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ITE 2015 + 2016 > OB GYNE > Flashcards

Flashcards in OB GYNE Deck (14):
1

First line for Dysmenorrhea

NSAIDS

2

Female unable to conceive after 15 months
- husband normal sperm
- female, regular menses
Next step?

Order luteal phase progesterone level - will confirm ovulation
If normal, order hysterosalpingogram


TSH, T4 and prolactin levels if no ovulation

3

Tamoxifen (SERM)
Risk?
Benefits?

Increase risk of endometrial cancer
Increases leg cramps
Increase thromboembolic events
Increase vasomotor symptoms

Benefits:
Decrease bone fracture

4

Copper IUD preferred over Mirena in px with?

Severe Cirrhosis: Associated with Hepatocellular carcinoma

5

Pregnant female @ 39 weeks AOG with HTN
MGT?

Admit and induce labor after 37 weeks

6

G1P0 14 WKS.
What test to do?
When to do 1 ht GTT?
When to do Group B strep?

- Do UA and Urine culture every visit
- Do GTT at 24-28 wks
- Do Group B strep between 35 -37 weeks

7

31 y/o female with GDM.
Advantage of treatment?

- will decrease Pre eclampsia!

GDM will give LGA, shoulder dystocia, Maternal preeclampsia!

8

Post partum... Meds that are C. I. If:
1. Asthma
2. HTN

1. Carboprost(hemabate)
2. Methylergonovine

9

When to give Tdap?

Every pregnancy between 27wks - 36 wks

10

FBS for a pregnant lady?

95

11

Antibiotic that is contraindicated in breastfeeding bec it can elevate bilirubin?

Other antibiotic not for breastfeeding?

Bactrim

Cipro- dur to joint development

12

Pregnant with mild persistent asthma. What controller is good?

Bedesonide

13

Maximum valdity of GBS sceen?

5 weeks only

14

Vaginal discharge that is whitish with pH of < 4.5. Dx?

If discharge is greyish and pH is >4.5?

If yellowish, frothy and pH is > 4.5?

- cadidiasis - tx with fluconazole(diflucan)

- BV- tx with Metronidazole(flgy)

- trichomonas