Obgyn

Question 1

Lithium

Answer 1

Ebstein anomaly
Tricuspid lower
Very larg atrium

Question 2

Streptomycin causes

Tb treatment

Answer 2

Cn 8 - hearing

Question 3

Tetracycline causes

Answer 3

Competes with ca binds with mg

Teeth discoloration after 4 months

Question 4

Thalidomide

Answer 4

Drug for vomiting causes phocomelia pyloric and duodenal stenosis

Question 5

Valproic acid

Answer 5

Neural tube defects

Mg:migran and bipolar

Question 6

Warfarin causes (does not work )

Answer 6

Chondrodysplasia

Question 7

46xy

Answer 7

Complete mole egg and dna

Question 8

69 xxy

Answer 8

Incomplete mole 1-2 sperm egg sperm replicates

Question 9

Ductus venous

Answer 9

Umbilical vain to Vic ⬆️ po2

Question 10

Foramen ovals

Answer 10

R atrium to left atrium

Question 11

Ductus arteriosus

Answer 11

Pulminary artery to descending aorta

Question 12

Accutane causes

Answer 12

Congenital deafness
Congenital heart defects

Must do ipledge

Question 13

Ultra sound

Answer 13

Non invasive 
No adverse effects 
18-20 week of gestational anatomical anomalies 
Accuracy for gestational age 
12 weeks +/-5 day 
18 week +/-7 day

Question 14

Nucal translucency

Answer 14

10 -14 weeks via utz

Thick area you should think cystic hydroma Down syndrome , turner

Question 15

Cvs

Chronic villouse sampling

Answer 15

Aspiration of placental tissue
Sonogram guided
Karyotyping 151821 sex and xy

Question 16

Amniocentesis

Answer 16

Transabdominal needle to withdraw amniotic fluid under sonogram looking at DNA from fetal cells 
Not enough fluid befor 15 weeks 
Pregnancy loss rate .5% 
24 weeks Dh isoimmunization 
Bilirubin levels 
34 lechin

Question 17

Pubs

Precutanouse umbilical blood Sampling

Answer 17

Fetal blood from umbilical vein 
Fetal Karyotyping 
It antibody blood typing 
Intrauterine blood transfusion pregnancy loss 
1-2%

Question 18

Fetoscopy

Answer 18

Experimental 18-20 weeks
Fetal tissue biopsy 
Ichthyosis 
Genetic skin condition fish scales 
Coagulation in twin to twin transfusion 
Test

Question 19

Women greater then 35

Answer 19

Inc downs baby rate

Question 20

First week of implantation

Answer 20

Give folate acid to we on of reproductive years

Question 21

Week 2-3 post conception

Answer 21

Bilaminar germ disk 
Epiblast
Hypoblast
Cytotrophoblast
Synchotrophoblast
Primitive streak

Question 22

4-8 weeks

Answer 22

Major organs develop

Teratogenic risk
Ectoderm : cns /pns sensory
Mesoderm muscle cartilage renal heart
Endoderm gi lining respitory system

Must have all three in order to have terror iv problems

Question 23

Ionizing radiation

Answer 23

Ct 10 rads 
MRI 0
X-ray .5 rad
5-10 ok 
>10  BAD!!

Question 24

Chemotherapy

Answer 24

Focus on mom 2-3 trimester is ok

Question 25

Tobacco

Answer 25

Causes smaller children and hpt

Question 26

ETOH - alcohols

Answer 26

Induce labor

Question 27

Cocaine

Answer 27

Vaso constriction abortive placenta

Question 28

Alcohol

Answer 28

Fetal alcohol syndrome Long philtruim Mid facil hypoplasia Short palpable fissure

Question 29

Diethyslstilbestrol

Answer 29

T shaped uterus Vaginal adenosis Clear cell carcinoma Imcompetant cervix

Question 30

Hcg

Answer 30

Syncytrophoblast In blood by day 10 Alpha subunit Beta sub unite

Question 31

High hcg

Answer 31

Twins Moles Choriocarima

Question 32

Low hcg

Answer 32

Ectopic | Threaten abortion

Question 33

Hpl

Answer 33

Antagonizes insulin | Increased throughout pregnancy

Question 34

Heat changes in birth

Answer 34

``` Hypotension due to estrogen Inc plasma volume Femoral venous pressure Co Peripheral vascular resistance dec ```

Question 35

Murmurs

Answer 35

Systolic murmur not normal

Question 36

Blood

Answer 36

``` Rbc increase Plasma volume increase Wbc increase Platelets normal Coagulation increase ```

Question 37

Gi

Answer 37

decrease paristolisis

Question 38

Pulmonary | Changes

Answer 38

Tidal volume increase Min vol tv x rr = 12-16 Respiratory volume dec Blood gas - urin ph up increase uti

Question 39

Renal

Answer 39

Increase in size Glucose uria Proteinuria

Question 40

Endocrine

Answer 40

Limphatitic thyroid propranolol

Question 41

Fht | Fetal heart tone

Answer 41

Doppler 10-12wks Auscultation 18-20 Quickening 16-18

Question 42

Ultra sound dating

Answer 42

``` 1 trimester crown rump length 2nd trimester and 3rd Bipariental diameter ear to ear Head circumference Abdominal circumference Femur length ```

Question 43

Second trimester

Answer 43

``` 13-26 wks Round ligament pain Braxtonhicks contraction Quickening With gain 1 per wk Complication incompetent cervix ```

Question 44

Triple marker screening

Answer 44

Hcg down Ms fsp up Estriol up Downs

Question 45

Trisomy 18 | Edwards

Answer 45

Hcg down Ms-afp down Estriol down

Question 46

Tb treatment for 6-9 months

Answer 46

Im b6 + raphampin