Post Partum
Antepartum workup
Pruritis
Thrombocytopena
Wild
100
These are 4 causes of postpartum hemorrhage
What Are Uterine Atony, Laceration, retained placenta, clotting disorder? #31
100
What is the most common viral cause of cerebal plasy as well as the most common infection for fetal death?
What is CMV? OB #32
100
A 38 yo G4P2 is at 29 weeks with itching of hands and feet. Schlerae are nonicteric. Urine dip negative for protein. ALT 55. Total Bili is 0.7. This is the most likely diagnosis
What is cholestasis of pregnancy? OB#37
100
This is the number of pregnancies associated with thrombocytopenia.
What is 5-10%? OB #38
100
A 21 yo G1P0 is 37 weeks and presents with dfm. She has a reactive NST and AFI of 12. This is the next best step in her management?
What is Reassurance? OB #36
200
This is a contraindication to the use of Methergine for PPH.
What is Hypertension?
200
The most sensitive and specific test for diagnosing fetal CMV is this test.
What is amniocentesis for CMV DNA PCR? OB #32
200
What is the most appropriate diagnostic test when suspecting Cholestasis of pregnancy?
What is serum bile acids? OB #37
200
A 26 yo G1P0 at 36 weeks has platelets of 62,000. She has Raynauds and cHTN. No personal history of thrombocytopenia, brusing, rash or joint ache. In the 1st trimester her plts were 104,000. Physical exam reveals BP 138/86, trace protein and trace pedal edema. This is the most likely diagnosis.
What is Immune thrombocytopenic purpura (ITP)? Diagnosis of thrombocytopenia in 1st trimester is likely ITP. OB #38
200
This is the ejection fractrion associated with left ventricular systolic dysfunction.
What is less than 45%? OB #39
300
This is the managment for a G5P5 who delivered precipitously. EBL 1500 and still bleeding. Cervix is intact. Placenta is complete. A seond IV has been placed and blood has been ordered. She has received Pitocin and 1 injection of Methergine. This is the next step.
Further Uterotonics. The number one cause of hemorrage is ATONY.
300
A 42 yo G1P0 Vegan comes in with Hb 8.5. MCV of 73. Ferritin of 6 and iron level of 23. This is the best treatment of her anemia.
What is iron supplementation? OB #33
300
This is the common first step for treating symptomatic pruritis with cholestasis?
What are antihistamines? OB #37
300
This form of thrombocytopenia appears in the 3rd trimester and has a typical plt count of 130-150,000 and normalizes 12 weeks pp.
What is gestational thrombocytopenia? OB #38
300
A 38 yo G1P2 10 days post op LTCS for twins presents to office c/o fatigue, cough and dyspnea that worsens with exertion. There are rales on lung exam. CXR shows cardiomegaly and vascular congestion. Echo shows an EF of 30%l step in management.
What is LASIX. OB #39
400
36 yo G2P2 delivered by RLTCS this morning. She has a personal history of DVT with 1st pregnancy and is homozygous for Factor V Leiden. She is planning on breastfeeding and wants to avoid injectable anticoagulation. The best medication for her pp anticoagnulation therapy is this medicine.
What is warfarin/coumadin #40
400
A 40 yo G1P0 is taking metformin, amlodipine and simvastatin. This is the medication that should be stopped.
What is Simvastatin? It is category X. With some literature of inc risk of CNS, facial and limb anomalies
400
These are the risks to the fetus with Cholestasis. Name at least 1
What are pre-term labor, Fetal distress/meconium stained fluid, and IUFD? OB #37
400
THis autoimmune disease has thrombocyopenia is 25% of patients carrying the diagnosis. The thrombocytopenia is caused by antiplatelet antibodies and circulating immune complexes.
What is Systemic Lupus Erythematosus? OB #38
400
This class of blood pressure medication has been shown to decrease mortality in heart failure.
What are Beta-Blockers? Meoprolol has been most studied in pregnancy and breastfeeding. OB #39
500
This is the risk for a VTE in a subsequent pregnancy in a woman with Factor V Leiden homozygote with a history of DVT in pregnancy.
What is 17% OB #40
500
A 36 yo G2P2 comes in at 24 weeks with no history of diabetes. This is the recommended test for Gestational diabetes. Also these are the acceptable cutoffs.
What is 50 g Glucose challenge test? 140 mg/dL is 80% sensitive 130 mg/dL is 90% sensitive. OB #35
500
This is the value associated with abnormal bile acids?
What is 14+. Total bile acids greater than 40 are associated with fetal loss. OB #37
500
Preeclampsia accounts for This percentage of pregnancy-associated thrombocytopenia.
What is 20%? OB #38.
500
This medicine used for Parkinsons disease has been shown in recent trials to improve ejection fraction and increase functional status when used in adjunction to tradition heart failure therapy. A side effect is that it suppresses lactation.
What is bromocriptine. OB #39.
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