USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

RUBELLA An 18-year-old primigravida is at 30 weeks’ gestation and is employed in a childcare center. One of th ...

OB TRIAD Congenital Rubella Rubella is a highly contagious RNA virus that is spread by respiratory droplets. Up ...

NOTE Rubella has been eradicated from the United States; since 2004, no cases have been reported. Preventio ...

COXSACKIE VIRUS Coxsackie is an enterovirus commonly known as hand, foot and mouth disease (HFMD). It is co ...

PARVOVIRUS B19 Parvovirus B-19 is a DNA virus also known as fifth disease. It is a common childhood i ...

Treatment. Intrauterine transfusion for severe fetal anemia (only intervention available) A positive IgG and nega ...

ZIKA VIRUS Zika virus is a mosquito-borne RNA flavivrus. Vertical transmission is transplacental; however, ...

Treatment. No specific maternal treatment. http://ebookobgyne.net http://ebookobgyne.net ...

SEXUALLY TRANSMITTED CYTOMEGALOVIRUS A 31-year-old neonatal intensive care unit nurse has just undergone an ...

OB TRIAD Cytomegalovirus Cytomegalovirus (CMV) is a DNA herpes virus that is spread by infected body secretion ...

Prevention includes following universal precautions with all body fluids. Avoid transfusion with CMV-positive ...

HERPES SIMPLEX VIRUS A 21-year-old multipara was admitted to the birthing unit at 39 weeks’ gestation in act ...

Prevention includes performing a cesarean section in the presence of genital HSV lesions at the time of labo ...

HUMAN IMMUNODEFICIENCY VIRUS A 22-year-old multigravida is a former IV drug user. She was diagnosed as HIV po ...

Prevention includes the following: Treatment. Combination triple anti-viral HAART therapy for all HIV-positive low CD4 ...

pregnant women; this includes 2 nucleotide reverse transcriptase inhibitors (NRTIs) with an NNRTI or a p ...

SYPHILIS A 34-year-old multigravida presents for prenatal care in the second trimester. She admits to a past ...

placenta is typically large and edematous. Neonatal infection: Late congenital syphilis is diagnosed after ...

Table I-7-1. Syphilis in Pregnancy Characteristic Primary Secondary Classic lesion Chancre Condyloma lata (“money spots ...

Prevention includes the following: Management. Benzathine penicillin 2.4 million units IM × 1 in pregnancy to en ...