Review #2 Flashcards

(50 cards)

1
Q

Forceps for breech

A

Pipers

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2
Q

Forceps for round unmolded head

A

Elliott

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3
Q

Forcpes for rotation of fetal head

A

Kielland

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4
Q

Forceps for molded fetal head

A

Simpson

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5
Q

McCall culdoplasty sutures

A

Nonabsorbable sutures from one uterosacral ligament to the other to obliterate the posterior culdesac (internal) AND absorbable sutures from posterior cuff to uterosacral ligaments (external)

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6
Q

Methergine dosing and time frame

A

0.2 mg IM every 2-4 hours

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7
Q

Hemabate dosing

A

0.25 mg IM every 15 to 90 minutes

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8
Q

Alternative empiric regimen for TOA (other than cefoxy/doxy/flagyl)

A

Gentamicin/clindamycin

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9
Q

When to gove progesterone supplementation following cystectomy

A

<10 wga pregnancy

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10
Q

Rate of rupture for interstitial pregnancy

A

20-50%

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11
Q

Markers of fetal lung maturity on amnio

A

Lamellar body count 30-40,000; phosphatidylglycerol present; lecithin: sphingomyelin ratio >2

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12
Q

Most common micro of ascending pyelonephritis

A

E. coli, proteus mirabilis, klebsiella pneumoniae, staph saprophyticus

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13
Q

Descending causes of pyelonephritis

A

Septicemia, endocarditis

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14
Q

Sexual behavior associated most highly with HIV transmission

A

Receptive anal intercourse

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15
Q

FDA approved non-hormonal (SERM) medication for dyspareunia in postmenopausal women

A

Ospemifene

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16
Q

Cyclic vulvar itching, thickened vulvar skin, linear ulcerations

A

Lichen sinplex chronicus

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17
Q

Platinum vased chemo most common side effects

A

Peripheral neuropathy, ototoxicity

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18
Q

Mechanism of paclitaxel

A

Microtubule stabilization

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19
Q

Mechanism of carboplatin

A

DNA crosslink

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20
Q

Mechanism of bevacizumab

A

Neutralize vascular endothelial growth factor

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21
Q

Hashimoto thuroiditis is risk factor for what type of cancer

A

Non-Hodgkin lymphoma

22
Q

Most common cause of hypothyroidism

A

Hashimoto thyroiditis

23
Q

Definition of early onset FGR

24
Q

How much FGR is chromosomal or congenital?

25
Mechanism of indomethacin
Inhibits conversion of arachidonic acod to prostaglandin
26
Contraindication to indomethacin
Gestational age > 32 wga
27
Mechanism of terbutaline
Binds beta-2 adrenergic receptors
28
Contraindication to terbutaline
Maternal cardiac disease or potential for massive bleeding
29
Contraindication to magnsium
Myasthenia gravis
30
Mechanism of magnesium
Competes with calcium at level of plasma membrane voltage-gated channels
31
Nifedipine mexhanism of tocolysis
Inhibits calcium-dependent myosin light-chain kinase phosphorylation
32
Blood flow in ductus arteriosus
From pulmonary artery to aorta
33
Benefits of delayed cord clamping for preterm infant
Improved transitional circulation, better establishment of RBC volume, decreased need for blood transfusion, decreased NEC and IVH
34
At what stage do inherited thrombophias usually cause pregnancy loss
Second trimester
35
Primary amenorrhea diagnosis timing
15 y/o with secondary sex characteristics and no period
36
Antibiotics to treat chancroid
Azithromycin and ceftriaxone
37
Absolute contraindications to MTX
IUP, immunodeficiency, anemia, leukopenia, thrombocytopenia, active pulmonary disease, active peptic ulcer disease, hepatic or kidney dysfunction, breastfeeding, ruptured ectopic, hemodynamically unstable, unable to follow up
38
Relative contraindications to MTX
Cardiac activity, beta hcg > 5000, ectopic pregnancy > 4 cm on TVUS, refusal to accept blood transfusion
39
Delivery timing for placenta previa
36.0 to 37.6 wga
40
Delivery timing for placenta accreta
34.0 wga
41
Site of dysfunction in female athlete triad
Hypothalamus (GnRH)
42
Gene associated with Cowden syndrome
PTEN
43
Cowden syndrome manifestations
Fibromas; breast, endometrial, kidney, thyroid, and colorectal cancers
44
Teratogenic effects of warfarin
Nasal hypoplasia, growth restriction, secondary epiphysis stippling
45
Partial mole genetics
69, XXY (two paternal, one maternal)
46
Partial mole likelihood of malignancy
1%
47
Complete mole genetics
46XX (two paternal in an empty egg)
48
Genetics of invasive mole
Androgenically diploid
49
Radical hysterectomy removes...
Uterus, cervix, cardinal ligaments, uterine arteries to origin on internal iliac artery, 2-3 cm of proximal vagina, full ureteral dissection
50
Modified radical hysterectomy removes...
uterus, cervix, parametrial and paracervical tissues, half of uterosacral ligaments, 1-2 cm of proximal vagina