Postpartum hemorrhage, infection, and mood disorder recognition and management scenarios tested on USMLE Step 2 CK.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What blood loss volume defines postpartum hemorrhage (PPH) after a vaginal delivery?
Show answer
Blood loss of 500 mL or more (or any amount causing signs of hypovolemia)- What blood loss volume defines postpartum hemorrhage (PPH) after a cesarean delivery?
Show answer
Blood loss of 1000 mL or more (or any amount causing signs of hypovolemia)- What is the time window for early (primary) postpartum hemorrhage?
Show answer
Within 24 hours of delivery- What is the time window for late (secondary) postpartum hemorrhage?
Show answer
From 24 hours after delivery up to 12 weeks postpartum- What is the most common cause of postpartum hemorrhage?
Show answer
Uterine atony- What does the '4 Ts' mnemonic for causes of PPH stand for?
Show answer
Tone, Tissue, Trauma, Thrombin- In the 4 Ts mnemonic, which cause of PPH does 'Tissue' refer to?
Show answer
Retained products of conception- In the 4 Ts mnemonic, which cause of PPH does 'Trauma' refer to?
Show answer
Genital tract lacerations (cervical, vaginal, or perineal)- In the 4 Ts mnemonic, which cause of PPH does 'Thrombin' refer to?
Show answer
Coagulopathy, such as disseminated intravascular coagulation- What is the first-line uterotonic medication for treating uterine atony?
Show answer
Oxytocin- What is the first physical maneuver performed to manage uterine atony?
Show answer
Bimanual uterine massage- Why is methylergonovine contraindicated in a patient with hypertension?
Show answer
It causes vasoconstriction and can precipitate a hypertensive crisis- Why is carboprost (a prostaglandin F2-alpha analog) contraindicated in asthma?
Show answer
It can cause bronchoconstriction and trigger a severe asthma exacerbation- What is the role of tranexamic acid (TXA) in postpartum hemorrhage?
Show answer
It is an antifibrinolytic adjunct that reduces bleeding-related mortality when given within 3 hours of PPH onset- What device is used for intrauterine tamponade in PPH refractory to medical management?
Show answer
A Bakri balloon
FlashKeepers