OB/GYN/GU

Question 1

When is a pregnancy viable due to lung maturity?

Answer 1

20 weeks

Question 2

What is Naegele’s rule?

Answer 2

EDD = LMP - 3 months + 7 days

Question 3

Which med is expected to be given for bleeding in pregnancy

Answer 3

pitocin

Question 4

What is placenta previa

Answer 4

“PP” = “painless privates”
vag bleeding 2nd or 3rd trimester b/c placenta covers internal cervical opening. Causes painless bright red bleeding.

Question 5

What is placental abruption

Answer 5

“PA” = “painful always”
EMERGENCY condition, uterine pain/tenderness with bleeding, compromises fetal circulation, typically happens in 3rd trimester. Tx = emergency c-section

Question 6

What med is first line for preecelampsia? What med treats high BP?

Answer 6

1st line = mg sulfate (toxicity most concerning symptom, d/t resp depression)
BP = hydralyzine

Question 7

What are 3 complications of hyperemesis gravidarum?

Answer 7

-GI bleeding
-Mallory-Weiss tear
-preterm labor d/t ketones

Question 8

What do we do in an emergency delivery?

Answer 8

Always check for cord! Wipe NB face, suction mouth, then nares

Question 9

What is assessed in an apgar score? When do we assess?

Answer 9

-Appearance
-Pulse (140-160)
-Grimace
-Activity (muscle tone)
-Respirations (40-60)

1&5 minutes

Question 10

What is the newborn epi dose?

Answer 10

0.01 mg/kg

Question 11

What are the top 2 causes of DUB? How do we treat? Why must patient f/u?

Answer 11

-Fibroids and hormone imbalance

-Treat with progesterone only OCP

-r/o cancer

Question 12

What do all STDs needs (2)

Answer 12

HIV testing & test of cure

Question 13

PID is high risk for what?

Answer 13

ectopic

Question 14

What must be avoided with flagyl?

Answer 14

alcohol

Question 15

Specific finding associated with UTI?

Answer 15

Nitrates

Question 16

ischemic pain at 4-6 hours, pain rapid onset, diagnosed with doppler US (shows arterial flow)

Answer 16

Testicular Torsion

Question 17

Most common cause of epididymis age <35yo? >35yo?

Pain more gradual onset than torsion

Answer 17

<35 = STD

> 35 = e coli

Question 18

This may cause frank hematuria but a heme negative UA does not rule out. May also cause Grey Turners sign.

Answer 18

Renal trauma

Question 19

Flank swelling/hematoma/ecchymosis r/t retroperitoneal hemorrhage

Answer 19

Gray Turners sign

Question 20

this only requires lack of consent, LOC can be anything, from alert to comatose

Answer 20

sexual assault

Question 21

What is used to evaluate for sex assault b/c semen glows - swab area for DNA

Answer 21

UV/black light

Question 22

To take this must have neg HCG

How long do we have to take?

Answer 22

Plan B

72 hours

Question 23

What is the most common cause of fetal death in trauma?
2nd most common cause?
What is main priority?

Answer 23

Maternal death = 1
Maternal shock = 2
priority = stabilize mother

Question 24

What position do we put pregnant woman in? Why?

Answer 24

Left lateral decubitis bc it displaces gravid uterus off lower vena cava, up to 30% of venous return can be compromised