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OB 4 Other Preg Comp
Other Pregnancy Complications
Question | Answer |
---|---|
What is the definitive cure for preeclampsia? | Deliver that little sucker! |
What is the tx for macular degeneration? | Antioxidants like Vit C and E, beta carotene, copper, and zinc |
What is the tx for retinal detachment? | Laser photocoagulation or cryotherapy |
What are the characteristic findings in tertiary syphilis? | Argyll-Robertson, tabes dorsalis, neurosyphilis, ataxia, + Romberg's sign, gummas (granulomatous lesions), aortitis, aneurysm of aortic root, aortic regurgitation |
Rash followed by desquamation of hands and feet is characteristic of which congenital infxn? | Syphilis |
Blueberry muffin rash, sensorineural deafness, and cataracts are associated with which illness? | Congenital rubella |
Which cardiac malformations are a/w congenital rubella? | PDA, pulmonary a stenosis, and tetralogy of Fallot |
Pt with normal hearing test at birth who develops L sided deafness several years later. Dx? | CMV (unilateral deafness) |
What congential defects are a/w maternal zoster reactivation? | Nothing |
When should women be screened for GBS? | At 35-36wks |
What abx can be used for intrapartum GBS prophy? | Peniciliin or ampicillin |
What abx can be used for intrapartum GBS prophy in a woman who is PNC allergic? | Cefazolin. Can also use vanc, clinda, or erythromycin. |
What are the 4 major indications for GBS prophylaxis? | 1. GBS in last 4 wks on vaginal or rectal cx. 2. GBS bacteruria. 3. H/o early onset GBS in past pregnancy. 4. Evidence of infection |
What congenital infxn is a leading cause of preventable blindness? | Chlamydial conjunctivitis |
Which congenital infxn is a/w the following defect?: initially asymptomatic but later develops a unilateral hearing loss | CMV |
Which congenital infxn is a/w the following defect?: hydrocephalus, intracranial calcifications, chorioretinitis | Classically toxoplasmosis (but also CMV) |
Which congenital infxn is a/w the following defect?: rash, deafness, cataracts | Rubella |
Which congenital infxn is a/w the following defect?: hearing loss, chorioretinitis, intracranial calcifications | Toxo |
Which congenital infxn is a/w the following defect?: PDA or pulmonary artery stenosis | Rubella |
Which congenital infxn is a/w the following defect?: anemia, blood-tinged nasal secretions, hepatosplenomegaly | Syphilis |
Which congenital infxn is a/w the following defect?: temporal lobe encephalitis | HSV |
What is the tx for metastatic choriocarcinoma? | Hysterectomy and MTX. If preg desired, can hold off on hysterectomy and give chemo to see if that will eradicate dz |
What does the TORCHS acronym stand for? | Toxo, Other, Rubella, CMV, HSV (Hep, HIV), Syphilis |
A 19yo G2P1 presents at 9wk gestation. She is vomiting all day every day, and has lost 7% of her body weight. On US, no gestational sac is found, but rather, there is a snowstorm appearance to the uterine contents. What is the mgmt of this pt? | D+C. Follow beta-hCG for 1yr. Avoid preg during that time. |
Pt with untx molar preg presents to clinic 8mos later c/o vag bleeding and hemoptysis. Her uterus is enlarged, but on US, there is no gest sac. There is a uterine mass w/a mix of hemorrhageic and necrotic areas w/parametrial invasion. What is her px? | Good with a hysterectomy and chemo |
What two measures are important in preventing vertical transmission of HIV? | HAART + preventing labor with C section. Also give zidovudine during labor and give to baby x6wks postpartum. |
What advice should you give a mother with HIV abt breastfeeding her infant? | Don't do it motha fricka! The only time it's ok is if they live in a region where the water is unsafe to drink so there is no good alternative to breast milk. |