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Obstatrics and Gynacology > OBGYN10 > Flashcards

OBGYN10 Flashcards

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1
Q

Epithelial ovarian ca origin?

A

ovary
fallopian tube
peritoneum

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2
Q

Postpartum urinary retention?

A

6-hour retention

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3
Q

Risk factor?

A 
	C/S 
	Premigravida
	OVP
	Regional  Anastasia
	Perennial laceration
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4
Q

Clinical future?

A

Retention

Dribbling

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5
Q

Indication for OVD?

A

 Prolonged second stage
 Maternal exhaustion
 Fetal distress
 HCMP(Hypertrophic cardiomyophaty)

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6
Q

Prolonged second stage?

A

 No fetal decent >3 hr prime and >2 hr multi w/o EPIDURAL

 No fetal decent >4 hr primi and 3 hr multi with epidural

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7
Q

Preferred management of IUFD

A

 >24 wk Induction of labor whether vertex or breech and VD when patient ready
 <24 D&E or VD
 Expectant is not recommended

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8
Q

Sign of fetal anemia HB pattern?

A

 Sinusoidal pattern(waveform)

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9
Q

Preterm fetal HB tracing?

A

 Low amplitude acceleration
 Reduced variability
 Increase baseline HR

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10
Q

What if a pregnant mother’s blood group O has A, B, or Ab infant?

A

Since they produce Ig G they may develop in first Px hemolytic anemia—but most of the time it is mild.

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11
Q

Which form of OI is dangerous?

A

Type II

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12
Q

How it results in fetal death?

A

Mostly IUFD
Due to # during delivery
Immediately postpartum due to pulmonary hypoplasia

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13
Q

polyhydramnios?

A

AFI>24

Deep pocket >8

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14
Q

cause?

A 
Duodenal or esophageal atresia
Anencephaly
MG
Congenital infection 
DM
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15
Q

Complication?

A 
Malposition
Umbalical cord prolapse
Preterm delivery
PROM
PPH secondary to atony
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16
Q

Pathophysiology?

A

utrine distension–Infn,irritation,prostaglandine release

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17
Q

First-line tx for HTN in PX?

A

Lebatolol
CCB
Hydralazine
Methyldopa

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18
Q

Second-line for HTN in PX?

A

clonidine

thiazide

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19
Q

C/I drugs?

A

ACE/ARB
DRI
Nitropuriside
Miniraloreceptor antagonist

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20
Q

when we will give antiD?

A

At 28 week
within 72 Hr postpartum
During procedure(aminiosynthesis/infusion/abortion/placental abruption/abortion

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21
Q

dose?

A

300 at 28 and

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22
Q

dose During procedure?

A

Based on the amount of fetomaternal heamorage determined by KBT

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23
Q

What is the time?

A

During procedure or fetomaternal bleeding considered

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24
Q

correct fetal position?

A

occipital anterior

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25
vaginal candidiasis risk?
``` DM immunosuppression Antibiotic pregnancy Antibiotic use ```
26
Diagnosis?
White cheesy discharge with infn. Ph 3.5-4-5 pseudohyphae
27
Management?
fluconazole
28
Recurent vaginal candiasis?
>=4/per year
29
Clinical future of Sheehan syndrome?
Lactational failure--low prolactin Amenorrhea, hot flash, and vaginal atrophy--Low FSH/LH Fatigue and bradycardia--Low TSH Anorexia,wt loss and Hypotension--Low ACTH Decrease LBM(low GH)
30
Monochorionic risk?
TT transfusion syndrome
31
Monoaminiotic risk?
Conjoined twin | Cord entanglement
32
Is macrosomia risk for preterm delivery?
No
33
Genito pelvic pain/penetration syndrome is?
vaginismus
34
Risk factor?
Sexual trauma Sexual abuse lack of sex knowledge
35
symptom?
Pain during penetrasion | ANxiety over symptom
36
Management?
kegel exercise Desensitization both help in muscle relaxation
37
Endometriosis?
pain only deep penetration
38
GU symptom of menopause?
Dyspareunia Urinary incontinence/recurrent UTI Vaginal Bleeding Pelvic pressure
39
PE?
Narrow introitus Pale mucosa, atrophy, and loss of ruga petechia/fissure loss of labial volume
40
Management?
Vaginal moisture and lubricant | Topical vaginal estrogen cream(increase B/F)
41
pathophysiology?
Low BF-Low collagen and Glycogen(make vaginal PH>4.5)
42
Lichen sclerosis management?
Topical steroid
43
Post partmum psycosis epidimology?
Rare/1-2/1000 Px
44
Symptom?
``` Agitation Mood disorder Delusion(like Dr.are hurting my baby) Hallucination Disorganized behavior Insomnia ```
45
Is it emergency
Yes
46
Why?
High risk of infant injury and suicide
47
management?
Admission | Antipsychotic
48
Sign of physiologic hydronephrosis of px?
Bilateral enlarged kidney(more pronounced on right) Onley proximal Dilated ureter Normal urinary symptom
49
Pathophysiology?
Increase GFR | Decrease urethral peristalsis
50
management?
reassurance and followup
51
Postmenopausal bleeding approach?
TVUS or endometrial biopsy | If endometrium > 4mm in us do biopsy
52
diagnosis of APS(antiphospholipid syndrome)?
1 clinical and 1 laboratory
53
clinical?
Arterial and venous thrombosis >=3 consecutive px loss less than 10 wk >=1 unknown cause pregnancy loss on >10 >=1 preterm delivery due to preeclampsia, eclampsia or placental insufficiency
54
Laboratory
lupus anticoagulant Anticardiolipin Anti Beta 2 microglobulin antibody
55
nocturnal polysomnography?
To diagnose sleep disorders(like sleepwalking)
56
Management of granulosa cell tumor?
endometrial biopsy | then surgery based on a biopsy result
57
Best way to assess the risk of preterm labor on risk Px?
TVUS/assess the cervical length
58
How we treat a patient with short cervical length
If have Hx of preterm labor ---Im progestrone/circilage | If not---vaginal progestrone
59
IUGR definition?
<10 % growth
60
classification?
asymetric--spares head | symmetric--all will be affected
61
D/C in the cause?
A---uteroplacental insuficiency | S---Congenital infection or congenital anomaly
62
D/C in onset?
A--2nd and 3rd TM | S--1st TM
63
Clinical presentation of Ovarian cyst rupture?
Severe pelvic pain after strenuous exercise like sex sign of peritoneal irritation may have hemodynamic instability
64
Diagnosis?
An ovarian cyst(may absent in complete rapture) | Peritoneal fluid collection
65
management?
if hemodynamically stable --Conservative | If not--Surgery
66
cause of primary dysmenorrhea?
Excessive prostaglandin secretion
67
clinical future?
Pain in the first 2-3 days of menses | Nausea and vomiting
68
Risk factors?
``` Age<30 BMI <20 smoking menarche < 12 Sexual abuse Heavy/long menstrual period ```
69
Management?
NSAID | OCP
70
Risk factors for bacterial vaginosis?
Women sex with women Douching Smoking
71
CM and diagnosis
Thin malodorous vaginal discharge positive wipe test PH > 4,5
72
Pathophysiology?
Bacterial overgrowth

Obstatrics and Gynacology (18 decks)

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