Term
| labs ordered at first prenatal visit |
|
Definition
1. CBC
2. HepCsAg
3. HIV
4. RPR
5. UA
6. Urine culture
7. Rubella Ab
8. blood type Rh
9. Pap
10. Swab for gonno and chlamydia |
|
|
Term
| when do you do quad screen |
|
Definition
|
|
Term
| when is radiation a risk for a fetus |
|
Definition
| greater than 5 rads of exposure |
|
|
Term
| folic acid dose in pregnancy |
|
Definition
400 mg
1 mg if they have dm or epilepsy
4 mg if they had a child with ntd |
|
|
Term
| what prentatl screening is specific to ashkenasi jews and french canadians |
|
Definition
|
|
Term
| what pregnant women get screened for thalassemia |
|
Definition
southeast asian
middle easterners |
|
|
Term
| what is considered advanced maternal age |
|
Definition
|
|
Term
| when should you hear heart tones by doppler in a fetus |
|
Definition
|
|
Term
|
Definition
every 4 wks until 28 wks
every 2 wks from 28-36
every 1 wk after 36 wks |
|
|
Term
| how accurate is US in estimating gestational age |
|
Definition
if done in first trimester it is within 1 week of actual gestational age
within 2 wks if during 2nd tri
within 3 wks if during 3rd |
|
|
Term
| what if quad screen is positive. what do you do to confirm? |
|
Definition
amiocentesis
or choroinic villi sampling |
|
|
Term
| when do you screen for gestational DM |
|
Definition
|
|
Term
| how do you screen gestational dm |
|
Definition
|
|
Term
| what is the normal result after 1 hr gtt in pregnant woman? |
|
Definition
|
|
Term
| when do you screen for GBS |
|
Definition
|
|
Term
|
Definition
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|
Term
| basic therapy for allergic rhinitis |
|
Definition
antihist
decongestants
intranasal steroids |
|
|
Term
| mediators released during allergic rxn |
|
Definition
histamine
tryptase
chymase
kinase
leukotrienes
prostaglandin D2 |
|
|
Term
| what causes the congestions in allergic rhinitis (AR) |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| consistant rhinitis throughout the year |
|
|
Term
|
Definition
| dark circles around the eyes from vasodilation and nasal congestion |
|
|
Term
|
Definition
| horizontal crease along lower half of bridge of the nose from lots of upward rubbing with palm of hand |
|
|
Term
| what do the nasal turbinates look like in AR |
|
Definition
swollen
boggy
pale, bluish gray color |
|
|
Term
| nasal secretions with AR vs sinusitis |
|
Definition
AR is watery
sinusitis is more thick and purulent
but AR can have thick crap too |
|
|
Term
|
Definition
| prominent creases below the inferior eyelid that are associated with AR |
|
|
Term
|
Definition
| posterior pharynx feature from the presence of streaks of lymphoid tissue on the posterior pharnx |
|
|
Term
|
Definition
diphenhydramine
chlorpheniramine
hydroxyzine |
|
|
Term
| ADE of first gen antihistamines |
|
Definition
anticholinergics
dry mouth, blurry vision, dry eyes, urinary retntion |
|
|
Term
|
Definition
loratadine
fexofenadine
cetirazine
(less crossing into CNS, less ADEs) |
|
|
Term
|
Definition
| constrict blood vessles in mucosa |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| major ADE of pseudophedrine |
|
Definition
tachycardia
tremors
insomnia
rebound hyperemia/worse sx if over used and d/cd |
|
|
Term
| how does desensitization work |
|
Definition
1. ID the pathogen thats causing the AR
2. inject highly dilute concentraion of the antigen
3. repeat and increase dose |
|
|
Term
|
Definition
| large irregular pruritic red wheals on skin |
|
|
Term
|
Definition
| painless deep subcut swelling |
|
|
Term
| where is andioedema the most commonly found |
|
Definition
periorbital
perioral
facial |
|
|
Term
|
Definition
| 1:1000 epinephrine in .2-.5mL dose given subcut or IM |
|
|
Term
| how much can you repeat epinephrine in anaphylaxis |
|
Definition
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