Ob/Gyn Shelf Questions and Answers Graded A+

Ob/Gyn Shelf Questions and Answers Graded A+ Rx for advanced (Stages II ) ovarian cancer Surgical removal, followed by adjuvant chemo (taxane carboplatin) When is magnesium sulfate given for preeclampsia? During delivery and 24 hours postpartum Therapeutic level of mag sulfate 4-7 Mag sulfate levels associated with respiratory depression and cardiac arrest >12 and >15 Contraindications to expectant management of severe preeclampsia (e.g. indications for delivery) Thrombocytopenia < 100,000, Inability to control BP w/ max doses of 2 antihypertensives, Non-reassuring fetal surveillance, LFTs < 2x nml, Eclampsia Persistent CNS Sx Oliguria How fast should hCG rise in a normal pregnancy? Should double (or increase by 66%) every 48 hours Inappropriately rising (e.g. too low) beta-hCG levels indicate Abnormal pregnancy (e.g. ectopic, incomplete abortion, or resolving complete abortion) Distinction btwn a normal gestational sac and a pseudogestational sac Pseudo is located in the midline Serum progesterone <5 indicates Specific for nonviable pregnancy What is the Arias-Stella reaction? Hypersecretory endometrium of prengnacy on histology that occurs w/ BOTH ectopic and intrauterine pregnancies Culdocentesis is looking for Blood in peritoneal cavity, e.g. from ruptured ectopic (or purulent fluid from infection) Medical Rx for ectopic Methotrexate Relative contraindications to MTX for ectopic Cardiac activity Mass >3.5cm (often correlates with b-hCG