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Obstatrics and Gynacology > OBGYN8 > Flashcards

OBGYN8 Flashcards

(60 cards)

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1
Q

Hep C complication in PX?

A

Gestational DM
Cholestasis of px
Preterm delivery

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2
Q

maternal management?

A

Avoid riverine
Hep A and B vaccine
Barrier contraceptives not recommended in discordant, monogamous couples.(<0.1 T)
no sufficient data on interferon-alpha–not use it

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3
Q

the major mode of transmition?

A

Through blood

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4
Q

How to prevent vertical transmission?

A

Highley ass. with maternal viral load and HIV
avoid scalp electrode
feed breast if no blood on it
C/S is not preventive

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5
Q

HCV transmission increasing factor among the couple?

A

HIV
Multiple sexual partners
Genital trauma(gay)

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6
Q

pyelonephritis in PX risk?

A

age <20
DM
Asymptomatic bacteriuria

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7
Q

pathophysiology?

A

Ureteral dilation
Urethral valve laxity
Blader compression by Gravid utrus?

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8
Q

Common pathogen?

A

E.Coli
Klipsala
Enterobacter
GB strep

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9
Q

Diagnosis?

A

CVT
Fever
Urinalysis

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10
Q

Fetal comp.?

A

IUGR

Preterm delivery

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11
Q

A fetal complication of preeclampsia?

A

Oligohydramnios

IUGR

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12
Q

Intertrigo?

A

dermatitis especially occurs in skinfold(axillary, inguinal, submammary, and gluteal area.

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13
Q

CM?

A

erythematous plaque
kissing lesion
satellite lesion near primary infection site.

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14
Q

precipitating factor?

A

Immunosuppression
Moisture
Skin friction(stoking)

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15
Q

common etiology?

A

C.Albicans

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16
Q

management?

A

topical clotrimazol (ketokonazol) –also anti inflamatory

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17
Q

TrichloroacidIpodophylin) usage?

A

condemulata accumulata

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18
Q

Sartori-Leydig cell tumor pathogenesis?

A

sex cord-stromal tumor

Increase testosterone

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19
Q

CM?

A

Rapid virilization
Oligomenorhea
Solid unilateral mass

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20
Q

Rapid virilization CM?

A

Voice deepening
Male pattern hair loss(Bitemporal hair loss)
Increase muscle mass
Cliteromegaly

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21
Q

How Oligomenorhea?

A

High testosterone will have negative feedback on LH/FSH release.

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22
Q

vulvar Ca etiology?

A

Persistent HPV infection

Chronic infection

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23
Q

Risk factor?

A 
smoking
Immunodeficiency
lichen sclerosis(wight plaque-may respond to steroid0
Prior cervical CA
CIN
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24
Q

CM?

A

Pruritis
Plaque/ulcer
Abnormal Bleeding

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25
Diagnosis?
Biopsy
26
The complication of losing weight during Px?
preterm labor | IUGR--fetal polycythemia
27
The complication of excessive weight during Px?
GDM | Macrosomia---C/S
28
Normal Px weight gain?
12-18 kg
29
Risk factor for Asherman?
Endometrial Infection | endometrial surgical procedure
30
Complication?
``` AUB Amenorrhea Infertility Cyclic abdominal pain(spared part proliferation endometrium) Negative progesterone withdrawal test ```
31
Diagnosis?
Hysteroscopy(also used for mgt--lyze adhesion)
32
Choriocarcinoma risk factor?
Advanced maternal age | Hyaditid form mole
33
CM?
AUB/Amenorrhea Pelvic pain/pressure Lung Ms--cough, CP, and hemoptysis Uterine mass
34
diagnosis?
elevated BHCG | CXR(for staging)--CT is not important for staging
35
OCP and malignancy?
Increase Cervical Ca risk | Decrease endometrial ca
36
Smoking?
Increase cervical squamous ca risk?
37
Initial lab test on first ANC visit?
5 infection 2 blood related Chlamydia PCR Pap smear if indicated
38
5 infections?
``` HIV HBSag VDRL Rubella Varicela ```
39
2 blood-related?
HCT,Hgb | RH,AB if negative
40
2 urine?
urine culture | urine dipstick
41
Why we give inactivated influenza vaccine to all pregnant women?
Px is associated to increase maternal morbidity and mortality related to influenza.
42
cervicitis bleeding pattern?
Lght intermitent and post coital
43
is a risk for PID?
yes--defective barrier for ascending infection
44
when do we suspect PID?
when a patient has constant pain
45
at wich age is PID comon?
15-25
46
MCC for early oligohydramnios?
fetal cause aneuploidy renal agenesis pos. valve
47
MCC of 2nd and 3rd TM oligohydramnios?
uteroplacental insuficiency ROM Sever maternal DHN
48
Stage of atony management?
1-Bimanual massage, deflate bladder, high dose oxytocin 2--Tenaximic acid(most effective within 3 hr)--No absolute contraindication 3--Carboprost--C/I asthma 4--Methyl ergonovine--C/I in HTN 5--IU ballon 6--surgery
49
Prolapsing leiomyoma uteri(fibroid symptom?
Heavy Menstrual bleeding Labor like pain Dilated cervix Visible MAss through the cervix
50
Best contraceptive for pt with breast Ca?
copper IUCD
51
Absolute C/I for COC?
``` HTN HF DM with end-organ damage Migraine with aura History of stroke TE event Anti-PL syndrome Cirrhosis and liver ca Major surgery with prolonged immobilization cigarett >15/day and age >35 ```
52
Bupivacaine Toxicity?
CNS-perioral numbness,tinitis, seizure, and metalic test | CVS-Palpitation and hypertension
53
Mechanism?
Disinhibition of CNS nurons--CNS effect | Disinhibition of SNS--CVS effect
54
Early deceleration?
start simultaneously with contraction peak at mid and return to normal at the end of the contraction
55
cause?
Fetal head compresion
56
pathophysiology?
HC--Variable CNS BF_-vagus nerve activation
57
U/S feature of missed abortion?
Embryo w/o cardia activity | Empty gestational sac
58
HCG pattern?
Increase until end of 1st TM
59
cause of vaginal dryness with adequate estrogen?
Sjogren's syndrome(Dry another mucosa)
60
How to D/T malignant hyperthermia from eclampsia?
eclampsia does not cause fever, tachypnea) and less likely to occur after mgso4 given.

Obstatrics and Gynacology (18 decks)

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