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20 Cards in this Set
- Front
- Back
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Definition of fetal bradycardia
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< 110 for more than 10 minutes
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Fetal bradycardia: what are next steps?
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1. Confirm HR with scalp electrodes or ultrasound
2. improve maternal oxygenation: a) place mother on side decompress great vessels b) IV fluid bolus if dehyrdation expected c) give 100% O2 d) stop oxytocin consider giving terbutaline consider immediate C section |
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Most common sign of uterine rupture in pregancy
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drop in fetal heartrate
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What lie is most associated with cord prolapse?
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transverse lie (no fetal part is blocking os)
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Workup for galactorrhea
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Check med list
serum prolactin MRI of head for pituitary adenoma (severe) TRH test (mild) |
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Causes of hyperprolactinemia
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Drugs
hypothroid hypothalamic (craniopharyngioma, leukemia, sarcoid) pituitary adenoma empy sella acromegaly hyperplasia of lactotrophs trauma |
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What is treatment for prolactinemia caused by primary hypothyroidism?
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thyroxine
exogenous estrogen cabergoline (dopamine agonist; bromocriptine has worse side effects) trans-sphenoidal surgery |
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What are some complications of transsphenoidal surgery for pituitary adenoma?
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tranisent diabetes insipidus (1/3)
meninigitis CSF leak panhypopituitarism |
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Pleuritic chest pain during pregancy with normal ausculation and CXR suggests ?
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PE
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T/F Pregnancy patients with PE are not put on heparin.
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False. Low dose heparin continued until 6 weeks postpartum is standard.
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Most common cause of maternal mortality
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thromboembolism
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What is the usual blood gas status of a pregnant woman?
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respiratory alkalosis
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T/F Herpes cultures are not helpful in acute management of pregnant women.
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true
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When should acycolvir be used for herpes during pregnancy ?
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If first infection occurs during pregnancy; if there are frequent outbreaks.
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Most common cause of infectious vulvar ulcer disease in US?
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HSV
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T/F A neonate with possible HSV infection should NOT be given acyclovir.
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False.
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Palpable midline mass and vaginal bleeding, no pregancy, suspect ?
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fibroids
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Most common symptom of fibroids
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menorrhagia (> intramenstrual bleeding)
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Three types of fibroid
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sucmucosal
intramural serosal |
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Leading indication for hysterectomy in U.S.
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fibroids!
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