Torch
Rare presentations
I got sugar.
WILD
WILD x2
100
This is the most common itrauterine viral infection, affecting 1% of all live births.
What is CMV? OB #31
100
This is the diagnosis of: 33 yo G3P2 at 38 weeks with SOB. RR 30/min, BP 130/80. HR 110 O2 Sat 85%. ABG pH 7.35, PCO2 25 mm Hg PO2 55 mmHg HCO3 -20. CXR B/L pulmonary edema w/ cardiomegaly confirmed on spiral CT. Echo shows EF of 25%.
What is Peripartum cardiomyopathy? OB #32
100
This is the first step for gycemic control in patients with GDM.
What is dietary adjustments? OB #36
100
25 yo ppd #4 after CSVD with episiotomy repair c/o perineal pain and purulent discharge. On exam perineum has broken down and is infected. This is the next best step.
What is antibiotic therapy and return to OR in 72-96 hours for perineal repair. OB #37
100
This is the most important factor to consider for breech extraction of twin B.
What is ultrasound for Estimated Fetal Weight? OB #34
200
25 yo G1P0 at 19 weeks has anomaly screen significant echogenic bowel. Quad screen--> 1:6350 for downs. Trisomy 18 screen 1:10,000. CMV titers + IgG and IgM. This is the next laboratory test that should be done.
What is CMV IgG avidity testing.? OB #31
200
This is the best therapy for peripartum cardiomyopathy along with a diuretic and a positive inotropic agent.
What is Hydralazine. OB #32
200
50% of GDM patients will achieve glycemic control with THIS number of WEEKS of dietary therapy.
What is 2 weeks? An additional 10% will have control by 4 weeks. OB #36
200
36 yo G1P0 at 30 weeks presents with a painless mass in right breast first noted 3 weeks ago. on exam nontender, mobile, 3 cm mass. Ultrasound reveals solid, 3 cm with irregular margins. No family history of breast ca. This is the next best step?
What is Core needle biopsy of mass? OB #38
200
This is the estimated fetal weight range in which one can allow for the breech delivery of the second twin:
What is 2000-3500 grams? OB #34
300
This sensitvity of THIS TEST for CMV is 95% after 21 weeks gestation and is superior to culdocentesis.
What is an amniocentesis? OB question 31
300
These are the 4 diagnostic criteria of peripartum cardiomyopathy:
What are: 1. Development of cardiac failure during last month pregnancy or within 5 months of delivery. 2. Absence of a cause for cardiac failure. 3. Absence of heart dz before last month of pregnancy 4. Documented L ventricular systolic dysfuction on Echo OB #32
300
GDM was diagnosed in 24 yo at 24 weeks. She changed diet to 1800 kcal and walks 30 min after each meal. postprandial glucose is 160-180 and Fasting 100-105. This is the best management of this patients blood glucose levels.
What is split dose insulin therapy? OB # 36
300
31 yo multip at 30 weeks has a fetus with PACs noted on fetal echo. Pt denies tobacco and alcohol. No evidence of fetal tachyarrhythmia, abdominal ascites or hydrops. The next step in the evaluation of the patient should include questioning on use of these things.
What are caffeine intake and medications? OB #39
300
19 yo G1P0 at 35 weeks is in an MVA, this study is the most likely to detect a clinically significant concealed abruptio placentae.
What is electronic fetal cardiac and uterine activity monitoring? OB #35
400
Recurrent CMV infections can be shed in these three body fluids.
What are blood, saliva and urine. OB #31
400
This is the NEXT STEP for a 17 yo G1P0 at 39 weeks. Pelvic 3/50/-1. During exam has sudden SOB followed by whole body petechia and bleeding from gums and IV. Pt then has cardiopulmonary arrest. Pelvic is repeated and unchanged, fetus is bradycardic. What is the next step?
What is immediate C/Section? OB #33
400
This is the number of hours until peak action of Lantus
What is 5 hours? 5 hours until peak action and duration of action is less than 24 hours. OB #36
400
These antibodies should be obtained by lab testing when bradyarrhythmias or complete heart block are identified on fetal echo.
What are Anti-SSA(anti-Fo) and anti SSB (anti-La)? OB #39
400
This is the number of hours a patient should be watched when monitoring for abruptio placentae?
What is 4? "If up to 6 contractions occur during the first 4 hours of continuous monitoring, abruptio is unlikely" OB #35
500
Which of the following is the rate of vertical transmission of CMV in 3rd trimester: 36%, 44% or 77.6%?
What is 77.6% OB #31
500
This is the most likely diagnosis for a 17 yo G1P0 at 39 weeks. Pelvic 3/50/-1. During exam has sudden SOB followed by whole body petechia and bleeding from gums and IV. Pt then has cardiopulmonary arrest. Pelvic is repeated and unchanged, fetus is bradycardic. What is the diagnosis?
What is Amniotic fluid embolism? OB #33
500
This type of insulin has a high risk of nocturnal hypoglycemia
What is ultralente? OB #36
500
Pregnant women with SLE have been associated with THIS pregnancy risk
What is Prematurity? OB #40
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