OB/GYN

Question 1

pregnancy-induced HTN < 20 wga

Answer 1

molar pregnancy (gestational trophoblastic disease)

Question 2

molar pregnancy (gestational trophoblastic disease) sx

Answer 2

vaginal bleeding, hyperemesis, abdominal pain

Question 3

molar pregnancy (gestational trophoblastic disease) beta-hCG

Answer 3

abnormally high

Question 4

US: excessive in size, many lucent areas interspersed w/brighter areas

Answer 4

molar pregnancy (gestational trophoblastic disease)

Question 5

molar pregnancy (gestational trophoblastic disease) sx

Answer 5

urgent OB/GYN cs

Question 6

HELLP syndrome

Answer 6

hemolysis, elevated liver enzymes, and low platelets

Question 7

a pt w/eclampsia or HELLP must be

Answer 7

> 20 wga

Question 8

respiratory parameter changes in pregnancy

Answer 8

TV increases, FRC decreases (2/2 diaphragmatic elevation) - but RR doesn’t change

Question 9

definition of preeclampsia

Answer 9

pregnancy-induced HTN > 20 wga + proteinuria

Question 10

methylergonovine mechanism

Answer 10

uterotonic

Question 11

oxytoxin mechanism

Answer 11

uterotonic

Question 12

dysfunctional uterine bleeding: treatment

Answer 12

unstable: IV estrogen, TXA
stable: OCP

Question 13

Haldol in pregnancy?

Answer 13

prefer not to, especially first trimester

Question 14

Benadryl in pregnancy?

Answer 14

yes

Question 15

lithium in pregnancy?

Answer 15

no

Question 16

labetalol dosing

Answer 16

10-20 mg IV > 20-80 mg IV q10-30m, max 300 mg

gtt 1-2 mg/min

Question 17

mag dosing in ecclampsia

Answer 17

4-6 mg IV over 20-30m > 1-2 g/hr gtt

goal level 5-9

Question 18

options for BP control in preeclampsia

Answer 18

labetalol, Cardene

Question 19

hypermagnesemic? give

Answer 19

calcium gluconate