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OB/GYN Boards > Review #4 > Flashcards

Review #4 Flashcards

(55 cards)

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1
Q

Treatment for baby born to low viral mid mother with HIV

A

ZDV for 6 weeks

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2
Q

Timing of amniocentesis

A

15-20 wga (though can be done as soon as 11 wga)

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3
Q

Artery most often affected in puerperal hematomas of vulva / vagina

A

Pudendal

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4
Q

First line treatment for rapidly-expanding hematoma

A

Surgical evacuation

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5
Q

How to prevent Hep B vertical transmission if maternal viral load >200,000 between 28 and 32 wga

A

Administer lemivudine, telbivudine, or tenofovir at that time

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6
Q

High-risk inherited thrombophilias requiring anticoagulation during and after pregnancy

A

Factor V Leiden homozygote, prothrombin homozygote, compound Factor V and prothrombin heterozygote, antithrombin deficiency

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7
Q

Contraception with caveats for use in obesity

A

OCPs (increased VTE risk), patch (c/f decreased efficacy)

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8
Q

Warfarin lactation profile

A

Safe!

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9
Q

Mechanism of epinephrine

A

Beta-1 adrenergic receptor agonist

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10
Q

Timing for CVS

A

Between 10 and 13.6 wga

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11
Q

What / when to give calcium during transfusion?

A

1 g IV calcium chloride for every 4 units transfused

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12
Q

High-intensity statins

A

Atorvastatin or rosuvastatin

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13
Q

Recommended calcium intake for low BMD?

A

1000 - 1300 mg daily

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14
Q

Two most common histologies for vulvar cancer

A
  1. Squamous

2. Melanoma

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15
Q

When to discontinue mammograms

A

75 y/o

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16
Q

When to discontinue lung cancer screening

A

80 y/o

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17
Q

Pathology of pemphigoid gestationis

A

IgG antibodies mediate deposition of C3 complement at the basement membrane

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18
Q

Treatment for pemphigoid gestationis

A

Corticosteroids

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19
Q

Fetal effects of pemphigoid gestationis

A

Preterm delivery, SGA

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20
Q

Mechanism of PCN or cephalosporins

A

Inhibit peotidoglycan synthesis

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21
Q

Mechanism of tetracyclines and aminoglycosides

A

Bind 30S ribosomal subunit

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22
Q

Mechanism of macrolides

A

Bind 50S ribosomal subunit

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23
Q

How often should anti-epileptic drug levels be measured in pregnancy?

24
Q

Most common microbe associated with breast abscess in setting of mastitis?

25
Percent chance of concurrent endometrial adenocarcinoma with EIN
40%
26
Pinard maneuver
Maneuver for delivery of legs from breech presentation, wherein the provider puts pressure behind knees to flex the leg
27
Loveset maneuver
Maneuver for delivery of arms during breech delivery
28
Frank breech
Pike position
29
Treatment for superficial thrombophlebitis of the breast (Mondor disease)
NSAIDs, supportive care | 10% associated with cancers, so perform age-appropriate screening
30
Labs associated with subclinical hypothyroidism
High TSH, normal T4 / thyroxine
31
Half life of T4 / thyroxine
1 week
32
Extra calories to consume by trimester
1st - 220 2nd - 340 3rd - 450
33
Pregnancy weight gain if BMI < 18.5
28 - 40 lbs
34
Pregnancy weight gain if BMI 18.5 - 25
25 - 35 lbs
35
Pregnancy weight gain if BMI 25 - 30
15 - 25 lbs
36
Pregnancy weight gain if BMI > 30
11 - 20 lbs
37
pH and base deficit associated with fetal morbidity
pH 7.12, base excess -12
38
Surgical treatment for vulvodynia
Vestibulectomy
39
VIN associated with squamous cell carcinoma
Differentiated, not HPV related (treat with WLE)
40
What day of menstrual cycle should clomid be started?
2, 3, 4, or 5
41
Genital ridge differentiates into...
Ovaries vs testes
42
Gubernaculum turns into... (in female development)
Round and broad ligaments
43
Origin of primordial germ cells
Yolk sac
44
Development of the ovary
Primordial germ cells migrate to the genital ridge; coelomic epithelium cells surround oogonia to make granulosa; mesenchymal cells from the genital ridge form stroma
45
Treatment for toxo in pregnancy
Spiramycin < 18 wga | Pyrimethamine-sulfadiazine > 18 wga
46
E6
Produced by HPV, degrades p57
47
E7
Produced by HPV, antiapoptotic effect on cells with abnormal p57
48
Extremity more often affected by DVT in pregnancy
Left lower
49
When to deliver accreta
34-36 wga
50
Most thronbogenic thrombophilia
Antithrombin
51
Which thrombophilia testing is unreliable in pregnancy?
Protein S deficiency
52
Fetal apical displacement of the pulmonic valve most associated with which exposure?
Lithium (Ebstein anomaly)
53
Most common genetic syndrome associated with tetralogy of Fallot
DiGeorge
54
Forceps for head rotation
Kielland
55
Forceps for molded head
Simpson

OB/GYN Boards (8 decks)

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