OB Flashcards
(144 cards)
1
Q
Mesonephric/ Wolffiab duct derivative in female
A
Gartners duct
2
Q
Gubernaculum of female
A
Round ligament
3
Q
Oocyte transforming growth factors
A
GDF9
BMP-15
4
Q
Most potent estrogen
A
17B Estradiol
5
Q
Gestational sac completely fills uterine cavity
A
14-16 weeks
6
Q
B-HCG max levels during?
A
8-10 weeks
7
Q
B-HCG nadir?
A
16 weeks
8
Q
hPL detected as early as?
A
3 weeks
9
Q
hPL rise until?
A
34-36 weeks
10
Q
hPL functions
A
Maternal lipolysis
Anti insulin/diabetogenic
Angiogenic
11
Q
Progesterone by corpus luteum
A
Til 6-7 weeks
12
Q
Progesterone by placenta
A
8 weeks
13
Q
Estriol by 2nd trim
A
Placental Syncytiotrophoblast
14
Q
Estrogen by week 1-6 of gestation
A
Estradiol
15
Q
Marker of fetal well being
A
Estriol
16
Q
Testes descend by?
A
32
17
Q
Greatest transverse diameter if head
A
Bitemporal diameter (8cm)
18
Q
Biparietal diameter
A
9.5cm
19
Q
Occipitofrontal diameter
A
11.5cm
Greatest circumference- 34.5cm
20
Q
Suboccipitobregmatic
A
9.5cm
21
Q
Smallest circumference
A
Suboccipitobregmatic 32cm
22
Q
Paramesonephric ducts in male and female
A
Male: appendix of testes
Female: FT, Uterus, Cervix, upper 1/3 vagina
23
Q
Landmark of Pudendal Nerve
A
Ischial spine
24
Q
Promotes PG F2a by cervical stretching
A
Ferguson reflex
25
Occipitomental diameter
12.5cm
25
Brow presentation
Mgt?
Expectant mgt
25
Forceps for molded head
Simpson
26
Forceps for face presentation
Kielland
27
When to do elective CS for placenta previa
>37 weeks
28
Anesthesia for forceps delivery
Pudendal
29
When to do elective CS for suspected accreta
>36 weeks
31
Define polyhydramnios
AFI >24cm
Single pocket >/= 8cm
>2000ml
32
Define oligohydramnios
AF
33
Forceps for rounded head
Tucker Mclane
34
Forceps for aftercoming head in breech
Piper
35
Forceps for outlet and low forceps
Simpson
36
Small accessory lobe of placenta?
| At risk for?
Succentriate lobe
| Vasa previa
37
Nearly all membranes covered with villi
Placenta membranacea
38
Central portion of placenta disc missing
Placenta fenestrata
39
Fibrin and old hemorrhage in between placenta and amniochorion
Circummarginate placenta
40
Peripheral chorion is thick and grey white with double fold of chorion and amnion
Circumvallate placenta
41
Umbilical cord length
40-70cm
42
Umbilical cord insertion:
| Anchors at placenta, more common
Marginal or Battledore placenta
43
Umbilical cord insertion:
| Vessels spread within the membranes at distance from the margin
Velamentous
44
Mgt of vasa previa
CS
45
Umbilical cord insertion:
| Central insertion but vessels lose their Wharton Jelly
Furcate
46
Fundic height measured when?
20-34 weeks
Williams
47
Puerperium
4-6 weeks postpartum
48
Uterus descent to true pelvis
2nd week postpartum
| 300grams
49
Uterus to prepregnancy size
4th week postpartum
| 100grams
50
Lochia serosa
| Day??
3-4days postpartum
51
Lochia alba
| Days??
10th day postpartum
52
Retardation of involution of uterus
Subinvolution/ uterine atony
53
Subinvolution mgt?
Methyelrgonovine
| Antibiotics if with metritis
54
Extrusion of placental site
6 weeks
55
Return to normal of dilated ureters
2-8 weeks
56
Blood volume return to prepregnant levels
1 week postpartum
57
Prepregnancy weight achieved by?
6 months
58
Rooming in and breastfeeding law
RA 7600
59
Fundic height measured when?
20-34 weeks
Williams
60
Puerperium
4-6 weeks postpartum
61
Uterus descent to true pelvis
2nd week postpartum
| 300grams
62
Uterus to prepregnancy size
4th week postpartum
| 100grams
63
Lochia serosa
| Day??
3-4days postpartum
64
Lochia alba
| Days??
10th day postpartum
65
Retardation of involution of uterus
Subinvolution/ uterine atony
66
Subinvolution mgt?
Methyelrgonovine
| Antibiotics if with metritis
67
Extrusion of placental site
6 weeks
68
Return to normal of dilated ureters
2-8 weeks
69
Blood volume return to prepregnant levels
1 week postpartum
70
Prepregnancy weight achieved by?
6 months
71
Rooming in and breastfeeding law
RA 7600
72
Fundic height measured when?
20-34 weeks
Williams
73
Puerperium
4-6 weeks postpartum
74
Uterus descent to true pelvis
2nd week postpartum
| 300grams
75
Uterus to prepregnancy size
4th week postpartum
| 100grams
76
Lochia serosa
| Day??
3-4days postpartum
77
Lochia alba
| Days??
10th day postpartum
78
Retardation of involution of uterus
Subinvolution/ uterine atony
79
Subinvolution mgt?
Methyelrgonovine
| Antibiotics if with metritis
80
Extrusion of placental site
6 weeks
81
Return to normal of dilated ureters
2-8 weeks
82
Blood volume return to prepregnant levels
1 week postpartum
83
Prepregnancy weight achieved by?
6 months
84
Rooming in and breastfeeding law
RA 7600
85
CBC during prenatal consult?
First visit
| 24-28 weeks
86
OGTT during prenatal consult?
Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week
87
Gonococcal or chlamydia culture?
29-41 weeks
88
CBC during prenatal consult?
First visit
| 24-28 weeks
89
OGTT during prenatal consult?
Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week
90
Gonococcal or chlamydia culture?
29-41 weeks
91
CBC during prenatal consult?
First visit
| 24-28 weeks
92
OGTT during prenatal consult?
Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week
93
Gonococcal or chlamydia culture?
29-41 weeks
94
CBC during prenatal consult?
First visit
| 24-28 weeks
95
OGTT during prenatal consult?
Depends.
Immediately after positive test.
If negative for insulin resistance, on 24-28th week
96
Gonococcal or chlamydia culture?
29-41 weeks
97
What drug should be avoided in diabetics during labor
Beta agonist
| Can cause sever insukin resistance and glucose intolerance
98
Dx of hypothyroidism in pregnancy
TSH >10mIU/L
99
Tx of hypothy
Levithyroxine
Regardless of FT4
100
Complications with subclinical hypothy
Miscarriage
Placental abruption
Preterm delivery
Dec IQ at age 7-8
101
Comolications of TPO+
Spontaneous miscarriage
Recurrent miscarriage
Preterm delivery
102
Dx of hyperthyroidism
TSH
103
Hyperthyroidsm tx 1st trim
PTU
104
Hyperthyroidism tx after first trimester
Methimazole
105
Sertoli cells develop
6-7 weeks
106
Leydig cell formation
8-9 weeks
107
Testosterone established
9 weeks
108
Primordial follicle seen
11-12 weeks
109
Primordial follicle max devt
20-25 weeks
110
External genitalia comes from?
Anlagen
111
Abortion:
Bleeding
Closed os
Threatened ab
112
Highest risk for ectopic pregnancy
Tubal corrective surgery
113
Epithelial layer absent in FT
Submucosa
114
Signs and symptoms of ectopic pregnancy
Pain
Amenorrhea with some vaginal spotting
Pelvic tenderness
115
BHCG for ectopic pregnancy
>1500
116
Indication for methotrexate use in ectopic pregnancy
117
MC cause of PPH
Uterine atony
118
Alternative drug in PPH if patient is refractory to oxytocib
Carboptost IM
119
Definitive tx for uterine rupture
Abdominal delivery
120
Most important risk factor for puerperal infection
Route of delivery
121
Gold std for pelvic infections post CS
Clindamycin+Gentamicin
122
Single most powerful predictor of preterm birth
TVS at 22-25 weeks
Cervix shortening
123
Antidote for MgSO4 toxicity
Calcium gluconate
124
Anti hypertensive with tocolytic effects DOC
Nifedipine
125
DOC during preterm labor
Ampicillin and Gentamicin
126
Corticosteroids to be given during what time?
24-34 weeks AOG
127
Risk factor for HTN
primiparity
128
Mode of delivery in severe pre ec at
34 week
Vaginal delivery
| CS
129
Therapeutic level of MgSO4
4-7 mEq/L
130
MgSO4 levels
Patellar reflex disappears?
Respiratory depression?
Cardiac arrest?
Patellar reflex disappears 8-10
Respiratory depression 12-15
Cardiac arrest 24
131
Anti HTN DOC
Hydralazine
132
DOC for chronic hypertension
methyldopa
133
SE of hydralazine
Neonatal thrombocytopenia
134
Timing of delivery of eclampsia
34 weeks
135
Anesthesia type in preggy with asthma
Epidural anesthesia
136
Heart disease in congenital rubella
PDA
| Pulmonary artery stenosis
137
Time when VarIG is to be given to babies
Mothers w/ varicella 5 days before and two days after delivery
138
MC perinatal infection
CMV
139
First line for GBS prophylaxis
Penicillin G
140
Neonatal tx for GBS
Ampicillin
141
Malaria prophylaxis in pregnancy
Chloroquine
142
Only prophylaxis for chloroquine resistant p falciparum
Mefloquine
143
Triple ARV therapy in HIV
Tenofovir, efavirenz, lamivudine
