Psychiatric Disorders
Ectopic Pregnancy
Hypertensive Disorders
More ectopic pregnancy
Hoa Hoa Hoa Hoaaaaa
100
You diagnosed your patient with PPD. At her 6 week mood check she is doing better on the SSRI you prescribed. How long do you continue this to prevent relapse?
6 months minimum
100
What is the most common location of an ectopic pregnancy? Be specific.
ampullary portion of fallopian tube
100
Describe the lab abnormalities you would expect to see in acute fatty liver of pregnancy
Elevated LFTs
Low glucose and cholesterol
elevated ammonia
abnormal coags
100
how long should patients avoid pregnancy after a cesarean scar ectopic?
at least 12 months
100
"Bella! Where the hell have you been, loca?"
200
What are the maternal risks of eating disorders?
poor wound healing
difficulty breastfeeding
200
What is the discriminatory zone for US?
3,500
200
TTP is usually due to a deficiency of what enzyme?
What is the treatment?
ADAMTS13
plasmapheresis/plasma exchange, dialysis if HUS, supportive care
200
Risk factors for heterotopic pregnancy
IVF, ovarian hyperstimulation, multiple embryo transfer
200
"You better hold on tight spider monkey"
Edward
300
name three risks of ECT in pregnancy
fetal arrhythmia, vaginal bleeding, contractions, abdominal pain, aspiration, aortocaval compression, respiratory alkalosis
300
what are absolute contraindications to MTX?
Breastfeeding, immunodeficiency, hepatic disease, hematologic abnormalities, interstitial lung disease, MTX sensitivity, peptic ulcer disease, and renal dysfunction
300
Labetalol increases the risk of what neonatal complication?
hypoglycemia
(Inhibits glycogenolysis)
300
name the implantation site of an interstitial (cornual) pregnancy
Intramural portion of the fallopian tube
300
"I had an adrenaline rush. It's very common, you can google it"
400
Name the two mood stabilizers we avoid in pregnancy and why
Valproic acid - increased risk of neural tube defects, facial/cardiac abnormalities, FGR, neonatal toxicity
carbamezapine - increased risk of neural tube and craniofacial defects, vit K deficiency/bleeding, FGR, neonatal toxicity
400
What is the recommended treatment for this ectopic? What if the patient wants to preserve their fertility? 
vacuum aspiration in conjunction with preoperative intervention to decrease vascularization of mass via (UAE)
Fertility-preserving techniques: MTX and/or Vasopressin
400
What condition is a contraindication for mag therapy? what do you give instead for these patients?
myasthenia gravis
keppra or valproic acid
400
in a normal pregnancy, B-hCG increases in a log-linear fashion until plateau of _____ by __wks
100,000 by 10wks
400
"Aren't people from Arizona supposed to be like really tan"
Jessica
500
Your patient was taking paroxetine during the 1st trimester. What further testing will she require?
Fetal echo
500
What is a common finding on US that shows "ring of fire sign" but is not an ectopic pregnancy? How can you tell it's not really an ectopic?
corpus luteum
Exert gentle pressure with the transducer or on the anterior abdominal wall to attempt to separate the ectopic pregnancy from the ovary. angle between the ovary and the ectopic pregnancy will be acute because they are adjacent separate structures. Angle will be obtuse between the corpus luteum and the ovary, because the exophytic corpus luteum protrudes from the ovary and exhibits the claw sign.
500
When to deliver for the following:
chronic HTN - uncomplicated, on meds, poor control
gHTN
pre-eclampsia
pre-eclampsia with severe features
cHTN - uncomplicated 38-39, on meds 37-39, poor control 36-37
gHTN - 37 wks
pre-e - 37 wks
pre-e w/SF - 34 wks
500
How do you differentiate cervical ectopic from incomplete abortion on US?
cervical ectopic - flow on doppler, negative sliding sign
incomplete abortion - no flow on doppler, positive sliding sign
500
"La Push Baby. It's La Push"
Eric
