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OB 7 (Complications)
Step-2
Question | Answer |
---|---|
What are the diagnostic criteria (Jones criteria) for rheumatic fever? | need 2 major or 1 major and 2 minor. J=joints, mirgratory polyarthritis, O=pancarditis, N=SubQ nodules, E=erythema marginatum, S=Syndenhem chorea |
WHat therapies are used in treating PCOS? | weight loss, OCPs, spironolactone, metformin, clomid |
Uterine bleeding at 18 weeks gestation + no products expelled + cervical os closed. What is the diagnosis? | threatened abortion (viable fetus), missed abortion (non-viable fetus) |
At what gestational age is labor managed actively instead of expectabtly in preterm labor? | 34 weeks |
What are the risk factors for placenta previa? | multiparity, increased maternal age, propr placental previa, multiple gestation, uterine fibroids, history of abortion, smoking |
What is the management of a woman in labor who has complete placenta previa? | immediate c/s. Do not perform manual or speculum exam. |
What are the risk factors for placental abruption? | HTN, Prior placental abruption, trauma, tobacco use, cocaine use, PROM, multiple gestations, multiparity |
What is typically included in an infertility work-up? | serum analysis, evaluation of anovulatory cycles, HSG. |
Compare the treatment of preterm labor at 33 and 3/7 weeks to the treatment at 34 and 3/7 weeks gestational age? | <34 weeks you do expectant management, corticosteroids, prophy abx, deliver after fetal lung maturity, bed rest, tocolysis for 48 hours. >34 weeks you do active management, GBS prophy |
What drugs are used for tocolysis? | Nifedipine, terbutaline, ritodrine, MgSO4, indomethacin |
What drug is the only FDA approved tocolytic? | Ritodrine(but no longer used in the US) |
What are the si/sx of magnesium tox? What is the reveral agent? | loss of DTS, respiratory depression and paralysis, arrhythmias, cardiac arrest. Reverse with calcium gluconate |