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Flashcards in Set 10 Deck (46)
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1

Tx GC and Chlamydia

GC = ceftriaxone
CT = azithro x1 or 10d of doxy

2

Fever 1--.4, leukocytosis, blood clots in vagina after delivery? worrisome sx?

NORMAL in first 24hrs post-partum
worry if high fever, foul-smelling lochia, tender uterus

3

Lupus patient develops NV, abd pain and hypotension and hypoglycemia post-op?

adrenal insufficiency!! 2/2 not getting steroids

4

What anti-Rh Ab titer level do you give rhogam for? what level is fetus at risk for hemolytic disease?

- 1:6 - mom is already sensitized - rhogam won't help. monitor closely for hemolytic disease.
- >1:8-1:32 - fetus at risk for hemolytic disease.

5

female with rash that starts on face and progresses downward + arthritis?

consider rubella

6

Clubbing in COPD, think...

MALINGNANCY (unlike other clubbing scenarios)

7

3 drugs to treat UTI in pregnancy

nitrofurantoin, amoxicillin, 1st gen cephalosporin

8

arm held abducted and externally rotated, which dislocation?

anterior (fall on outstretcehd arm)

9

arm held adducted and internally rotated, which dislocation?

posterior (seizure, electrocution)

10

Neonated with microcephaly, small body, hypoplastic distal phalanges, excess hair, cleft palate and developmental delay?

fetal hydantoin syndrome = phenytoin or carbamazepine during pregnancy

11

management of post-patum hemorrhage

bimanual uterine massage, IVF, uterotonic meds (oxytocin, methylergonovine, carboprost) +/- blood transfusion

12

MC age range Legg-Calve-Perthes? Tx?

boys 4-10 (5-7*)
Tx observation and bracing, surgery only if femoral head not contained well in acetabulum

13

boy with hip, groin, knee pain and limping gait

think Legg-Calve-Perthes

14

next step if amenorrheic girl has no uterus on U/S?

karyotype and serum test
- 46 XX and female test level --> abnormal mullerian devel
- 46 XY and male test level --> AIS

15

Timing for CVS vs. amniocentesis

CVS = 10-12wks
amnio = 16-18wks
(possible to do ~earlier amnio of CVS unavailable)

16

what do mom and baby's blood types have to be for hemolytic disease of the newborn? what type of Ig? which can cross placenta?

mom = O
baby = A or B
Results in mild disease, unlike Rh incompat.
It is IgG bc only IgG can cross the placenta

17

dyschezia, dyspareunia, dysmenorrhea and difficulty conceiving? 3 tx?

endometriosis
Tx = OCPs (combined), leuprolide, danazol

18

6 indications for hemodialysis

refractory hyperK
refractory edema/pulm edema
refractory metabolic acidosis
uremic pericarditis
uremic encephalopathy/neurophathy
coagulopathy 2/2 renal failure

19

kindey d/s a/w Hodkgkin's lymphoma

Minimal Change Disease! (nephrotic syndrome --> decr alb, normal globulin)
(also can have FSGS)

20

Test for cervical incompetence? Normal value?

transvaginal US -->funneling of cervix/cervical length which should be >25mm at 24wks

21

Tx PID and when should you admit?

Outpt = IM cefoxitin + PO probenecid + PO doxy OR IM ceftriaxone + PO doxy
hospitalize if: high fever, N/V and cant take pill, pregnant*, teenager/low socioeconomic status
inpt = IV cefotetan or cefoxitin + doxy OR IV clinda/gent

22

foul-smelling sputum, think...Tx?

think anaerobic pneumonia 2/2 aspiration
Tx = clindamycin

23

Asian w/ epistaxis, neck swelling, sinusitis and nasal mass? RFs?

nasopharyngeal CA
RF = EBV!!!, smoking and nitrosamines too

24

When is cephalic version indicated?

37+ weeks

25

5 components of BPP

NST
tone (flex/extend, extend)
movement (2x/30min)
breathing movement (20sec/30min)
AFI (5-25)

26

5 indications for intubation during acute asthma exacerbation

normal/increased PaCO2 (should be decr. from hyperventilation)
decreased breath sounds
no wheezing
AMS
hypoxia +/- cyanosis

27

Early Tx of pre-eclampsia

Methyldopa 1st line = central alpha-agonist to decr symp outflow and vasodilate
Labetolol for HTN

28

Pregnant lady with severe vomiting, wt loss, ketonuria and transaminitis / bili?

hyperemesis gravidarum
can also have elevated lipase/amylase
MCC b/w 4-10wks

29

SE niacin? MoA, Tx?

flushing + pruritis 2/2 PG-induced periph vasodilation and histamine release
Tx = low dose ASA 30min before niacin

30

Acute bloody diarrhea and abd pain w/o fever? complications?

EHEC from undercooked beef
Complications = HUS, TTP