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20 Cards in this Set
- Front
- Back
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When are Pap screens started?
How often are they done? |
Age 21 or 3 years after sexual activity begins
Every year until age 30; then Q3 if negative HPV and cytology |
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What immunizations should be checked for an 18 year old woman?
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Hep B
Tetanus booster Hep A if traveling Varicella catchup if needed |
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What are the two main regimens for emergency contraception?
What is another option? |
Yuzpe:
ethinyl estradiol + levonorgestrel 2 doses, 12 hours apart always give with antiemetic 75% effective insertion of IUD Plan B: progestin only 2 doses 12 hours apart less nausea, slightly more effective (85%) |
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What is the longest after intercourse that emergency contraception can be offered?
What is the official time period? |
120 hours
72 hours |
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What are the contraindications to emergency contraception?
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coagulopathy
history of DVT or PE liver disease HYPERTENSION ABNORMAL VAGINAL BLEEDING |
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A patient with sx of a UTI has a urine culture return as negative, but sx persist. What should you consider?
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urethritis, usually STD esp. C trachomatis; get urethral swab.
candidal vulvovaginitis "urethral syndrome"--inflammation of unknown etiology |
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Main agents of urethritis
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Chlamydia, GC, trichomonas
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Pyelo requiring admission is treated with what antibiotics?
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amp-gent
or ceftriaxone/cefazolin/cefotetan |
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What are the main tocolytic agents?
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magnesium
terbutaline ritodrine indomethacin |
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What is the purpose of tocolysis in preterm labor?
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to give time for steroid administration to promote fetal lung maturity. Tocolysis won't delay labor for very long.
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What percent of pregancies in the US are preterm?
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11%
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What is the criteria for preterm labor in a nulliparous woman?
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2 cm dilated
80% effaced |
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What are risk factors for premature labor?
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Race: African American
Stress: Abdominal surgery Trauma Cocaine pyelonephritis Gyn stress or instability: uterine anomaly hydramnios twins cervical cone biopsy PPROM History: prior preterm labor |
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What are possible side effects of tocolysis?
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PULMONARY EDEMA is main one
respiratory depression neonatal depression indomethacin can close the ductus arteriosus, cause severe pulmonary hypertension |
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T/F Only one course of steroids is given for preterm labor, and not repeated if there are recurrent false alarms.
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true
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What drug may help to prevent preterm labor in women who have a prior history?
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weekly injections of 17-alpha hydroxyprogesterone caproate
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What is the workup for preterm labor?
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RR CUTS BUS
risk factors? ROM? (pelvic exam) CBC UA/UC/sensivities Tox screen (cocaine) STD tests GC, chlamydia VB: vaginal screen for GBS US: ultrasound of fetus |
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B agonists like terbutaline cause [hyper, hypo] kalemia
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hypokalemia
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Don't given steroids in preterm labor if ?
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there is infection
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Definition of anemia in pregnancy
Definition of severe anemia in pregnancy |
< 10.5 g/dl
< 7 |
