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OB/GYN Shelf Exam > OB/GYN > Flashcards

OB/GYN Flashcards

(64 cards)

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1
Q

Early Decels =

A

Fetal Head Compressions

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2
Q

Variable Decels =

A

Cord Compression

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3
Q

Late Decels =

A

Uteroplacental Insufficiency (hypoxia)

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4
Q

Pathophysiology of Hemorrhage S/P Inverted Uterus

A

Inverted uterus leads to inability for an adequate myometrial contraction effect –> myometrial fibers do not exert their normal tourniquet effect on the spiral arteries

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5
Q

Most common reason for hemorrhage in inverted uterus =

A

uterine atony

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6
Q

Atypical glandular cells =

A

cervical or endometrial adenocarcinoma

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7
Q

Patient with ppx hemorrhage, prolonged bleeding time, normal coag studies…

A

vWF

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8
Q

Pathophysiology of vWF

A

vWF assists in platelet adhesion and aggregation, acts as a carrier protein for factor 8

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9
Q

vaginal bleeding + lower abdominal pain + adnexal tenderness

A

ectopic pregnancy

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10
Q

_____ can cause hyponatremia and subsequent seizures.

A

Oxytocin

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11
Q

`Dx test for hyperemesis gravisdum

A

U/A for ketones

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12
Q

S/E of preeclampsia for newborn

A

small for gestational age

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13
Q

FHR = tachycardia is most likely due to…

A

maternal fever

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14
Q

Boggy uterus + symmetrically enlarged + long, heavy periods + >40

A

Adenomyosis

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15
Q

Heavy, long periods + pelvic pain + age b/w 25-35 =

A

Endometriosis

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16
Q

Major R/F for placenta previa

A

Hx of C/S

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17
Q

Active phase arrest is defined as:

A

no cervical change in > 4 hours with adequate contractions OR no change in 6 hours with inadequate contractions; managed with c/s

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18
Q

Mothers with O+ blood are at high risk for…

A

ABO incompatibility; neonates will have mild jaundice

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19
Q

Sheehan Syndrome

A

complication of massive obstetrical hemorrhage, results = amenorrhea, lactational failure, persistent hypotension

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20
Q

Anovulatory cycles in adolescents are…

A

characterized by heavy, irregular menstrual bleeding due to an immature HP axis; can stabilize with progesterone therapy

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21
Q

Thinning of vulvar skin + narrowing of vaginal introitus + loss of natural lubrication + clitoral shrinkage =

A

atrophic vaginitis

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22
Q

Green, frothy, malodorous d/c

A

Trich

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23
Q

secondary amenorrhea + elevated FSH + younger than 40 =

A

primary ovarian insufficiency

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24
Q

TX for stress urinary incontinence

A
  1. Pelvic floor muscle exercises (Kegels)
  2. Lifestyle modifications (weight loss)
  3. Continence pessary
  4. Midurethral sling procedure
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25
Contraindication for mag sulfate...
Renal Insufficiency (dx: creatinine)
26
Mag sulfate is used for (2):
1. prevention of eclamptic seizures | 2. fetal neuroprotection against CP
27
Tx for mag toxicity =
calcium gluconate
28
Charcot's Triad for acute cholangitis
fever + RUQ + jaundice
29
abdominal pain + bleeding + loss of fetal station =
uterine rupture
30
Pathophys for epithelial ovarian carcinoma:
abnormal proliferation of tubal epithelium
31
TSS Sx (3)
fever hypotension diffuse red macular rash
32
shallow ulcers + mild lymphadenopathy
HSV
33
Pregnant patient with fever, N/V, R-sided abdominal pain =
acute appy
34
Fever + any evidence of PROM =
chorioamnionitis
35
Tx for intra-amniotic infections
broad spectrum IV abx | expedited delivery
36
Tx for HPV warts
podophyllin trichloroacetic acid imiquimod
37
Patients with PID and unstable VS should...
be admitted and given 1) cefotetan/cefoxitin and 2) doxycycline
38
Tx regimen for preventing preterm labor
1. progesterone (maintain uterine quiescence) | 2. cerclage
39
Pathophys for uterine fibroids
Proliferation of smooth muscle cells within the myometrium
40
Postpartum endometritis tx
clindamycin + gentamycin
41
Women with mullerian agenesis should be screened with...
renal u/s
42
Patients with new onset Afib w/ RVR and PMH of sore throat...
Rheumatic Fever, Mitral Stenosis
43
Workup for secondary amenorrhea
1. b-hcg | 2. prolactin, fsh, testosterone, tsh
44
The elevated ______ during pregnancy stimulates the respiratory centers in the brain to cause increased _____ _____, increased minute ventilation, increased _____, and a physiological chronic compensated ______ _______.
progesterone tidal volume PaO2 respiratory alkalosis
45
Uterus adherent to the right with tenderness on mobilization...
endometriosis
46
Early signs of primary metabolic alkalosis...
hyperemesis gravidarum
47
Best contraception for patient with breast cancer...
copper IUD
48
Retrosternal crunching sound...
esophageal perforation
49
Greatest risk for placental abruption...
DIC
50
Most common cause of active labor delay...
cephalopelvic disproportion
51
45 X
Turner Syndrome
52
46 XX
Muellerian agenesis
53
46 XY
Androgen insensitivity (genotypically male, phenotypically female)
54
47 XXY
Klinefelter Syndrome
55
47 XYY
Angry Man Syndrome
56
Risk for babies born to moms with preeclampsia...
fetal growth restriction
57
Klumpke Palsy
"claw hand" | Horner syndrome
58
Contraindications to external cephalic version
Prior classical c/s Prior extensive uterine myomectomy Placenta previa
59
Complete vs. partial mole
Complete -- no fetal parts; 46 XY (two sperms and broken egg) Partial -- fetal parts; 69 XXY/XXX (two sperms on one egg)
60
Call-Exner bodies
Granulosa Cell Tumor
61
Condyloma =
koilocytes
62
Turner's Lab Finding =
high FSH
63
Increased 5 alpha reductase =
normal presentation + hairy
64
Decreased 5 alpha reductase =
no breasts, + hair, 46XY

OB/GYN Shelf Exam (1 decks)

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