GREEN DAY

Mustafa Mania (PAS)

100

Where should the hysterotomy be placed during cesarean delivery in PAS cases to minimize bleeding?

As far away from the placenta location as possible. 

200

Name two preoperative strategies to reduce morbidity in PAS cases.

anemia optimization

delivery timing

antenatal corticosteroids

delivery location

300

This system has replaced the traditional accreta, increta, percreta terminology  (name system and classification)

FIGO Grade 1, 2 and 3

400

Delivery timing for grade 2/3 PAS

34-35+6

500

Name two experimental strategies mentioned for reducing hemorrhage in PAS surgeries.

aortic or iliac balloon occlusion and multivessel arterial embolization

Just a Pinch

100

T/F Systematic review supports the use of local anesthesia for IUD placement. 

True

200

Max dose mg/kg for Lidocaine without epi. 

4.5-5 mg/kg

300

Patients should be counseled that local anesthesia may reduce pain but increase this. 

operative time

400

These populations should be considered higher risk for pain/anxiety and may have different needs for pain mgmt and counseling with office procedures (name 3)

adolescents, gender-diverse individuals, patients with physical or cognitive disabilities or both, patients with chronic pain, and patients with a history of trauma

500

This pain mgmt options has evidence to support use, although currently not used in our clinic

Topical lidocaine spray or cream

2 for 1, monochorionic TIUP

100

Cleaving time for mono-di TIUP

4-8 days

200

T/F abnormal umbilical artery Dopplers are detected in up to 20% 

True, 70% normalize

300

This risk is unique to mono-mono TIUP

cord entanglement

400

This percentage of monochorionic twins will have obstetric morbidity/complications (within 5%)

30%

500

Name 5 stages of TTTS

1. poly/oligo

2. absent bladder

3. abnormal dopplers AEDF

4. Hydrops

5. Death

All the discharge, vaginitis

100

First line treatment for BV, name 2

• • Vaginal metronidazole gel 0.75%, 5 g nightly for 5 d
•  • Vaginal clindamycin cream 2%, 5 g nightly for 7 d
•  • Oral metronidazole 500 mg twice daily for 7 d

200

up to this percentage of people receive inappropriate treatment for vaginitis  (within 5%)

40%

300

Recurrent BV is defined as this

3 episodes in 12 months, 2 in 6 months 

400

Treatment regimen for recurrent yeast infection supported by CDC. 

Weekly diflucan 150 mg

500

Treatment for recurrent BV based on CDC recs

Vaginal metronidazole gel 0.75%, twice weekly for 3 mo

The Beedus- insulin mgmt of diabetes in pregnancy

100

T/F insulin crosses the placenta

False

200

Starting weight based dose of insulin 

0.5 mg- .9 mg/kg 

300

Duration of action glargine

18-24 hr

400

THis insulin has less postprandial hypoglycemia, better control and patient satsifaction and should be chosen over regular insulin

lispro/aspart

500

NPH is abbreviation of this

Neutral protamine Hagedorn