USMLE RX STEP 2 HY OBGYN NOTES

PROM, fever, tachycardia Induce labor

Liver dz, whats contraindicated OCP (metabolized in liver, increases liver disease)
Tx of fibroids OCP, gnrh
29 week painless bleed Placenta previa transabdominal US
Breasts at 3 years old Incr resp to normal E, normal, reassure parents
Cant breast feed 5 days post partum, blood loss Sheehan syndrome; pituitary necrosis
Max time emergency contraception works 5 days (ulipristal)
Hormone helps initiate lactation Human placental lactogen
Outpt tx of PID CEFTRIAXONE AND DOXY
Indication for outpatient tx of PID No nv, fever, no abcess.
Unknown GBS stats during labor Give penicillin
AUB, first test BhcG to rule out pregnancy.
Contraindicated in pregnancy Varicella vaccine
Young F w/ tender single breast lump, Us SHOWS Reassure and follow up 1 week after next period; if
multiple cysts not shrunk imaging/biopsy (this is
fibroadenoma)
Pap smear recommendation 21-29 Every 3
Pap smear recommendations 30-65 Cytologic plus HPV screening
Zidovudine Infants born to HIv MOTHERS
COMBINATION ANTIRETROVIRAL Mom with HIV
Increased amnionic fluid caused by Maternal gestational dm (polyhydramnios)
Definition of polyhydramnio AFI >25cm
Polycythemia and hyperviscosity in IUGR infant
HX OF PID + tnder RUQ Fitz hugh Curtis (but LFT normal)
Physical exam for lacerations after birth Rectovaginal examination
Second trimester pregnancy loss, multiple Uterine pathology, do hysterosalpingogram
First trimester repeated pregnancy loss Do karyotype, probably genetic
Dysuria, burning, no organsims Chlamya
Ergot alkaloid for urteine atony Methylergonovine (also ssri); contraindicated in
preeclampsia
Cardinal movmemnts Engage, descent, flex, internal rot, extension
SE of tamoxifen Endometrial polyps
Smoking Placenta previa
Flat shiny purple papules Lichen planus inside labia
Red scaly lesions Vulvular psoriasis
Hard indurated ulcer, not as much itching tho SCC
Delayed cheild bearing Ovarian carcinoma (prolonged periods of
uninterrupted ovulation)
Short breath, chest pain, sinus tach, tachyptnia PE, dont do d dimer give hep immediately