Podcast
Questions and Answers
What is the primary treatment for uterine atony?
What is the primary treatment for uterine atony?
- Ceftriaxone
- Terbutaline
- Ampicillin
- Moxytocin (correct)
Which of the following conditions can present with a triad of fever, tender uterus, and foul-smelling lochia?
Which of the following conditions can present with a triad of fever, tender uterus, and foul-smelling lochia?
- Amniotic fluid embolism
- Intrahepatic cholestasis of pregnancy
- Endometritis (correct)
- Chorioamnionitis
What is the first-line treatment for urinary tract infections in pregnant women?
What is the first-line treatment for urinary tract infections in pregnant women?
- Nitrofurantoin
- Amoxicillin (correct)
- Ciprofloxacin
- Doxycycline
What is indicative of Mag toxicity in a patient?
What is indicative of Mag toxicity in a patient?
In the management of recurrent variable decelerations, which treatment is recommended?
In the management of recurrent variable decelerations, which treatment is recommended?
Which condition is associated with hypoglycemia in pregnancy?
Which condition is associated with hypoglycemia in pregnancy?
At what age should breast cancer screening begin according to guidelines?
At what age should breast cancer screening begin according to guidelines?
Which test is performed during week 28 of pregnancy?
Which test is performed during week 28 of pregnancy?
Flashcards
Uterine Atony
Uterine Atony
A condition where the uterus does not contract properly after delivery, leading to excessive bleeding.
Uneven Endometrial Lining & Retained Placenta
Uneven Endometrial Lining & Retained Placenta
A condition where the lining of the uterus is uneven, often caused by a retained placenta. This can lead to heavy bleeding and infection.
Tachysystole
Tachysystole
Too many uterine contractions in a short period, usually defined as 5 or more contractions in 10 minutes. This can restrict blood flow to the baby.
Endometritis
Endometritis
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Hyperemesis Gravidarum
Hyperemesis Gravidarum
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Amniotic Fluid Embolism
Amniotic Fluid Embolism
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Sinusoidal Fetal Heart Rate
Sinusoidal Fetal Heart Rate
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Placenta Previa
Placenta Previa
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Study Notes
OB/GYN
- Uterine atony treatment: Uterine massage, oxytocin
- Retained placenta treatment: Dilation and curettage
- Tachysystole: More than 5 contractions every 10 minutes, which can cause fetal distress.
- Treatment for tachysystole: Tocolytic (terbutaline)
- Beta-thalassemia: Increased HBA2
- Good uterine contractions: 15 accelerations in 15 seconds and 2 in 20 minutes
- Endometritis triad: Fever, tender uterus, foul-smelling lochia
- Chorioamnionitis treatment: Ampicillin and gentamicin
- Chancroid treatment: Ceftriaxone or azithromycin
- Chancre: Painless sore, often associated with syphilis
- Placenta conditions:
- Acreta: Attaches abnormally
- Increta: Infiltrates into the myometrium
- Percreta: Penetrates through the myometrium
- Intrahepatic cholestasis of pregnancy treatment: Ursodiol
- Acute fatty liver of pregnancy: Associated with hypoglycemia
- Pre-eclampsia diagnostic tests: V/Q scan
- Pre-eclampsia treatment: Heparin or rivaroxaban
- Amniotic fluid embolism symptoms: Confusion, chest rash, petechiae
- Treatment for amniotic fluid embolism: Supportive care
- Magnesium toxicity first sign: Hyporeflexia
Infectious Causes in Infants <3 Months
- Infectious causes: Group B strep, E. coli, Listeria
- Tubovarian abscess treatment: Clindamycin and metronidazole
- Recurrent variable decelerations treatment: Maternal repositioning, amnioinfusion
- Sinusoidal heart rate pattern: Associated with fetal anemia
- Normal amniotic fluid volume: 5-25 ml
- First-line UTI treatment in pregnancy: Amoxicillin, cephalosporins, or nitrofurantoin
Other OB/GYN Topics
- Prenatal GBS prophylaxis indication: Maternal GBS infection, prolonged ROM (18+ hours), or preterm labor
- Supplementing Vitamin D in pregnancy: Important for maternal and fetal health
- Cancer screenings in women: Breast cancer screening begins at age 40
Infections in Pregnancy
- Endometritis treatment (bacterial): Gentamicin and clindamycin
Additional OB/GYN information
- HPV vaccination ages: 9-26 years old
- Herpes zoster vaccination age: 60 years old
- Pneumococcal vaccination dose: 65
- HIV positive patients screening: Yearly pap smears
- Endometriosis symptoms: Dysmenorrhea, dyschezia, dyspareunia
Other conditions
- Lymphogranuloma venereum: Buboes (swollen lymph nodes) without ulceration
- Lymphogranuloma inguinale: Buboes that do ulcerate
- Complete pregnancy: Two sperm and an empty egg, resulting in 46XY or 46 XX
- Partial mole pregnancy: Two sperm and one egg, leading to a 69XXY or 69XXX result
- Septic abortion treatment: Gentamicin and clindamycin
- Chorionic villus sampling: Weeks 10-12 of pregnancy
- Amniocentesis: Week 15 of pregnancy
- Kallmann Syndrome: Lack of GnRH neurons, leading to infertility.
- Kallmann syndrome treatment: First-line therapy is hysterectomy
- Uterus composition: Glandular cells
- Vagina and cervix composition: Squamous cells
- Breast Cancer screening: Patients with two first-degree relatives who have had cancer, unilateral breast cancer, and male relatives with breast cancer should start screening in their 20s.
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