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STEP 2

OB/GYN

QuestionAnswer
Test used to confirm an abnormal findings (aneuploidy) in 2nd trimester quadruple screening Amniocentesis
What are R/F for post-MP vaginal bleedng? Obesity, chronic anovulation/PCOS, nulliparity, early menarche, late MP
What are protective factors of endometrial CA? OCPs, late menarche, early MP, and multiparity
What is the tx for post-MP pt with endometrial cancer? Total hysterectomy with bilateral salpingo-oophorectomy
What is the prognosis of localized endometrial CA treatment? Good prognosis and a 5-year survival rate of 96%
What is the criteria to diagnose postpartum endometritis? High fever 2x at 6hr apart + uterine tenderness + purulent vaginal dc
What is the tx for postpartum endometritis? Clindamycin + gentamicin
What survey can detect oligohydramnios? Fetal amnionic survey
At what gestational age is the fetal amniotic survey prefer performed? 18-20 wks gestation
ACE-inhibitor teratogenic effects Fetal renal malformation and oligohydramnios (Potter sequence)
At what week of pregnancy is Rho(D) immune globulin given? 28wk
What is the Rh status of the mother in order to cause hydrops fetalis? Rh negative
What is the purpose of giving Rho(D)-GAM? Prevent maternal alloimmunization, in case baby is Rh (+)
Dilutional coagulopathy is seen in women that: Receive >3.5L of flids durin labor
What does dilutional coagulopathy mean? Coagulation factors are diluted faster than body can replenish them
What is considered severe postpartum hemorrhage? >1,000 mL (more) lost
What are signs/markers indicating Ectopic pregnancy? 1. ß-hCG of 2,800 or more 2. Adnexal mass of 2.2 cm 3. Thin uterine stripe on U/S
What is the NBSM in stable patient with diagnosed Ectopic pregnancy? MTX
What is PPROM? Preterm Premature Rupture of Membranes
PPROM is a complication of: Amniocentesis
Chorioamnionitis is Polymicrobial or Monomicrobial? Polymicrobial infection with GBS as inciting agent
What is significant of vaginal discharge in Squamous cell vaginal carcinoma? Malodorous vaginal dc, similar to STD
What is the MC subtype of Primary Vaginal cancer? Vaginal Squamous cell carcioma
Which 2 GTU cancers have same risk factors? Vaginal squamous cell CA and cervical CA
Is HPV infection a risk factor for which cancers? Vaginal squamous cell CA and cervical CA
What is the immediate pharmacotherapy for postpartum thyroiditis? Propranolol (ß-blocker)
How is a "missed abortion" presented? ≤ 20 wks of gestation w/ a non-viable fetus on U/S and closed cervix on exam
What are the criteria for a "complete abortion"? Less than 10wks gestation, brown vaginal dc, closed cervix, and signs of fetal demise
Abortion if it involves pregnant to "pass" the products of conception: Complete abortion
What is the common ABX regimen for PID? 1. Ceftriaxone + doxycycline + metro or, 2. Cefotetan + doxycycline
What is the major/only factor for Clear Cell adenocarcinoma of the vagina? DES exposure in utero
New, rapid onset virilization + adnexal mass. Most likely Dx? Sertoli-Leydig tumor
Tx for Chancroid by H. ducreyi Single dose of IM ceftriaxonee
Placenta previa: painless or painful bleeding? Painless bleeding
What is the gold-standard test for DX of Placenta previa? Transvaginal U/S
What are some Si/Sx of Sheehan syndrome? Hyponatremia, HYPOGLYCEMIA, inability to lactate, fatigue, and hypotension
Created by: rakomi
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