OB from notes

Question 1

antihypertensives in pregnancy

Answer 1

alpha methyldopa and labetolol

Question 2

preeclampsia

Answer 2

MgSO4, Ca gluconate (CNS), HTN: hydralazine, labetolol, 2nd nifedipine

Question 3

HELLP

Answer 3

Hemolysis, elevated liver enzymes, low plts

Question 4

Tx HELLP

Answer 4

FFP or plasma exchange

Question 5

hyperemesis gravidarum cause

Answer 5

increase in bHCG and estrogen

Question 6

hyperemesis gravidarum treatment

Answer 6

diclectin, gravol

Question 7

HELLP symptoms

Answer 7

epigastric pain, RUQ/CP, N&V, h/a, blurred vision, thirst, jaundice

Question 8

HELLP liver bx

Answer 8

periportal hemorrhage, fibrin dep, necrosis, fatty deposits

Question 9

cholestasis of preg s&s

Answer 9

pruritis, jaundice, risk bleed (vit K)

Question 10

tx cholestasis of preg

Answer 10

ursodeoxycholic acid, cholestyramine, vit k, induce labour

Question 11

placenta previa signs

Answer 11

painless bleed, uterus soft, no contractions, high presenting part, FHR normal, mean onset 30w

Question 12

placental abruption signs

Answer 12

painful vag bleed, uterus tender, contractions, mean 20w, sudden onset pain, fetal distress/demise

Question 13

vasa previa dx

Answer 13

apt test (bleed fetal or mat?), wright stain (nucleated rbc in umb cord blood = fetal)

Question 14

tocolysis meds

Answer 14

indomethacin (PG inhib), nifedipine (CCB), B2 agonists (terbutaline), nitro patch, mgso4

Question 15

pulmonary maturity in preterm labour - med

Answer 15

betamethasone valerate (celestone)

Question 16

test for pulm maturity of fetus

Answer 16

lecithin: sphingomyelin ratio, 2:1

Question 17

labour dystocia causes

Answer 17

power, passage, passenger, psyche

Question 18

drugs to induce labour

Answer 18

intravag PG, foley, oxytocin, amniotomy

Question 19

post partum hemorrhage cause

Answer 19

tone (atony most common), trauma, tissue, thrombin

Question 20

pph meds

Answer 20

oxytocin, ergotamine, Hemabate (PG), compression, packing

Question 21

post c/s abx

Answer 21

cefazolin, if infected clinda + genta

Question 22

mastoiditis - bug and tx

Answer 22

S aureus - diclox/cephalexin