Test 11 2
Terms
undefined, object
copy deck
- Which medication is proven to be effective in reducing perinatal morbidity and mortality associated with preterm labor?
-
Antenatal corticosteroids
Should give to any pregnant pt 24-24 weeks of gestation w/ intact membranes at high risk for preterm delivery
Betamethasone or Dexamethasone
--↓risk of infant respiratory distress syndrome by stimulating surfactant
-- ↓risk of intraventricular hemorrhage - Should lesbian women receive the Hep B vaccine?
-
Yes.
Although they are at much lower risk of acquiring Hep B infection than gay men, they can still acquire the infection via vaginal and cervical secretions especially if they have multiple or new partners. - Concern with women with seizures and OCPs?
-
↓OCP efficacy due to induction of cytochrome P450 by the anti-seizure meds.
Neurontin and Valproate don’t, but the others do. - Doctors can provide care to adolescents w/o parental consent for what?
-
Pregnancy
Contraception
STD
Substance use
Emotional illness - 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.
Treat with surgery - Most common complication with norplant?
-
Menorrhagia (prolonged vaginal bleeding during the period)
Norplant=Levonorgestrol -
Why are the following medications CI in pregnant pts?
Tetracycline
Cipro
Bactrim -
Tetracycline: dental staining, ↓bone growth
Cipro: tendon rupture in young children
Sulfonamides: near term can cause displacement of bilirubin in fetal circulation (↑risk of hyperbilirubinemia and kernicterus) Bactrim not advised in 1st & 3rd trimester - What do you do for pregnant pts w/ si/sx suggestive of UTI?
-
Begin empiric ABY tx immediately w/:
Cephalexin or Amoxicillin or Nitrofurantoin for 3-7 days - Tx of acute pyelonephritis in pregnant women?
-
Hospitalization & IV ABY (Ceftriaxone or Amp/Gent)
x 10-14 days
Remainder of pregnancy: low-dose ABY prophylaxis with Nitrofurantoin or cephalexin and monitoring of urine occasionally for infection. - How do you differentiate b/t the different causes of ascites?
-
Abdominal paracentesis and ascitic fluid analysis
SAAG: serum to ascitic fluid albumin gradient
SAAG= serum albumin –ascitic fluid albumin.
SAAG >/= 1.1 g/dLïƒ portal HTN - Most common cause of ascites is?
- hepatic cirrhosis
- Clinical conditions associated with a high SAAG?
-
SAAG >/= 1.1
Cirrhosis
CHF
Alcoholic Hepatitis - Clinical conditions associated with low SAAG?
-
SAAG < 1.1
Peritoneal carcinomatosis (i.e. ovarian cancer)
Peritoneal TB
Nephrotic syndrome
Pancreatitis
Serositis - What is Budd Chiari syndrome?
-
Postsinusoidal non-cirrhotic causes of portal HTN
Caused by thrombosis of the hepatic veins and/or suprahepatic IVC.
SAAG >/= 1.1 - What is HELLP syndrome?
-
Hemolytic anemia
Elevated LFTs
Low Platelets
Severe form of preeclampsia, therefore, MgSulfate is the standard of care for patients with this in order to reduce risk of seizure.