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ssh1361
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symp amniotic fluid emboli? RF?
- -resp distress
- -collapse cardiovascular
- -hemorrhage
- -coma
- RF: allergy, atopy
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in HTN during preg,target BP?
mild-mod hypertensive level.DBP:90-100
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time ext.cephalic.version?
after 37w
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atony uterus mx?
- -oxytocin
- -hydration iv
- -methylergonovine(vasoconstriction)
- -PG F2α(CI in asthma)
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mx pyelonephritis in preg?
- -hospitalization
- -IV cephazolin+ or - gentamycine
- -complications: ARDS,sepsis, PTL
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levofloxacin in preg?
- CI
- musculoskeletal anomalies
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in preg woman with DM1 & bp:140/90 in labor,next step?
- Ins: to prevent hyperglycemia in mother & fetus (hypoglycemia in neonate)
- anti HTN medication used in DBP ≥110
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clustered microcalcification in mamo in LUQ breast, non palbable mass, next step?
- bx guided by mammographic localization
- -FNA & core bx done in palpable mass
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detrusor instability?
- sudden urgency followed by med-large of urine
- cystometrogram: bladder contraction
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woman with PKU want be preg,recommendation?
low phenylalanine diet before conception start
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DES increases risk of which malignancy?
clear cell adenocarcinoma
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use aspirin in preg lead to?
- -DA
- -Prolonged labor, prolonged preg
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rec.candidia inf in woman,next step?
tx & screening for DM & HIV
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Breast cancer & large lytic lesion in lumbar spine ,next step?
emergency radiotherapy
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telogen effluvium after preg,when?
1-5 m after preg
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mx muscular cramp in preg?
- -hydration
- -stretching exercise
- -ca
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mx nasal bleedin in preg?
- saline drop
- avoid nasal spray
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nuchal translucency when done?
- 10-14w
- loss rate 0%
- ↥: risk aneuploidy & heart problems
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recommended weight gain in preg?
- nl weight: 25-35 lb
- <nl: 28-40 lb
- >nl: 15-25 lb
- obesse: 15 lb
- twin: 35-45 lb
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first trimester lab tests?
- -CBC
- -rubella IgG Ab
- -HBV
- -Type,Rh, Ab screen
- -STD screening( cx culture, VDRL,RPR----if (+): MHA-TP or FTA, HBs Ag, HIV: ELISA----IF (+): Westernblot---if(+): tx)
- -urine screening
- -TB screening in high risk populations
- -pap smear
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HBs Ab (+)? HBs Ag(+)?
successful immunization, previous or rec inf
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HIV (+), when ELISA (+)?
after 3m
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in preg , PPD (+),next step?
- CXR---if (-): 9m INH + vit B6
- if (+): sputum culture, tx 3drugs
- anti TB med in preg can be used
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problems with amphalocele ?
- -chromosomal abnl
- -cardiac problems
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↥αFP in?
- -NTD
- -twin
- -VWD
- -placental bleeding
- -fetal renal dis
- -sacrococcygeal teratoma
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when,nl change in αFP in preg happen?
- -in fetal serume: 12w
- -in AF :12w
- -in maternal serume: 30w
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↥ αFP in maternal serume, next step?
- sono to determine GA(most common cause is dating error)
- if date is correct : detect twin,NTD, VWD, renal dis,placental bleeding,...)IN SONO
if nothing found: amniocentesis for AF- AFP & acetylcholinesterase
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↥ maternal AFP, but ↧ AF-AFP,cause?
- -still birth
- -preaclampsia
- -IUGR
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when do triple marker screening?
15-20w
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in down syn,change quadruple marker?
- -AFP ↧
- -steriol↧
- - HCG ↥
- -Inhibin A ↥
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In trisomy 18, chang in triple markers?
steriol, hcg, AFP ↧
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