World OB 2 Flashcards Preview

USMLE STEP 2, for real tho > World OB 2 > Flashcards

Flashcards in World OB 2 Deck (33):
1

what reduces mortality and breast cancer in BRCA

hysterectomy w/ salping and OOpherectomy.

no ovaries, less breast cancer.

2

when is PAPP helpful

1st trimester
~13 weeks

3

when can you do amniocentesis

16-20 weeks

4

When is chorionic villus sampling done

10-13 weeks

5

trisomy 21 labs

↑ HcG and Inhibin A
↓ afp, estriol

6

when can you do cell free DNA

over 10 weeks
sensitive and specfic for aneuploidy

7

When you get a + GBS prego test, do you treat then?

Nope. Treat in labor. GBS will grow back super quick

8

At what week # do you use tocolytics?

Before 34 weeks. After that, the harm> bennefit

9

At what age can external cephalic version be done

> 37 weeks

10

what gestational tumor likes to go to lungs

chorio.

11

physical exam finding in ovarian torsion

adnexal mass

12

A short cervical length is a strong predictor for?

preterm labor

13

What mimics HELLP but w/ normal BP?

Acute fatty liver of prego

14

____________ suppresses the mid-cycle surges of LH and FSH.

Danazol, a 17-alpha-ethinyl testosterone derivative

15

Pelvic congestion syndrome is ?

chronic pelvic pain b/c of pelvic varicosities.
chronic dilatation with stasis leading to vascular congestion.

16

Can you use metronidazole in prego

yup- and you should for BV etc

17

How does a dermoid appear on US

calcifications
hyperechoic nodules

18

Endometrioma on US

homogeneous cystic appearance

19

How do you increase fertility in Hypo Pit failure

pulsitile GnRH

20

Most common med for treating UTI in prego

1- nitrofurontin

2- Amoxicillin

3- Cephalexin

21

UTI antibiotics NOT to use in prego

flouroquinilone
TMX- SMT

22

HcG does what to the thyroid

HcG stimulates TSH--> ↑ total thyroid. NORMAL free thyroid b/c estrogen ↑ thy-binders

23

What is the dangerous complication of dermoids?

Torsion

24

When do you conduct oral glucose test in prego

26-28 weeks

25

Heavy bleeding and contraction pain, dilated cerxic, smooth mass, w/ negative HcG

submucous fibroid prolapsing thru cervix

26

Do you screen a prego for toxoplasmosis

yes- if they have symtpoms
NO OTHERWISE

27

Reasons to move to c/s fear of uterine rupture

prior c/s
Extensive fibroid removal

28

What are the maternal complications of abruptio placenta

DIC
Hypovolemic shock

29

OCPs can cause?

Hypertension

30

Where do bartholin cysts occur

4-8 o'clock at base of labia majora

31

Where/what are gartner cysts

anterior vagina cysts
incomplete regression of wolffian ducts

32

1st line treatment for essential HTN of prego

labetalol
methydopa
CC blocker hydralazine

33

Placenta previa must abstain from?

intercourse- risk of hemorrhage