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65 Cards in this Set
- Front
- Back
management for ascus
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reflex hpv testing
if high risk hpv, then colpo/bx if low risk hpv, then repeat pap in 1 yr |
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management for ASC-H, LSIL, HSIL
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do not need to do hpv testing
go straight to colpo/bx |
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how is a dx of cin made
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it is the path description of the bx taken from ascus, etc
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management for cin i
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low likelihood to progress to cin ii/iii, can f/u pap q6mo x1 yr, it continues to be abnormal --> LEEP
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management for cin ii
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LEEP
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management for cin iii
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LEEP
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what does high afp mean
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ntd, ventral wall defect, inaccurate dates
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what does a low afp mean
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down syndrome, fetal demise, inaccurate dates
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what to do if afp is abnormal
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get u/s to r/o inaccurate dates or other abnormalities
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when should acyclovir be given to a woman with hsv
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4 weeks prior to delivery
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risk factors for placental abruption
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htn
trauma polyhydramnios cocaine |
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tx of choice for htn in pregnancy
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labetolol
hydralazine |
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when should rhogam be given in rh - moms
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at 28 weeks, and within 72 hrs p partum
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does an rh - mother who has rh antibodies in large titer amounts need rhogam
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no, it's too late for her.... just monitor the fetus
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how to manage a pregnant woman with anti-phospholipid syndrome who has recurrent sabs
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low dose asa and low dose heparin
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which tb medication should be avoided in pregnancy
why |
streptomhcin
--> nephrotoxic, deafness |
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tx of post-partum endometritis
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gentamicin and clindamycin (both)
metronidazole can also be used for anaerobe coverage, but cannot be used in breastfeeding women |
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complications of preganancy associated with adolescent mothers
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increased prenatal mortality
preterm delivery lbw prematurity |
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should asx pts w trich be treated
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yes (they will eventually become symptomatic)
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why are sulfa drugs contraindicated in pregnancy
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they will displace bilirubin in neonate --> hyperbili
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cardiac complications associated wtih maternal dm
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fetal cardiomyopathy, chf, hypertrophic intraventricular septum
both are 2/2 increased glycogen deposits within mycoardium --> hypertrophy |
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tx of fetal cardiac complications from gestational dm
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most will correct themselves without intervention
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ebstein's anomaly: what is it, what agent is implicated in it
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atrialized right ventricle) --> tr and cyanosis
lithium during pregnancy |
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what % chance does a woman with CF have to get pregnant
man with cf? |
20%
5% |
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management for bloody nipple d/c (unilat)
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mammography
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describe rash in herpes gestationis
tx |
plaques, papules surrounding ubilicus.
steroids (tramcinolone) |
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tx of pregnancy induced pruritis
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steroids, antihistamines, oatmeal baths
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describe rash in PUPPP
tx |
pruritic red papules within striae
steroids |
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how thick does endometrial stripe have to be before doing bx
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>4mm
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risks associated wtih subchorionic hematomas
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sab
bleeding |
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how to manage subchorionic hematomas
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repeat u/s
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which steroids can be given to enhance fetal lung maturity
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beta methasone
dexamethasone |
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which hormone is found in the morning after pill
ideally when should pill be takne |
levonorgestrol
w/i 12 hrs of intercourse |
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when can copper T be used as emergency contraception
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up to 120 hrs after intercourse
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tx pf cpmdu;p,ata aci,omata
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surgical excision
chem destruction (trichloroacetic acid, internal use ok, safe in preg; podophyllin, not used in preg, only for external use) |
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complications associated with retroverted uterus
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incareration in second trimester orf pregnancy can occur, so must be manually repositioned.
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tx for chlamydia in pregnancy
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erythromycin base (doxycycline is contraindicated)
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complications of scuba diving during pregnancy
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gas emboli to fetus
decompression injury |
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complication of hpv during pregnancy
how great is risk |
can be passed to fetus during labor passing through birth canal.
--> recurrent respiratory papillomatosis (benign laryngeal tumor) <1% in vag deliveries, no need for c/s |
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how to manage pt with uterine bleeding --> unstable hemodynamics
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give IV estrogen
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how to manage pt with dysfxnal uterine bleeding who is stable
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progesterone and estrogen (COC)
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guidelines for tetanus toxoid
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ppl with contaiminated would and last tetanus dose >5 y.a
those with clean wounds and last vaccine >10 y.a |
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who gets tetanus immunoglobulin
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all with <3 doses of vaccine or unknown status
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how to eval breast mass in woman <35
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FNA or excision
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#1 cause of post-partum hemorrhage
how to manage |
uterine atony
if no evidence of retained placenta, give uterine massage, then oxytocin if persists, then uteroine artery ligation if still persists |
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what must be used in combination with a pessary? why?
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estrogen cream
otherwise --> d/c, bleeding 2/2 to injury to vaginal tissue from pessary |
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which antiepileptic should be used in pregnancy
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whichever one works the best, although they all have risk of teratogenicity, therefore check for NTD early
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can women on anti-epileptics breastfeed
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yes
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how to tx a pregnant woman with tb (not mdr)
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same way as non-pregnant:
INH, RIF, ethambutol |
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how to tx a pregnant woman with suspected mdr-tb
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same as non-pregnant:
INH, RIF, ethambutol, pyrazinamide |
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how does pregnancy affect thryoid hormone levels
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there is increased tbg, so an increased overall amt of t4 and t3, but the free amounts should be the same
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how does pregnancy affect the amount of thyroid hormone supplementation a person needs
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need more b/c increased tbg
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lab findings of gestational transient thyrotoxicosis
how long does it last |
mildly elevated fT4, and slightly lower TSH
resolves by 14 wks |
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dx of true hyperthyroidism during pregnancy
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TSH <0.01
extremely elevated fT4 |
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why is hydrocortisone not effective in causing fetal lung maturity
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most of it is metabolized by placenta, very little actually reaches the fetus
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when can a fetus have external version to correct breech lie
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after 37 weeks if there is no contraindication to vaginal delivery and no fetal distress
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criteria for gestational thrombocytopenia
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mild and asx development of thrombocytopenia late in pregnancy
no h/o thrombocytopenia aside from pregnancy spontaneous resolution of plt post partum |
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etiology of hiv associated thrombocytopenia
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infx
malignancy mediations hypersplenism ttp dic |
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plt threshold for likly itp
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<50,000
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how to handle an inadequate pap smear sample
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if from a woman with low risk factors and previously nml pap, no need to repeat.
if abnml pap and lots of risk factors, should repeat in 4-6 months |
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best form of contraception in scd
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depot shot (easy compliance and may decrease # of crises)
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problems with using copper t in scd
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may cause some bleeding which can worsen scd
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absolute contraindications to ocps
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h/o stroke/thromboembolic event
liver dz h/o estrogen dependent tumor pregnancy abnormal uterine bleeding smoker >35 yo high TG |
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relative contraindications to ocps
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migraines
poorly controlled htn anticonvulsants |
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# complication of cvs, what increases its risk
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transverse limb abnormality
more likely if done <9 wks ga |