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OB 3 (Complications)

Step-2

QuestionAnswer
What is the next step in the evaluation of the following pt: pelvic fracture + DPL shows blod in pelvis emergent lap
What is the next step in the evaluation of the following pt: pelvic fracture + DPL shows urine in the pelvis urgent lap
What is the next step in the evaluation of the following pt: pelvic fracture + DPL shows nothing + hemodynamic instability angiography, possible embolization
What is the next step in the evaluation of the following pt: blunt abdominal trauma + unstable vital signs + FAST show fluid in pelvis urgent lap
What is the next step in the evaluation of the following pt: blunt abd truama + unstable vitals + FAST shows no fluid in pelvis angiography with possible embolization
What is the next step in the evaluation of the following pt: blunt abd trauma + unstable vitals + FAST inconclusive DPL
What is the next step in the evaluation of the following pt: Blunt abd trauma + stable vitals CT or Abd and pelvis
What is the next step in the evaluation of the following pt: abdominal stab wound + hypotensive or signs of peritonitis emergency lap
An 18 y/o woman w/ no history of abdominal pap smears now has a first time ASCUS pap. How should this be managed? repeat pap in 6-12 months
What are the management options of a first time ASCUS pap in a non-adolescent? Option 1: reflex HPV. High risk HPV do colpo, low risk HPV repeat pap in 6-12 months. Option 2: repeat pap in 6-12 months. Option 3: colpo
Patients with hyperemesis gravidarum have a weight loss > than _____% of pre-pregnancy body weight and detection of ______in urine. 5, ketones
What w/u should be performed in a pt with hyperemesis gravidarum? weight, orthostatic BP, serum TSH/T4, electrolytes and urine ketones, US to detect gestational trophoblastic dz or multiples.
What is the tx for DVT in pregnancy and how long is it continued? What drug do you NOT give during pregnacy? IV heparin or enoxaparin, switched to subQ heparin 2 weeks before delivery, stop before delivery and 6 hours after, continue for 6 weeks following delivery. Do not give warfarin to prenant pts
What dipstick finding is considered diagnostic of a UTI? nitrites
What is the next step in the evaluation of the following pt: what is the first line treatment for hyperemesis gravidarum? vit b6, doxylamine, hydration
What adverse effect can be seen with maternal ACE-I or ARB use? renal tubular dysplasia(+/- renal failure)-> oligohydramnios-> intrauterine growth restriction, limb contractures, pulmonary hypoplasia, lack of skill ossification, in utero death
What doses or radiation are considered safe in pregnancy? Less than 0.05 Gy (5 rads) over the pregnancy
Identify the following teratogen based on the defect: phocomelia thalidomide
Identify the following teratogen based on the defect: yellow or brown teeth tetracyclines
Identify the following teratogen based on the defect: deafness aminoglycosides
Identify the following teratogen based on the defect: spina bifida, hypospadias valproic acid
Identify the following teratogen based on the defect: cardiac (ebstein) anomalies lithium
Identify the following teratogen based on the defect: craniofacial defects, IUGR, CNS malformation, stillbirth warfarin
Identify the following teratogen based on the defect: fingernail hypoplasia, craniofacial defects carbamazepine
Identify the following teratogen based on the defect: central nervous system, craniofacial, ear, and cardiovascular defects Isotretinoin
Identify the following teratogen based on the defect: goiter, cretinism Iodine deficiency
Identify the following teratogen based on the defect: cerebral infarcts, mental retardation cocaine
Identify the following teratogen based on the defect: clear cell vaginal cancer, adenosis, cervical incompetence DES
What are the main fetal complications of tobacco use in pregnancy? IUGR and prematurity
How are migraines treated in pregnancy and why? Opiates, contraindications are triptans and ergots because they cause vasoconstriction and NSAIDS are teratogenic.
Created by: shelybel