Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Obstatrics and Gynacology > OBGYN14 > Flashcards

OBGYN14 Flashcards

(70 cards)

Start Studying
1
Q

How we treat PX with a previous history of herpes?

A

Start prophylaxis (acyclovir/valacyclovir) starts at 36 weeks regardless of symptom?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Benefits?

A

Reduce asymptomatic shading and acute flare-up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

At labor?

A

Predorm Sx/active lesion–C/S

Asymptomatic–Vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SLE nephritis CM?

A

Edema
Malar Rash
Arteritis
Hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lab finding?

A

Neprtitic range protinuria
Urinalysis(RBC and WBC) casts
Decrease complement level
Increase ANA level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diagnosis?

A

Renal biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Obstatric complication?

A 
Preterm labor
C/S
Preeclampsia
IUGR
Fetal death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pergnancy and Post partum effect on SLE?

A

flare up SLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how to d/t T.V from bacterial vaginosis?

A

Discharge characteristics

Presence of inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Discharge characteristics?

A

BV-thin, white with a fishy smell

TV–thin, yellow-green, frothy, and malodorous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Precense of inflamation?

A

BV-no inflammation/minimal

TV–there will be marked inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

laboratory?

A

BV-Clue cell(VE cell surrounded by gardenella)

TV–motile, flagellated protozoa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

actinomycete?

A

Colonize IUD
Cause PID
No vaginitis–Not visualized by wet mount

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

diagnosis?

A

culture–anaerobic, filamentous gram-positive bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Definition of postpartum urinary retention?

A

Urinary retension > 6 hr post partum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pathophysiology?

A

Blader atony

Pudendal nerve injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Blader atony?

A

Epidural/spinal anesthesia–Bladder sensory and motor defect due to spinal nerve dysfunction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pudendal nerve injury?

A

Prolonged 2nd stage/perineal laceration–pudendal nerve injury–EUS dysfunction and decrease voiding sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

management?

A

Resolve within 1 week

Intermittent catheterization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

other cause?

A

Primigravida

OVD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When we start insulin in GDM?

A

failure of exercise and dietary tx to achieve the target.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the target?

A

FBS<95
1hr post prandial <140
2hr post pradial <120

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

alternative managmnet?

A

metformin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Is weight loss for GDM recommended?

A

No-wt reduction associated with preterm delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Management shoulder dystocia?
BE CALM
26
B-
Breath
27
E-
Elevate leg,flex tigh against abdomen(Macrobert)
28
C-
Call for help
29
A-
apply suprapubic pressure
30
L-
LArge pelvis--episiotomy
31
M-
maneuver(If above failed)
32
maneuver?
``` Deliver posterior arm Rotate posterior shoulder--woods screew Adduct posterior shoulder--rubin mother on hand and knee-Geskin replace the head for C/S--zevaleni ```
33
D/T from vulvovaginal atrophy from lichen sclerosis?
LS-Can involve the perineal region(LM skin, anal area--anal fissure) and will have associated autoimmune disease
34
fetal reassuring acceleration?
>=15bpm that extend to 15 min
35
MCC nonreassuring FHB?
Sleep(mostly resolve within 20 min) | prematurity--Start to develop after a 26-28 week(need developed sympatetic nerve)
36
cervical ca screen in immunocompromised?
every 6-12 month
37
painful inguinal lymphadenopathy?
``` HSV Hemophilus ducri(bubbo) ```
38
Hyaditiform follow-up?
Weekly BHCG until undetectable | Monthly up to 6 months if it is decreasing
39
When we diagnose GTN?
HCG increases/plateau during follow-up | HCG detected at 6 month
40
What do we do during surveillance time?
Contraception(Px make f-up difficult)
41
Management of GTN?
Methotrexate | Hysterectomy
42
Contraceptive best in <1 postpartum?
IUCD(not copper if bleeding) | Progestin relising subdermal pach(dipo)
43
Why not OCP < 1 month?
Affect breastfeeding | High thromboembolic risk
44
Labial adhesion?
thin adhesive Labia minora common in prepubertal-Due to low estrogen Poor genital hygiene--Infn--labial adhesion
45
Management?
Topical estrogen is the first line
46
What causes a decrease in GnRH in stress amenorrhea?
Low leptin
47
Low FSH in granulosal cell tumor?
Increase inhibin
48
When we need mammography/breast U/S in nipple discharge?
1-unilateral 2-palpable mass/skin change 3-Bloody/serous discharge
49
consider physiologic?
1-milky/non-bloody 2-no mass 3-milky/non-bloody
50
What test we should do for the physiologic one?
Px test Guiac test Consider prolactine/TSH MRI-if high prolactine/hedach/visual disturbance
51
medication cause galactorrhea?
indibit dopamin-antidepresant/psycotic,opoid OCP-stimulate pituitary lactotrophs H2 blocker--Inhibit estrogen metabolism
52
cause of urethral diverticulum?
recurent parauretral gland infection
53
CM?
anterior vaginal mass Have discharge (urine, debris or pus) when compressed Dysparunia
54
diagnosis?
MRI
55
management?
surgery
56
sexual asult managment?
STI prophlaxix(azitro,ceftra,metronidazole,HART
57
who needs a 24-hour proteinuria assessment regardless of B/P on the first visit?
A patient who is at risk of developing preeclampsia
58
Risk factor for amniotic fluid embolism?
``` Age>35 Multipara(>5) C/S or instrumental delivery placenta previa/abruption preeclampsia ```
59
CM?
Cariogenic shock Hypoxic respiratory failure DIC Comma and seizure
60
Management?
Respiratory/hemodynamic support | +-transfusion
61
Management of septic abortion?
Broad-spectrum antibiotic | Suction and curettage (repeat even when developing endometritis after procedure)
62
Variable deceleration character?
Can be but not necessarily ass. with cox Abrup<30 sec from the onset of nadir(>30 sec for late deceleration) Decrease >=15 /min duration >15 sec but less than 2 min
63
Causes?
Cord compression Oligohydramnios cord prolapse
64
Management of recurrent variable decceleration?
Maternal repositioning Resuscitation if persist amnioinfusion
65
Risk factor for septic pelvic thrombophlebitis?
``` C/S Pelvic surgery Endometritis PID Malignancy Pregnancy ```
66
Pathophysiology?
Hypercoagulability Pelvic vein dilation Vascular trauma Infection
67
Presentation?
Diagnosis of exclusion Fever does not respond to antibiotics No localized sign Negative infection
68
Treatment?
Anticoagulation | Broad-spectrum antibiotics
69
Why HCG remains positive after septic abortion?
Retained tissue presence
70
management of vasa Previa?
inpatient management and erarly c/s(34-35) | diagnosed 18-20 wk

Obstatrics and Gynacology (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions