HA in Pregnancy
This medication which we commonly use is not recommended in latest clinical guidance from ACOG due to risk of habituation and potential cardiac malformations
Fioricet/butalbital
This nerve is at risk of injury with large blade self retaining retractors during open abdominal surgery and results loss of hip flexion and knee extension
Femoral Nerve
Cigarette smoking is associated with lower levels of hCG during pregnancy; therefore, smokers are less likely to experience this common symptom of early pregnancy.
Nausea and vomiting
How do you define secondary amenorrhea?
How do you define secondary amenorrhea?
The risk of mother-to-child transmission of HIV is 1-2% or lower if maternal viral loads remain below this threshold during pregnancy.
1,000 copies/mL
Recommended daily limit of caffeine
200 mg
Injury to the common peroneal nerve will result in this typical sign with ambulation
Foot Drop
In early pregnancy, hCG levels increase in a curvilinear fashion until a plateau at 100,000 mIU/mL by this many weeks of gestation.
10 weeks
Most common cause of secondary amenorrhea
pregnancy
Pregnant individuals should receive zidovudine this many hours pre-cesarean if viral load is >1000 copies/mL
3 hours
This common migraine medication causes myometrial contractions and is not recommended
ergots
After a 60s shoulder dystocia, the infant is evaluated and noted the anterior arm is in the classic waiter's tip position, which nerve roots where injured at the time of delivery?
C5-6 (Erbs Palsy)
For an initial hCG level of less than 1,500 mIU/mL, the expected rate of increase in 48 hours is approximately this percent (will accept within 5%).
49%
35yo P2 s/p BTL presents with amenorrhea x 12 months. Name 3 labs that you would consider during your workup. (not hcg)
FSH, PRL, TSH
T/F: duration of rupture of membranes before delivery is an independent risk factor for maternal-child transmission in women who are otherwise appropriately virally suppressed and is a consideration regarding route of delivery.
False
This medication and dose is recommended as first line therapy
acetominophen 1000 mg
According to ACOG, this percentage of brachial plexus injuries at the time of delivery resolve by age 1. (within 10%)
80-90%
human chorionic gonadotropin is one of the maternal serum analytes measured in the maternal quad screen. Name the other 3.
inhibin a, AFP, estriol
TSH 1.5
Prolactin 7
FSH is 40
What is the likely diagnosis, and how do you confirm?
POI/POF
Repeat FSH in 1 month
When initiating cervical cancer screening in patients with HIV, recommendations is to perform pap annually x3 years; if normal, pap can be space out to what frequency?
every 3 years
Second line therapy for headaches in triage setting
metoclopramide and diphenhydramine
This lower brachial plexus injury can be seen with hyperabduction of the fetal arms during breech delivery if the Loveset maneuver is not performed
Klumpke's palsy
Following evacuation of a molar pregnancy, serial hCG levels are measured, typically on a weekly schedule. If hCG levels rise or plateau, the diagnosis of postmolar GTN can be made. Provide the specific definition of what it means for hCG levels to 'plateau'.
Weekly hCG levels remain within 10% of the previous results over a three-week period.
POI is confirmed, name at least 2 additional tests you consider to complete your workup
Karyotype, Fragile X (FMR1 premutation), autoimmune disorders (thyroid, diabetes)
Protease inhibitors used at same time as this uterotonic has been associated with exaggerated vasoconstrictive responses
Methergine