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OB/GYN Flashcards

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1
Q

Down syndrome + UMN findings

A

AA instability

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2
Q

Definition of urinary retention

A

Post-catheter void over 150 mL

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3
Q

Fluoroquinolones in pregnancy

A

QT prolongation

Tendon problems

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4
Q

Avoid Bactrim when?

A

1st and 3rd trimesters

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5
Q

Treatment options for asymptomatic bacturia or UTI or cystitis

A

Macrobid
Amoxicillin
Augmentin
Fosfomycin

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6
Q

Treatment for pyelo in pregnancy

A

Hospitalize, IV abx, then oral abx for 10-14 days after 24 hrs of no fever

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7
Q

Dx and Tx options for stones in pregnancy

A

Dx - U/S

Tx - conservative, uteroscopy, nephrostomy

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8
Q

Pregnancy + unresponsive fever w/ no apparent cause + pain in pelvis

A

Septic pelvic thrombophlebitis

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9
Q

How to manage shoulder dystocia

A

BE CALM

Be calm
Elevate legs into McRoberts
Call help
Apply suprapubic pressure
Larger vaginal opening
Maneuvers
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10
Q

Goals in gestational DM

A

Fasting under 95
1 hr under 140
2 hrs under 120

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11
Q

Tx options in gestational DM

A
  1. Dietary mod.

2. INSULIN or glyburide/metformin

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12
Q

When are tocolytics contraindicated?

When is magnesium contraindicated?

A

34 weeks

32 weeks

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13
Q

See Pre-eclampsia workup

A

?

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14
Q

When is vaginal delivery of dead baby the only option?

A

24+ weeks

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15
Q

Progression of abortion types

A 
Threatened - alive, bleeding
Missed - closed
Inevitable - dilated
Incomplete - partial out
Complete - all out, closed
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16
Q

Placenta previa vs. vasa previa - whose blood? Is baby ok?

A

PP - mom blood, baby ok

VP - baby blood, baby in trouble

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17
Q

1st trimester, severe vomiting, AMS, ocular dysfunction, ataxia

Tx?

A

Thiamine deficiency

Thiamine, then glucose

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18
Q

Symmetric SGA - when? Causes?

A

1st trimester

Chromosomal, infection

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19
Q

Asymmetric SGA - when? Causes?

A

T2 or T3

Vascular or malnutrition

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20
Q

Eclampsia - tx?

A

DELIVER

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21
Q

High fetal fibronectin…when normal?

When a problem?

Signifies what?

A

T1 and term

T2 or T3 before term

Pre-term risk

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22
Q

Painless bleeding in pregnancy…causes?

A

PP, VP, SAB

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23
Q

Uterus in molar pregnancy

A

LGA

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24
Q

T3, HTN, elevated liver enzymes, anemia

A

HELLP

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25
T3, elevated liver enzymes, N/V, jaundice, normotensive, leukocytosis, hypoglycemia, elevated creatinine
Acute fatty liver of pregnancy
26
Pregnancy, fever, tachycardia (mom or baby), uterine tenderness
Chorio
27
When does vasa previa bleeding present?
After ROM
28
Respiration in pregnancy
Increased (progesterone stimulates primary respiratory center)
29
BP in pregnancy
Decreased (progesterone causes smooth muscle relaxation)
30
H/H in pregnancy
Decreased (increased plasma volume)
31
Creatinine in pregnancy
Decreased (increased RBF, etc.)
32
Pregnant in hospital - Hypotension, bradycardia, respiratory depression
Total spinal anesthesia gone wrong
33
Woman w/ short cervix - how to prevent pre-term birth
Topical progesterone
34
Woman w/ prior pre-term birth - how to prevent repeat?
IM progesterone
35
When to deliver Pre-E in severe vs. not severe What else to do?
Severe - 34 weeks Not severe - 37 weeks Anti-HTN + Mg
36
Endometriosis Tx options
1. NSAIDs or OCPs or Mirena | 2. TAH w/ BSO
37
Hypoplastic thoracic cavity, fetal demise
Osteogenesis imperfect type 2
38
Red discharge 1-2 days after delivery, composed of blood, fetal membranes, decidua, etc.
Lochia rubra
39
Brown or pink discharge 3-10 days after delivery, composed of RBCs, WBCs, cervical mucus, BACTERIA
Lochia serosa
40
Yellow-white discharge 2-6 weeks after delivery
Lochia alba
41
Prior surgical contraindications for vaginal birth
Vertical C/S | Myomectomy w/ cavity entry
42
Complete active phase arrest for 4+ hrs...tx?
C/S
43
Slowed active phase...tx?
Oxytocin
44
Pre-eclampsia under 20 weeks
Molar pregnancy
45
Pregnancy...when to give flu vaccine?
Every pregnancy ASAP
46
When to do DM screening in pregnancy?
24-28 wks unless high risk
47
When to do G/C screening in pregnancy?
High risk only - under 25, new partners, history of it
48
When to do Hep C screening in pregnancy?
High risk only
49
Risk of Mg toxicity when? Tx?
Renal insufficiency Calcium gluconate
50
What does Mg do in premies?
Decreases CP risk
51
Labor induction/supplementation --> tonic-clonic seizures, H/A, abd pain, lethargy Lab finding?
Oxytocin OD (similar to ADH --> free water retention) Hyponatremia
52
Normal AFI finding
5+ or 1 pocket 2x1
53
Normal body movement finding
3+ movements
54
Normal flexion/extension finding
1+ movement
55
Normal breathing finding
1+ breathing for 30+ sec
56
CI's to breast feeding
``` Rec Drugs HIV Chemo/Rad Active herpes on breast Acute varicella Acute TB ```
57
1º treatment for gestational HTN How to choose?
Labetalol or Hydralazine No labetalol in bradycardia or hypotension (beta and alpha blocker)
58
2º treatment option for gestational HTN
Nifedipine (oral, not in emesis)
59
When is methyldopa used?
Chronic HTN in pregnancy
60
When is Loop used in pregnancy?
Pulmonary edema
61
Risk factors for post-partum bladder atony (6)
``` Nullip C/S Instrumental delivery Prolonged labor Regional analgesia Perineal injury ```
62
Risks in poor pregnancy weight gain (3)
Pre-term delivery Fetal growth restriction Polycythemia
63
2 functions of abx after PPROM
1. Reduce infxn risk | 2. Delay labor
64
3 risks for HG
1. History 2. Mole 3. Multiple gestations
65
Lab findings in HG (K, H, Cl, Glc, H/H, urine)
``` Low K, high H+ (shift) Low Cl (vomiting) Low glc (malnutrition) High H/H (low volume) Ketonuria (malnutrition) ```
66
Variable decels - definition
15+ HR drop for 15-120 seconds
67
Abnormal tri screen in T1...what next? When to do quad screen?
CVS (11) or amnio (18) NEVER (no need)
68
AFP, B-hCG, Est, Inhib A... Low, low, low normal Low, high, low, high
Edwards Downs
69
Adverse effects of oxytocin
Hyponatremia HYPOtension Uterine tachysystole

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