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31 Cards in this Set
- Front
- Back
what G/U infection is strongly associated with preterm labor
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Gonnococcal
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why can the tocolytic agent indomethacin cause variable decels
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A sudden change in increasing variable decels, which is caused by cord compression can include Oligohydramnios, rupture of membranes, or descent of the fetal head, such as in labor so that the nuchal cord may tighten
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In a patient on tocolytics what is a mojor hazard
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pulmonary edema because the tachycardia that oftne occurs decreases the diastolic filling tim, leading to increased end-diastolic pressure, besides oxygen, IV furosemide is effective in increasing
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Bacterial infection of the bladder is defined as having greater than
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100,000 cfus on a single midstream void
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pregancy further predisposes women to UTIs due to
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incomplete emptying, ureteral obstruction, and immuune suppresion
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On a catheterized specimen how much bacteria does it require to be bacteriuria
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10,000 instead of 100,000 in a normal midstream void
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what is urethral syndrome
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Urgency and dysuria caused by urethral inflammation of unknown etiology; urine cultures are negative
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ampicillin is generally not used for UTIs due to the widespread resistance of what
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E. Coli
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In the pregnant patient asymptomatic bacteriuria leads to infection
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leads to acute infection 25% of the time
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Women with pyelonephritis present with
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fever chills flank pain and nausea and vomiting
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High incidence in women with sickle cell trait
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asymptomatic bacteriuria
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what OCPs are contraindicated after a DVT
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any form of contraception that contains Estrogen, like the combination pill, patch or ring
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what is the Yuzpe regimen
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use of specific oral contraceptive regimen first reported by Dr. Yuzpe, consisting of two tablets of Ovral (total of 0.1mg ethinyl estradiol and 0.5 levonorgestrel) at time zero and two tablets after 12 hours
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what is the Yuzpe regimen
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use of specific oral contraceptive regimen first reported by Dr. Yuzpe, consisting of two tablets of Ovral (total of 0.1mg ethinyl estradiol and 0.5 levonorgestrel) at time zero and two tablets after 12 hours
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progestin only pill is best suited for
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breast feeding
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levonorgestrel may lead to
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irregular vaginal bleeding
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the main risk of combined oral contraceptives are
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DVT and PE, stroke in people with migraine with aura, MI in women smokers over 35, cholelithiasis and benign hepatic tumors
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Use of combined OCPs decreases
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the risk of ovarian and endometrail cancer, shortens the length of menses, decreases blood loss, decreases DUB, improves acne
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What is a long term complication of heparin therapy
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osteoporosis
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How does one manage a DVT in a pregnant patient
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full anticoagulation on heparin drip for 5 -7 days then can switch to subQ heparin while mainting aPTT at around 1.5 - 2.5 normal limits
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SIgns and Sx of a DVT include . . .
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"muscle pain," Deep linear cords of the calf, and tenderness and swelling of the lower extremitiy
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pregnancy produces a hypercoagulable state by way of
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because of increased levels of clotting factors-predominantly fibrinogen and venous stasis
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progestin only contraception is only contraindicated in
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women with unexplained uterine bleeding
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BRCA 1 = chromosome ?
BRCA 2 = CSOME? |
17, 13 resp.
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the BRCA gene is autosomal ?
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Dominant...it will dominate your life
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what type of cyst may be observed
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A breast cyst in which the fluid is straw colored or clear and the breast mass upon aspiration disapears may be observed
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what are the US features of a dermoid cyst
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hypo-echoic area of or cystic structure in a fat fluid medium...these are rapidly growing tumors found in women in there 2nd and third decade
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the most common derivatives are ectodermal although they can contain all three germ layers
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dermoid cysts
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what is the typical initial symptom of a dermoid cyst
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sever acute abdominal pain as a result of a torsed ovary
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the prognosis of malignant teratomas
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directly related to the stage and cellular immaturity...the treatment is a unilateral salpingooophorectomy with wide sampling of peritoneal implants if the primary tumor is grade 0 and all the samples are negative then you are done however if it is grade 2 combo chemo is effective
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the prognosis of malignant teratomas
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directly related to the stage and cellular immaturity...the treatment is a unilateral salpingooophorectomy with wide sampling of peritoneal implants if the primary tumor is grade 0 and all the samples are negative then you are done however if it is grade 2 combo chemo is effective
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