Kobgyn 600-650

Front 1

Q600. Dx:; Vaginal bleeding, painful contractions, firm and tender uterus; Tx?

Back 1

A600. Placental Abruption; Tx – Delivery (by C-section if mother or baby is unstable)

Front 2

Q601. Dx:; sudden onset of intense abdominal pain assoc with pregnancy; Tx?

Back 2

A601. Uterine rupture; Tx - immediate laparotomy

Front 3

Q602. Dx:; Vaginal bleeding and sinusoidal FHR pattern; MCC?; Tx?

Back 3

A602. Fetal Vessel Rupture; MCC - Velamentous cord insertion; Tx - emergency C-section

Front 4

Q603. Dx:; contractions and changes in cervix at < 37 weeks gestation

Back 4

A603. Preterm Labor

Front 5

Q604. The only Tocolytic approved by the FDA; MOA?

Back 5

A604. Ritrodrine; MOA: Beta-agonist

Front 6

Q605. Tocolytic that acts as a calcium antagonist

Back 6

A605. Magnesium sulfate

Front 7

Q606. what is the test to determine if patient is near a Magnesium sulfate toxicity?

Back 7

A606. check DTRs continuously. they are depressed less then the toxic level of 10 mg/dL

Front 8

Q607. what Calcium channel blocker is used as a Tocolytic?

Back 8

A607. Nifedipine

Front 9

Q608. what NSAID is used as a Tocolytic?

Back 9

A608. Indomethacin

Front 10

Q609. MC concern with PROM?

Back 10

A609. Chorioamnionitis

Front 11

Q610. when is it common to see maternal hypotension?; what can it cause in child?; what is Tx for maternal hypotension?

Back 11

A610. After epidural; causes - Fetal bradycardia; Tx - IV hydration and Ephedrine

Front 12

Q611. Tx for fetal bradycardia lasting for longer then 4 - 5 minutes?

Back 12

A611. C-section

Front 13

Q612. Monozygotic Twins:; separation before the differentiation of trophoblasts

Back 13

A612. Dichorionic-Diamnionic

Front 14

Q613. Monozygotic Twins:; separation after trophoblast differentiation and before amnion formation

Back 14

A613. Monochorionic-Diamnionic

Front 15

Q614. what type of twins can develop Twin-to-Twin Transfusion Syndrome?

Back 15

A614. Mono-Di (one big baby and one small)

Front 16

Q615. Twin type:; division of fertilized ovum

Back 16

A615. Monozygotic

Front 17

Q616. Twin type:; fertilization of two ova by two sperm

Back 17

A616. Dizygotic

Front 18

Q617. Monozygotic Twins:; separation after amnion formation

Back 18

A617. Monochorionic-Monoamnionic (highest mortality rate)

Front 19

Q618. Dx:; pregnant woman with HTN, edema, proteinuria

Back 19

A618. Preeclampsia

Front 20

Q619. (3) risk factors for onset of Preeclampsia

Back 20

A619. Nulliparity,; Multiple gestation,; Chronic HTN

Front 21

Q620. Tx for Preeclampsia near term and preterm

Back 21

A620. Near term: Delivery; Preterm (and Eclampsia Tx): Mag sulfate - against seizures, Hydralazine - HTN

Front 22

Q621. with Eclampsia, what percentage of patients have seizures before labor, during labor and after labor?

Back 22

A621. Before: 25%; During: 50%; After: 25%

Front 23

Q622. what anti-hypertensives are given to mothers with chronic HTN during birth?; (2)

Back 23

A622. Nifedipine; Labetolol

Front 24

Q623. what tests should be performed if patient has chronic HTN with pregnancy?; (2); why?

Back 24

A623. Baseline ECG,; 24-hr urine collection; helps differentiate superimposed preeclampsia

Front 25

Q624. How common is gestational diabetes?

Back 25

A624. approx 15% of pregnancies

Front 26

Q625. (3) fetal complications of Gestational Diabetes

Back 26

A625. Macrosomia,; Shoulder dystocia,; neonatal Hypoglycemia

Front 27

Q626. when is a C-section indicated in gestational diabetes?

Back 27

A626. if fetal weight > 4500g

Front 28

Q627. How is the DM-1 patient managed during pregnancy?; Delivery?

Back 28

A627. Pregnancy - insulin pump; Delivery - insulin drip

Front 29

Q628. What gestational age of onset would you stop considering using a tocolytic agent?; A steroid agent?; What is done after that?

Back 29

A628. Tocolytic: >34 weeks; Steroid: >36 weeks; then: Expectant management

Front 30

Q629. how are lower UTIs treated versus pyelonephritis in pregnancy?

Back 30

A629. Lower UTI - oral Antibiotics; Pyelonephritis - IV Antibiotics

Front 31

Q630. (2) complications of pyelonephritis during pregnancy for mother

Back 31

A630. Septic shock; ARDS

Front 32

Q631. what can Bacterial Vaginosis cause during pregnancy?

Back 32

A631. Preterm delivery

Front 33

Q632. Leading cause of Neonatal sepsis; Tx?

Back 33

A632. Group B strep; Tx: Ampicillin

Front 34

Q633. Dx:; maternal fever, uterine tenderness, high WBC, fetal tachycardia; Tx? (2)

Back 34

A633. Chorioamnionitis; Tx: Delivery, IV Antibiotics

Front 35

Q634. Dx:; nausea and vomiting in pregnancy to the extent where the patient cannot maintain adequate hydration and nutrition; (3) Tx?

Back 35

A634. Hyperemesis Gravidarum; Tx: IV hydration, Electrolyte repletion, Antiemetics

Front 36

Q635. Management of women with Epilepsy during pregnancy; (3)

Back 36

A635. check antiepileptic drug levels monthly,; Level 2 Ultrasound at 19 - 20 weeks,; supplement with Vitamin K from 37 weeks to delivery

Front 37

Q636. what do women with mild renal disease have a risk of getting during pregnancy?; (2 pregnancy problems)

Back 37

A636. Preeclampsia,; IUGR

Front 38

Q637. Leading cause of maternal death

Back 38

A637. Pulmonary emboli

Front 39

Q638. Tx for pregnancy-related DVT and PE

Back 39

A638. Heparin

Front 40

Q639. Management for Hyperthyroidism in pregnant woman; (3)

Back 40

A639. Thyroid-stimulating immunoglobulins (TSI) should be screened. if elevated, screen for fetal goiter and IUGR; continue with PTU medication

Front 41

Q640. Management for Hypothyroidism in pregnant woman

Back 41

A640. Synthroid (Increased Synthroid requirements during preg for somone already on meds)

Front 42

Q641. (3) common problems that can occur in the pregnant SLE patient. what (3) meds can be used in these patients as prophylaxis?

Back 42

A641. Risk for: Pregnancy loss, IUGR, Preeclampsia; Meds: Low-dose aspirin, Heparin, Corticosteroids

Front 43

Q642. how are Lupus flares and Preeclampsia differentiated in pregnancy?

Back 43

A642. Complement levels

Front 44

Q643. SLE and Sjogren mothers with anti-Ro and Anti-La antibodies have risk of developing what fetal problem?

Back 44

A643. Fetus with Congenital Heart Block

Front 45

Q644. Dx:; infant is delivered and has growth restriction, CNS problems, cardiac defects and abnormal facies

Back 45

A644. Alcohol abuse during pregnancy; (FAS)

Front 46

Q645. Pregnancy Risk:; Caffeine > 150 mg/day

Back 46

A645. Spontaneous abortions

Front 47

Q646. Pregnancy Risk:; Cigarette smoking; (4)

Back 47

A646. Growth restriction,; Abruptions,; Preterm delivery,; Fetal death

Front 48

Q647. Pregnancy Risk:; Cocaine; (2)

Back 48

A647. Placental Abruption,; CNS defects in children

Front 49

Q648. what is best for the pregnant woman on Heroin during pregnancy?

Back 49

A648. Quitting outright will endanger fetus--need to be enrolled in a methadone clinic, then quit after delivery

Front 50

Q649. (2) central issues in the immediate postpartum period for the patient

Back 50

A649. Pain management,; Wound care

Front 51

Q650. when do diaphragms and cervical caps need to be refitted postpartum?

Back 51

A650. 6 weeks