๐งต USMLE Step 2 CK - High-Yield Gyn/Obs Topics!
0/ ๐ UWorld is the gold standard!
๐ด Memorize all the algorithms and review every explanation in detail. It's essential for acing the USMLE Step 2 CK!
0/ ๐ UWorld is the gold standard!
๐ด Memorize all the algorithms and review every explanation in detail. It's essential for acing the USMLE Step 2 CK!
1/ ๐งโโ๏ธ Pre-Eclampsia vs. Eclampsia
๐ด Pre-Eclampsia: BP >140/90 after 20 weeks, proteinuria, or end-organ damage.
๐ด Eclampsia: Pre-eclampsia + seizures.
๐ด Treatment: Magnesium sulfate for seizure prophylaxis, deliver if severe.
๐ด Pre-Eclampsia: BP >140/90 after 20 weeks, proteinuria, or end-organ damage.
๐ด Eclampsia: Pre-eclampsia + seizures.
๐ด Treatment: Magnesium sulfate for seizure prophylaxis, deliver if severe.
2/ ๐งโโ๏ธ Gestational Diabetes
๐ด Screen at 24-28 weeks with OGTT.
๐ด Manage with diet, insulin if needed.
๐ด Risks: Macrosomia, neonatal hypoglycemia.
๐ด Screen at 24-28 weeks with OGTT.
๐ด Manage with diet, insulin if needed.
๐ด Risks: Macrosomia, neonatal hypoglycemia.
3/ ๐งโโ๏ธ Placenta Previa vs. Placental Abruption
๐ด Previa: Painless vaginal bleeding, placenta covers cervix. C-section often required.
๐ด Abruption: Painful bleeding, placental separation from uterine wall. Immediate delivery if severe.
๐ด Previa: Painless vaginal bleeding, placenta covers cervix. C-section often required.
๐ด Abruption: Painful bleeding, placental separation from uterine wall. Immediate delivery if severe.
4/ ๐งโโ๏ธ Shoulder Dystocia
๐ด Obstetric emergency: Difficulty delivering the anterior shoulder.
๐ด Maneuvers: McRoberts, suprapubic pressure.
๐ด Complications: Brachial plexus injury.
๐ด Obstetric emergency: Difficulty delivering the anterior shoulder.
๐ด Maneuvers: McRoberts, suprapubic pressure.
๐ด Complications: Brachial plexus injury.
5/ ๐งโโ๏ธ Ectopic Pregnancy
๐ด Implantation outside the uterus, often in fallopian tube.
๐ด Symptoms: Abdominal pain, vaginal bleeding, + ฮฒ-hCG.
๐ด Treatment: Methotrexate or surgical removal.
๐ด Implantation outside the uterus, often in fallopian tube.
๐ด Symptoms: Abdominal pain, vaginal bleeding, + ฮฒ-hCG.
๐ด Treatment: Methotrexate or surgical removal.
6/ ๐งโโ๏ธ Endometriosis vs. Adenomyosis
๐ด Endometriosis: Endometrial tissue outside uterus, cyclic pain, infertility.
๐ด Adenomyosis: Endometrial tissue within uterine muscle, heavy menstrual bleeding, painful periods.
๐ด Dx: Laparoscopy for endometriosis,ultrasound for adenomyosis.
๐ด Endometriosis: Endometrial tissue outside uterus, cyclic pain, infertility.
๐ด Adenomyosis: Endometrial tissue within uterine muscle, heavy menstrual bleeding, painful periods.
๐ด Dx: Laparoscopy for endometriosis,ultrasound for adenomyosis.
7/ ๐งโโ๏ธ PCOS (Polycystic Ovary Syndrome)
๐ด Hyperandrogenism, oligo/anovulation, polycystic ovaries.
๐ด Risks: Insulin resistance, metabolic syndrome.
๐ด Treatment: Lifestyle changes, OCPs, metformin.
๐ด Hyperandrogenism, oligo/anovulation, polycystic ovaries.
๐ด Risks: Insulin resistance, metabolic syndrome.
๐ด Treatment: Lifestyle changes, OCPs, metformin.
8/ ๐งโโ๏ธ Ovarian Torsion
๐ด Twisting of the ovary, cutting off blood supply.
๐ด Symptoms: Acute pelvic pain, nausea, vomiting.
๐ด Diagnosis: Ultrasound with Doppler.
๐ด Treatment: Surgical detorsion.
๐ด Twisting of the ovary, cutting off blood supply.
๐ด Symptoms: Acute pelvic pain, nausea, vomiting.
๐ด Diagnosis: Ultrasound with Doppler.
๐ด Treatment: Surgical detorsion.
9/ ๐งโโ๏ธ HPV and Cervical Cancer Screening
๐ด Pap smear: Start at 21 years, every 3 years.
๐ด Co-testing with HPV: From 30-65 years, every 5 years.
๐ด HPV vaccine: Prevents cervical cancer.
๐ด Pap smear: Start at 21 years, every 3 years.
๐ด Co-testing with HPV: From 30-65 years, every 5 years.
๐ด HPV vaccine: Prevents cervical cancer.
10/ ๐งโโ๏ธ Miscarriage vs. Stillbirth
๐ด Miscarriage: Loss before 20 weeks.
๐ด Stillbirth: Loss after 20 weeks.
๐ด Causes: Chromosomal abnormalities (miscarriage), placental issues (stillbirth).
๐ด Miscarriage: Loss before 20 weeks.
๐ด Stillbirth: Loss after 20 weeks.
๐ด Causes: Chromosomal abnormalities (miscarriage), placental issues (stillbirth).
11/ ๐งโโ๏ธ Molar Pregnancy
๐ด Abnormal fertilization, "grape-like" vesicles.
๐ด Complete mole: No fetal parts, 46XX.
๐ด Partial mole: Fetal parts, triploid karyotype.
๐ด Risk: Choriocarcinoma.
๐ด Abnormal fertilization, "grape-like" vesicles.
๐ด Complete mole: No fetal parts, 46XX.
๐ด Partial mole: Fetal parts, triploid karyotype.
๐ด Risk: Choriocarcinoma.
12/ ๐งโโ๏ธ Premature Rupture of Membranes (PROM)
๐ด Rupture of amniotic sac before labor onset.
๐ด Diagnosis: Nitrazine test, ferning pattern.
๐ด Management: Antibiotics, delivery if term.
๐ด Rupture of amniotic sac before labor onset.
๐ด Diagnosis: Nitrazine test, ferning pattern.
๐ด Management: Antibiotics, delivery if term.
13/ ๐งโโ๏ธ Ovarian Cancer
๐ด Often presents late with vague symptoms.
๐ด Risk factors: Family history, BRCA mutations.
๐ด Tumor markers: CA-125.
๐ด Often presents late with vague symptoms.
๐ด Risk factors: Family history, BRCA mutations.
๐ด Tumor markers: CA-125.
14/ ๐งโโ๏ธ Uterine Fibroids (Leiomyomas)
๐ด Benign smooth muscle tumors of the uterus.
๐ด Symptoms: Heavy bleeding, pelvic pain, infertility.
๐ด Treatment: Medical (GnRH agonists), surgical (myomectomy).
๐ด Benign smooth muscle tumors of the uterus.
๐ด Symptoms: Heavy bleeding, pelvic pain, infertility.
๐ด Treatment: Medical (GnRH agonists), surgical (myomectomy).
15/ ๐งโโ๏ธ Preeclampsia with Severe Features
๐ด Severe BP elevation (>160/110), thrombocytopenia, renal insufficiency.
๐ด Management: Stabilize BP, magnesium sulfate, prompt delivery.
๐ด Severe BP elevation (>160/110), thrombocytopenia, renal insufficiency.
๐ด Management: Stabilize BP, magnesium sulfate, prompt delivery.
16/ ๐งโโ๏ธ HELLP Syndrome
๐ด Hemolysis, Elevated Liver enzymes, Low Platelets.
๐ด Complication of severe preeclampsia.
๐ด Treatment: Immediate delivery.
๐ด Hemolysis, Elevated Liver enzymes, Low Platelets.
๐ด Complication of severe preeclampsia.
๐ด Treatment: Immediate delivery.
17/ ๐งโโ๏ธ Hyperemesis Gravidarum
๐ด Severe nausea/vomiting, weight loss, dehydration.
๐ด Risk: Electrolyte imbalances.
๐ด Treatment: IV fluids, antiemetics.
๐ด Severe nausea/vomiting, weight loss, dehydration.
๐ด Risk: Electrolyte imbalances.
๐ด Treatment: IV fluids, antiemetics.
18/ ๐งโโ๏ธ Intrahepatic Cholestasis of Pregnancy
๐ด Itching without rash, elevated bile acids.
๐ด Risks: Preterm birth, fetal distress.
๐ด Treatment: Ursodeoxycholic acid, early delivery.
๐ด Itching without rash, elevated bile acids.
๐ด Risks: Preterm birth, fetal distress.
๐ด Treatment: Ursodeoxycholic acid, early delivery.
19/ ๐งโโ๏ธ Vaginal Infections: BV vs. Candidiasis vs. Trichomoniasis
๐ด BV: Thin, gray discharge, fishy odor, clue cells.
๐ด Candidiasis: Thick, white, "cottage cheese" discharge, itching.
๐ด Trichomoniasis: Frothy, yellow-green discharge, strawberry cervix.
๐ด BV: Thin, gray discharge, fishy odor, clue cells.
๐ด Candidiasis: Thick, white, "cottage cheese" discharge, itching.
๐ด Trichomoniasis: Frothy, yellow-green discharge, strawberry cervix.
20/ ๐งโโ๏ธ Ovarian Hyperstimulation Syndrome (OHSS)
๐ด Complication of fertility treatments.
๐ด Symptoms: Abdominal pain, bloating, ascites.
๐ด Management: Supportive care, fluid management.
๐ด Complication of fertility treatments.
๐ด Symptoms: Abdominal pain, bloating, ascites.
๐ด Management: Supportive care, fluid management.
21/ ๐งโโ๏ธ Cervical Insufficiency
๐ด Painless cervical dilation leading to preterm birth.
๐ด Diagnosis: History, ultrasound.
๐ด Treatment: Cerclage, progesterone supplementation.
๐ด Painless cervical dilation leading to preterm birth.
๐ด Diagnosis: History, ultrasound.
๐ด Treatment: Cerclage, progesterone supplementation.
22/ ๐งโโ๏ธ Asherman Syndrome
๐ด Intrauterine adhesions, often post-D&C.
๐ด Symptoms: Amenorrhea, infertility.
๐ด Diagnosis: Hysteroscopy.
๐ด Treatment: Surgical lysis of adhesions.
๐ด Intrauterine adhesions, often post-D&C.
๐ด Symptoms: Amenorrhea, infertility.
๐ด Diagnosis: Hysteroscopy.
๐ด Treatment: Surgical lysis of adhesions.
23/ ๐งโโ๏ธ Postpartum Hemorrhage
๐ด >500 mL blood loss (vaginal delivery), >1000 mL (C-section).
๐ด Causes: Uterine atony, retained placenta.
๐ด Treatment: Uterotonics (oxytocin), surgical intervention.
๐ด >500 mL blood loss (vaginal delivery), >1000 mL (C-section).
๐ด Causes: Uterine atony, retained placenta.
๐ด Treatment: Uterotonics (oxytocin), surgical intervention.
24/ ๐งโโ๏ธ Postpartum Depression vs. Baby Blues
๐ด Baby Blues: Mild, transient, resolves within 2 weeks.
๐ด Postpartum Depression: More severe, persists longer, requires treatment.
๐ด Symptoms: Sadness, fatigue, anxiety, impaired bonding.
๐โจ #USMLE #Step2CK #MedTwitter #OBGYN
๐ด Baby Blues: Mild, transient, resolves within 2 weeks.
๐ด Postpartum Depression: More severe, persists longer, requires treatment.
๐ด Symptoms: Sadness, fatigue, anxiety, impaired bonding.
๐โจ #USMLE #Step2CK #MedTwitter #OBGYN
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