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57 Cards in this Set
- Front
- Back
treatment for breat feeding mastitis
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continue breast feeding, give po abx
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most common cause of nonobstetric postpartum death
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thromboembolic disease
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characteristics of post-maturity syndrome
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oligohydramnios and passage of meconium in utero; scrawny neonate with dry peeling skin
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cardinal movements of labour
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engagement
descent flexion internal rotation extension restitution (external rotation) expulsion |
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a pregnant woman has hct of 10g/dL.
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Suspicious for iron deficiency (anything <11g/dL)
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test used to assess neural tube defects
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AFP or amniocentesis
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test used in 10th week gestation to screen for chromosomal abnormalities
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CVS
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appropriate antihypertensives in pt with severe pre-eclampsia
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hydralazine and/or BB (labetolol)
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abnormal HR pattern in contraction stress test
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late decelerations indicating fetal hypoxia
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discrepancy exists b/t fundal height and gestational age; biparietal diameter is normal but abdominal circumference is decreased
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asymmetric IUGR
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seizure prophylaxis in severe-preeclampsia
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MgSO4 IV
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HELLP syndrome
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hemolysis
elevated liver enzymes low platlets |
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cure for pre/eclampsia
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delivery
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cause of erythroblastosis fetalis
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maternal antibodies agains infant's Rh+ RBCs result in fetal RBC hemolysis
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cause of hydros fetalis
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decreased protein production by fetal liver, resulting in decreased oncotic pressure, edema, and high output cardiac failure
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preeclampsia in the first trimester is pathognomonic for what condition?
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hydatiform mole
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primary causes of third trimester bleeding
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placental abruption and placenta previa
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chromosomal pattern of a complete mole
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46XX
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molar pregnancy containing fetal tissue
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partial mole
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symptoms of placental abruption
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continuous, painful vaginal bleeding
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symptoms of placenta previa
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self-limited, painless vaginal bleeding
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when should a vaginal exam be performed with suspected placenta previa
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never
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antibiotics with teratogenic effects
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tetracyclines, fluoroquinolones, aminoglycosides,
sulfonamides |
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shortest AP diameter of the pelvis
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obstetic conjugate: b/t the sacral promontory and midpoint of the symphysis pubis
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medication given to accelerate fetal lung maturity
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betamethasone or dexamethasone x 48hrs
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most common cause of postpartum hemorrhage
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uterine atony
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treatment for postpartum hemorrhage
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uterine massage, if fails - oxytocin
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typical abx for GBS prophylaxis
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IV penicillin or ampicillin
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patient fails to lactate after an emergency C-section with marked blood loss
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Sheehan's (post-partum pituitary necrosis)
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first test to perform when a woman presents with amenorrhea
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B-hCG
most common cause of amenorrhea is pregnancy |
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term for heavy bleeding during and b/t menstrual periods
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menometrorrhagia
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cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and hx of D&C
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Asherman's syndrome
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therapy for polycystic ovarian syndrome
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wt loss and OCPs
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medication used to induce ovulation
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clomiphene citrate
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diagnostic step required in postmenopausal woman who presents with vaginal bleeding.
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endometrial biopsy
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indications for medical treatment of ectopic pregnancy
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stable, unruptured ectopic of <3.5cm at <6wks gestation
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medical options for endometriosis
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OCPs, danazol, GnRH agonists
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uterine bleeing at 18 weeks gestation; no products expelled; cervical os closed
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threatened abortion
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uterine bleeding at 18 weeks gestation; no products expelled; membranes ruptured; cervical os opened
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inevitable abortion
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laparoscopic findings in endometriosis
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chocolate cyst, powder burns
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most common location for ectopic pregnancy
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ampulla of oviduct
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how to diagnose and follow a leiomyoma
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U/S
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natural hx of leiomyoma
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regresses after menopause
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patient has increased vaginal discharge and petechial patches in upper vagina and cervix
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trichomonas vaginitis
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treatment for bacterial vaginosis
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oral or topical metronidazole
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most common cause of bloody nipple discharge
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intraductal papilloma
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contraceptive method that prevents against PID
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OCP and barrier contraception
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unopposed estrogen is contraindicated in which cancers?
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endometrial and estrogen receptor positive breast cancer
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patient with recent PID and RUQ pain
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Fitz-Hugh-Curtis syndrome (perihepatic abcess)
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breast malignancy presenting as itching, burning, and erosion of nipple
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Paget's disease
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Annual screening for women with strong family hx of ovarian cancer
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CA-125 and U/S
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50 y/o woman leaks urine when laughing or coughing. Nonsurgical options?
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Kegels, estrogen, pessaries for stress incontinence
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30 y/o woman has unpredictable urine loss. exam is normal. medical options
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anticholinergics (oxybutynin) or B-adrenergics (metaproterenol) for urge incontinence
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lab values suggestive of menopause
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elevated serum FSH
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most common cause of female infertility?
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endometriosis
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two consecutive findings of atypical squamous cells of undetermined significance (ASCUS)F/u evaluation?
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Colposcopy and endocervical curettage
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breast cancer type that increases future risk of invasive carcinoma in both breasts
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lobular CIS
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