Obstetric/Gynecologic Disorders Flashcards Preview

USMLE Step Two > Obstetric/Gynecologic Disorders > Flashcards

Flashcards in Obstetric/Gynecologic Disorders Deck (154)
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1

hypertension in pregnancy prior to 20 weeks gestation

essential hypertension or molar pregnancy

2

conditions associated with increased nuchal translucency

down's syndrome, turner syndrome, neural tube defects, congenital heart defects

3

decreased AFP, decreased unconjugated estriol, elevated inhibin A, elevated beta-hCG

down's syndrome or turner's syndrome

4

at what hemoglobin level should physiologic anemia of pregnancy be treated as iron deficiency anemia

first trimester: hemoglobin < 11
second trimester: hemoglobin < 10.5

5

what supplements should be given to women on anticonvulsants during pregnancy

folate and vitamin K (last month)

6

what supplements should be given to complete vegetarians during pregnancy

vitamin B12, iron, vitamin D

7

lab findings characteristic of HELLP syndrome

hemolysis, elevated liver enzymes, and low platelets

8

difference between preeclampsia and gestational hypertension

proteinuria, gestational hypertension is usually third trimester only

9

how long is magnesium sulfate continued after delivery in preeclampsia

24 hours

10

how long is magnesium sulfate continued after delivery in eclampsia

48 hours

11

what gestational age is maternal triple or quad screen offered to women?

16-18 weeks

12

when is 1 hour OGTT performed?

24-28 weeks

13

how does TSH change during pregnancy?

TSH stays the same, free T3/T4 stay the same
total T3/T4 increase because of increased thyroxine binding globulin

14

how much folate is needed in pregnancy

400 micrograms/day

15

how much iron is needed in pregnancy

30 mg/day

16

how much calcium is needed in pregnancy

1200 mg/day

17

when can amniocentesis be performed

after 16 weeks gestation

18

when can chorionic villous sampling be performed

after 9 weeks gestation

19

mccune-albright syndrome

females, pseudo-precocious puberty, cafe-au-lait macules, fibrous dysplasia of the bone

20

estrogen generated by ovaries

estradiol

21

estrogen generated by placenta

estriol

22

estrogen generated by fat tissue

estrone

23

nonhormonal options for menopausal hot flashes

desvenlafaxine, venlafaxine, clinidine, gabapentin, placebo, or just wait (most hot flashes resolve within 4-5 years)

24

what lab findings distinguish true precocious puberty from pseudoprecocious puberty

elevations of LH, FSH in central/true precocious puberty, further increased by GnRH stimulation

25

definition of precocious puberty

< 8 in girls
< 9 in boys

26

some causes of pseudoprecocious puberty

exogenous hormones, adrenal tumor, congenital adrenal hyperplasia, ovarian tumor, mccune-albright syndrome

27

definition of premature ovarian failure

> 1 year amenorrhea in women < 40

28

hormone associated with increase in basal body temperature

progesterone

29

how is body basal temperature increase associated with ovulation

1 degree increase occurs 1 day before ovulation

30

4 different options for emergency contraception

combination pill, progestin pill, copper IUD, anti-progestin