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PANCE Questions > OB/Gyn > Flashcards

OB/Gyn Flashcards

(49 cards)

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1
Q

Chadwhick’s sign

A

Bluish/ purple vagina/cervix

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2
Q

Chandelier sign

A

Cervical motion tenderness, seen with PID

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3
Q

McDonald’s sign

A

Uterus is flexible at uterocervical junction at 7-8 weeks

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4
Q

Hegar’s sign or Goodell’s

A

softening of the cervix

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5
Q

Antibiotics to avoid in pregnancy

A

Floroquinolones

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6
Q

When to administer Rhogam

A 
28 weeks gestation in Rh- mom
abortion
ectopic pregnancy
invasive procedure: AVS, CVS
Hydatidiform mole
trauma
cephalic version (breech)
antepartum hemorrhage
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7
Q

Maternal Serum Alpha Fetal Protien in down syndrome

A

Levels will be LOW

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8
Q

Fundal Height at 20 weeks

A

umbilicus

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9
Q

Braxton Hicks contractions

A

Contractions without a change in cervical dilation or effacement

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10
Q

Fetal Heart tones

A

Variable decelerations : Cord compression
Early decelerations: Head compression
Accelerations: Ok
Late decelerations: Placental insufficiency

*WANT variable acclerations

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11
Q

Fibroadenoma

A

Seen in young females (25)

rubbery, painless mobile mass that does not change with the menstrural cycle like a fibrocystic mass will

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12
Q

Mastitis

A

Pain and swelling of breast usually after breast feeding
from STAPH aureus
treat with Dicloxacillin or Keflex, continue breast feeding while on antibiotics

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13
Q

Spontaneous abortion types (must occur before 20 weeks or else its a still birth)

A

Threatened: Os closed, No products passed TX: bed rest 1-2 days
Inevitable: Os Open, No products passed
Incomplete: Os Open, Some products passed
Complete: Os Closed, Products have passed
Missed: Os Closed, no pregnancy developed

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14
Q

Ectopic pregnancy labs

A

Beta Hcg will be lower than expected for normal pregnancy (don’t get doubling like with normal pregnancy)
Hcg of 6500 with empty uterine cavity on US is diagnostic, Laparoscopy is definitive

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15
Q

Ectopic pregnancy treatment

A

Methotrexate in STABLE patient
if hemodynamically unstable surgical management is needed with blood type and cross (only tx if ruptured ectopic pregnancy)

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16
Q

Hydatidiform Mole

A 
benign neoplasm of chorion 
s/s: vaginal bleeding, enlarged uterus, pelvic pain
B-hCg is EXTREMELY high! above 40,000
us shows snowy uterus
treat: D&C
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17
Q

Choriocarcinoma

A

Highly malignant gestasional trophoblastic disease

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18
Q

PAINLESS bleeding in 3rd trimester

A

Placenta Previa

NO vaginal or speculum exam

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19
Q

Risk factors for placental abruption

A

Trauma, cocaine, smoking, previous abruption

IS PAINFUL

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20
Q

Placenta Accreata

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A

placenta attaches too deeply in the uterine wall

21
Q

McRobert’s maneuver

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A

suprapubic pressure on anterior shoulder with legs fully flexed

22
Q

Primary cause of post partum hemorrhage

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A

uterine atony

tx. with fundal massage 1st then fluid/blood products and oxytocin

23
Q

Preeclampsia Triad

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A

Hypertension (>140/90), protienuria, edema

24
Q

Eclampsia Treatment

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A

Deliver baby and give mom betamethasone for fetal lungs
Give Oxytocin to induce contractions
Magnesium Sulfate, if toxicity (decreased reflexes) then reverse with Calcium Gluconate

25
Biggest risk factors for preterm birth
Multiple gestation prior preterm birth treat with tocolytics to stop preterm labor ( CCB's if 32-34 wks, Indocin if 24-32 wks, Terbutaline, Mag Sulfate)
26
Group B strep prophylaxis
Screen at 35-37 weeks | administer Penicillin G if positive or with PROM, if PCN allergy five clindamycin or Ancef
27
Leading indication for a C-section
shoulder dystocia (Failure to profess during labor) non reassuring fetal status fetal malpresentation
28
role of progesterone in ovulation
during luteal phase of cycle if no conception occurs the corpus luteum secretes progesterone and as levels fall, menstrual period is triggered If implantation occurs, HCG is released from zygote and sustains the corpus luteum for 6-7 weeks until placenta takes over
29
Midcycle pelvic pain
Middleschmerz
30
Diagnosis of endometriosis confirmed with...
Laparoscpy, can see chocolate cysts in uterus
31
Pelvic Inflammatory disease presents with
lower abdominal pain adnexal tenderness cervical motion tenderness on bimanual exam (Chandelier sign) usually from gonorrhea or chlamydia trachomatis
32
PCOS symptoms
oligomenorrhea or amenorrhea, obesity, hirsutism, androgen excess (testosterone), insulin resistance (acanthosis nigricans)
33
What hormone spikes at ovulation
LH | Body temp also increases during luteal phase
34
symptoms of ovarian cancer
abdominal/pelvic pain, bowel changes, gas/bloating RARELY symptomatic screen with CA-125
35
Strawberry cervix consistant with
Trichomonas
36
Nabothian Cysts
Mucous filled cyst on cervix | benign and usually resolve on their own
37
HPV types for cervical cancer and genital warts
16 and 18= cancer | 6 and 11= warts (condylomata)
38
Cervical cancer screening
Start pap at age 21 for every 3 years age 30-65 pap with HPV screening every 5 years stop at age 65 as long as never above CIN 1
39
Endometrial cancer # 1 sign
painless bleeding post menopaus
40
Risks of endometrial cancer
Unopposed estrogen (PCOS, obesity), nulliparity, estrogen use WITHOUT progesterone (Tamoxifen)
41
Uterine Fibroids
benign tumor of myometrium, usually shrink after menopause Present with menorrhagia and pelvic pain PE: enlarged asymmetric uterus Treat with IUD or myomectomy
42
Drugs that interact with OCP's
Ritnavir, Rifampin, phenobarbitol, carbamazepine, phenytoin, St Johns wart
43
OCPs to use during lactation
Progesterone only
44
Trichomoniasis
pH: 5-6 frothy green/yellow discharge, post-coital bleeding from strawberry cervix Tx one time dose PO Flagyl
45
Bacterial Vaginosis
pH: >4.5 Clue cells on wet mount fishy odor with white/grey discharge Treat with FLAGYL (NO ALCOHOL on flagyl)
46
Candidiasis
``` pH: 4-4.5 KOH prep with hyphae and budding yeast cottage cheese discharge antibiotic use, pregnant, immunocompromised, DM Tx PO Diflucan and topical Miconazole ```
47
***Diagnosis of Herpes
Tzank Smear
48
What to suspect if palpate ovaries in a postmenopausal women
ovarian cancer
49
Hormone elevated in menopaus
FSH (low estrogen, low progesterone)

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