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Atypical squamous cells of undetermined significance (ASC-US) can be managed
in 2 ways. What are they
The first option is to repeat cytology in one year and perform colposcopy if follow-
up smears are abnormal.
The second option (preferred) is to perform an HPV test and return for testing in 3
years if it is negative or perform colposcopy if HPV test is positive
If pt has positive hpv test and colposcopy is negative then whats the next step
pt will need repeat HPV test in 3 yrs.
the most common cause of a protraction disorder is
inadequate uterine activity.
,is the position in which the fetal biparietal diameter fits best in the average female
pelvis.
right occiput anterior
Some examples of malpresentation are
an extended fetal head, brow or face presentation, and occiput posterior.
Neuroleptic malignant syndrome (NMS)
a life threatening neurological emergency. As indicated by the name, it is most
commonly associated with neuroleptic medications such as haloperidol,
chlorpromazine, risperidone, etc. Symptoms include extreme muscular rigidity,
mental status changes, hyperthermia, tachycardia, tachypnea, and profuse
diaphoresis
Although malignant hyperthermia has a very similar clinical presentation to NMS,
it is more common in the setting of
inhaled halogen anesthetic use, such as halothane.
difference between serotonin syndrome vs neurlopetic and malignant hyperthermia
serotonin syndrome doesn't present with fever
is the first line treatment for hyperthyroidism in pregnancy during the first
trimester. is used after the first trimester.
,PTU 1st trimester
Methimazole after 1st trimester
The most common manifestations of uncontrolled or poorly treated maternal
hyperthyroidism are
intrauterine growth retardation, prematurity, low birth weight, and stillbirth.
Treat myxedema coma with
IV thyroxine, hydrocortisone (or other glucocorticoid) and seriously consider IV
T3
Patients suffering posterior knee dislocations should be urgently assessed for
injury to the popliteal artery with an arteriogram
Treatment for CMV retinitis involves
oral ganciclovir (mainstay), foscarnet, and cidofovir
Medicare is for...
those >65 years old, < 65 years old with disabilities, or any age with ESRD
Medicaid is for...
very low-income families, the blind, people with qualifying disabilities, some
pregnant women and their infant often up to one year of life
, Dx criteria for hyperemesis gravidarum
Hyperemesis gravidarum is based on the presence of nausea and vomiting, plus
loss of > 5% of patient's prepregnancy weight, dehydration and electrolyte
imbalance
The first step in the management of pyloric stenosis is
fluid resuscitation and correction of electrolyte abnormalities.
Methotrexate (Rheumatrex)
laprascopy if unstable
Patients who are stable with no hepatic or renal impairment who will be able to
follow-up can be offered for treatment of an ectopic pregnancy.
MOST ANSWERS ARE BEFORE THE QUESTIONS FROM THIS POINT
active ischemia (incl transient st elevation seen in prinzmetal), cardiac failure, or
hemodynamically compromising valvular insufficiency.
3 contraindications to stress testing
Coronary angiography demonstrating transient coronary spasm
the diagnostic hallmark of Prinzmetal variant angina