Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

USMLE step2 > obstetrics > Flashcards

obstetrics Flashcards

(47 cards)

Start Studying
1
Q

fetal heart tones

A

doppler= week 10

also it is the same week in witch B-hCG peaks

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

Gestational Sac

A

visible at week 5 by vaginal ultrasound

B-hCG=1000-1500

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

prenatal visits
week 0-28=
weeks 29-35=
weeks 36-birth=

A

week 0-28= every 4 weeks
weeks 29-35=every 2 weeks
weeks 36-birth= every week

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

CMV

A

petechial rash + periventricular calcificacions
(toxoplamosis calcificacions are intracranial calcifications and no rash)

TOXOPLASMOSIS

  • hydrocephalus
  • intracranial calcifications
  • chorioretinitis
  • Ring-enhancing lesions on MRI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

fetal cardiac tone

A

US=6-7 weeks

doppler=10 week

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

nonviable pregnancy

A

gestational sac >25mm without a fetal pole or absence of fetal cardiac activity when CRL>7mm on transvaginal ultrasound

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

early deceleration

A

head compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

late deceleration

A

uteroplacental insufficiency and fetal hypoxemia

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

variable deceleration

A

umbilical cord compression

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

biophysical profile

Test the Baby MAN

A
  • fetal Tone
  • fetal Breathing
  • fetal Movement
  • Amniotic fluid volume
  • Nonstress test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q 
confirmatory 3 hour (100mg) glucose test (GTT)
values
fasting=
1h=
2h=
3h=
A

fasting=>95
1hour=>180
2hour=>155
3hour=>140

2 or more is positive

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

MILD PRECLAMSIA

A

BP>140/90 on two occasions>6 hours apart.
proteinuria(>300mg/24h or 1 to2 + urine dispsticks)
edema

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

SEVERE PRECLAMSIA

A

BP 160/110 in tow occasions>6 hours apart

PROTEINURIA >5g/24hours or 3-4 + urine dipsticks) or oliguria(

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

polyhydramnios

A

AFI>25

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

oligohydramnios

A

AFI

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

breastfeeding contraindications

A

HIV infection
Active HBV and HCV
somo drugs(tetracyclines,chloramphenicol)

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

morning sickness causes

A

increase in beta-HCG

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

first sign of pregnancy

A

goodell sign (4 weeks) softening of the cervix

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

gestational sack shoul be seen with what level of B-HCG

Study These Flashcards
A

1500 IU/mL and 5 week

20
Q

metotrexate contraintidications in ectopic pregnancy

Study These Flashcards
A 
fetal heartbeat
ectopic is 3.5 or larger
hepatotoxicity
noncompliant patient
inmmunodeficiency
21
Q

prolonged rupture of membrane

Study These Flashcards
A

> 24h before delivery

22
Q

PROM prophilaxis

Study These Flashcards
A

ampicilina + azithromycin

if alergic to peniciline change it for cefazolin or clindamicin.

23
Q

early decelerations

Study These Flashcards
A

head compression

24
Q

variable decelerations

Study These Flashcards
A

umbilical cord compression

25
late decelerations
fetal hypoxia
26
prolongated latent stage
>20h for primipara | >14 h for miltipara
27
first symptom of pregnancy in women with regular menstruation
amenorrhea
28
chloasma
16 weeks
29
linea nigra in pregnancy
second trimester
30
pregnancy quickening
16-20 weeks
31
cervica culture for chlamydia and gonorrhea, as wellas culture for group B strep
36 weeks - treatment if positive (chlamydia and gonorrhea) - prophylactic antibioic during labor
32
abortion definition
before 20 weeks or a fetus less than 500gr.
33
septic abortion treatino
D & C and IV antibioitcs(levoflox and metronidazol)
34
labor should NOT be stopped with tocolytics and delivert should occur
- severe preclamsia - maternal cardiac diseas - maternal cervical dilation of more than 4 cm - maternla hemorrhage - fetal death - chorioamnionitis
35
corticosteroid indication in pregnancy
from 24-34 weeks
36
tocolytic of choise
``` Mg sulfate (CHECK FOR DEEP TENDON REFLEXES) -TOX:flushing,headaches,diplopia and fatigue, WATHC OUT can lead to respiratory arrest. ```
37
when does a patient is considered sensitized for RH
titer leve more than 1:4
38
antibody titer greater than 1:16 in a mother
do regular amniocentesis, if hematocrit is low perform an intrauterine transfusion
39
macrosomia
over4500gr
40
most dangerous decelerations
Late decelerations | Fetal hypoxemia,uteroplacental insufficiency
41
variable compressions
umbilicar cord compression
42
prolonged latend stage
more than 20 in promipara longer thant 14 hours multipara TX:REST AND HYDRATATION
43
protracted cervical dilatation(slow dilatatation during active phae)
less than 1.2 in primipara | less than 1.5 per hour in multipara
44
when to perform external cephalic version
after week 36
45
endometritis treatment
- genta-clinda (for anaerobeous) | * if fever spikes add ampicilin, if allergic use metronidazol
46
1 hour 50g glucose load test ,abnormal value
-above 140 , DO A TOLERANCE TEST(100gr)
47
fetal acidemia on fetal scalp sampling (below 7.2)
immediate delivery

USMLE step2 (21 decks)

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