Term
| What are the probable signs of pregnancy? |
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Definition
| preg test, hegar, goodell, piskacek's sign, ballottement, large uterus, enlarged abdomen, palpation of the fetus, braxton-hicks |
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Term
| are missed menses and chadwicks positive, probable or presumptive? |
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Definition
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Term
| which pelvis type engages in transverse or posterior diameter, asynclitism, extreme molding, deept transverse arrest common, arrest as OP with failure of rotation, frequent forcepts delivery, narrow pubic arch increases perineal tears |
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Definition
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Term
| Which type of pelvis has a short AP diameter, engages in transverse diameter, marked asynclitism, delay at inlet, increased chance of c/s |
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Definition
|
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Term
| which type of pelvis engages in ap or oblique, OP common, adequate for vag delivery |
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Definition
|
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Term
| which pelvic type engages in transverse or oblique diameter, slight asynclitism, good flexion, early and complete internal rotation, spontaneous delivery, wide pubic arch decreases perineal tears |
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Definition
|
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Term
| what is the anterior posterior diameter that can be measured directly, how big is gynecoid |
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Definition
| diagonal conjugate, >12cm |
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|
Term
| what is the smallest diameter of the pelvis and how big is gynecoid |
|
Definition
| interspinous diameter, 10cm |
|
|
Term
| how wide is the pubic arch in gynecoid pelvis? |
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Definition
|
|
Term
| what week starts the 3rd trimester |
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Definition
|
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Term
| what is the normal pH of the vagina? weeks of normal gestation? # of oocytes released between menarch and menopause? # of oocytes present at puberty? |
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Definition
|
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Term
| How many days are in the normal menstrual cycle? how many days in a normal gestation from the LNMP? |
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Definition
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Term
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Definition
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Term
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Definition
|
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Term
|
Definition
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Term
| What should HDL be more than |
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Definition
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
| What should triglycerides be |
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Definition
|
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Term
|
Definition
| Try lifestyle modifications for 3-6 months |
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|
Term
| "statins" ior HMG-CoA reduce ____ without affecting ___ adverse effects include_____ |
|
Definition
| LDL, homocystine levels, liver damage, muscle weakness and GI distress |
|
|
Term
| What should you monitor while on a statin? |
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Definition
|
|
Term
| What is primary vs secondary prevention in someone with hyperlipidemia |
|
Definition
| both diet and exercise education, Primary: to reduce risk of an initial cardiac event, secondary: to reduce risk of a new event in someone with CVD |
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Term
| If you hear a late apical murmur with a midsystolic click and widely spaced phisiologic S2, what could that be? |
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Definition
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Term
| What do you do for mitral valve prolapse |
|
Definition
| antibiotic prophylaxis for endocarditis before surgery |
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|
Term
| What is the definition of hypertension? |
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Definition
|
|
Term
| What dietary changes should a woman with hyperlipidemia make? |
|
Definition
| Total fat < 30 %, saturated fat <10%, polyunsaturated fat increased to 10%, cholesterol intake reduced to 300 mg |
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Term
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Definition
|
|
Term
| What is the normal HgB (non-preg) |
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Definition
|
|
Term
| Hypochromic, microcytic anemia is what type? |
|
Definition
|
|
Term
| What follow up tests should you order for iron deficency anemia? |
|
Definition
| serum iron, TIBC, saturation, serum ferritin |
|
|
Term
| What is megaloblastic anemia caused by? |
|
Definition
| folic acid/lack of vit B6 |
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|
Term
| What is pernicious anemia? |
|
Definition
| lack of intrinsic factor that insures absorption of vit B12, must give B12 parenterally |
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|
Term
| What is the gene expression of sickle cell? What is normal? What about SS trait? |
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Definition
|
|
Term
| What is the recommended calcium for 19-50 yo's, and HRT pt's |
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Definition
|
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Term
|
Definition
|
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Term
|
Definition
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|
Term
| recommended ca for preg or breastfeeding |
|
Definition
|
|
Term
| what is the recommended folic acid |
|
Definition
|
|
Term
| folic acid if previous child w/ NTD |
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Definition
|
|
Term
| What is the CAGE questionnaire? |
|
Definition
| cut don, annoyed by ppl criticising, guilty, eye opener |
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|
Term
| what stage of HTN do you start meds? |
|
Definition
| stage 1 (lifestyle changes for pHTN) |
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|
Term
| What is a normal BMI at < 35 yo |
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Definition
|
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Term
|
Definition
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|
Term
| What BMI is extremely obese? |
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Definition
|
|
Term
| What are the screening guidelines for thyroid? |
|
Definition
| once at 45 then q 2 yrs until 60, then yearly |
|
|
Term
|
Definition
| severe hypothyroidism (edema of hands, face, feet, perioribital) |
|
|
Term
| What is hashimoto's disease? |
|
Definition
| chronic autoimmune thyroiditis, thyroid antibodies in serum, hypothyroidism |
|
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Term
|
Definition
| autoimmune hyperthroidrism, goiter and or expothalmos, most common cause of hyper |
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|
Term
| what is the oral form of retinA |
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Definition
|
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Term
|
Definition
|
|
Term
| What shouldn't you use to tx impetigo infections in preg |
|
Definition
| cipro (use dicloxacillin) |
|
|
Term
| how many inches should a waist not measure more than in a woman |
|
Definition
|
|
Term
| what are the s/s of thyroid storm? |
|
Definition
| anxity fever, tachycardia, n/v, abdominal pain, cardiac failure in someone w/ hyperthyroidism |
|
|
Term
| what is the normal range for serum TSH |
|
Definition
|
|
Term
|
Definition
|
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Term
|
Definition
| subclinical hypothyroidsim |
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|
Term
| what is a fasting glucose of 100-125 |
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Definition
|
|
Term
| what is 2 hour post challenge glucose of 140-199 |
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Definition
|
|
Term
| what is the treatment for prediabetes? |
|
Definition
|
|
Term
| what is the GHBa1C level to dx diabetes? |
|
Definition
| greater than or equal to 6.5% |
|
|
Term
| what is a random plasma level to dx DM |
|
Definition
|
|
Term
| what is a fasting plasma glucose to dx DM |
|
Definition
|
|
Term
| what is a 2 hour post 75 gm oral glucose load to dx DM |
|
Definition
|
|
Term
| What are the 4 types of rapid acting insulin |
|
Definition
| lispro, aspart, glulsine and regular |
|
|
Term
| What are the types of intermediate acting insulin (2) |
|
Definition
|
|
Term
| What are the 2 types of long acting insulin? |
|
Definition
|
|
Term
| What type of exam should a pt with DM 2 get yearly? |
|
Definition
|
|
Term
| What percent of diabetics are type 2 |
|
Definition
|
|
Term
| What does HGa1C need to be greater than to be at risk for DM2 |
|
Definition
|
|
Term
| what drug class are gylburide and glipizide |
|
Definition
|
|
Term
| what is the M of A of sulfonurias |
|
Definition
| augment beta cell insulin secretion |
|
|
Term
| what drug class is glucophage and metformin |
|
Definition
|
|
Term
| what is the M of A with biguanides |
|
Definition
| inhibits hepatic glucose production and increases peripheral insulin sensitivity |
|
|
Term
| What occurs in DM2 instead of DKA? |
|
Definition
| hyperglycemic non-ketonic syndrome, gluc >600 and dehydration, polyuria, polydipsia |
|
|
Term
| How many sx does a pt need to have for dx of metabolic syndrome |
|
Definition
|
|
Term
| what is the waist circumference for metabolic syndrome |
|
Definition
|
|
Term
| what is the plasma triglycerides in metabolic syndrome |
|
Definition
| greater than or equal to 150mg/dl |
|
|
Term
| what is the plasma HDL for metabolic syndrome |
|
Definition
| < 40 in men, <50 in women mg/dl |
|
|
Term
| what is the BP for metabolic syndrome |
|
Definition
|
|
Term
| what is the fasting blood glucose for metabolic syndrome |
|
Definition
| greaterthan or equal to 100 mg/dl |
|
|
Term
| What are 3 cardioprotective drugs to prevent complications of GDM? |
|
Definition
|
|
Term
| What are the 5 symptoms of metabolic syndrome? |
|
Definition
| waist circumference, plasma triglycerides, plasma HDL, BP, Fasting blood glucose |
|
|
Term
| How to tx metabolic syndrome |
|
Definition
| weight loss by decreasing caloric intake, regular screening for diabetes, exercise, treat dyslipidemia, enhance insulin sensitivity |
|
|
Term
| what tx can help the common cold? |
|
Definition
| zinc q 2 h within 24 h of sx, psuedophedrine, acetaminophen, ipratropium (atrovent) 2 puffs bid |
|
|
Term
| what can you tx influenza with? |
|
Definition
| amantadine hydrochloride or rimantadine 100mg BID x 10 |
|
|
Term
| what are the nasal sprays for allergic rhinitis |
|
Definition
| flonase and nasacort (steroids)or ipratropium |
|
|
Term
| Is Hep B acute or chronic |
|
Definition
| both (may lead to long term destruction of liver cells, cirrhosis, liver cancer and death) |
|
|
Term
| What are the s/s of hep B |
|
Definition
| erythematous rash, arthritis, n/v/anorexia, dark urine, jaundice, helpatomeagly w/ tenderness or asymptomatic |
|
|
Term
| what are the precancerous lesions of GERD? |
|
Definition
|
|
Term
| what is recommended fiber for normal bowel fx |
|
Definition
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