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OB/GYN Boards > Review #5 > Flashcards

Review #5 Flashcards

(53 cards)

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1
Q

Maternal indications for fetal echo

A

Retinoid exposure, IVF, first trimester Rubella exposure, pre-gestational DM

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2
Q

Tetanus and diphtheria vaccine type

A

Toxoid particles

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3
Q

HPV vaccine type

A

Virus-like particles

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4
Q

Max fluid deficit for isotonic medium in hysteroscopy

A

2500 mL

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5
Q

Tubal pathology difficult to dix with neosalpingostomy

A

Salpingitis isthmica nodosa

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6
Q

Stages of fetal lung development

A 
< 5 wga embryonic
6-17 wga pseudoglandular
18-24 wga canalicular
25-37 wga terminal sac
> 37 wga alveolar
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7
Q

What do intra-abdominal arteries become in an adult?

A

Internal iliac and superior vesical arteries (distal portions become medial umbilical ligaments)

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8
Q

Chemotherapy likely to impact fertility

A

Cyclophosphamide

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9
Q

Dermatosis of pregnancy that spares the umbilicus

A

Polymorphic eruption of pregnancy (PUPP)

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10
Q

Mastitis antibiotic in setting of PCN allergy

A

Erythromycin

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11
Q

What to do if CVS shows mosaicism

A

Amnio because CVS looks at placenta which can have isolated mosaicism

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12
Q

Data used for estimation of risk for chromosomal abnormalities prenatally

A

Maternal age at term

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13
Q

Where are estrogen receptors?

A

Nuclear

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14
Q

Posterior pituitary hormones

A

Oxytocin and vasopressin

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15
Q

Cervical length that qualifies for vaginal progesterone use

A

20 mm

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16
Q

Size of aortic root dilation for which elective repair is recommended before pregnancy

A

45 mm (complications increase over 40 mm)

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17
Q

Components of epidural anesthesia and effects

A

Local -> motor blockade

Opioid -> systemic effects

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18
Q

What increases speed of epidural onset?

A

Sodium bicarbonate

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19
Q

Type of adnexal tumor often related to appendiceal disease

A

Mucinous

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20
Q

What tumor marker is elevated with mucinous tumors?

A

Carcinoembryonic antigen

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21
Q

Max local anesthetic doses

A

4 mg/kg of lido - epi

7 mg/kg of lido + epi

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22
Q

When to do ECV

23
Q

Ideal fetal weight for ECV

Study These Flashcards
A

2500 - 4000 g

24
Q

Graves antibody

Study These Flashcards
A

Thyrotropin receptor antibody (activates TSH receptor, causing production of thyroid hormone)

25
Hashimoto antibody
Thyroid peroxidase antibodies
26
Location of pelvic TB infection
Tubes, especially ampulla
27
Foot drop nerve injury
Common peroneal (usually in dorsal lithotomy during laparoscopy)
28
Inability to extend knee nerve injury
Femoral (often with deep retractor use)
29
Weakened thigh adduction nerve injury
Obturator (during lymph node dissection)
30
Perineal and vulvar pain nerve injury
Pudendal nerve (during sacrospinous ligament fixation)
31
Elagolix mechanism
Gonadotropin releasing hormone antagonist
32
Topical treatment for keloids
Triamcinilone acetonide
33
First line pharmacologic treatments for obesity and their mechanism
Liraglutide and semaglutide, GLP-1 receptor agonists
34
Orlistat mechanism and side effects
GI lipase inhibitor, causes flatulence and fatty stools
35
Reasonable second-line pharmacologic obesity treatment for postmenopausal women without heart disease and its mechanism
Phentermine-topiramate, sympathomimetic
36
Drainage of left and right ovarian veins
Left to renal vein, right to IVC
37
Pathophysiology of female athlete triad
Increased cortisol suppresses GnRH secretion
38
Elevated AMH and increased LH:FSH ratio
PCOS
39
Most common site of endometriosis recurrence after surgical treatment
Bowel
40
Osteoporosis medication with limited efficacy in decreasing fracture risk
Calcitonin
41
Most common osteoporosis fracture
Vertebral compression fracture
42
Treatment for ARDS
PEEP with low tidal volumes (6 mL/kg)
43
ACOG recommendation for earliest possible latency antibiotics in setting of PPROM
20 wga
44
Risk to delayed cord clamping
Increased jaundice risk
45
Low vertical incision -> TOLAC?
Yes
46
Medications that can lead to oligohydramnios
ACE inhibitors, prostaglandin synthetase inhibitors: indomethacin or celecoxib
47
How to screen for Factor V Leiden deficiency
Activated protein C resistance assay
48
Preferred dopamine agonist therapy
Cabergoline (compared to bromocriptine)
49
Mechanism of mifepristone
Steroidal anti-progestogen by competitive inhibition
50
Mechanism of ulipristal
Selective progesterone receptor modulator
51
What molecule in amniotic fluid is specific for neural tube defects?
Acetylcholinesterase
52
What does folic acid do?
Involved in one-carbon metabolism
53
Treatment for suspected CAH and timing in pregnancy
Dexamethasone, before 9 wga

OB/GYN Boards (8 decks)

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