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- What is the recommended method of emergency contraception w/in 48h?
- Levonorgestrol w/in 48 hours but can even work up until 120 hours.
- Can do either ablation or excision but the best is excision and the best excision procedure is LEEP.
- Which medication is proven to be effective in reducing perinatal morbidity and mortality associated with preterm labor?
- Antenatal corticosteroids
- Should lesbian women receive the Hep B vaccine?
- Yes.
- Concern with women with seizures and OCPs?
- ↓OCP efficacy due to induction of cytochrome P450 by the anti-seizure meds.
- Doctors can provide care to adolescents w/o parental consent for what?
- Pregnancy
- 60 y/o F p/w mass protruding through vagina upon bearing down. C/o vaginal bleeding, pressure in pelvic area relieved by lying down. What is this?
- Uterine prolapse.
- Most common complication with norplant?
- Menorrhagia (prolonged vaginal bleeding during the period)
- Why are the following medications CI in pregnant pts?
- Tetracycline: dental staining, ↓bone growth
- Tetracycline
- Cipro
- Cipro: tendon rupture in young children
- Bactrim
- What do you do for pregnant pts w/ si/sx suggestive of UTI?
- Begin empiric ABY tx immediately w/:
- Tx of acute pyelonephritis in pregnant women?
- Hospitalization & IV ABY (Ceftriaxone or Amp/Gent)
- How do you differentiate b/t the different causes of ascites?
- Abdominal paracentesis and ascitic fluid analysis
- Most common cause of ascites is?
- hepatic cirrhosis
- Clinical conditions associated with a high SAAG?
- SAAG >/= 1.1
- Clinical conditions associated with low SAAG?
- SAAG < 1.1
- What is Budd Chiari syndrome?
- Postsinusoidal non-cirrhotic causes of portal HTN
- What is HELLP syndrome?
- Hemolytic anemia
- What do you do for HGSIL on Pap smear?
- Immediate referral for colposcopy and endocervical curettage b/c high grade squamous intraepithelial lesion indicates 1-2% probability of already having invasive cervical cancer and a 20% probability of acquiring invasive cervical cancer if left untreated.
- Most common cause of postmenopausal bleeding?
- Atrophic vaginitis (50-60%)
- Tx of PID?
- Cefoxitin +Doxycycline
- 1st thing to do with pts with severe preeclampsia?
- Stabilize them w/ anti-HTN med and seizure prophylaxis.
- 14 y/o starts having sex. When do you do the PAP smear on her?
- At the age of 17.
- The most common cause of an arrest disorder in nulliparous women in the active phase of labor is? What do you do?
- Hypotonic uterine contractions.
- Absolute CI to OCPS:
- 1) h/o thromboembolic event or stroke
- Relative CI to OCPs
- 1) migraines
- How much Vit D and calcium should be recommended to all postmenopausal women?
- Calcium: 1200 mg
- Which cysts in a pregnant woman need to be removed?
- If it is > 5 cm and persists beyond the 1st trimester or shows no regression in subsequent visits, surgery during the 2nd trimester is recommended b/c cyst could rupture and causes problems.
- Woman has HGSIL. Colposcopy confirms CIN II. What do you do?
- High grade squamous intraepithelial lesion
- What do you do for an asymptomatic pregnant female with bacteriuria?
- Treat b/c delay may allow the bacteriuria to progress to cystitis or pyelonephritis—associated w/ preterm labor & premature birth
- How do you manage mother and baby if mother has HBsAg?
- Give Hep B Vaccine & Hep B immune globulin to infant w/in 12 hours after delivery. The Hep B Vac and HBIG are normally only of benefit when administered w/in 12 hours of exposure to infectious secretions. That’s why you don’t give the mother anything.
- Exercise induced amenorrhea is due to what?
- ↓in the pulsatile secretion in LHà ↓ in estrogen produced
- Describe the sx of androgen insensitivity syndrome:
- What do you do if woman has no endocervical cells on pap smear?
- Subchorionic hematoma. What do you do?
- What is the treatment for a young pt with significant hypoestrogenic symptoms and low bone density?
- How does Rh incompatibility work?