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51 Cards in this Set
- Front
- Back
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Q450. progesterone levels for nml uterine pregnancy; progesterone levels for nonviable pregnancy
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A450. >25; <5
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Q451. if non-viable pregnancy is dx, what is next step to determine etiology
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A451. d&c to assess miscarriage (will see chorionic villi) or ectopic pregnancy (will see no villi)
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Q452. when should MTX be given to tx miscarriage
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A452. if patients are asymptomatic and fetus is <3.5 cm
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Q453. what is cutoff in weeks for a pregnancy loss to be considered a spontaneous abortion
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A453. 20w weeks
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Q454. definition of PPROM
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A454. rom prior to onset of labor <37 weeks; 50% will labor within 48 hrs and 90% w/i 1 week
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Q455. sx of chorioamnionitis
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A455. maternal fever, tachycardia, uterine tenderness, and malodorous d/c; fetal tachycardia >160 is also an early sign
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Q456. tx of PPROM
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A456. if <32 weeks, steroids and broad-spectrum antibiotics
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Q457. dx of chorioamnionitis
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A457. see gm stained bacteria on amniocentesis
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Q458. time-frame of pre-term labor
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A458. 20-37 weeks
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Q459. complication of vbac
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A459. uterine rupture
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Q460. how to manage arrest of active phase of labor
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A460. if CTX are not strong enough, give pit, then place IUCP if there is still no dilation
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Q461. what things are included in the bishop score
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A461. dilation; effacement; station; consistency; cervical position
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Q462. what bishop score is favorable for induction
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A462. >8
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Q463. what are the cardinal movements of labor
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A463. engagement (oociput transverse); internal rotation (to occiput anterior); complete rotation; extension of neck; external rotation; anterior shoulder; posterior shoulder
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Q464. what is the most common type of breech presentation
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A464. frank breech
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Q465. what are the 3 types of breech and how do they differ
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A465. frank: flexed hips with knees extended, feet are under fetal head; footling: one or both hips not flexed and foot or knee is in birth canal; complete: flexed hips and knees, with 1 foot near the breech
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Q466. when can external version of breech be performed
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A466. after 37 weeks b/c of risk of abruption or ROM secondary to external maneuvering
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Q467. #1 cause of post-partum hemorrhage
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A467. uterine atony
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Q468. definition of post-partum hemorrhage
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A468. >500 cc blood loss after vaginal birth; >1000 cc blood loss after c/s
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Q469. orgs involved in endometritis
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A469. anaerobes and aerobes
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Q470. why is bromocriptine no longer given to prevent galactorrhea post-partum
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A470. seizure and HTN can result (uncommonly)
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Q471. what causes prolonged fetal tachycardia
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A471. maternal fever; chorioamnionitis
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Q472. cause of early decelerations; morphology
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A472. head compression during CTX; mirror images of CTX tracing
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Q473. cause of late decelerations
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A473. placental insufficiency; chronic HTN; post-date pregnancy
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Q474. causes of variable decelerations
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A474. cord compression; cord around fetal parts; fetal anomalies; oligohydramnios
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Q475. causes of sinusoidal FHT
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A475. severe fetal anemia; maternal drugs
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Q476. causes of prolonged bradycardia in FHT
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A476. uterine hyperstimulation
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Q477. when is an amnioinfusion performed
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A477. to tx variable decelerations or meconium stained amniotic fluid
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Q478. which PG is contraindicated in asthma
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A478. PGF2
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Q479. what is used to decrease uterine bleeding post-partum
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A479. ergots; oxytocin; PGs
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Q480. which 2 placental problems often go together
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A480. accreta and previa
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Q481. what effect does pregnancy have on peptid ulcer disease; on ms
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A481. makes both of them better
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Q482. dx of endometriosis
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A482. laparoscopy
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Q483. management of placental abruption in setting of painful bleeding in 3rd trimester
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A483. can progress rapidly so pt should be carefully monitored; ensure rapid vaginal delivery; c/s only if there is rapid deterioration in early stages of labor
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Q484. when is rhogam given
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A484. at 28 weeks
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Q485. after 1h gtt, what is the threshold for gdm
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A485. >140
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Q486. after the 3hr gtt what is the threshold for gdm
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A486. at 1h >180; at 2h >155; at 3h >140
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Q487. what can be done to decrease utis in sexually active women
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A487. void after sex
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Q488. what is the most common genetic mutation associated with ovarian ca
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A488. p53 (much more common than brca)
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Q489. consistency of granulosa theca cells
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A489. solid
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Q490. appearance of a serous cystadenoma
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A490. larger than a functional cyst; pt has increased abdominal girth
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Q491. what determines prognosis in ca
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A491. tumor stage
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Q492. standard of care for advanced ovarian ca in a pt s/p oopherectomy and surgical staging
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A492. post-op chemo
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Q493. definition of anemia in pregnancy; most common cause
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A493. hb <10.5; Fe deficiency
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Q494. tx of hellp
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A494. delivery
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Q495. what happens to haptoglobin lvls in hemolysis
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A495. they decrease b/c they are bound by hb
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Q496. side effects of MgSO4
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A496. decreased DTR; pulmonary edema; respiratory depression
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Q497. when should antenatal steroids be given in ptl
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A497. between 24-34 weeks, after that not needed
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Q498. should tocolysis be given to patients with suspected abruption
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A498. no they should be delivered, b/c if tocolysis is used the abruption can continue
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Q499. what effect do b-agonists have on K
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A499. hypokalemia
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Q500. complication of pyelonephritis in pregnancy
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A500. 2-5% --> ARDs (usually endotoxin related)
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