Ouch
The benefit of nalbuphine in labor compared to other opioids.
What is less respiratory depression due to its mixed agonist/antagonist effect?
Med student only.
Limitations of fetal heart rate tracing.
What are poor intra-observer and inter-observer reliability, uncertain efficacy and high false positive rate?
How tubal sterilization compares with LARCs as far as 5 year failure rate.
What is about the same?
5 year failure rate 13 per 1000 compared to 14 per 1000 with copper IUD and 5-11 per 1000 wtih levonorgestrel IUD.
Risk factors for surgical site infections. Name 5
What are hyperglycemia, smoking, obesity, nutritional status, depth of subcutaneous tissue, coexisting infection at remote site, vaginal site colonization with certain microorganisms, immunodeficiency, MRSA, physical status?
Med student only.
The percentage of patients with PCOS that are not obese.
What is 20%?
The method by which LNG IUDs prevent pregnancy.
What is change of amount and viscosity of cervical mucus?
A copper IUD can be used for emergency contraception up until this time.
What is five days?
Opioid effect on the fetus due to maternal administration.
What is loss of variability of heart rate, respiratory depression, or neurobehavioral change?
Definition of tachysystole
What is greater than five contractions in 10 minutes averaged over 30 minutes?
The likelihood of regret of tubal sterilization for women under 30
What is 20%?
The skin preparation associated with lower risk of surgical site infection.
What is alcohol based (compared to povidine iodine)?
Daily Double
What are androgen secreting tumor, exogenous androgens, Cushing syndrome, non classic congenital adrenal hyperplasia, acrogmegaly, genetic defects in insulin action, primary hypothalamic amenorrhea, primary ovarian failure, thyroid disease, and prolactin disorders?
Method by which the copper IUD prevents pregnancy.
What is inhibition of sperm migration and viability?
The effect that the LNG IUD has on ovulation for most women.
What is no effect? in 63% of women
The percentage of women who choose neuraxial anesthesia in labor.
What is 60% of singleton births?
The percentage of cases of encephalopathy that are attributed to intrapartum events.
What is 4%?
Laparoscopic tubal occlusion reduces the risk of ovarian cancer, true or false?
What is true?
RR 0.29-0.69
The prophylactic antibiotic that should be used for diagnostic or operative (but not hysterectomy) laparoscopy.
What is none?
The effect of weight loss on ovarian function in obese women.
What is improved ovarian function?
Case reports of Nexplanon have shown migration to this organ.
What is lung?
Risk of ovarian cancer by age 70 for BRCA1 carriers.
What is 40-50%?
The area where spinal anesthesia is administered.
What is the subarachnoid space?
Daily Double
What are narcotics, butorphanol, cocaine, steroids, magnesium sulfate, terbutaline, and zidovudine?
Maternal benefits of VBAC compared to elective repeat cesarean.
What are lower risks of maternal hemorrhage, infection, operative injury, thromboembolism, hysterectomy, and death?
The prophylactic antibiotic used for hysteroscopy.
What is none?
Stigmata of hyperandrogenism and insulin resistance in PCOS
What are acne, hirutism, androgenic alopecia, and acanthosis nigracans?
Discontinuation of LARCs in adolescents is more common than other age groups, true or false.
What is false?
Risk of ovarian cancer in BRCA2 carriers.
What is 10-30%?
The method by which local anesthesia produces produce pain relief.
What is reversible blockade of nerve conduction by blocking sodium channels?
The effect that steroids has on FHT.
What is decreased heart rate variability, especially after 29 weeks?
Twin pregnancies are not candidates for TOLAC, true or false
What is false?
They have a similar likelihood of achieving VBAC, and similar maternal and perinatal morbidity
The antibiotic and dose recommended before uterine evacuation for termination or early pregnancy loss.
What is 200 mg doxycycline orally one hour prior to procedure?
Med student only
Diagnostic criteria of metabolic syndrome.
What are elevated fasting glucose, waist circumference greater that 35 inches, hypertension, reduced HDL and elevated triglycerides?
The increased risk of PID in nulliparous IUD users.
What is no increased risk?
The risk of a woman with a high grade ovarian cancer to carry a germline BRCA1 or BRCA2 mutation.
What is 10-25%?