Postpartum hemorrhage — Flashcards

Flashcard 81: History of mastitis is a contraindication towards breastfeeding _____

Answer: F

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 82: The risk factors for uterine atony are: 1. _____ 2. Prolonged labor 3. Blockade of uterine contractions (fibroids, magnesium sulfate)

Answer: Excessive uterine enlargement (macrosomia, multiple gestation)

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Flashcard 83: Normal postpartum changes include transient low grade fever, _____ engorgement, and self limited hair loss

Answer: breast

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Flashcard 84: Administration of high-dose _____ is the treatment of choice in hemodynamically stable women with acute abnormal uterine bleeding

Answer: oral conjugated estrogen

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 85: What is the likely diagnosis in an afebrile postpartum woman that presents with bilateral, symmetric warmth and tenderness of the breasts 3 days after delivery? _____

Answer: Breast engorgement

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 86: What is the likely diagnosis in a breastfeeding woman that presents with fever and localized breast erythema/tenderness with a palpable, fluctuant mass on physical exam? _____

Answer: Breast abscess

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 87: How do you treat retained placenta? First-line: _____ Refractory: _____

Answer: D&C

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 88: Soft, mobile, non-tender subareolar mass is suggestive of _____

Answer: galactocele

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 89: What is the best contraceptive option for breastfeeding postpartum patients? Why? _____

Answer: Progestin-only contraception No increase in thromboembolism risk

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 90: What is the most common cause of nipple discharge (serous or bloody)? _____

Answer: intraductal papilloma (often bloody)