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next step in managment of agus?
agus--colposcopy and if >35--endometrial biopsy
what are the parameters of biophyscial profile?
- non stress test
sinusoidal pattenr of fetal heart rate, indicates?
c0ntraction pattern for cervical dilation
what is defined latent phase of labor?
prolonged active phase?
- >20 hours
- >14 hours in multiparous
>12 hours or >1.2 cm/hr or 1.4 cm/hr
when do you induce labor?
- stalled stage
- >42 weeks
contraindication for labor?
- uterine sx
- prior c section
- active herpes infection
bishop scoring system for labor?
- cervical consistency
- cerical position
what is the arrest of descent?
cervix doesnt dilate for 2 hours in the active stage of labor of stage 1
what is uterine hyperstimulation?
>5 contractions/10 mins
rx for uterine hyperstimulation?
when can u perform a vaginal delivery after a c section?
what drugs are ok to take and breast feed?
warfarin, lithium, aspirin, etoh
how much is postpartum bleeding?
- >500 ml for vaginal delivery
- >1000 ml for c section
symptoms of endometritis?
can you give ace I to kids with htn?
what 3 vaccines are given at 11 years old?
when do you start givein influenza to kids?
after 6 months
next step with a single umbilical artry?
anterior fontanelle closes when?
if child did not receive a HIb vaccine pior to 5 yo, should they receive it?
what is PFAPA syndrome?
- recurrent prodrome of periodic fever, aphthous ulcer, pharyngitis, adenitis
- lasts 5 years
how do you work up uti in a child?
voiding cystourethrogram and renal ultrasound
differential cause of desquamation of hands and feet?
- scarlet fever, steven johnson
- toxic shock syndrom
what antibiotics is contraindicated with retinods?
what 2 immunodeficiencys dont have thymic shadow/?
for which immunodeficiency you dont give live vaccines?
what immunodeficiency has high afp, smooth pursuit of eyes, ataxia, telangietasia?
what chromosomal abnormality produces 80% height and 25th % for head circumference and decreased intelligence?
glycogen storage dz that causes hypoglycemia, high lactate and big kidneys?
hypoglycemia, normal lactate and kidney?
diaphragm weakness, heart failure?
pressure of what tells you its compartment syndrome?
best initial test for compartment syndrome?
pain with passive flexion of limb
how to prevent febrile transfusion reaction?
wash the rbcs
acute hemotlytic reaction post transfusion is caused by?
delayed is caused by?
- abc mismatch
- rh mismatch
most accurate test for acute hemotlytic reaction?
direct coombs test
what is the/ significance of a sinusoidal feta heart heart
fetal distress or anemia
uteroplacental insufficiency means what?
- fetal hypoxia
- fetal acidosis----late decelerations
late decelerations are caused by?
do you ever hospitalize anorexia nervosa patients?
yes when they have electrolyte disturbance or when their weight is <75% of their ideal body weight
which electrolyte when in excess can cause renal failure?
hypercalcemia by dehydration
a chi squares is used to compare what? proportions or means?
a NOVA is used to compare proportions or means?
a t-test is used to compare proportions or means?
means of 3 or more
means of 2
toxic shock syndrome must involve at least how many organs?
3 or more
what skin bug usually affect male groin and female breaths and creases of hands?
systolic or diastolic blood pressure produces end organ damage?
sbp needs what 2 criteria?
- positive ascites culture
what causes cts in ra?
esrd or mm
- inflammation of the synovium
- extra fluid
- glycosaminoglycan deposition
- amyloid protein deposition
- hyperplasia of synovium
intention tremor, nystagmus and incoordination results from damage to what?
causes of thyrotoxicosis with low radioactive iodine uptake?
- levothyroxine ingestion
- iodine induced thyroditis
- granulomatous(tender) thyroditis
- strauma ovari
post operative cholestasis is caused by?
hypotension and transfusion of rbc
most accurate test for rcc?
hypotension post mi and clear lung fields?
right ventricle infarction, discontinue nitroglycerin and give fluids
management of chest pain in a young woman with no risk factors?
reassurance--bc it is anxiety or psychosocial derived pain
a neonate with apgar score of <7, next step?
pulse ox and peep should be given
best initial test for mm?
- xray for lytic lesions
- bone marrow biopsy
a woman with chronic hep c is pregnany, next step?
give hep a and hep b, she can have sex without protection
how does phenytoin cause anemia?
blocks absorption of folate
what is an arrest disroder?
- no cervical dilation for 2 hours
- no fetal descent for 1 hour