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APS

100

APS stands for?

Antiphospholipid syndrome

200

3 Antibodies seen in APS

lupus anticoagulant, anticardiolipin, anti B2 glycoprotein 

300

Lupus anticoagulant blocks what?

The formation of the prothrombin complex

400

Tests used to determine if lupus anticoagulant is present

Russell viper venom and aPTT

500

Anticoag meds with APS based on labs criteria and pregnancy losses (no hx of clots)?

Prophylactic (low dose) dose in pregnancy and 6wks pp

APS

100

____ loss(es) are required after 10wks to meet 1 of the clinical criteria for APS 

1 loss after 10 wks

200

How many losses are needed prior to 10 wks to meet the clinical criteria for APS

3 CONSEQUTIVE losses

300

APS inheritance pattern?

Its non-hereditary 

400

What must occur in a pregnancy for a patient to meet clinical criteria for APS? (im not talking about losses here)

Either a delivery for preE prior to 34wks or eclampsia

500

Anticoag meds with a prior thrombotic event, regardless of APS sequela?

ASA and lovenox antepartum and typically warfarin postpartum (but you can use new oral anticoagulants as well)

Electrosurgery

100

Cautery refers to what?

Heat applied to a wound (does not require a return pad)

200

% of time current is on in "cut" mode

100%

300

% of time current it on in "coag mode"

6% of the time

400

Monopolar surgery requires what to avoid aberant injury?

a return pad

500

Describe desiccate a blood vessel (without a bipolar grasper)

Use hemostat, grasp and use cut functions

More APS?

100

Name 3 meds used either antepartum or post partum to prevent clot in APS?

ASA, lovenox, warfarin (these were the most common ones discussed) 

200

APS requires what for a dx?

1 clinical and 1 lab criteria

300

Timing required for the lab criteria to dx pt with APS?

At least 12wks apart

400

Anticoag meds with APS based on labs from another work up (no pregnancy issues)?

Need to include c-section info too

Low dose ASA antepartum then  pp low dose ASA and SCDs/Compression socks pp for 6wks pp if c-section then need to add low dose lovenox

500

Anticoag meds if APS based on labs and PreE or placental insufficiency (no hx thrombus)?

Need to include c-section info too...

low dose ASA antepartum then pp low dose ASA and SCDs/Compression socks pp for 6wks pp if c-section then need to add low dose lovenox