uworld2 Flashcards
(26 cards)
unsafe exercise in pregnancy?
contact sprts high fall risk, scuba diving, hot yoga
absolute contraindications to exercise during preg
amniotic fluid leak cervical incompetence multiple gestation placenta abruption/previa premature labor pre-eclampsia/gestational HTN severe heart/lung diseaes
IUFD + maternal labs?
chronic consumptive coagulopathy due to gradual release of tissue factor (thromboplastin) from the placenta into the maternal circulation
signs of a consumptive coagulopathy
dec. platelet count
incr. PT/PTT
pseudocyesis
woman presents w/ signs + symptoms of pregnancy + reported positive urine pregnancy test w/ a nL endometrial stripe
tocolytic
beta-mimetics (terbutaline / ritodrine)
Mg
Calcium channel blockers
sfx of beta-mimetics
DM2 / tachycardia
post-partum hemorrhage drugs
prostaglandin Alpha-F
what do you give for Mg overdose
Calcium carbonate
sfx of nifedpine
late decels = urethroplacental sufficiency b/c of hypotension
indomethicin causes
oligohydramnios = cord compression = variable decels
measurement of lung maturity
lecithin-sphingomyeline > 2:1
phosphotidylglycerol from amnion fluid
expected to be mature at 32 wks
what to give if concerned about premature labor?
17-hydroxyprogesterone
once a week
risk factor for cervical insufficiency
prior gyn surgery (esp. LEEP/cone biopsy of the cervix)
prior obstetrical trauma
multiple gestation
Mullerian anomalies
hx of preterm birth / 2nd trimester pregnancy loss
risk factors for placental abruption?
hx of maternal trauma
chronc HTN
maternal smoking
hx of external cephalic version
what is anemia criteria?
<10.5 in 3rd trimester
GFR during preg nL physiology
incr. GFR, dec. BUN, / Cr.
what are heme changes in preg physio?
incr. in fibrinogen + coagulation
dec. in total protein S antigen & activity
what aer pulm changes with preg physio?
chronic resp. alkalosis + metabolic compensation
Incr. PaO2 & dec. paCO2
indications for cervical conization
CIN1-3
carcinoma - in - situ
cant exclude cancer after biopsy/colpo/ECC
no visualization of the transformation zone
discordance b/w pap + colpo
positive ECC
indications for hospitalization + parenteral antibiotics for PID
high fever failure to respond to oral antibiotics inability to take oral meds due to nausea/vomiting pregnancy noncompliance
hospitalization regiments for PID
cefoxitin OR
cefotetan/doxycycline
clindamycin/gentamycin (IV)
how to eval adnexal mass?
transvag u/s + CA-125
what are concerning signs for u/s?
mass > 10 cm
nodular/fixed pelvic mass
ascites
evidence of mets
