OB
The USPSTF recommends that all persons planning to or who could become pregnant take a daily supplement containing what dose of folic acid mcg?
100-200
200-400
400-800
800-1600
0.4 to 0.8 mg or (400 to 800 mcg) GRADE B
The standard treatment for severe preeclampsia and eclampsia to prevent seizures, given as a continuous infusion.
Curative treatment?
1) Magnesium sulphate.
2) Delivery
1. The USPSTF strongly recommends Rh(D) blood typing and antibody testing for all pregnant women during their ____ visit for pregnancy-related care.
1. first
The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age _____ for children whose water supply is deficient in fluoride.
6 months or primary tooth eruption
To diagnose Pre-eclampsia -->
Hypertension after 20 wks gestation +significant proteinuria.
define significant proteinuria in 3 different criteria/ways.
- ≥ 300 mg of protein in a 24-hour urine - collection
- a protein-to-creatinine ratio (P/C ratio) of ≥ 0.3 in a single urine sample,
- a urine dipstick reading of 2+
This condiiton is characterized by painless vaginal bleeding in the third trimester of pregnancy
placenta previa
2. The USPSTF recommends screening for cervical cancer every ____ years with cervical cytology alone in women aged 21 to 29 years.
For women aged 30 to 65 years, the USPSTF recommends screening every ___ years with cervical cytology alone, every ___ years with high-risk human papillomavirus (hrHPV) testing alone, or every ___ years with hrHPV testing in combination with cytology (cotesting).
2. 21-29: every 3 years;
30- 65: every 3 years cercivcal cytology alone or every 5 years (hrHPV) testing alone or
every 5 with hrHPV testing in combination with cytology (cotesting)
The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged ___ to ____ years.
12-18
Separation of the placenta is marked by these 2 signs
what is umbilical cord lengthening and gush of blood
what BP meds can be used in a pregnant pt?
Name 4!
Hypertensive Mothers Love Newborns
TRUE/ FALSE
1) The USPSTF recommends that clinicians screen for HIV infection in all pregnant persons, including those who present in labor or at delivery whose HIV status is unknown.
2) The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit
1) True
2) True
The USPSTF recommends screening for anxiety in children and adolescents aged ___ to ___ years.
8 to 18
What are the layers you cut through for a C-section?
1) skin
2) Fat
3) Fascia
4) Muscle
5) Peritoneum
6) uterus
7) Amniotic sac
DAILY DOUBLE? What layer do you switch cuts?
A 17-year-old girl presents to the clinic with 1 year of progressively worsening pelvic pain during her menses. It is associated with painful urination and defecation. The pain is much less prominent between periods. She has tried taking ibuprofen, but this is only minimally helpful. When she experienced menarche at age 14, her cycles were initially pain-free. Which of the following is required for definitive diagnosis?
This patient’s constellation of symptoms is suspicious for endometriosis, which is defined as the presence of endometrial tissue outside of the uterine cavity. Symptoms arise based on the location of the implanted tissue and are often cyclic. For instance, implants on the bowel and bladder can present with menstrually-associated pain upon defecation and urination, respectively. Thoracic implants may present with hemoptysis or chest pain. Other symptoms of endometriosis include constipation, diarrhea, fatigue, irregular bleeding, nausea, non-cyclic abdominal pain, and vomiting.
Although presumptive diagnosis based on history and physical exam is the usual approach for proceeding with first-line therapy, a definitive diagnosis of pelvic endometriosis requires laparoscopy with biopsy and histology. Treatment of endometriosis depends on the location and severity of symptoms, but in general, medical options are initiated first, starting with combined oral contraceptives with or without NSAIDs. Other medical options include GnRH analogs, danazol, and aromatase inhibitors. Surgical resection of endometrial implants can be performed at the time of diagnostic laparoscopy.
The USPSTF recommends the use of low-dose aspirin (81 mg/day) as preventive medication after ____ weeks of gestation in persons who are at high risk for preeclampsia.
12 weeks (GRADE B)
At what age does USPSTF recommend to provide/refer to intensive behavioral interventions for youth with high BMI (≥95th percentile).
At age 6. (Grade B)
Seven Cardinal Movements of Labour
https://www.youtube.com/watch?v=ncLYDR2C5CU
Engagement
Descent
Flexion
Internal Rotation
Extension
Restitution
External Rotation.
3 classes of Anti-seizure meds that can be used in pregnant patients?
The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults. (Grade B).
Does the USPSTF recommends screening for asymptomatic bacteriuria in pregnant persons?
If Yes, with what specifically?
At what week does USPSTF recommends against screening for bacterial vaginosis (BV) in pregnant persons who are not at increased risk for preterm delivery?
The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons.
The USPSTF recommends against screening for bacterial vaginosis (BV) in pregnant persons who are not at increased risk for preterm delivery. (Grade D)
The USPSTF recommends vision screening at least once in all children aged ___ to ___ years to detect amblyopia or its risk factors.
The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors.