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15 Cards in this Set
- Front
- Back
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Which medication is proven to be effective in reducing perinatal morbidity and mortality associated with preterm labor?
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Antenatal corticosteroids
Should give to any pregnant pt 24-24 weeks of gestation w/ intact membranes at high risk for preterm delivery Betamethasone or Dexamethasone --↓risk of infant respiratory distress syndrome by stimulating surfactant -- ↓risk of intraventricular hemorrhage |
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Should lesbian women receive the Hep B vaccine?
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Yes.
Although they are at much lower risk of acquiring Hep B infection than gay men, they can still acquire the infection via vaginal and cervical secretions especially if they have multiple or new partners. |
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Concern with women with seizures and OCPs?
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↓OCP efficacy due to induction of cytochrome P450 by the anti-seizure meds.
Neurontin and Valproate don’t, but the others do. |
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Doctors can provide care to adolescents w/o parental consent for what?
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Pregnancy
Contraception STD Substance use Emotional illness |
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60 y/o F p/w mass protruding through vagina upon bearing down. C/o vaginal bleeding, pressure in pelvic area relieved by lying down. What is this?
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Uterine prolapse.
Treat with surgery |
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Most common complication with norplant?
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Menorrhagia (prolonged vaginal bleeding during the period)
Norplant=Levonorgestrol |
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Why are the following medications CI in pregnant pts?
Tetracycline Cipro Bactrim |
Tetracycline: dental staining, ↓bone growth
Cipro: tendon rupture in young children Sulfonamides: near term can cause displacement of bilirubin in fetal circulation (↑risk of hyperbilirubinemia and kernicterus) Bactrim not advised in 1st & 3rd trimester |
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What do you do for pregnant pts w/ si/sx suggestive of UTI?
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Begin empiric ABY tx immediately w/:
Cephalexin or Amoxicillin or Nitrofurantoin for 3-7 days |
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Tx of acute pyelonephritis in pregnant women?
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Hospitalization & IV ABY (Ceftriaxone or Amp/Gent)
x 10-14 days Remainder of pregnancy: low-dose ABY prophylaxis with Nitrofurantoin or cephalexin and monitoring of urine occasionally for infection. |
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How do you differentiate b/t the different causes of ascites?
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Abdominal paracentesis and ascitic fluid analysis
SAAG: serum to ascitic fluid albumin gradient SAAG= serum albumin –ascitic fluid albumin. SAAG >/= 1.1 g/dL portal HTN |
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Most common cause of ascites is?
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hepatic cirrhosis
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Clinical conditions associated with a high SAAG?
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SAAG >/= 1.1
Cirrhosis CHF Alcoholic Hepatitis |
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Clinical conditions associated with low SAAG?
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SAAG < 1.1
Peritoneal carcinomatosis (i.e. ovarian cancer) Peritoneal TB Nephrotic syndrome Pancreatitis Serositis |
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What is Budd Chiari syndrome?
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Postsinusoidal non-cirrhotic causes of portal HTN
Caused by thrombosis of the hepatic veins and/or suprahepatic IVC. SAAG >/= 1.1 |
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What is HELLP syndrome?
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Hemolytic anemia
Elevated LFTs Low Platelets Severe form of preeclampsia, therefore, MgSulfate is the standard of care for patients with this in order to reduce risk of seizure. |
