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Flashcards in OBGYN 2 Deck (30):
1

indication for antibiotics after delivery

foul smelling lochia
tender uterus

2

when do you do Kleihauer Betke test

after delivery to see if you need higher dose of Rh Ig

3

ovarian torsion vs ruptured ovarian cyst

ovarian torsion has nausea and vomiting

ruptured ovarian cyst happens with strenuous physical activity and may have light vaginal bleeding

4

who should be offered cell free DNA testing of maternal plasma

women at least 35 at increased risk of aneuploidy and at least 10 weeks gestation

5

abnormal cell free fetal DNA testing, next step in 1st vs 2nd trimester

1st trimester 10-12 wks: fetal karyotyping with chorionic villus sampling
2nd trimester 15-20 wks: amniocentesis

6

Downs syndrome tests for people who don't have high risk in 1st vs 2nd trimester

1st: combined test of plasma protein A, beta hCG, and nuchal translucency
2nd: quad screen of maternal serum AFP, beta hCG, unconj estriol, inhibit A

7

tx of genital warts

trichloroacetic acid
or podophyllin

8

loss of fetal station

uterine rupture

9

symmetric vs asymmetric fetal growth restriction

symmetric is fetal
- genetic disorders
- congenital heart disease
- intrauterine infection

asymmetric is maternal
- vascular disease (HTN, DM)
- antiphospholipid antibody syndrome
- autoimmune (SLE)
- cyanotic heart disease
- substance abuse

10

workup of adnexal mass in postmenopausal woman

transvaginal US and CA125

11

NST is nonreactive. Next step?

BPP or CST (but CST CI if have CI to labor like placenta previa)

12

how long should NST be done to account for fetal sleep cycle

at least 40 min

13

when to use umbilical artery flow velocimetry

when monitoring growth restricted fetuses (less than 10th percentile)

14

what does it mean to have a BPP score of 0-4/10? management?

fetal hypoxia due to placental dysfunction (placental insufficiency)
deliver

15

management of incomplete, inevitable, or missed abortion

hemodynamically unstable: dilation and suction curettage
hemodynamically stable: can do expectant management, prostaglandins, or surgical evacuation

16

management of septic abortion

blood and endometrial cultures
broad spectrum antibiotics
surgical evacuation

17

thyroid levels in pregnancy vs pre pregnancy

fT4 and fT3 incr
TSH decr

18

cause of late decels

uteroplacental insufficiency (see placental calcifications)

19

causes of variable decels

cord compression
cord prolapse
oligohydramnios

20

when should you do something about variable decels

when associated with at least 50% of contractions

21

pruritic vaginal area with white, cigarette paper quality
- dx
- next step
- tx

lichen sclerosus
punch biopsy
topical corticosteroids

22

clotrimazole cream used for

vaginal candidiasis

23

after how many weeks gestation should you try to convert a breech baby? and what is it called? what are CIs?

37 weeks
external cephalic version
placental abnormalities, fetopelvic disproportion, hyperextended fetal head

24

age cutoff for premature ovarian failure

less than 40

25

differential for nonreactive NST

fetal sleep cycle
fetal hypoxia from placental insufficiency
fetal cardiac or neurologic abnormalities

26

indication for magnesium sulfate

less than 32 weeks gestation for neuroprotection

27

fetal viability starts at how many weeks

23 weeks

28

indication progesterone supplementation

16-36 weeks gestation in pregnant with singleton and history of preterm delivery

29

things to give in a preterm labor if less than 34 weeks (preterm is technically less than 37)

corticosteroids (lung maturity)
magnesium (neuroprotection)
tocolytic

30

weeks that indicate preterm labor

less than 37