Step 2 Obgyn

Front 1

Role of GnRH agonists:

Back 1

suppress endometriosis & fibroids

Front 2

Endometriosis Triad:

Back 2

Dyspareunia, dysmenorrhea, dyschezia

Front 3

Normal 2ndry Sexual Characteritiics
No Uterus/Adnexa

Back 3

---> Karyotype analysis
46XX: Mullerian agenesis
46XY: Androgen insensitivity or 5 alpha reductase deficiency

Front 4

Untreated asymptomatic bactiuria in preganancy

Back 4

leads to acute pyelo in 1/3 of the time

Front 5

SLE vs pre-eclampsia

Back 5

RBC casts in SLE --Steroids

Front 6

give preeclamptics Mg when

Back 6

24 hours before deliveyr and during
give severe for 24h after delivery

Front 7

Suspected FGR: most important parameter

Back 7

Abdominal Circumference

Front 8

Three hour glucose tolerance test levels

Back 8

fasting >95
one hour >180
two hour >155
three hour >140

Front 9

mammogram recommendation:

Back 9

q2y starting at 50

Front 10

palpable breast mass

Back 10

<30 yo --> US
-----> simple cyst --> aspirate if desired
-----> else --> image guided core bx
>30 yo --> US + Mammo

Front 11

post partum bleeding

Back 11

Irregular bleeding beyond 8 weeks post-partum is abnormal

Front 12

determining ovulatory reserve

Back 12

Serum Inhibin B can determine ovluatory reserve.
Will decline in older women.

Front 13

Midcycle Egg-like mucus

Back 13

spinnbarkeit -- consistent withovulation

Front 14

spinnbarkeit

Back 14

Midcycle Egg-like mucus-- consistent withovulation

Front 15

Pregnancy + Heroin =

Back 15

IUGR, Macrocpehaly, SIDS, NAS
NAS = neonatal abstinence Sro
high-pitched cry, diaphoresis, vomiting, diarrhea, seizrues/tresmors, irrtabile/poor sleeping, tachypnea
heroin withdrawal within 40h of birth
methadone withdrawal 48-72 hours of birth
Symptomatic tx: swaddle, small freq feeds
failure --> morphine & wean

Front 16

Previous miscarriages + + VLDR & -FTA=ABS, prolonged PTT

Back 16

--> Antiphospholibid
start on LMWH

Front 17

infant of diabetic mother:

Back 17

caudal regresion sro, transposition of great vessels, duodenal atreisa, anencephaly & NTD

Front 18

chlamydia + in gravida:

Back 18

erythromycin is drug of choice

Front 19

CIN1 or ASCUS in low risk pt

Back 19

can always bee fu'd by repeat pap in 6-12 mos

Front 20

Tx: vaginismus:

Back 20

Kegel exercises & gradual dilatation - 80% success rate
Refractory can go to sex therapist

Front 21

Timewindow for Rhogam after posssible blood mixing

Back 21

72h

Front 22

Raloxifene:

Back 22

increased risk of VTE, does not increase risk for endometrial cancer like tamoxifene

Front 23

First step in any non-reassuring HR during birth

Back 23

is to adminsiter O2, reposition mom * stop uterotonic drugs
Causes: cord compresssion, low amniotic fluid, fetal hypoxia
may just need amniotransfusion (sometimes cord compression is from low amniotic fluid)
NB: intermittent (<50% of decelerations) != "Repetative" & are well teolrated by fetus;

Front 24

Lithium in Pregnancy:

Back 24

1st trimester: Ebsetin's anomaly NB 1/1k chance
3rd trimester: goiter, transient neonatal neuromuscular dysfnx

Front 25

Capbamazapine & Valproate: in Prengnancy

Back 25

craniofacial defents, neural tube defects & gential naomalies. lithium not these.

Front 26

EtOH & Breast feeding:

Back 26

wait 2h before feeding

Front 27

Hep C & a Baby

Back 27

Breastfeeding does not increase risk of HepC transmission to Neonate
Ribavirin + IFNa indicated in chronic hepC, contrad in Pregnancy
All pts with Hep C should receive HepA & B vaccines ASAP (to prevent fulminant progression I guess)
both vaccines safe in pregnancy

Front 28

GNRs in vagina

Back 28

UTI GRNs do not normally live in vagina, but can live there when disrupted with spermicides, diaphgrams what ahve you