2024 AHN 548 EXAM 2 WITH 100%
VERIFIED SOLUTIONS / CORRECT
ANSWERS
Drug of choice to treat Herpes Simplex Virus during pregnancy -
CORRECT ANSWERS- Acyclovir 400 mg BID or Valacyclovir 1000
mg daily
The goal of antiretroviral treatment, AZT, in HIV positive mothers -
CORRECT ANSWERS- appropriately treat the mother, reduce viral
load and minimize perinatal HIV transmission
When is a C-section recommended for HIV positive mothers -
CORRECT ANSWERS- When maternal viral load is >1000
copies/ml
Drug of choice to treat Trichomonas during pregnancy - CORRECT
ANSWERS- Metronidazole is 95% effective, single dose of 2 gm
OR 500 mg BID for 7 days OR 250 mg TID for 7 days
Sx of Trichomoniasis - CORRECT ANSWERS- itching, burning,
foamy green, malodorous discharge.
,most common cause of shock in peds - CORRECT ANSWERS-
Hypovolemic: dehydration, diabetes, heat illness, hemorrhage,
burns
hypovolemic shock treatment - CORRECT ANSWERS- - NS or LR
- 20ml/kg body weight
- no more than 60ml/kg, unless ongoing loss is severe
- no response, PRBC transfusion
Distributive shock - CORRECT ANSWERS- - increased vascular
capacitance w/ normal circulating vol
Distributive shock tx - CORRECT ANSWERS- - crystalloid
- pressors may required if perfusion doesn/t normalize after
delivery of 2-3 10ml/kg boluses of crystalloid
- ICU
causes of Distributive shock - CORRECT ANSWERS- Septic shock
is the most common form
systemic inflammatory response syndrome (SIRS)
toxic shock syndrome (TSS)
anaphylaxis
Cardiogenic shock tx - CORRECT ANSWERS- - bolus of crystalloid
,- pressors and possibly afterload reducers
- ICU
S/S Cardiogenic shock - CORRECT ANSWERS- abnormal cardiac
rhythm, distended neck veins, rales, abd hrt sounds, friction rub,
narrow pulse pressure, hepatomegaly
- cxr may show cardiomegaly & pulmonary edema
Obstructive shock - CORRECT ANSWERS- physical obstruction of
blood circulation and inadequate blood oxygenation
Gonorrhea infection during pregnancy - CORRECT ANSWERS-
ophthalmic injury, preterm labor, premature rupture of
membranes and intrapartum/postpartum infection.
Drug of choice to treat Gonorrhea during pregnancy - CORRECT
ANSWERS- Ceftriaxone 125 mg IM or 1 gm IV qday for
disseminated disease. Patients with a PCN allergy are treated with
2gm IM dose of spectinomycin.
Drug of choice to treat Chlamydia during pregnancy - CORRECT
ANSWERS- Azithromycin 1gm. An alternate treatment is
Amoxicillin 500mg TID for 7 days. 2-3 weeks after completion of
treatment a "test of cure" is performed. High risk populations are
tested again at 35-37 weeks EGA.
, Drug of choice to treat uncomplicated Candidiasis during
pregnancy - CORRECT ANSWERS- topical miconazole,
terconazole, clotrimazole or butoconazole are given for 3-7 days
Drug of choice to treat refractory Candidiasis during pregnancy -
CORRECT ANSWERS- A single dose of Fluconazole 150 mg
A polymicrobial vaginal infection associated with preterm labor,
preterm premature rupture of membranes, chorioamnionitis and
endometritis. - CORRECT ANSWERS- Bacterial Vaginosis
Frequency of subsequent prenatal visits "the standard schedule:
in uncomplicated patients is: - CORRECT ANSWERS- every 4
weeks from 0 to 32 weeks
every 2 weeks from 32 to 36 weeks
weekly after 36 weeks
Measurements taken at each prenatal visit include: - CORRECT
ANSWERS- maternal weight
uterine fundal height
maternal BP
urinalysis by dipstick
FHTs
VERIFIED SOLUTIONS / CORRECT
ANSWERS
Drug of choice to treat Herpes Simplex Virus during pregnancy -
CORRECT ANSWERS- Acyclovir 400 mg BID or Valacyclovir 1000
mg daily
The goal of antiretroviral treatment, AZT, in HIV positive mothers -
CORRECT ANSWERS- appropriately treat the mother, reduce viral
load and minimize perinatal HIV transmission
When is a C-section recommended for HIV positive mothers -
CORRECT ANSWERS- When maternal viral load is >1000
copies/ml
Drug of choice to treat Trichomonas during pregnancy - CORRECT
ANSWERS- Metronidazole is 95% effective, single dose of 2 gm
OR 500 mg BID for 7 days OR 250 mg TID for 7 days
Sx of Trichomoniasis - CORRECT ANSWERS- itching, burning,
foamy green, malodorous discharge.
,most common cause of shock in peds - CORRECT ANSWERS-
Hypovolemic: dehydration, diabetes, heat illness, hemorrhage,
burns
hypovolemic shock treatment - CORRECT ANSWERS- - NS or LR
- 20ml/kg body weight
- no more than 60ml/kg, unless ongoing loss is severe
- no response, PRBC transfusion
Distributive shock - CORRECT ANSWERS- - increased vascular
capacitance w/ normal circulating vol
Distributive shock tx - CORRECT ANSWERS- - crystalloid
- pressors may required if perfusion doesn/t normalize after
delivery of 2-3 10ml/kg boluses of crystalloid
- ICU
causes of Distributive shock - CORRECT ANSWERS- Septic shock
is the most common form
systemic inflammatory response syndrome (SIRS)
toxic shock syndrome (TSS)
anaphylaxis
Cardiogenic shock tx - CORRECT ANSWERS- - bolus of crystalloid
,- pressors and possibly afterload reducers
- ICU
S/S Cardiogenic shock - CORRECT ANSWERS- abnormal cardiac
rhythm, distended neck veins, rales, abd hrt sounds, friction rub,
narrow pulse pressure, hepatomegaly
- cxr may show cardiomegaly & pulmonary edema
Obstructive shock - CORRECT ANSWERS- physical obstruction of
blood circulation and inadequate blood oxygenation
Gonorrhea infection during pregnancy - CORRECT ANSWERS-
ophthalmic injury, preterm labor, premature rupture of
membranes and intrapartum/postpartum infection.
Drug of choice to treat Gonorrhea during pregnancy - CORRECT
ANSWERS- Ceftriaxone 125 mg IM or 1 gm IV qday for
disseminated disease. Patients with a PCN allergy are treated with
2gm IM dose of spectinomycin.
Drug of choice to treat Chlamydia during pregnancy - CORRECT
ANSWERS- Azithromycin 1gm. An alternate treatment is
Amoxicillin 500mg TID for 7 days. 2-3 weeks after completion of
treatment a "test of cure" is performed. High risk populations are
tested again at 35-37 weeks EGA.
, Drug of choice to treat uncomplicated Candidiasis during
pregnancy - CORRECT ANSWERS- topical miconazole,
terconazole, clotrimazole or butoconazole are given for 3-7 days
Drug of choice to treat refractory Candidiasis during pregnancy -
CORRECT ANSWERS- A single dose of Fluconazole 150 mg
A polymicrobial vaginal infection associated with preterm labor,
preterm premature rupture of membranes, chorioamnionitis and
endometritis. - CORRECT ANSWERS- Bacterial Vaginosis
Frequency of subsequent prenatal visits "the standard schedule:
in uncomplicated patients is: - CORRECT ANSWERS- every 4
weeks from 0 to 32 weeks
every 2 weeks from 32 to 36 weeks
weekly after 36 weeks
Measurements taken at each prenatal visit include: - CORRECT
ANSWERS- maternal weight
uterine fundal height
maternal BP
urinalysis by dipstick
FHTs
