ACCURATE ANSWERS |VERIFIED
.↑ levels of what can cause Kernicterus characterized by injury to basal ganglia and brainstem -
ANSWER-Neonatal Jaundice
.1st PAP recommendations - ANSWER-21 despite sexual activity; earlier if indicated
.1st peds flu shot.. how many doses? how far apart? and until what age do you give 2? - ANSWER-2
doses; 1 month apart; until age 9
.3 meds for infant withdrawal symptoms? - ANSWER-(1) phenobarb 16mg/kg loading dose, then 2.5
mg/kg BID (2) morphine 0.1-0.5 mg/kg/dose q 6-12 hours; (3) methadone 0.05-0.1 mg/kg q6h!
.A 68 year old female comes in the office for her annual and reports a hx of an abnormal PAP back in her
30's but has not had PAP in 15 yrs.. What is the recommendation for this pt? - ANSWER-3 or more
normal results in a row from previous paps with no other risk factors.. can defer pap.
.A markedly scaphoid stomach plus respiratory distress suggests.. ? - ANSWER-Diaphragmatic hernia
.A patient with BV will have what type of cells on a slide? - ANSWER-Clue cells.. in the family of
coccibacilli
.Acidic vaginal pH would make you suspect dx of? - ANSWER-Fungal infection like yeast
.Acute tx of DUB? - ANSWER-If hgb >12, oral iron, NSAIDs with menses, and oral contraceptives. <12
hgb, oral contraceptives to stop bleeding. Less than 7, r/f hemodynamic instability. Admit to hospital.
Blood transfusions, pain meds, anti-emetics, ect..
.Adnexal sonography for what possible dx? - ANSWER-Suspected ectopic pregnancy
, .AFP Screening (Done as part of quad screen).. When and for what? - ANSWER-16-21 weeks to check for
spina bifida and anencephaly and some other chromosomal abnormalities
.Alkaline vaginal pH would make you suspect dx of? (2) - ANSWER-BV and Trichamonas
.Aniridia - ANSWER-Bilateral eye disorder that results in the absence of the majority of the iris.
.At 36 week OB check, what additional culture is completed? - ANSWER-GBS (lower vagina and peri-anal)
.At annual GYN visit, what labs may be completed routinely? - ANSWER-CBC, Glucose (fasting preferred),
lipid profile, T3/ T4, TSH, and UA
.At what age does object permanence develop? - ANSWER-9 months
.Azithromycin 1g, PO 1x, Doxycycline 100 mg, PO, BID times 7 days, plus Ceftriaxone 250 mg, IM 1x, or
Cefixime 400 mg, PO, 1x are meds used to tx?? - ANSWER-Chlamydia and N. gonorrhoeae
.Brushfield spots or speckling in newborn with __? - ANSWER-Trisomy 21.. seen in eyes
.Cervical or urethral cultures obtained if suspected.. - ANSWER-STD r/t abnormal discharge
.Chlamydia can be transmitted to the newborn.. True or False? - ANSWER-True; causing conjunctivitis or
Chlamydial pneumonitis (infants 2-3 mos)
.Colposcopies are beneficial in that they... - ANSWER-Reduce need of blind cervical biopsies and cone
biopsy
.Colposcopy indications based on pt's.. (2) - ANSWER-1. Pts with abnormal pap
2. Pts exposed to DES with cervical/ vaginal dysplasia