Step 2 - Vitamin Defs

Front 1

What vitamin deficiency:

Night blindness, dry skin

Back 1

Vit A

Front 2

What vitamin deficiency:

Polyneuritis, dilated cardiomyopathy, high-output CHF, edema

Back 2

B1 (thiamine)

BERIBERI

Front 3

What vitamin deficiency:

Wernicke-Korsakoff

Back 3

B1

Front 4

Another name for:

Thiamine

Back 4

B1

Front 5

What vitamin deficiency:

Angular stomatitis, cheilosis, corneal vascularization

Back 5

B2

Front 6

What vitamin deficiency:

Diarrhea, dermatitis, dementia

Back 6

B3 (PELLAGRA)

Front 7

Another name for:

Riboflavin

Back 7

B2

Front 8

Another name for:

Niacin

Back 8

B3

Front 9

Another name for:

Pantothenate

Back 9

B5

Front 10

What vitamin deficiency:

Dermatitis, enteritis, alopecia, ADRENAL INSUFF

Back 10

B5

Front 11

What vitamin deficiency:

Convulsions, hyperirritability

Back 11

B6

Front 12

Another name for:

B6

Back 12

Pyridoxine

Front 13

Another name for:

B12

Back 13

Cobalamin

Front 14

What vitamin deficiency:

Macrocytic, megaloblastic anemia; subacute combined degen; glossitis

Back 14

B12

Front 15

What vitamin deficiency:

Rickets; osteomalacia; hypoCa+ tetany

Back 15

Vit D

Front 16

What vitamin deficiency:

Increased RBC fragility

Back 16

Vit E

Front 17

Vit K def: how affect:

-PT
-PTT
-bleed time

Back 17

Increase PT, PTT

no affect BT

Front 18

What vitamin deficiency:

2/2 ingestion RAW EGGS, abx

Back 18

Biotin

Front 19

#1 vit def in US

Back 19

Folic acid

Front 20

What vitamin deficiency:

Weak, muscle cramps, worsening of hypocalcemic tetany; CNS hyperirritable, choreathetoid

Back 20

Magnesium

Front 21

What vitamin deficiency:

Keshan dz (cardiomyopathy)

Back 21

Selenium

Front 22

Pre-gest DM: do insulin reqs de/increase s/p delivery?

Back 22

Rapid decrease insulin reqs

Front 23

Affect risk preeclamp?:

DM

Back 23

increase risk

Front 24

What maternal dz?:

Fetal sacral agenesis

Back 24

DM

Front 25

Pregest DM: fetus risks what lyte abn?

Back 25

HYPOCALCEMIA

(& hypoglycemia)

Front 26

Cross placenta?:

-Maternal glucose
-Maternal insulin

Back 26

Glucose yes, insulin no

Fetus makes insulin --> at birth, experiences hypogly

Front 27

Gest DM: fetus risks anemia or polycyth?

Back 27

polycyth

Front 28

Gestational HTN: must initiate after what week preg?

Back 28

>20w

Front 29

Gest HTN: what % develop pre-eclamp?

Back 29

25%

Front 30

HTN in preg: safe to tx with:

-Beta-blocker?
-CEB?
-ACEI?
-Diuretic?

Back 30

Beta & CEB safe: labetalol, nifedipine

NOT ACEI, diuretic (both induce uterine isch)

Front 31

Mild pre-eclamp:

-what bp?
-how much protein?

Back 31

>140/90

>300 mg in 1d (or 1-2+ dip)

Front 32

Severe pre-eclamp:

-what bp?
-how much protein?

Back 32

160/110

>5 GRAMS in 1d

Front 33

Severe pre-eclamp:

Hypo or hyperreflex?

Back 33

HYPER

Front 34

HELlP: more common nullip or multip?

Back 34

Nullip

Front 35

If preeclampsia worsens --> immed C/S or induce labor?

Back 35

INDUCE: oxy, PG, amniotomy

Front 36

Severe preeclampsia: is #1 goal BP control or sz ppx? What meds to tx BP?

Back 36

BP cONTROL

labetalol & hydralazine

Front 37

Severe preeclampsia:

Cont Mg drip how long after preg?

Back 37

24h

Front 38

Eclampsia: what med to tx sz? (2)

Back 38

Mg sulfate --> IV diazepam

Front 39

Eclampsia: admin fluids?

Back 39

no - restrict; strict I&O (insert FoleY)

Front 40

Mg tox: hypo or hyperreflex?

Back 40

HYPOREFLEX

Front 41

Eclampsia: what % szs occur antepartum? Intra? Post?

Back 41

25% ante
50% intra
25% post

Front 42

Preeclampsia: adverse fetal effects?

Back 42

Retinal detach
IVH

Front 43

Endometriosis: affect risk of ectopic?

Back 43

Yes -- scar tubes

Front 44

Ectopic preg: how tx:

-small & unruptured

Back 44

MTX --> salpingostomy w/evac

Front 45

Affect risk of abruption?:

-HTN
-DM
-smoke

Back 45

Yes: HTN, DM

Diabetes does NOT affect risk of abruption

Front 46

Abruption: what % pts develop DIC?

Back 46

10%

Front 47

Abruption: how tx:

-mild
-severe

Back 47

Mild: expectant w/bedrest

Severe; stabilize VAG DELIVER --> C/S if distress

Front 48

Which more common:

Abruption or previa?

Back 48

Abruption (1%)

Previa (0.5%)

Front 49

Affect risk of previa:

prev C/S

Back 49

Increase risk previa

Front 50

See fetal distress?:

-Abruption
-Previa

Back 50

Abruption: yes

Previa: NO!

Front 51

Previa: TV-US what % sens/

Back 51

95%

Front 52

Previa: if occurs 32w --> how tx? if 36w?

Back 52

No vaginal exams; tocolysis & bedrest --> serial U/S to assess growth

36w: C/S (never vag)

Front 53

Which more likely to RECUR:

Abruption or previa

Back 53

Abruption: 10%

Previa: 3%

Front 54

IUGR: how define?

Back 54

<10%

Front 55

Affect risk of IUGR?:

-T2DM
-HTN
-anemia

Back 55

All increase risk IUGR

Front 56

Affect risk of IUGR?:

-Abruption
-Previa

Back 56

Abruption: no

Previa: increases risk IUGR

Front 57

Fetal macrosomnia: #1 risk

Back 57

GESTATIONAL diabetes

Front 58

Fetal macrosomnia: consider C/S if what fetal wt:

-non-DM
-DM

Back 58

Non-DM: >5,000 g

DM: >4,500 g

Front 59

What MATERNAL dz:

Increase risk FETAL Erb-Duchenne

Back 59

Gestational DM --> macrosom --> dystocia --> brachial plex inj

Front 60

Polyhydramnios: AFI what #?

Back 60

AFI >20

Front 61

Polyhydramnios: 2/2;

-DM?
-HTN?

Back 61

DM yes

HTN no

Front 62

Polyhydramnios: assoc w/chromo abns?

Back 62

Yes; if dx poly --> r/o chromo abns

Front 63

Oligohydramnios: AFI what #?

Back 63

AFI <5

Front 64

Poly or oligohyradmnios:

-lung malform
-renal abn

Back 64

Lung: poly

Renal: renal

Front 65

Oligohydramnios: affect perinatal mortality?

Back 65

Increase 40x

Front 66

Poly or oligohyradmnios:

S/E lung hypoplasia

Back 66

Oligo --> not enough fluid --> pulm hypoplasia