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STEP 2
OB/GYN
| Question | Answer |
|---|---|
| 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 |