Ob/Gyn Blueprints & ACOG Flashcards Preview

Shelf Exams/USMLE Step 2 CK > Ob/Gyn Blueprints & ACOG > Flashcards

Flashcards in Ob/Gyn Blueprints & ACOG Deck (51)
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1

What should all patients with bleeding during pregnancy receive?

Blood test for Rh status

If negative give RhoGAM to prevent isoimmunization

2

What is terbutaline used for?

Beta 2 agonist

Used to relax the uterus in cases of uterine hypertonus or tachysystole (>5 contractions/10min)

3

What are non-reassuring fetal signs, and how should patient be managed?

Repetitive late decelerations, bradycardias, and loss of variability

Face mask O2, place on left side to relieve IVC

4

What are the three signs placental separation?

Cord lengthening, gush of blood, fundal rebound

5

What does posterior succenturiate lobe? put patients at risk for?

Vasa previa

6

What does sinusoidal pattern on continuous FHR monitoring suggest? What should be done?

Fetal anemia usually from vasa previa rupture

Emergent delivery

7

What are classic findings of uterine rupture?

Severe abdominal pains with loss of station of fetal head in actively laboring patient with history of C-section

8

What is the MoA of Mg in decreasing contractions? What are possible side effects?

Antagonizes calcium and stabilizes cell membranes

Flushing, diplopia, headache

9

What are associated with increased risk for breech presentation?

Fetal anomalies like anencephaly and hydrocephaly

Uterine anomalies like oligo and polyhydramnios

10

What are the initial steps in treating a patient presenting with eclampsia (seizing and HTN)?

1. ABCs
2. IV Mg
3. IV labetalol or hydralazine

11

HTN early in 2nd trimester?

Hydatidiform mole and previous chronic hypertension

12

What testing should be done in women over 30-65 with negative pap and HPV?

Next pap HPV in 5 years

13

What testing should be done in women over 30-65 with negative pap and HPV?

Next pap HPV in 5 years

14

How do you diagnose gestational hypertension?

elevated BPs (> 140/90 mm Hg) after 20 weeks’
gestation

15

What is the next most important step in management of a patient with HELLP?

This is a subtype of severe preeclampsia, must induce labor if at 32-34 weeks.

16

What is true gestational diabetes and how does it arise>?

impairment of carbohydrate metabolism that manifests during pregnancy

human placental lactogen act as anti-insulin agents leading to increased insulin resistance

17

What are signs and sx of intra amniotic infection, and what needs to be done? I

Fever, tender fundus, elevated WBC

Induction of labor if normal FHT

18

Contraindications to using Mg sulfate?

Myasthenia gravis

19

Side effects of terbutaline?

Tachycardia hypotension anxiety and chest pain

20

What are the karyotypes for a partial mole? Ultrasound finding?

Triploid 69 xxx(y)

Marked villi swelling

21

Which moles put patients at increased risk of GTD?

Complete moles

22

What are the signs of metastatic gestational trophoblastic disease and what should be done?

Elevated beta HCg, no evidence of IUP,

CT c/a/p

23

What is the appropriate of management of cord prolapse in a laboring patient?

Lift fetal head and perform emergent c section

24

What is the treatment for VIN 3?

Wide local excision

25

What should be done if patient has ASCUS but is negative for high risk HPV?

Resume normal screening, Pap again in 3 years

26

What is most concerning finding on colposcopy?

Disorderly blood vessels

27

What should be done for HSIL if nothing found on ECC?

Cervical conization

28

What should be done for patients presenting with positive ECC?

Cervical conization

29

What is Meigs syndrome?

Triad of ovarian tumor,ascites, and Right hydrothorax

30

What is the usual ratio of FSH/LH in primary ovarian failure and why?

>1 because both elevated but FSH cleared slower