OB/GYN Shelf UWorld
13-14 year vintage female with latest onset menarche with heavy bleeding for the duration of
duration and abnormal cycles - ANS-anovulation; immature HPG axis
1st line managment of cord compression - ANS-maternal repositioning after which
amnioinfusion if that does not paintings
1st line mngt of any odd uterine bleeding - ANS-biopsy or TV ultrasound
1st line mngt of breast abscess? - ANS-needle aspiration and antibiotics
3rd trimester low back ache? - ANS-likely due to expanded lumbar lordosis and relaxation of
ligaments of pelvic girdle and SI joint
Advanced maternal age, more than one pregnancies, placenta previa or abruption, c/phase
are risk factors
seen immediately put up-partum with excessive hypotension, cardiorespiratory failure, DIC,
comas, and seizures - ANS-amniotic fluid embolism
motive of severe fetal bradycardia in utero? - ANS-twine prolapse
reason of sinusoidal fetal tracing? - ANS-fetal anemia
reasons of untimely ovarian failure? - ANS-idiopathic, autoimmune, chemotherapy, turner's
syndrome, fragile x
chronic HTN mgnt of delivery - ANS-BPP's at 30-32 weeks, serial U/S for fetus increase,
check blood stress and urine protein at visits, and oral HTN remedy if bp one hundred
fifty/100 or on an agent pre being pregnant and then supply at 38-39 weeks if clear-cut and
stable
traditional trio antibiotics for amnionitis - ANS-gent, amp, clinda
complications of cervical conization? - ANS-preterm exertions, cervical stenosis, cervical
incompetence
headaches of past due term being pregnant - ANS-fetal: macrosomia, meconium aspiration,
oligohydramnios, convulsions,nonetheless beginning
mother: vaginal lacerations, trauma, contamination, post partum hemorrhage, c/phase
headaches of oxytocin use in increase and induction of hard work - ANS-hypotension,
hyponatremia, and tachysystole
non-stop painless vaginal urine with evidence of cystitis (leuk est, nitrites) leaking after pelvic
surgery, radiation, malignancy, or birth trauma - ANS-vesicovaginal fistula
contraindications to SERMs - ANS-venous thromboembolism
differential of acute pelvic pain in female - ANS-ectopic being pregnant, ruptured ovarian
cyst, pelvic inflammatory sickness, ovarian torsion, IBD, IBS, UTI, pyelo, renal stones
differentiate among vasa and placenta previa - ANS-vasa previa presents as antepartum
painless bleeding as nicely, HOWEVER, the fetal tracing is going south actual brief, due to
the fact the hemorrhage is fetal in foundation, no longer maternal, like in placenta previa
(wherein the tracing commonly is solid)
does ASC-US and poor HPV growth risk of cervical most cancers? - ANS-NOPE
, in the course of hard work: intense pain, hemodynamic surprise, postpartum hemorrhage,
non palpable uterine fundus, and faded spherical object protruding thru vagina - ANS-uterine
inversion
assessment of publish menopausal adnexal mass? - ANS-1. Pelvic ultrasound and CA-125
2. MRI/CT for further imaging
three. Surgical exploration if cancer is sizeable
evaluation of easy breast cyst? - ANS-mobile, properly circumscribed mass
FNA reveals clean fluid
subsequent examination in 2-4 months, then every year after if no threat elements
assessment of stillborn IU fetal demise? - ANS-placenta, fetal karyotype, Betke test for
hemorrhage, maternal antibodies, maternal Antiphospholipid, fetal autopsy,
examination of fat necrosis of breast - ANS-irregular, company mass with calcifications and
hyperechocity on ultrasound and fat globules and foamy histiocytes on pathology;
usually excised and then ordinary follow up
exercise in pregnant patients? - ANS-20-30 minute moderate intensity most days of week
low effect, no blunt trauma chance or chance of falling activities
walking is k, strolling and swimming is incredible
contraindicated if placental pathology, untimely hard work, cervical insufficiency, amniotic
fluid leak, lung or cardiac ailment, gestational htn or preeclampsia, more than one gestations
how to differentiate between placental abruption and uterine rupture - ANS-UR is throughout
labor, offers with loss of fetal station, intrauterine strain, and has palpable fetal components
each have bleeding and critical sign abnormalities and fetal misery, and intense ache acute
Important risk component of chorioamnionitis - ANS-prolonged rupture of membranes
additionally: prolonged labor, intrauterine gadgets, ascending infection
maternal fever PLUS 1 or more: uterine tenderness, maternal or fetal tachy, purulent
discharge, malodorous amniotic fluid, WBC >15k
lack of ability to void after 6 hours postpartum; steady dribbling and feeling of fullness and
stress; danger factors of prolonged hard work, perineal harm, instrument transport, nulliparity
and nearby anesthetics--->bladder atony - ANS-post partum acute urinary retention
symptoms for anti-D Ig administration? - ANS-any 1st trimester bleeding
abdominal trauma
external cephalic model
ectopic
molar being pregnant
at 28-32 weeks EGA
72 hours after transport or abortions of Rh+ little one
CVS, amniocentesis
indomethacin related to what? - ANS--closure of PDA
-oligo and worsening variable decels
infections that could cause pre time period Itrauterine fetal death - ANS-CMV, syphillis,
parvovirus, listeria
management of 37 week breech presentation? - ANS-external cephalic version 1st
if that fails--->c/segment
13-14 year vintage female with latest onset menarche with heavy bleeding for the duration of
duration and abnormal cycles - ANS-anovulation; immature HPG axis
1st line managment of cord compression - ANS-maternal repositioning after which
amnioinfusion if that does not paintings
1st line mngt of any odd uterine bleeding - ANS-biopsy or TV ultrasound
1st line mngt of breast abscess? - ANS-needle aspiration and antibiotics
3rd trimester low back ache? - ANS-likely due to expanded lumbar lordosis and relaxation of
ligaments of pelvic girdle and SI joint
Advanced maternal age, more than one pregnancies, placenta previa or abruption, c/phase
are risk factors
seen immediately put up-partum with excessive hypotension, cardiorespiratory failure, DIC,
comas, and seizures - ANS-amniotic fluid embolism
motive of severe fetal bradycardia in utero? - ANS-twine prolapse
reason of sinusoidal fetal tracing? - ANS-fetal anemia
reasons of untimely ovarian failure? - ANS-idiopathic, autoimmune, chemotherapy, turner's
syndrome, fragile x
chronic HTN mgnt of delivery - ANS-BPP's at 30-32 weeks, serial U/S for fetus increase,
check blood stress and urine protein at visits, and oral HTN remedy if bp one hundred
fifty/100 or on an agent pre being pregnant and then supply at 38-39 weeks if clear-cut and
stable
traditional trio antibiotics for amnionitis - ANS-gent, amp, clinda
complications of cervical conization? - ANS-preterm exertions, cervical stenosis, cervical
incompetence
headaches of past due term being pregnant - ANS-fetal: macrosomia, meconium aspiration,
oligohydramnios, convulsions,nonetheless beginning
mother: vaginal lacerations, trauma, contamination, post partum hemorrhage, c/phase
headaches of oxytocin use in increase and induction of hard work - ANS-hypotension,
hyponatremia, and tachysystole
non-stop painless vaginal urine with evidence of cystitis (leuk est, nitrites) leaking after pelvic
surgery, radiation, malignancy, or birth trauma - ANS-vesicovaginal fistula
contraindications to SERMs - ANS-venous thromboembolism
differential of acute pelvic pain in female - ANS-ectopic being pregnant, ruptured ovarian
cyst, pelvic inflammatory sickness, ovarian torsion, IBD, IBS, UTI, pyelo, renal stones
differentiate among vasa and placenta previa - ANS-vasa previa presents as antepartum
painless bleeding as nicely, HOWEVER, the fetal tracing is going south actual brief, due to
the fact the hemorrhage is fetal in foundation, no longer maternal, like in placenta previa
(wherein the tracing commonly is solid)
does ASC-US and poor HPV growth risk of cervical most cancers? - ANS-NOPE
, in the course of hard work: intense pain, hemodynamic surprise, postpartum hemorrhage,
non palpable uterine fundus, and faded spherical object protruding thru vagina - ANS-uterine
inversion
assessment of publish menopausal adnexal mass? - ANS-1. Pelvic ultrasound and CA-125
2. MRI/CT for further imaging
three. Surgical exploration if cancer is sizeable
evaluation of easy breast cyst? - ANS-mobile, properly circumscribed mass
FNA reveals clean fluid
subsequent examination in 2-4 months, then every year after if no threat elements
assessment of stillborn IU fetal demise? - ANS-placenta, fetal karyotype, Betke test for
hemorrhage, maternal antibodies, maternal Antiphospholipid, fetal autopsy,
examination of fat necrosis of breast - ANS-irregular, company mass with calcifications and
hyperechocity on ultrasound and fat globules and foamy histiocytes on pathology;
usually excised and then ordinary follow up
exercise in pregnant patients? - ANS-20-30 minute moderate intensity most days of week
low effect, no blunt trauma chance or chance of falling activities
walking is k, strolling and swimming is incredible
contraindicated if placental pathology, untimely hard work, cervical insufficiency, amniotic
fluid leak, lung or cardiac ailment, gestational htn or preeclampsia, more than one gestations
how to differentiate between placental abruption and uterine rupture - ANS-UR is throughout
labor, offers with loss of fetal station, intrauterine strain, and has palpable fetal components
each have bleeding and critical sign abnormalities and fetal misery, and intense ache acute
Important risk component of chorioamnionitis - ANS-prolonged rupture of membranes
additionally: prolonged labor, intrauterine gadgets, ascending infection
maternal fever PLUS 1 or more: uterine tenderness, maternal or fetal tachy, purulent
discharge, malodorous amniotic fluid, WBC >15k
lack of ability to void after 6 hours postpartum; steady dribbling and feeling of fullness and
stress; danger factors of prolonged hard work, perineal harm, instrument transport, nulliparity
and nearby anesthetics--->bladder atony - ANS-post partum acute urinary retention
symptoms for anti-D Ig administration? - ANS-any 1st trimester bleeding
abdominal trauma
external cephalic model
ectopic
molar being pregnant
at 28-32 weeks EGA
72 hours after transport or abortions of Rh+ little one
CVS, amniocentesis
indomethacin related to what? - ANS--closure of PDA
-oligo and worsening variable decels
infections that could cause pre time period Itrauterine fetal death - ANS-CMV, syphillis,
parvovirus, listeria
management of 37 week breech presentation? - ANS-external cephalic version 1st
if that fails--->c/segment
