, fetal anomalies, NRFHT Placenta: Placenta previa, PROM Indication for CS: prior classical, congenital uterine malformations
31
What is the background risk of uterine rupture in TOLAC?
1%
32
What is the risk of uterine rupture with undocumented scar in TOLAC?
1%
33
What is the risk of uterine rupture with twins TOLAC?
1%
34
What is the risk of uterine rupture with prior lower segment uterine rupture?
6%
35
What is the risk of uterine rupture with prior upper segment uterine rupture?
32%
36
What is the risk of uterine rupture with prior classical CS?
10%
37
What is the risk of uterine rupture with misoprostol?
15%
38
What is the risk of uterine rupture with miso induction for 2nd tri loss?
< 1%
39
What is the overall success rate of TOLAC?
60-80% - 60% if prior CD for CPD - 80% if not
40
What factors lower the success rate of TOLAC?
Recurrent indication for initial CD AMA GA > 40w Maternal obesity PEC Short interval pregnancy EFW > 4000g IOL
41
What is the definition of cHTN?
HTN dx < 20w GA or persists > 12w PP > 140/90 on 2 occ at least 4 hrs apart
42
What is the definition of gHTN?
HTN dx > 20w GA, normal at 12w PP No proteinuria
43
What is the definition of PEC?
gHTN + proteinuria - P/C >= 0.30 - 24h protein > 300mg - Spot protein > 30 (2+)
44
What are the severe features of PEC?
- Cerebral: HA and visual disturbances - Vascular: BP > 160/110 or pulm edema - Heme: Hemolysis, Plt > 100k - Hepatic: LFTs twice normal, RUQ pain - Renal: Cr > 1.1 or doubling of Cr
45
What are high risk factors that require ASA for prevention of PEC?
Hx PEC CHTN Renal disease Multiple gestation GDM Autoimmune disease (APLS, lupus)
46
What are mod risk factors that require ASA for prevention of PEC (presence of 2 or more)?
Family hx of PEC Hx of low birth weight or SGA Nulliparity or > 10yrs since last pregnancy AMA Obesity AA race Low SES
47
What is the therapeutic range for Mag?
4.8-8.4
48
Describe aspects of Mag toxicity at various levels:
Mag 10 - loss of reflexes Mag 16 - respiratory distress Mag 22 - cardiac arrest
49
What to use instead of Mag in pts with Myasthenia Gravis?
Phenytoin (monitor with EKG), or Diazepam (need to be able ot intubate)
50
What are causes of cHTN?
Essential HTN, rcoarctation of aorta, Cushing's, renal disease, renal artery stenosis, primary hyperaldosteronism, sleep apnea, cocaine or meth use
51
When to deliver: cHTN not on meds?
38-40w
52
When to deliver: cHTN on meds?
37-40w
53
When to deliver: cHTN uncontrolled?
36-38w
54
When to deliver: gHTN?
37w or at dx if later
55
When to deliver: PEC?
37w or at dx if later
56
When to deliver: sPEC?
34-37w or at dx if later
57
What are the Carpenter/Coustan criteria for 3h GTT cut offs?
95/180/155/140
58
White classification: A1
gestational, diet controlled
59
White classification: A2
gestational, medicine controlled
60
White classification: B
onset > 20yo, duration < 10y
61
White classification: C
onset 10-20yo, duration 10-20y
62
White classification: D
onset < 10yo, duration > 20y
63
White classification: F
Nephropathy
64
White classification: H
Heart dz (CAD)
65
White classification: R
Retinopathy
66
Fetal effects of diabetes: 1st tri
SAB Fetal malformations - Cardiac: ASD, VSD, TGA - Skeletal - CNS: NTD, holoprosencephaly - Caudal regression
67
Fetal effects of diabetes: 3rd tri
Fetal macrosomia or IUGR, IUFD
68
Neonatal effects of diabetes:
RDS, Hypoglycemia, HypoCa/Mg, Hyperbili, Polycythemia, Cardiomyopathy, Hypothermia
69
Calculate insulin for pre-gestational diabetic:
0.7u/kg x weight in kg 2/3 in AM - 2/3 NPH, 1/3 short acting 1/3 in PM - 1/2 NPH, 1/2 short acting

Oral Boards (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions