OBGYN 1 Flashcards Preview

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Flashcards in OBGYN 1 Deck (30):
1

risk factors for cervical insufficiency

LEEP procedure
cone biopsy of cervix
prior obstetrical trauma
multiple gestation
Mullerian anomalies
history of preterm birth or 2nd trimester pregnancy loss

2

risk factors for abrupt placentae

maternal trauma
chronic HTN or preeclampsia or eclampsia
maternal smoking
maternal cocaine use
history of external cephalic version

3

risk factors for uterine rupture

multiparity
advanced maternal age
previous c section or myomectomies

4

risk factor for polyhydramnios

fetal malformations and genetic disorders
maternal DM
multiple gestastion
fetal anemia

5

sxs of abrupt placentae

hemorrhage
uterine tenderness
contractions
cool extremities

6

management of hemorrhagic shock due to abruptio placentae

fluid resuscitation with crystalloids
left lateral decubitus position

7

timing of giving anti-D Ig

28-32 weeks if Rh neg mom
and within 72 hrs of delivery if Rh positive infant of Rh neg mom

8

gold standard for evaluating cervix for possible cervical incompetence

transvaginal ultrasound

9

indications for tamoxifen (SERM)
ADR of tamoxifen

indications:
- prevent breast cancer
- adjuvant tx of breast cancer

ADRs:
- hot flashes
- venous thromboembolisms
- endometrial hyperplasia and ca

10

indications for raloxifene (SERM)
ADR of raloxifene

indications:
- prevent breast cancer
- postmenopausal osteoporosis

ADRs:
- hot flahses
- venous thromboembolism

11

palpable breast mass, next step in less than 30 year old vs over 30 year old

less than 30: ultrasound
over 30: mammo and ultrasound

12

complications of placental abruption

DIC
hypovolemic shock
hypoxia of fetus
preterm delivery

13

definition of large for gestational age

more than 4 kg

14

maternal hyperglycemia in 1st trimester affects fetus in what ways

congenital anomalies
- congenital heart defects
- NTD
- small left colon syndrome

spontaneous abortion

15

to confirm dx of ectopic pregnancy...

pos hCG
transvaginal ultrasound shows adnexal mass and empty uterus

16

process in HELLP syndrome that causes RUQ or epigastric pain

liver swelling and dissension of hepatic capsule

17

all women should be screened for what STDs

and what STDs should be screened for ppl with high risk

syphilis (with RPR or VDRL)
HIV
Hep B

chlamydia
gonorrhea
Hep C

18

normal internal female genitalia
clitoromegaly
high FSH/LH, low estrogen
delayed puberty
polycystic ovaries

aromatase deficiency

19

early puberty
delayed menarche
cafe au lait spots
polyostotic fibrous dysplasia
autonomous endocrine hyperfunction

McCune Albright syndrome

20

how to confirm intrauterine fetal demise

real time ultrasound

21

next step after induction of labor of intrauterine fetal demise

get autopsy of fetus and placenta to figure out why fetal demise occurred

22

indications for c section

breech
non reassuring fetal heart tracing
history of multiple c sections
less than 32 weeks pregnant and unfavorable cervix

23

when need to do corticosteroids for fetal lung maturity

under 34 weeks

24

cause of low back pain in 3rd trimester

lumbar lordosis
relaxation of ligaments supporting pelvic girdle

25

how many weeks can you start external cephalic version

37 weeks

26

CI to external cephalic version

hyperextended head
oligohydramnios
placental abnormalities
fetal or uterine anomaly
multiple gestations

27

what diabetes meds can be given to pregnant patients

insulin
metformin
glyburide

28

mothers with DM in second and third trimesters have babies with what complications

polycythemia
organomegaly
birth injugies like brachial plexus, clavicle, asphyxia
hypoglycemia

29

some supportive treatments for hyperemesis gravidarum

ginger
pyridoxine B6

30

definition of arrest of labor

at least 6 cm dilated with ruptured membranes and one of the following
- no cervical change for 4 hours with adequate contractions
- no cervical change for 6 hours without adequate contractions