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Flashcards in U-World 1 Deck (91)
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1

Neonatal thyrotoxicosis results from

Transplacental passage of anti-TSH receptor antibodies during 3rd thrimester

2

Does thyroid hormone or exogenous levothyroxin cross placenta?

Not to significant degree

3

Tx for neonatal thyrotoxicosis

Methimazole + B blocker

4

When does Rh alloimmunization occur

When mother is Rh negative and baby is Rh positive

5

When to give two rho-gam doses

At 28 weeks and within 72 hours after delivery

6

What is the Kleihauer-Betke test

Used to determine whether higher dose of rho-gam is needed

7

If pt is on COC and has HTN, what do you do

d/c COC, usually causes resolution

8

Sheehan syndrome causes lack of what hormones

Anterior pituitary (Prolacting, GH, ACTH)

9

Epidural anesthesia effects on bladder

Over distention may cause loss of ability to contract causes overflow incontinence, tx short term with indwelling catheter
(don't just observe because bladder needs to be decompressed)

10

First test on all women of childbearing age

Pregnancy test

11

What should be allowed to proceed in patients where fetus has been diagnosed with severe anomaly incompatible with life

Labor

12

Tx for pregnant woman w/ syphillis if pen allergy

Penicillin desensitization

13

Important AE of OCPs

Breakthrough bleeding, HTN, and increased risk of venous thromboembolism
*Not weight gain*

14

What is PMDD

Premenstrual dysphoric disorder - severe form of pMS with irritability and anger symptoms

15

4 rec Ab for UTI in pregnancy

1. Nitrofurantoin
2. Amoxicillin
3. Amox-Clavulanate
4. Cephalexin

16

TMP-SMX interferes with what in pregnancy

Folic acid metabolism --> contra in first trimester

17

3 things that usually cause symmetric fetal growth restriction

Fetal anomalies, fetal karyotype abnormality, and early maternal viral infection (MC)
*Fetal factors*

18

Most common fetal infection in US

CMV

19

Causes of asymmetric fetal growth

Maternal factors (Vascular disease, lupus Ab syndrome, autoimmune diseases, substance abuse)

20

When are elevated BP in pregnancy considered chronic HTN

>20 weeks

21

Hyperaldosteronism causes

Hypernatremia and hypokalemia

22

Most common risk factor for placental abruption

Hypertension

23

Tx for variable compressions

Expectant management

24

2 recommended tx options for stress incontinence

Pelvic muscle exercises and urethropexy

25

Tx for BV

Metronidazole
(same for Trich but tx patient also)

26

What is pseudocyesis

Rare psychiatric condition in which a woman presents with nearly all signs and symptoms of pregnancy, but US reveals normal endometrial stripe and neg pregnancy test

27

US of missed abortion

Intrauterine collapsed gestational sac and absent fetal cardiac activity
*in office preg test will still be positive*

28

Tumor marker for ovarian cancer

CA125

29

cervical mucus in ovulatory phase

profuse, clear, and thin
*will stretch to 6 cm*

30

What is endometritis characterized by? Risk factors?

fever and uterine tenderness in postpartum period, often associated with foul-smelling loci
Risk factors include prolonged PROM, prolonged labor, operative vaginal delivery and C-section