obg & gyn

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ssh1361
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221808
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obg & gyn
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2013-05-31 12:57:27
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  1. symp amniotic fluid emboli? RF?
    • -resp distress
    • -collapse cardiovascular
    • -hemorrhage
    • -coma
    • RF: allergy, atopy
  2. in HTN during preg,target BP?
    mild-mod hypertensive level.DBP:90-100
  3. time ext.cephalic.version?
    after 37w
  4. atony uterus mx?
    • -oxytocin
    • -hydration iv
    • -methylergonovine(vasoconstriction)
    • -PG F2α(CI in asthma)
  5. mx pyelonephritis in preg?
    • -hospitalization
    • -IV cephazolin+ or - gentamycine
    • -complications: ARDS,sepsis, PTL
  6. levofloxacin in preg?
    • CI
    • musculoskeletal anomalies
  7. in preg woman with DM1 & bp:140/90 in labor,next step?
    • Ins: to prevent hyperglycemia in mother & fetus (hypoglycemia in neonate)
    • anti HTN medication used in DBP ≥110
  8. clustered microcalcification in mamo in LUQ breast, non palbable mass, next step?
    • bx guided by mammographic localization
    • -FNA & core bx done in palpable mass
  9. detrusor instability?
    • sudden urgency followed by med-large of urine 
    • cystometrogram: bladder contraction
  10. woman with PKU want be preg,recommendation?
    low phenylalanine diet before conception start
  11. DES increases risk of which malignancy?
    clear cell adenocarcinoma
  12. use aspirin in preg lead to?
    • -DA
    • -Prolonged labor, prolonged preg
  13. rec.candidia inf in woman,next step?
    tx & screening for DM & HIV
  14. Breast cancer & large lytic lesion in lumbar spine ,next step?
    emergency radiotherapy
  15. telogen effluvium after preg,when?
    1-5 m after preg
  16. mx   muscular cramp in preg?
    • -hydration
    • -stretching exercise
    • -ca
  17. mx nasal bleedin in preg?
    • saline drop
    • avoid nasal spray
  18. nuchal translucency when done?
    • 10-14w
    • loss rate 0%
    • : risk aneuploidy & heart problems
  19. recommended weight gain in preg?
    • nl weight: 25-35 lb
    • <nl: 28-40 lb
    • >nl: 15-25 lb
    • obesse: 15 lb
    • twin: 35-45 lb
  20. first trimester lab tests?
    • -CBC
    • -rubella IgG Ab
    • -HBV
    • -Type,Rh, Ab screen
    • -STD screening( cx culture, VDRL,RPR----if (+): MHA-TP or FTA, HBs Ag, HIV: ELISA----IF (+): Westernblot---if(+): tx)
    • -urine screening
    • -TB screening in high risk populations
    • -pap smear
  21. HBs Ab (+)? HBs Ag(+)?
    successful immunization, previous or rec inf
  22. HIV (+), when ELISA (+)?
    after 3m 
  23. in preg , PPD (+),next step?
    • CXR---if (-): 9m INH + vit B6
    • if (+): sputum culture, tx 3drugs
    • anti TB med in preg can be used
  24. problems with amphalocele ?
    • -chromosomal abnl
    • -cardiac problems
  25. ↥αFP in?
    • -NTD
    • -twin
    • -VWD
    • -placental bleeding
    • -fetal renal dis
    • -sacrococcygeal teratoma
  26. when,nl change in αFP in preg happen?
    • -in fetal serume: 12w
    • -in AF :12w
    • -in maternal serume: 30w
  27. ↥ αFP in maternal serume, next step?
    • sono to determine GA(most common cause is dating error)
    • if date is correct : detect twin,NTD, VWD, renal dis,placental bleeding,...)IN SONO

    if nothing found: amniocentesis for AF- AFP & acetylcholinesterase
  28. ↥ maternal AFP, but ↧ AF-AFP,cause?
    • -still birth
    • -preaclampsia
    • -IUGR
  29. when do triple marker screening?
    15-20w
  30. in down syn,change quadruple marker?
    • -AFP ↧
    • -steriol↧
    • - HCG ↥
    • -Inhibin A ↥
  31. In trisomy 18, chang in triple markers?
    steriol, hcg, AFP ↧

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