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102 Cards in this Set
- Front
- Back
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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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Q500. complication of pyelonephritis in pregnancy
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A500. 2-5% --> ARDs (usually endotoxin related)
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Q501. what is the most common reason for septic shock in pregnancy
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A501. pyelo
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Q501. what is the most common reason for septic shock in pregnancy
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A501. pyelo
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Q502. how is incidence of pyelo reduced
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A502. at 1st pnv urine culture is done to id asx bacteriuria
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Q502. how is incidence of pyelo reduced
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A502. at 1st pnv urine culture is done to id asx bacteriuria
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Q503. tx of dvt in pregnancy
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A503. heparin x 5-7 days then subq heparin to keep ptt 1.5-2.5 x nml limit x 3 mo
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Q503. tx of dvt in pregnancy
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A503. heparin x 5-7 days then subq heparin to keep ptt 1.5-2.5 x nml limit x 3 mo
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Q504. stages of pelvic relaxation
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A504. first degree:structure has descended into the upper 2/3 of the vagina; 2nd degree: structure descends into the introitus; 3rd degree: structure protrudes outside the vagina
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Q504. stages of pelvic relaxation
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A504. first degree:structure has descended into the upper 2/3 of the vagina; 2nd degree: structure descends into the introitus; 3rd degree: structure protrudes outside the vagina
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Q505. stress incontinence
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A505. urine loss with exertion ro straining; caused by pelvic relzxation and displacement of urethrovesical junction
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Q505. stress incontinence
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A505. urine loss with exertion ro straining; caused by pelvic relzxation and displacement of urethrovesical junction
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Q506. urge incontinence
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A506. detrusor instability; urine leakage is 2ndary to involuntary and uninhibited bladder contractions
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Q506. urge incontinence
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A506. detrusor instability; urine leakage is 2ndary to involuntary and uninhibited bladder contractions
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Q507. total incontinence
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A507. continuous urine leakage secondary to urinary fistulas (usually 2ndary to pelvic surgery or pelvic radiation)
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Q507. total incontinence
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A507. continuous urine leakage secondary to urinary fistulas (usually 2ndary to pelvic surgery or pelvic radiation)
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Q508. overflow incontinence
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A508. incomplete voiding; urinary retention and overdistension of the bladder
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Q508. overflow incontinence
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A508. incomplete voiding; urinary retention and overdistension of the bladder
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Q509. treatment of bv
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A509. metronidazole
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Q509. treatment of bv
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A509. metronidazole
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Q510. primary causes of third-trimester bleeding
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A510. placental abruption and placenta previa
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Q510. primary causes of third-trimester bleeding
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A510. placental abruption and placenta previa
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Q511. classic ultrasound and gross appearance of complete hydatiform mole
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A511. snowstorm appearance on ultrasound;; cluster of grapes on physical exam
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Q511. classic ultrasound and gross appearance of complete hydatiform mole
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A511. snowstorm appearance on ultrasound;; cluster of grapes on physical exam
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Q512. chromosomal pattern of a complete mole
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A512. 46, XX
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Q512. chromosomal pattern of a complete mole
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A512. 46, XX
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Q513. molar pregnancy containing fetal tissue
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A513. partial mole
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Q513. molar pregnancy containing fetal tissue
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A513. partial mole
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Q514. symptoms of placental abruption
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A514. continuous, painful vaginal bleeding
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Q514. symptoms of placental abruption
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A514. continuous, painful vaginal bleeding
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Q515. symptoms of placental previa
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A515. self-limited, painless vaginal bleeding
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Q515. symptoms of placental previa
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A515. self-limited, painless vaginal bleeding
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Q516. when should a vaginal exam be performed with a suspected placenta previa?
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A516. never
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Q516. when should a vaginal exam be performed with a suspected placenta previa?
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A516. never
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Q517. antibiotics with teratogenic effects
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A517. tetracycline,; fluoroquinolones,; aminoglycosides,; sulfonamides
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Q517. antibiotics with teratogenic effects
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A517. tetracycline,; fluoroquinolones,; aminoglycosides,; sulfonamides
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Q518. shortest AP diameter of the pelvis
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A518. obstetric conjugate: between the sacral promonotory and the midpoint of the line of the symphysis pubis
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Q518. shortest AP diameter of the pelvis
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A518. obstetric conjugate: between the sacral promonotory and the midpoint of the line of the symphysis pubis
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Q519. medication given to accelerate fetal lung maturity
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A519. betamethasone or dexamethasone x 48 hours
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Q519. medication given to accelerate fetal lung maturity
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A519. betamethasone or dexamethasone x 48 hours
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Q520. the most common cause of postpartum hemorrhage
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A520. uterine atony
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Q520. the most common cause of postpartum hemorrhage
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A520. uterine atony
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Q521. treatment for postpartum hemorrhage
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A521. uterine massage;; if that fails, give oxytocin
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Q521. treatment for postpartum hemorrhage
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A521. uterine massage;; if that fails, give oxytocin
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Q522. typical antibiotics for group B strep (GBS) prophylaxis
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A522. IV penicillin or ampicillin
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Q522. typical antibiotics for group B strep (GBS) prophylaxis
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A522. IV penicillin or ampicillin
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Q523. a patient fails to lactate after an emergency C-section with marked blood loss
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A523. Sheehans syndrome; (postpartum pituitary necrosis)
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Q523. a patient fails to lactate after an emergency C-section with marked blood loss
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A523. Sheehans syndrome; (postpartum pituitary necrosis)
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Q524. uterine bleeding at 18 weeks gestation; no products expelled; membranes ruptured; cervical os open
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A524. inevitable abortion
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Q524. uterine bleeding at 18 weeks gestation; no products expelled; membranes ruptured; cervical os open
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A524. inevitable abortion
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Q525. uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed
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A525. threatened abortion
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Q525. uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed
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A525. threatened abortion
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Q526. what is the definition of pre-term labor?
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A526. regular uterine contractions + concurrent cervical changes at <37 weeks gestation
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Q526. what is the definition of pre-term labor?
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A526. regular uterine contractions + concurrent cervical changes at <37 weeks gestation
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Q527. Group-B strep prophylaxix
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A527. penicillin or ampicillin
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Q527. Group-B strep prophylaxix
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A527. penicillin or ampicillin
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Q528. what defines a post-partum hemorrhage?
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A528. >500mL with vaginal delivery or >1000mL with c-section
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Q528. what defines a post-partum hemorrhage?
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A528. >500mL with vaginal delivery or >1000mL with c-section
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Q529. most common cause of post-partum hemorrhage
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A529. uterine atony
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Q529. most common cause of post-partum hemorrhage
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A529. uterine atony
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Q530. treatment for uterine atony protocol
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A530. 1. uterine massage; 2. oxytocin; 3. methergine; 4. prostin PGF2-alpha
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Q530. treatment for uterine atony protocol
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A530. 1. uterine massage; 2. oxytocin; 3. methergine; 4. prostin PGF2-alpha
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Q531. when should the uterus be palpable above the pubic symphysis?
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A531. 12 weeks
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Q531. when should the uterus be palpable above the pubic symphysis?
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A531. 12 weeks
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Q532. what does human placental lactogen do?
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A532. insulin-antagonist to maintain fetal glucose levels
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Q532. what does human placental lactogen do?
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A532. insulin-antagonist to maintain fetal glucose levels
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Q533. what is the cut-off for anemia in pregnancy?
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A533. Hgb below 11.0mg/dL
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Q533. what is the cut-off for anemia in pregnancy?
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A533. Hgb below 11.0mg/dL
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Q534. what is the average WBC count during pregnancy? what about during labor?
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A534. 10.5 during pregnancy, 20+ during labor
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Q534. what is the average WBC count during pregnancy? what about during labor?
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A534. 10.5 during pregnancy, 20+ during labor
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Q535. Definition:; child at fertilization to 8 weeks
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A535. Embryo
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Q535. Definition:; child at fertilization to 8 weeks
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A535. Embryo
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Q536. Definition:; child at 8 weeks to delivery
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A536. Fetus
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Q536. Definition:; child at 8 weeks to delivery
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A536. Fetus
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Q537. Definition:; Softening and cyanosis of the cervix at or after 4 weeks
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A537. Goodell's sign
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Q537. Definition:; Softening and cyanosis of the cervix at or after 4 weeks
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A537. Goodell's sign
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Q538. Definition:; softening of the uterus (after 6 weeks)
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A538. Ladin's sign
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Q538. Definition:; softening of the uterus (after 6 weeks)
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A538. Ladin's sign
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Q539. Definition:; first trimester
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A539. fertilization to 12 weeks
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Q539. Definition:; first trimester
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A539. fertilization to 12 weeks
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Q540. Definition:; second trimester
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A540. 12 weeks to 24 weeks
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Q540. Definition:; second trimester
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A540. 12 weeks to 24 weeks
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Q541. Definition:; third trimester
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A541. 24 weeks to delivery
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Q541. Definition:; third trimester
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A541. 24 weeks to delivery
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Q542. Definition:; child delivery less then 24 weeks
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A542. Priviable
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Q542. Definition:; child delivery less then 24 weeks
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A542. Priviable
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Q543. Definition:; Quickening
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A543. Patient's initial presentation of fetal movement
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Q543. Definition:; Quickening
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A543. Patient's initial presentation of fetal movement
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Q544. what are the changes in CO, HR, SV, TPR and BP during pregnancy?
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A544. Increased CO, HR, SV; Decreased TPR,; Decreased BP (returns to nml >24 weeks)
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Q544. what are the changes in CO, HR, SV, TPR and BP during pregnancy?
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A544. Increased CO, HR, SV; Decreased TPR,; Decreased BP (returns to nml >24 weeks)
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Q545. (4) Respiratory changes during pregnancy
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A545. Increased Tidal volume,; Increased PaO2 and PAO2,; Decreased lung capacity,; Mild Respiratory Alkalosis
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Q545. (4) Respiratory changes during pregnancy
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A545. Increased Tidal volume,; Increased PaO2 and PAO2,; Decreased lung capacity,; Mild Respiratory Alkalosis
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Q546. (3) GI changes during pregnancy
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A546. Increased vomiting,; Decreased motility (constipation),; Prolonged gastric emptying (GERD)
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Q546. (3) GI changes during pregnancy
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A546. Increased vomiting,; Decreased motility (constipation),; Prolonged gastric emptying (GERD)
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Q547. (4) Renal changes during pregnancy
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A547. Increased kidney size,; Increased GFR (by 50%) leading to... Decreased BUN and Creatinine by 25%,; Increased Renin, Aldosterone and Na absorption (balanced by Inc GFR)
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Q547. (4) Renal changes during pregnancy
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A547. Increased kidney size,; Increased GFR (by 50%) leading to... Decreased BUN and Creatinine by 25%,; Increased Renin, Aldosterone and Na absorption (balanced by Inc GFR)
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Q548. (4) Blood changes during pregnancy
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A548. Increased plasma volume (50%),; Increased RBC (20%),; both percents lead to Decreased Hct,; possibly causing Iron deficiency anemia,; Increased Fibrinogen and factors VII - X leading to... Increased Thromboembolism
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Q548. (4) Blood changes during pregnancy
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A548. Increased plasma volume (50%),; Increased RBC (20%),; both percents lead to Decreased Hct,; possibly causing Iron deficiency anemia,; Increased Fibrinogen and factors VII - X leading to... Increased Thromboembolism
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Q549. what hormones are maintained by the placenta in pregnancy?; (4)
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A549. Estrogen,; hCG,; hPL,; Progesterone (after initial maintenance from corpus luteum)
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Q549. what hormones are maintained by the placenta in pregnancy?; (4)
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A549. Estrogen,; hCG,; hPL,; Progesterone (after initial maintenance from corpus luteum)
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Q550. what causes increased Thyroid Binding Globulin?; how does this affect T3 and T4?
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A550. Inc estrogen; T3 and T4 inc binding to TBG leading to low serum levels of free T3 and T4
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Q550. what causes increased Thyroid Binding Globulin?; how does this affect T3 and T4?
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A550. Inc estrogen; T3 and T4 inc binding to TBG leading to low serum levels of free T3 and T4
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