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

Flashcards in World OB Deck (43):
1

Granulosa cell tumor s/s

estrogen producing
- breast tenderness, post- menopausal bleeding, precoucious puberty
- ↑ estrogen --> endometrium hyperplasia--> carcinoma

2

what is a risk of LEEP

cervical stenosis--> ↓ fertility and pre-term labor

3

When is symmetric fetal growth restriction seen

early prego problems: infection, chromosomes, genetics, etc

4

When is asymmetric fetal growth restriction seen

maternal vascular disease

5

What must you avoid while taking metronidazole

Alcohol+ metro= di-sulfrum reaction

6

OCPs protect for

benign breast disease
ovarian and endometrial cancer

7

What is step 1 when you suspect lichen sclerosis

punch biopsy, need to rule out squamous cell cancer

8

What are the symptoms of uterine rupture


recession of baby during labor (going from + 1--> -3)

severe sudden ab pain

fetal heart rate abnormal

9

pregos with herpes should do what

prophylactic anti-viral at 36 weeks

10

Neonatal thyrotoxicosis

maternal graves anti-TSH AB crosses the placenta
*levothyroxine does not cross the placenta

11

Neonatal thyrotoxicosis Rx

Methimazole and B blocker
usually will self resolve

12

Most common side effect of tamoxifen

Hot flash

13

Tamoxifen dangers

endometrial cancer
venous thromboembolism

14

Endometriosis Rx

NSAIDs
OCPs
Progesterone IUD

Asymptomatic= no treatment

15

When would a baby need to NOT breastfeed

galactosemia

16

What does lithium do to babies and when

Ebstein congenital heart abnormality (big LA w/ VSD)

17

Can a woman use asthma meds in prego

YES! albuterol and steroid inhalers are fine

18

Is mom/baby ABO incompatibility a problem

sorta, but not really. Might get jaundice.

Rh is a big deal.

19

Accurate prolactin levels are best obtained

in the fasting state. If still elevated, then a TSH level and brain MRI would be indicated to rule out a pituitary tumor.

20

Post partum women may continue to produce milk for up to ?

two years after cessation of breastfeeding.

21

A ___________ is usually indicated in patients who have bloody discharge from a single breast duct.

ductogram

22

HPV vaccine is recommended for

all girls 9-26
regardless of HPV status and sexual activity

23

Prognosis of ERB Duchenne palsy

C5, C6 (~C7) damage
80% resolve in 3 months
surgery if no improvement by 6 months.

24

What contraception cant be used in breast cancer

All hormonal methods

Copper IUD would be a GOOD choice

25

One reason you would not do a contraction stress test

Reasons labor itself would be bad
IE Previa

26

What is a good fetal nonstress test

> 2 accelerations
Fetal HR monitor for 20-40 minutes

27

What is a biophysical profile

Amniotic fluid index
Fetal breathing, movement, and tone
8-10 points is normal

28

What next after non reactive fetal non-stress test

BPP or CST

29

What do you do for a very abnormal fetal BPP

ex: 0/10-- 4/10
Immediate delivery- fetal hypoxia due to placenta dysfx

30

What is the presenting s/s of intraductal papilloma

unilateral bloody nipple discharge

benign condition

31

When would you do a LEEP on a prego lady

colopscopy indicates invasive cancer

32

Risk factors for uterine atony include

most common cause of postpartum hemorrhage

precipitous labor
multiparity
general anesthesia
oxytocin use in labor
prolonged labor, macrosomia
hydramnios
twins
chorioamnionitis.

33

Can you use sulfonylurea in prego?

no, crosses placenta

34

How can you determine the anti-D dose in high risk exposure moms

Kleihauer betke test

Looks at blood on slide, gets ratio of mom to baby blood--> determines dose

35

Trastuzumab treats?

HER2 breast cancer

36

Trastuzumab s/e

cardiotoxic. Get an ECHO first

37

Can you give Hep A and B vaccine to pregos

yes- and you should if they didn't before

38

How do you treat syphilis in prego

penicillin

IT DOES NOT MATTER IF YOU ARE ALLERGIC

Get ova that sh!t

39

What should make you think a baby is dystocia

turtle sign- head retracts to perineum

40

Fetal growth restriction is a risk factor for

polycythemia

41

lymph obstruction of fetal neck

cystic hygroma

42

Diagnostic criteria for premature ovarian failure

3 months with menopausal FSH and no periods

43

What hormone stimulates resp alk in prego

progesterone acts on resp drive

↑ TV, minute ventilation, PaO2--> compensated chronic resp alk