Random Boards Flashcards by Zak Reneau

What is the rec weight gain for various BMI’s in pregnancy?

BMI < 18.5 = 30-40
BMI 19-25 = 25-35
BMI 25-30 = 15-25
BMI ≥ 30 = 10-20

How well did you know this?

Not at all

Perfectly

What are the criteria for Dx of metabolic syndrome?

BP ≥ 130/85
Waist circ ≥ 88cm/35”
Fasting BG > 100
TG’s ≥150
HDL < 50

How well did you know this?

Not at all

Perfectly

When does the blastocyst divide to create the various types of twin gestations?

Di/Di = 0-3d
Mo/Di = 4-8d
Mo/Mo = 9-12d
Conjoined = ≥ 13d

How well did you know this?

Not at all

Perfectly

What are the components of the quad screen?

hCG
AFP
Dimetric Inhibin A
Unconjugated Estriol

How well did you know this?

Not at all

Perfectly

When can a quad screen be performed?

15-22w

How well did you know this?

Not at all

Perfectly

What is the FIGO fibroid staging?

0 = intracavitary, pedunculated
1 = submucosal, < 50% intramural
2 = submucosal, > 50% intramural
3 = intramural, contacts submucosa
4 = intramural
5 = intramural, contacts subserosa
6 = subserosal, < 50% intramural
7 = subserosal, pedunculated
8 = cervical

How well did you know this?

Not at all

Perfectly

When is Nuchal translucency US performed?

10-14w

How well did you know this?

Not at all

Perfectly

When can CVS and Amniocentesis be performed?

CVS = 10-13w
Amnio = 15-20w

How well did you know this?

Not at all

Perfectly

What testing should be done after a 2nd trimester IUFD?

Placental pathology
Fetal autopsy
Karyotype/Chromosomal analysis
+/- Maternal infxn

How well did you know this?

Not at all

Perfectly

What are the indications for cerclage?

H/o ≥1 2nd tri loss d/t painless dilation in absence of labor/abruption.
Prior cerclage d/t painless dilation in 2nd tri.
Painless dilation in the 2nd tri of current pregnancy.
Current singleton preg, h/o PTD < 34w, & Cxl < 25mm before 24w.

How well did you know this?

Not at all

Perfectly

What are the names of the 3 maneuvers for breech delivery?

Pinard = pressure on posterior knee
Lovset = rotation w/ downward traction to delivery arms
MSV = flex head

How well did you know this?

Not at all

Perfectly

What are the 2 terms for placental delivery?

Schultze = central separation, fetal side delivers first
Duncan = leading edge separation, placenta slides out sideways

How well did you know this?

Not at all

Perfectly

What is the Johnson maneuver?

Method of replacing inverted uterus to its normal position

How well did you know this?

Not at all

Perfectly

What are the 5 W’s of post-op fever and when is their typical onset?

Wind: 1-2d
Water: 3-5d
Walking: 6-8d
Wound: 7d
Wonderdrug: 8-15d

How well did you know this?

Not at all

Perfectly

What is the staging system for uterine prolapse?

Stage 0: normal
Stage 1: ≥ 1cm above hymen
Stage 2: 1cm on either side of hymen
Stage 3: 1cm below hymen to 2cm < Tvl
Stage 4: complete procidentia

How well did you know this?

Not at all

Perfectly

What is the MC cause of bloody nipple discharge?

Intraductal papilloma

How well did you know this?

Not at all

Perfectly

What is the origin of the inferior epigastric artery?

External iliac a.

How well did you know this?

Not at all

Perfectly

What is the origin of the superficial epigastric artery?

Femoral a.

How well did you know this?

Not at all

Perfectly

What is the origin of the umbilical arteries?

Internal iliac a.

How well did you know this?

Not at all

Perfectly

What are Delancey’s 3 levels of support of the pelvis?

Apical: Cardinal/uterosacral ligaments
Mid: arcus tendineus fascia pelvis
Lower: perineal body/urogenital diaphragm

How well did you know this?

Not at all

Perfectly

How is cervical dilation scored for the bishop scoring system?

Closed = 0
1-2cm = 1
3-4cm = 2
5-6cm = 3

How well did you know this?

Not at all

Perfectly

How is effacement scored for the bishop scoring system?

0-30% = 0
40-50% = 1
60-70% = 2
80% = 3

How is station scored for the bishop scoring system?

-3 = 0
-2 = 1
-1, 0 = 2
+1, +2 = 3

How is consistency scored for the bishop scoring system?

Firm = 0
Medium = 1
Soft = 2

How is position scored for the bishop scoring system?

Posterior = 0 Mid = 1 Anterior = 2

What is the most thrombogenic thrombophilia?

Antithrombin III deficiency

What is the medical Tx for fibrocystic breast change?

Danazol

What is the MOA of Clomiphene?

SERM: E receptor antagonist on hypothalamus > increased GnRH release

What is the MOA of Letrozole?

Aromatase inhibitor

1 vial of Rhogam contains ___mcg and covers __ml fetal blood or __ml fetal RBC's

300mcg 30ml 15ml

What are the components of the first trimester screening test?

Nuchal translucency PAPP-a hCG

What is the difference b/w Chimera and Mosaicism?

Chimera = ≥ 2 cell lines in the same individual but from different zygotes Mosaicism = ≥ 2 cell lines in the same individual from the same zygote

How do you Tx hyperthyroidism in pregnancy?

1st tri: PTU 2nd/3rd tri: Methimazole

Pt w/ 2˚ amenorrhea + elevated 17-OHP = ?

CAH

What is Epulis?

Pregnancy gingivitis

What is Ptyalism?

Increased saliva/spit in pregnancy

During pregnancy, what is the effect on CO of lying in the left lateral recumbent position?

Increased venous return > increased RV output

What is the difference b/w Tamoxifen and Raloxifene:

Tamoxifen: Er antagonist at breast, agonist at uterus Raloxifene: Er antagonist at breast & uterus, agonist at bone

MOA of 5-FU

Thymidylate synthase inhibitor (blocks synthesis of Pyrimidine)

What is a contraindication for Metformin use?

Renal injury (high Cr)

MC location for choriocarcinoma mets?

Lung

First line Tx for Plts < 30k?

Steroids

What does FFN test?

Decidua-chorion breakdown

What medication is indicated for IC Tx and what is it's MOA?

Pentosan Polysulfate Na (Elmiron) MOA: coats bladder in glycoproteins

MOA of Danazol?

Suppresses pituitary FSH/LH output > regression/atrophy of ectopic endometrial tissue

Rubin's maneuver?

Press from post -> ant on anterior fetal shoulder (shoulder to chest)

Is capacitance MC assc w/ monopolar or bipolar electrocautery?

Monopolar

What components should be seen on US when measuring the AC?

Stomach L portal vein

What two drugs can decrease the efficacy of OCP's?

Rifampin Tetracyclines

Which mentum presentation is safe to delivery vaginally?

Mentum anterior

What Ab's are used to Dx APAS?

Anti-cardiolipin Anti-beta-2-glycoprotein Lupus anti-coagulant

What are the clinical criteria for Dx of APAS?

*≥ 1 unprovoked thrombotic event *≥ 1 unexplained loss of morphologically normal fetus at ≥ 10w *≥ 1PTD < 34w d/t PreE w/ SF, Eclampsia, or other cause of placental insufficiency *≥ 3 unexplained, consecutive SAB's at < 10w

How is APAS managed during pregnancy?

H/o thrombotic event: ASA + ppx Heparin until 6wk pp No prior thrombotic event: ASA +/- ppx Heparin until 6wk pp