Obgyn Rotation

Front 1

antiprostaglandins are useful in pts with

Back 1

ovulation w/ heavy cycles or menorrhagia b/c of IUD

Front 2

antiprostaglandins cause

Back 2

vasoconstriction/platelet aggregation

Front 3

treatment for heavy bleeding relating to anovulation

Back 3

25mg conjugated estrogen every 4 hours until bleeding stops

Front 4

estrogen acts how to stop bleeding

Back 4

builds up endometrium and stimulates clots at the capillary level

Front 5

how to diagnose vulvar vestibulitis

Back 5

severe pain to vestibular touch/attemted vaginal entry, tenderness of pressure localized within valvar vestibule, visible findings confined to vulvar erythema of various degrees

Front 6

persistant anterior cervical lip can indicate

Back 6

occiput posterior presentation

Front 7

5 things to test in infertility work up

Back 7

ovulation documentation- BBT
semen analysis
postcoital test
hysterosalpingogram
endometrial biposy

Front 8

treatment of choice for pregnant women who have asymptomatic N. gonorrhoeae infections

Back 8

penicillin- in case of allergy, use spectinomycin (can use tetrocycline but not good for pregnancy)`

Front 9

women with urinary frequency, urgency, dysuria, hematuria, dyspareuria.
h/o UTIs/dribbling/incontinence with suburethral mass

Back 9

urethral diverticula

Front 10

contraindication for indomethacin use

Back 10

oligohydramnios
decrease fetal urine production

Front 11

pharmacology of indomethacin

Back 11

prostaglandin synthetase inhibitor

Front 12

what to watch for when using nifedipine

Back 12

low blood pressure

Front 13

how does nifedipine cause uterine relaxation

Back 13

prevents entry of Ca into muscle cells

Front 14

what is another option to cause uterine relaxation

Back 14

MgSO4
competes with Ca for entry into cells- increased levels can cause respiratory/cardiac depression

Front 15

Rubella is most dangerous in what trimester

Back 15

first

Front 16

with increasing gestational age, what happens to dopplers?

Back 16

increas in end-dyastolic flow
S/D decreases

Front 17

and increased S/D ratio signifies

Back 17

increased resistance in placental vascular bed

Front 18

what can increase S/D ratio

Back 18

nicotine/smoking

Front 19

true sexual precocity pts have___ levels and ___

Back 19

normal gonadotropin
normal ovulation

Front 20

premature activation of normally operating hypothalamic-pituitary axis

Back 20

true sexual precocity

Front 21

tumors, h/o encephalitis, meningitis, hypothyroidism can cause

Back 21

true sexual precocity

Front 22

in precocious pseudopuberty___

Back 22

endocrine glands produce elevated amts. of estrogens or androgens

Front 23

incomplete sexual precocity is signified by

Back 23

premature thelarche/adrenarche

Front 24

three common things that can cause preterm labor

Back 24

dehydration
UA c&s
GBS

Front 25

what do soles, breast nodules, scalp hair, earlobes, scrotum look like in a >39wk infant

Back 25

soles covered with creases
7mm breast nodules
coarse/silky hair
thickened w/ cartilage
full w/ extensive rugae

Front 26

SOB in pregnancy is associated with

Back 26

increased lung TV and increased minute volume

Front 27

what do you use to treat heavy bleeding attributed to anovulation

Back 27

25mg conjugated estrogen q4h until bleeding stops

Front 28

how does estrogen act to stop heavy bleeding

Back 28

build up endometrium
stimulation of clots at capillary level

Front 29

Jewish pts should be screened for ___ diseases

Back 29

Tay-Sachs
Canavan disease

Front 30

what do you do for HSV infection

Back 30

if no lesions, vaginal delivery is permitted
can start on antiviral at 36 weeks

Front 31

AP diameter of inlet is greater than transverse diameter

Back 31

anthropoid pelvis

Front 32

flattened with short AP and wide transverse diameter

Back 32

platypelloid

Front 33

baby with seizures/intracranial calcifications/hepatosplenomegaly/jaundice/anemia

Back 33

toxoplasmosis

Front 34

polyhydramnios can cause

Back 34

placental abruption
uterine dysfunction
pp hemorrhage

Front 35

when does the uterus regain regular size

Back 35

PP week 4

Front 36

subinvolution of uterus

Back 36

retained placenta/uterine infection: uterus is larger/softer, prolonged discharge/excessive uterine bleeding

Front 37

endometritis

Back 37

tender uterus on exam
will complain of fever/chills

Front 38

what is adenomyosis

Back 38

endometrial tissue grows into muscular walls of uterus

Front 39

symptoms of adenomyosis

Back 39

mehorrhagia, dysmenorrhea, soft/boggy/enlarged uterus

Front 40

metritis is usually what type of bacteria

Back 40

mixed anaerobic/aerobic

Front 41

abx for metritis

Back 41

cephalosporins- broad spectrum

Front 42

intestinal obstruction could result in

Back 42

bowel perforation

Front 43

active phase of labor means the cervix should dilate ___cm/hr

Back 43

1.5

Front 44

pp depression timeline

Back 44

2wks to 12mos

Front 45

pp blues

Back 45

3-6 days

Front 46

tachysystole

Back 46

>5 contractions in 10 mins for 30 mins

Front 47

hypersystole

Back 47

contraction for 2 mins

Front 48

oxytocin can cause

Back 48

hyponatremia- similar to ADH