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437 Cards in this Set
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- Back
day 5-6 days fever after postparturm
|
mangaement is IV heparin
risk factors c/s prolonged membran ruputre |
|
Tubor ovarir abcess
|
In clindaymind and gentamince for fever 72 hours
triple antibiot thearpy |
|
hypotrhoid and milk goo goo jucie
|
check TSH and becaseu increae TRH increases prolactic
|
|
HPL
|
increase lipolysis insulin antagoinst
postpraandial hyperglycemia fast hyperinsulinemai |
|
breast + no uters
|
46xy
mulerian agensis which will have pubic hair |
|
phenytoin can cuase what in kids
|
dysmorphin cranifacial feature cardian
fingernail hypoplais |
|
managaemtne of tubo ovarian abscess
|
IV clinday and genat minc
ex lap |
|
fetal alcohol syndromw
|
midhfacial hypoplasia
|
|
when to give pregant pt rubbela vaccine
|
after delivery
|
|
tx of eclampsia
|
protect mother airwayr and tounge
adminit mgso4 prompt delivery lower blood pressure |
|
only abortion baby is allive
|
theratend
no cervial dilation managemnt is ovservation |
|
magenment of placenta aborto
|
Emeregenyc csection iwth maternal or fetal jopary
vaginal delivery >36 avoid cs if baby is dead consrevaitno in hopstial observation if fetus is stable |
|
oxytocin
|
SIADH so can get water intoxication
|
|
painful ulcerativ lesion on right vaginal wall
|
herpes simlex viurs
|
|
pustule becomes painful ulcer wiht ragged edge
|
chancroid
|
|
what does estrogen do to the thyroid
|
increase total TBG levels
|
|
why do they get increase of reflux
|
decrease Gastroesophagel junction tone
i think they get less ulcers bc increaes in prostaglidns |
|
what hb cut is never normal in pren
|
<11
|
|
girl is growing to fast 6 0r 7 years with big tis and pubes what drug
|
leuprolied or lupron
|
|
what is increased in Renal
decrease |
gfr by 50 % and renal plama flow
BUN and creatint by 25 % |
|
when to test msAFP
|
15-20 weeks
|
|
when do you start AZT in pregannt pat
|
14 weeks continune it on until the end and neotnatal time
|
|
mcc of msafp being incorrect
|
incorrect gestation dating
|
|
afp in trisomy 21
|
afp and estriol decrease
b hcg and inhib are increased |
|
amniocentesis indicated for
|
woemen who will >35 years of age
abnorma quad screen RH sensitzed pregnacy to boatin fetal blood tye fetal lund maturity |
|
whe can CVS be seen
|
10-12 weeks
|
|
CVS disadavante
|
risk of fetal loss can not diagnos nerual tube defect
|
|
maganmetn of molar
|
bchg
chxrya preform Dand C put on ocps |
|
ACEI cuase what to fetus
|
fetal renal tubular dysplasi and neonatla reanl failur
|
|
warafin does what to
|
nasa hypoplasia stipple bone epiphes developmenta delay
|
|
methoterata
|
increase abortion
|
|
cocain
|
dowl atreai cerbral infaration
|
|
lithim does what to neonate
|
ebstien anomaly
|
|
tetracycline
|
discoloration of teeth hypoplasi of tooth enamel
|
|
streptomycin
|
hearing loss
|
|
skin scarring choritetintis hypolasi of hands adn feet
|
varicella
|
|
gbs is tested when
|
36 weeks
|
|
how is GBS tx in preganat
|
pencillin
|
|
bp 140/90 after 20 weeks of pregnancy wihout proteniuria
|
gestational hypertension
tX is close observation |
|
htn 140/90
proteniuriea 1-2 + |
mild preeclampsia
|
|
tx of mild preeclampsia
before 36 weeks |
in hostpiral no antibypertsiv of mg so4
after use oxtocian and mgs04 |
|
mechainsim of preempalis
|
increase in difuse vasspasma
increase in vaso constircto thromboase and decrease in prostacyclin |
|
>160/110
3-4g on 24 urine collection visual change and headache |
severe preecmplasia
|
|
tx tx of severe preecmplasia
|
mgso4 hyadralaxina dn abetalol
IV ocxytoci aggressiv prompt delivery |
|
what kind of seizure in eclampsia
|
unexplasine grand mal seizure
|
|
patho phsiol of eclampisa
|
diffues cerbral vasopams
|
|
what does b blockers cause
|
IUGR
|
|
2 complication of placent aborto
|
hemorrhagic shock acute tublular necrosis
and DIC |
|
what is the tx of dvt in pregnacy
|
herpain never warafine
|
|
when can vaginal delivery be done in placent previa
|
if the lower placent edge is more than 2 cm form the internal cervial os
|
|
painless vaginal bleeding floowed by feetal bradycardia
|
vas previa
|
|
tx of vasa previa
|
immediate cearea delivery
|
|
what type of scar will most likey rupture
|
vertical or classicl
|
|
risk factor of uterine rupture
|
classic uter incision
myomectomy excessiv oxytocian stimulation |
|
what to use in GBBS postive
mother and allegric |
IV penicllin G
clindamycina or erythromycin |
|
how is gBBS screend
|
Vaginal culture
and anus |
|
tx of toxo
|
pyimethamine and sulfadiazine
|
|
baby with micropthamlai cataract choriretinits etremity hypoplasi zigzag skin
|
varicella
|
|
tx of VZIG
|
acyclovir
magaemt immune globulin live virus can be adminstreide |
|
tx of neonate cmv
|
ganciclovir
|
|
how to tell difference CMV
toxo |
cmv peteichae
|
|
what does 2nd syphillus confirmed with
|
FTA-ABS
|
|
chorinc hepatis in baby
|
HBV
|
|
neonate of hvsAg mother
|
passive immuniztion with Hep immunoglobuin and active immunization with hep b vaccin
|
|
maternal hb negative mothers
|
hep B passive immunizttion and active immnization is safe in pregangcy
|
|
drug of choice of PMS
|
SSRI
|
|
what should be give to all D and C
|
Rhogam if negative
|
|
cervilal dilation vaginal bleedin no pic
tx |
D and C
|
|
vaginal bleeding with some poc
|
incomplet abortion
|
|
tx of pco
|
combination ocp
lower test by supressin glh ocps increase shbg merformin decresa insulin resistance and lower teosteronel ever |
|
when in fetal demise
|
after 20 weeks
no movements or loss of movements |
|
fetal demise what do you need to worry about
|
DIC
|
|
mode of delivery for detal demise greater than 20 weeks
|
induction of labor with vagina prostagladin no c/s
|
|
what is a risk factor of prom
|
cigartte smoking
|
|
24-35 weeks of viabilti
|
betamethasone bed rest <32 weeks cervial cultrue
amp and erythromyc |
|
anovulation or 2nd ammenorea
how do you test for it |
bhg
prolatic and tsh thest cyclic MPA to see if there is any withdrawl bleedin cyclic Mpa to preven endometria hyperpasi then EPCT |
|
clompheine
|
inhbints estrogen receptor in the thamualso so increase enrh
|
|
i cry with ducryi
|
haemophilus ducryi
g neg bacterium |
|
painful ucler
|
chancriod
|
|
two o in endocardits
|
roth and osler are going to be vasculitis
splinter is going to be emboli |
|
olser are painful
|
O shit
|
|
tx of chancroid
|
azithromycin ceftrizaxon or erythromycin
|
|
painless ulcer visculopusturlar spontaeulsy hearl grovvoesign
|
lypmograulom veneru chamydia trachomatios
|
|
tx of lgv
|
doxycyclien or ertyhtomcyine
|
|
painless beffy reid hgiht vascular ulcer
|
grauloma inguinal calymmatobacterium g neg bacterium
|
|
tx of granulma inguinal
|
doxycycline or tmpsmx
|
|
where do you get hirtisum
|
from adreanl or ovaries
DHEA or testortixone adrenal tumor ovari tumor 21 hyxo defeicneyc |
|
magnesium overdoes is treat with
|
iv calcium glucaonate
decreased |
|
what are the tocolytic agen
|
Mag sulfate
terbutalin and tirodirne calcium changge blocker prostaglad synthetas inhibitors decreasin prostaglaid produtni |
|
what are the side effect of mag sulfate
|
decreasin deep tendon reflexe respirato depression and pulmonary edema
|
|
therbutalin and ritodine
|
b agoinst dont use in carida problesm
diabetes or hyperthroidism |
|
which calcim channge blockers is used in preterm and what is the contraindication
|
hypotension
nifpideime |
|
which ca channel blocker will cause perhipal problems
|
nifpidiem it will cuase hypotension
do not use in hypotension |
|
osteoporsis what kind of probles
|
osteclastic activity increase to osterblastic activity
decrease bone density |
|
what is specific for nerual tube defects
|
achelochestrease
|
|
what is unchange in respiratory in prengancy
|
respiratoy rate
|
|
gbs stagees in neonate
|
pneomia and sepsis
menititis in one week |
|
when do risk factors gbs
|
>18 hrs prom
|
|
what will be a risk factor for toxo
|
goat milk
|
|
imquiod is good bc
|
it no problems with the gential
|
|
what tx is contra in hyperthyroid
|
iodin is
|
|
varicella in mother will have problems
|
varcella pnemonia
give acyolovir |
|
phenytoin in neonatl
|
Vtimin K clotign factor
|
|
when to screen women of diabetes
|
24 28 be the maximal hPL
|
|
when do you start nst and aft
in diabetes |
32 weeks
|
|
what is specific congential problem is specific for DM
|
caudal regression syndormw
|
|
uti in pregant patients
|
nitro
|
|
prolapese umblical cord what do you do
|
perform c/s
|
|
tx of cat schart dz
|
rifampin
|
|
epiduarl block complication
|
hypotension from peripheral vasucauar dialtion woing to sympathetis blockade
|
|
which two meds from hyperthyroidism in pregnancy
|
PTU and methimazole
|
|
what is the problem with precocious puberty
|
premature clusre of dist epiehyes
|
|
girl is growing to fast 6 0r 7 years with big tis and pubes what drug
|
leuprolied or lupron
|
|
tx of endometeriosis
|
leuprolie or lupron danzonl
gnrh analogs |
|
outpatient PID
|
ofloxacin with metronidazole
|
|
what is DUB
how to diagnosis it |
irrergular uterine bleeding
pregnag test geat and no anatomei cuase then it will by anvoultion |
|
mcc mortatily in in postmeopuaual women
|
cardiovasuclar dx
|
|
what is osteoporis
|
decreae bone density
|
|
where is osteoporiss
|
vertbral bodies
|
|
test for calcium loss in osterposris in 24 hour loss
|
hydroxprolien or NTX
|
|
how to alendronate
risedronate work |
inbiti osteroclatst activyt
bisophoaptes |
|
what serm work on bone denisty
|
raloxifine
|
|
tamoxifne
|
endometial bone agoins
breats antgoins effects |
|
raloxifie
|
bone agoins effect
endometria antagoisce effeccts |
|
mcc premenarch bleedin
|
forigne body
|
|
what is the problem with precocious puberty
|
premature clusre of dist epiehyes
|
|
cystibic bone lesion and cafe au lait skin spot
precociou puberty |
mcline albright
maagestimulation aof aromatoas enzyme producint of estrogen tx aromatase inhibitors |
|
what tumor will cuase pprecoccious puberty
|
granulosa cell tuor estrogen will increase growth of bone
|
|
what is DUB
|
irrergular uterine bleeding
pregnag test geat and no anatomei cuase |
|
what does the Y chromosme serct
|
MIF which cuase the mulleria duct ot invoulte
|
|
vaginal clear cell carcinoma
|
DES syndrome adenocaricoma
|
|
warafairn do to neonate
|
chondrodysplasia
optic atrophy |
|
preecmplais with no fetal hear tones appreciated
|
molar pregnangyc
|
|
complete mole
|
46XX partnally derived
no fetus umbicla cord or amnito fluided no fetal tissue |
|
incomplete mole
|
69XX umbiclai coard and amniot fluid
|
|
good prognosis malgnant
|
methotrexat follow up for 1 year
|
|
poor prognosis metatstaic GTN
|
methoterate actionmycin follow up for 5 years
|
|
reactive nst
|
two accleeration in 20 mins window time mettin
|
|
what to do in Nonreactive nst
|
vibroacusti stiumatlion
|
|
postive CST is good or bad
|
bad
|
|
if postdates and cervix is not favarboale do what
|
2x weekly biophysicla profiles indcution of labor
|
|
does insulin cross the placenta
|
no
|
|
gonorrhea tx in pregnant
|
ceftrizaxone
|
|
chymadian
|
dont give dox erthromcin or azithromyinc
|
|
tx of women who do not breat feed
|
prescribe tight fitting bras ice packs and analegesia
|
|
complication of general anesthesia
|
aspiration punemonia
|
|
mcc of Uti in pregancy
|
asympotmact bacteriuria
|
|
why is Uti increase in pregnagcy
|
gravid uters can compress increase progesterone decrease the urteters
|
|
pathogen of endometeris
|
GBS
|
|
primipas 8x to have what
|
preecplmsia
|
|
risk factor for eclamspis
|
multipiel gestatin diabeter melelis age extreme chronei hypereison and chronic rean dx
|
|
what is PID increase in
|
IUD placment
|
|
what is the dx of chronic PID
|
laparscopi visulatiant of pelvic adhension
|
|
maagement of chronic PID
|
lysis of tubla adhesion
|
|
inpatient PID
|
clindamycin and gentamincin
|
|
PID outpatient
|
cefoxiton or cefoteatn
|
|
mcc site for endometerios
|
ovaries
|
|
dx of endometerisos
|
laproscopy
|
|
how is pregnagcy good for enodometeriosi
|
no menstraution progesteron will
cuase atrophi chage sin the endomtrium atrophi change in endometnrium |
|
how does danazol and lupron work
|
GNRH aanalog contiunous
se menopausl symptoms |
|
if feritliy is desired in endometerisois what do you do
|
surgery lysis the adhesion
|
|
what do you do with gonorrhea tx
|
add chylmida tx azitromycin
|
|
dx of chlamydia
|
pcr and dna probes
|
|
what culture for niesseria
|
thayer martin
|
|
mcc site for accuminated
|
cervix
|
|
what is increae in Diabties in mother
|
preeclampsia /eclampsia
hyperglycemia retionpathy |
|
why are pregnagnt pt hypercougale
|
increase gfr which increase protein S loss
|
|
most common location of ectoic pregnanies
|
oviduct
distual ampulla |
|
babies spin at what age at what age
|
36 37 weeks
|
|
pt presents with afib
|
check thyriod
check tSH |
|
hyperemesis gravidum is assoiated with what
|
Hydatif mole
|
|
levels of anti D is consider abnormal
|
is abnormal is 1:8
|
|
test for of maternal bleeding
|
rosette
|
|
amount of hemorrage to quantifiy
to see how much rhogram to give |
kelihauer betket test
or flow cytometery test |
|
danazol
|
testersorq
|
|
inferetily drugs
|
clomphinen then hmg
|
|
clompheine side effect
|
menopausal symptoms
|
|
kleihuar betket test
|
voumoe of fetal RBC in the maternal circulation
|
|
meonpaula women mcc estorne
|
is from converstion from fat tissue to estrone from adenstorion
|
|
fat women have less
|
menopualsal
|
|
ritodrine and terbutaline
|
b2 agoinst
|
|
ritodint cario side effe3cts
|
hypotension tachyardia
hyperflygceima hypokalemia and pulmeary edema |
|
what are the contra in ritodrine
|
cardia dz diabete mellitue
|
|
ritodrine cuase edema
|
decrease water clearnaces and increase in renin angio
so increase in NA hypokalemia |
|
betablockers does what in pregancy
|
decrease placent blood flow and cuase grow t reatiardion
|
|
migranes and graves will impore in
|
pregancy because Blood pressure is decreased
|
|
cvs tested when
|
9-12 weeks
for fetal karotypeing higher pregancy loss |
|
amino for bilibrum
|
24 weeks
|
|
when get the lung maturity studies in amnio
|
34 weeks
|
|
nsaids in the pregnagcy
|
should not be used cuases
PDA and incrase miscarrgae |
|
Carpala tunnel syndrom in pregancy
|
tx splint no nsiads
|
|
precelampia is found 8 times more frequently in
|
primis
rx hyaditform moel diabetse age |
|
post menopauls women with clear vagainla discarhge and Ph 5.5
basal epitial |
atropy vaginitis
|
|
tx of aropyic vaginits
|
estrogen
make sure there is no uterus vaginal suporritors |
|
beta blocker
|
neonata bracycare and hypoglycemain
|
|
ace
|
renal dysgeisn oligohydramino pumonary hypolasi and limb contracture
|
|
ertymea indurat and tnedernes along alson the spahen veins in her lower leg
|
tx with NSAIDS
superficial thrompbeleitis dont confuse septic thrombophielet |
|
enlarged uterus symetteridcal
|
admenosis
endomteral glands in the uterin muscle sever dysmeorrhea nd menorrhgia enlarge symemeter uterus |
|
MCC of excessive postpartum bleeding
|
uterine atony
|
|
fetal braycardia
fetal demise |
110
fetal varriablie 6-24 |
|
fetal tachyracrdya
|
160
|
|
`septic aborition
|
first check blood
gental scution and iv antbiotis |
|
endometeirs
|
mcc of puerperal fverer
anaerboic use clindamycin with aminoglycosie or ampicllin |
|
mastisti tx 7-21 days
|
cloxacillin
|
|
increase fsh in 20
|
premature ovairl failure
|
|
oxybuting
|
relaxation for hyperactine blader
|
|
when do you use bethanechol
|
nuergoenic bladder
after pregangcy and old with diabetes |
|
leteal phase defect
|
relative low progesterone secretion by the courpu lutuem
|
|
luteal phase defect
|
shor cycy hisoty of sponton abortion abomarl basla body tmeperatur or lovw levewv of
|
|
luteal phase defect
|
endometeraial biospy
|
|
ABO
|
IGM doest not cross
|
|
Rh
|
IGG so will cross
|
|
asypomatic bactueriam
|
nitruforium 7-10
|
|
fetal hyptation sydon
|
limb hypoplasisa
|
|
DUB mcc of abnorma uterien bleedin
|
annoulation
tx IV estrogen is the drung og uncontroleed bleeding' |
|
igur asymetteric
|
after 3rd trimester
look for medical problems |
|
igur symettric
|
torch
|
|
LGV Look for
|
chmaydia antiboies
maybe a previous infection of neissera and look for groove sign |
|
ASC
|
repeat pap in 3 months
if unrelaibe proceed directl to colpsocopy and biopsies |
|
pt short of breat after amiocenties can baver cardiogenisc shock and seizuers
|
amniocitic fluid embolism
tx respiartoy support |
|
PCO what is going to be the complication
|
endometical cancer
|
|
bpp of 6
|
contraction test
|
|
bpp <4
|
oligohydraminoa
|
|
peptic ulcer in pregancy
|
better bc protstagldin
protects mucusla barrier |
|
MS in preganacy
|
decreae in incidien
|
|
late dec
|
placenta problems
|
|
early dec
|
head compression
|
|
variable decleatrion
|
umbicial comr comression drop 40-69
|
|
cervical cancer with lesion sceen
|
do a punch biobsy
pap will not be enghouh pap is is not enghough |
|
schilling
|
lugols idione
|
|
psedocyesis
|
rare condition nall all sigh and pregancy usltar sou revela a noram endometrial stripe
|
|
missed ab before 16 weeks
after 16 |
DC
deleivery of baby |
|
clomphiene se
|
is torsion overain hyperstiumation syndeomre
plueral effusion |
|
kiolocytes hyperplasia small teardriop shaped growth
|
hpv
podophillin should be avoided in pregangcy |
|
blusih white papular white palques
eptihela thingg tx testotsron cream |
lichen sclerosis
|
|
what is athe dx of fetal demise
|
ultrasound
|
|
whcih of two torch do you test for
|
rubella and syphillus
|
|
complication of D and C
|
asherman syndrome use hysterosalpingogram
tx by hysteroscopi adhesion lysis followe by estorg stiumaton of endometrium |
|
lochia rubrua bleeding after pregrancy
|
granuulcytes
|
|
42 weeks
|
is not postdates
so dont delievery do nst and BPP |
|
43 weeks
|
deleivery is manadotory
|
|
painful lympadmepath
non painful lympadhepathy |
LGV
granulamo dovnaion |
|
donovaon bodies
|
bipolar staing bacteri found with monocytes
|
|
chancroid tx
|
azithromycin
|
|
ocp reduce the risk of what cancer
|
ovarin and endometria and breat dz
|
|
htn and diabtets risk factor for which cancer
|
endometerial
|
|
what not to give lactateing women
|
estrogen can give progestone
|
|
birth control in lacting women
|
progestorne
|
|
24-34 weeks can give what
|
steriods
|
|
if bpp 8 then what do you do
|
repeat in a week
|
|
trans abdominal ultrasongaray
|
bhcg has to be 1500-2000
|
|
ectopic first do
|
transvaginal watch out for laparscohpy
|
|
exercise amernorrhea
|
low fsh and lh sex hormones like estrogen adn testosterone drop
oseoprosos decreased muscle bulk |
|
pco treat with what hypoglycemic
|
metformin
helps with reverseing the system |
|
pap
|
performed annually once sexually active
after 3 good ones every 2-3 years |
|
pms
|
menustaral dairty
have to do it 3 constiuve months Then start SSRI |
|
pt coughs everytime she has dribbling
|
kegel exercines
to restor pelvi floor strengh restoration of the urethvesic angel by urethorpexy |
|
metro is what to pregancy
|
tetraogenic
use clinda cream |
|
preeclampsia pateient with decrease dtr
|
stop mg give ca
|
|
when do you do the Rh test
|
1st prenatatl test and repeat 28 weeks
|
|
increase afp
|
neural tube defect
abdominal wall defects fetal demise multipe gestat inaccurarte gestainla age |
|
acus
|
hpv testing
repeat in repeat every 6 months |
|
influeza vaccine
|
in pregant pateints
|
|
threathen ab
tx |
can send home if everything is okay
|
|
osterporosis risk factors
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bad alcholo glucosteriods
smoking |
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precocious puberty
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Rnrh agoinst suppresion therapy
lupron and lupride |
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LUTEAL PHAES DEFECT FIRST STEP
|
PROGESTERON
|
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cleft limp
short limbs |
fetal hypditon from
|
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<34 weeks then the PProm what do you do
|
dexmethasone and bed rest look to see if she is having contractions
|
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hyperplasi without atpia
hyperlasxi with aypia |
cyclic progestion
take out the uterus |
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external cephlaziton can be done when
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onset of 37 weeks and onste of labor
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cervical mucus in the ovulatry phase
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profuse clear and thin
|
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clear cell is what tye of cancer
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adenocariconma
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blucish shtie papular that can coales into whit plaques
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lichen slcerosis
management is tetosterone cream |
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mcc invasie vulvar cancer
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squamonus cell carcinoma hpv
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dark or black lesion in vuluva
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2melanome of the vulva
|
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red lesion postmeonpualw whtie women
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paget dz hgiher association of other cancers
|
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medical tx of adenmysosis
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levonorgesterl intrauterine system
defeinte tx surgery |
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optimum time for version
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37 weeks
|
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hazards are external
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version umbiclal cord compression
placental abruption requireapig emergen c s |
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mangement of precociou pbuerty
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1st get dns imagin
gnrh agoinst uprresison leuprolide of lupron |
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MTIIC
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missed
theraten inevitable incompete complete |
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dead baby with no cervial dilation and nonvialbe
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missied
D and C |
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low or high aFP
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do ultrasound to make sure that you have
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thin watery cerviacl mucus dischgarea seen with estrogen domianes
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physiologic dsichagre
|
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increase watery bagina dschare no buring or itch
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physiolgoic dischare
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absence of wbc clue cell tircomaonad or psedohphea
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physiologic discaghre
tx steroid ocntraception with progestins |
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normal vaginal ph is
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4.5
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what is th path phys of bv
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predomitna lctob acilli replace by massive increase in anaerobic sped and aerboe
|
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risk fact or bv
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psotmenopausla low levels of estrogen sexual activity
no itching or buring |
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hellp in creased in what
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mutigravida
tx prompt delivery use corticosteroids |
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tx of bv
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metro or clinda orally or vaginal
|
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itching buring and pain with intercourse
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trichomonas vaginits
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vaginal discahre frothy and green
stayberry apperacen |
vatrichomaonas
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painful late tirmeste vaginal bleedin
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abruptio placenta
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tx of trich
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patien and her sexual partner
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curdy and whit ph is 4.5
psudoyphaes |
yeart vaginits
|
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txof yeast vaginits
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fluconazole or vaginal azole creams
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hellp is more is common
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multigravidas
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mullerian agensis
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with associated with long name
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what should be given to all women who are getting d and c
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rhogam
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fetal demise before 20 weeks
after 20 weeks |
fundus less than dates
absenc of fetal movements |
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uerin tenderness in the maternal fever
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chroioamnitnitis
|
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pms that has crazy disorders
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dysmorphic disorder
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how does pcos work
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Shbg is decrease and Lh is increase
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how does ocps decrease pco
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lower testoster pudoc by suppresisng lh stimulation
ocps will also increase shbg thus decreain free testo level |
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spironlacton is used for what
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idopathich
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how does spironlacto work
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androgen recept blocker
and suprres 5 alpha reducta ezny converiosn of androstedione and testosteron |
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pco what happens to endometrium
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no ovulation no corpus lutrem to produce progesteron
unopposed estorgen |
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spirnolacton suppress hari folic and used in what
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PCO
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how to test for Rh immunzaiton
|
indirect coombs test
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what is HDN
|
materanl antiboes crossing into the fetal circulation and targitng antigen psotive fetal RBC
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when is Rh a problem
|
mother is negative
and fatehr is postive baby postive |
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when is rhogam given
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Rh D negaive mtoehr at 28 weeks
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what is the managemtn of of 39 weeks
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twince wekly nst and afi
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lower portion of the uterus
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noncontracli portion uteru have to dissect the bladder
|
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most common indictaion of C section
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celphaic pelic disportion
|
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what is lochia
|
superfical layer of endometradi dicidua
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when does locha happend
|
3 weeks postpartum
|
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intrapartum bladder wiht increae psotvoid resdiuarl volumes
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bethanechol
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how to treat perinal pain
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heat lamp or sitz bath
|
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what should not be used in breast feeding
|
breat feeding women b of the dminishing milk produciton
|
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when do you star ocp in postpartum why
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in nonlactin women 3 weeks reversal of the hypercoagual stat of pregany dereas the risk of DVT
|
|
9-12
15-20 24 28 before 37 43 |
CVS
AFP diabetes rhogam pretem postdates |
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soft uterus palapable above the umbilice
|
uterine massage
|
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2nd mcc cuase of postpartum hemorage
|
vaginal laceration
|
|
beefly apperarin bleeding mass
failure to palapte the uterus abdominally |
uterine inverison
uterine repalcement by elevati the bagina fronices lifitn the uter upward |
|
bladder never empties
loss of urine day and night |
denervate bladder dibatei or multipe sclerosi
markely increae residuarl volume |
|
bethanecol and neostigmine is what
|
cholinergic receptors activators
|
|
oxybutyni and propanltheline
|
anticholineterase
inbigitn micturing anticholinergi medicaotn used in hypertonc to stop the involuantr urgency |
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tx of involunatre dtruson contracton
|
anticholere medicaotn oxybutyinin tricycli antdiepressant and nsaids
|
|
ovarian hyperstimuatl is side effect of what
|
clompiphene citrate
|
|
in anovulation what never develps
|
coupus leutem never delevpos so no progesteron
so upposed estrogen enodmetrial hyperplasia |
|
elevated prolcat may be to what medicaton
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antiphsycot mediaton or antidpressants
|
|
twin tiwn trasfuios
|
reciptint baby will be voulme overload >25 fetal weight more blood suppy resultin in excessiv growth polyhydramino and polcytmeia
|
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donor baby in twin
|
growth restricto oligo hydramino and anemai
|
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if molar pregangcy with umbilica cord an amnitod cluuid
|
tripold 69 XXX noram egg and two spream
|
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simple cyst will do what in pregancy
|
regress sponatelys bc the progeston of the preganacy
|
|
hep b what do you do
|
immunoglobins to the baby once delievered
can get hep B from brest milk and most common in apt test |
|
route of infection of Hep B
|
infect gential secreiton at the time of vaginal deliver
|
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can give hep b to moter
|
yes it is a killed virus
give HBIg passive immunization |
|
in stress where is the force go to
|
to the bladder
does not take place when the patien is sleepin pelive exma may revel a cyto cele |
|
what is the test is postive in stress
|
q tip
|
|
tx of stress incontine
|
kegel exercis and estrogen repalcemtn postmenopuasla
|
|
upper uterin segment
|
smooth muscle
|
|
lower uterin seqment
|
collagen bieres
|
|
most common type of ovarian cancer
|
eptiherlai tumores
|
|
most common epthiela tumero
|
serous
ca 125 and cea |
|
mcc of germ cell tumor
|
dysgerminoa
x ray senstivie lDh hcg a fetoproteiin |
|
protective factors for ovairna cancer
|
decrease the total number of lifetime ovulation
ocp chroni anovluation breat feeding |
|
tocolytic contraindication
|
abruopti palcenta rupture membranes choriamniontis
letatl anomaly featl demise eclampsia sever preclampsi advanec cervial dilation |
|
cyst that are in molar pregacyc bilater
|
theca lutein cyst
grows bc of the bhcg |
|
loss of urine is continually
|
hz of radical pelve suregery or pelvie raditon therapy
|
|
dx of fisturla
|
urinar trac fistural
surgical repain of the fistural |
|
urge
|
idiopathe detruso contracon
urgency invoulatr dtrsuo contracton antcholeiric medication oxybutyinin tricycl anitdepressants |
|
mullerian agensis
|
rokitansky kuster hasuer syndrome
|
|
what does the mullerina do not give rise to
|
oavaries so those guys have normal pubic and axillary hair
teststoen lvev are normal female |
|
androge inseisty
|
testonsle level are normal male no pubic or axilalary hari is noted
|
|
leilomyomas that are not causeing problems
|
observation
|
|
pt with fibriods that the wants to have babies
|
myomectoy
|
|
can GnRh be used for leiomaya for defeinct tx
|
NO
|
|
cocaine of baby
|
interina atresia libme recdution defect and brain anomalies
|
|
women with hypoperfusion
|
immediatily think sheehans so prolactin will be fucked up
|
|
what is respiratoyr thing increase in preganacy
|
tidal voulmue so minute vetiation is increased
|
|
the only respirat that increase in pregnancy
|
tidal volume
|
|
mucopurulent cervical discharge
|
chlamydia
|
|
postcotial bleeding
|
cervical cancer
|
|
thing flexed and legs are extende
|
vaginal delviery may be slafy considerd
feet to the head frank breech |
|
complete abortion
|
normal endometrail stripe
tx conservation get bhcg titiers |
|
hiv mother
|
do c/s
|
|
ovarian cancer with high bhcg
|
choriocarcinomas
|
|
what cuases poly
|
diabetes mellitus
|
|
what trimester does CMV happen
|
any trimester
|
|
what percanate of cmv will have sympotmos
|
10%
|
|
how does mother look in cmv
|
mononucleios-like syndrome with hepatitis
|
|
how is cmv spread
|
body secrtions
|
|
lumpy bumpy endomteriom
|
subseroumyomas
|
|
estradiol
estriol estrone |
reproductive
menopuase postmenopause |
|
cervical is staged how
|
clinical
|
|
what happens if the previa occures over a previou uterine scar
|
villi may invade inot the myomterim reslutin in palcent accreta
|
|
how do nicotine symptoms look
|
cramps fasciculatins twitching weakness and areglexia
paralysis of volunatary mscle inclding respiato |
|
stage three
|
delivery of fetus and endos with espulsion of placent
myometrial ocntraciotn sher off the anchoirn villi |
|
cerivacal dilation ending with complete cervial dilation
purpose is rapide cervial dilation |
active phase of stage 1
|
|
compelt cerivcal dilation and ends with delivery of the feturs
|
stage 2
|
|
onset of hirtusim gradual
psotivie family history mensus and fertitli are normal |
idioppathc
normal levels ot testosteon DHEA 170h tx is spironolactone |
|
what effect does progestroen have
|
smooth mucscle relaxation
|
|
how often does hcg double
when does it peak |
every 48 hours
peaks at 10 weeks |
|
tx of iodoatpatic
|
5-alpha reductian acitvity
with spironlacto |
|
vaginal bleeding unilater lower abdomitn pelvic pain and amenorrhea
|
ectopic
|
|
if ruputre ectopic what to you use to tx
|
emergency lapartomy
|
|
early tx of ectopic
|
mehtotrexate
|
|
advance pregancy in ectopic
|
laparoscopu
|
|
how is cervical cancer staged
|
clinical intravenou peylogram
|
|
primary dysmenorrhea
|
when proestoern withdraw bleed occure porstagladin indcue spira ateriolar spanw excessi myometiral contracion
|
|
ovairn tumer in yonger women 20 year
|
dysgerminomas
increase in LDH |
|
invasive cancer before 24 weeks
|
hysterectoy or radiation thearpy
|
|
Fetal heart tones when
|
10 weeks
|
|
invasvie cancer after 24 weeks
|
conservatin magement up to 32-33 s
|
|
CIn in pregancy
|
do colpo every 3 months
|
|
tx of uterin atony
|
uterine massage and oxytocin methlergonvine
|
|
if have htn before 20 and then has preeclmaposi
|
superimpose preeclampisq
|
|
endodermal sinus tumors
|
AFP highly responsive to chemotheapy
|
|
rupture ectopic
|
lapartomey
|
|
mcc of DUB
|
anovulation
unoposed estrogen endomter is unstable random disorderly breakdown |
|
how will the mucus be in DUB
|
clear thin watery
|
|
tx of DUB
|
yclic progestin
|
|
hypertension that has no protenuria
|
gestinal hypertension after 20 weeks
|
|
recurrent cin 2 and 3
|
hystercotmy
|
|
cin 1,2 3
|
cryotherapy laser
|
|
spriolacton
|
is a an androge recept blocker and and follicle -a reductianase
|
|
urinary loss takes place day and night pateitn
|
overflow hypotone markelty increase reidular volume
|
|
what is absent in chronic PID
|
mucoprulent cerivaldis discarge
|
|
disbitlaer cystinc enlargemtn of voary
|
theca lutein cyst
|
|
mcc site for condylamoa acuminatum
|
cervix
|
|
mcc of anorgasmia
|
inadequat clitroa stimulation
|
|
excitemtn disorder mcc
|
estrogen deficiey
|
|
pyelonephertis in pregant pt
|
ampicllin and genatmicin
hospital admission |
|
bengi slitary lesion involving the epthelime of lactiferou duct
bloody discarge |
intradutal papilloma
|
|
subacte inflamte with dialted duc tender nigpple thcik dar dischage subareolar mass
|
galactoele in lacting women
|
|
tx of intraducatal papillom
|
total exciison of the duct and papillom incision
|
|
simple cyst in reporductive age women what do you do
|
repeat Us in one month just to make sure it is not a problem
|
|
Ovaries palpable bilateraly
in post menopuala women |
never normal
|
|
simple cyst maganemetn
|
observation but carefull folw up in 6-8 weeks
|
|
most common cuase of pelvic amss in pregancy is
|
pregancy
|
|
histologic grade is the most importan prognost facto
|
endometria cancer
|
|
why do competel mole get hyperthryoidism
|
Bhcg is equal to tsh
|
|
which mole will go to malignecy more
|
complet
|
|
what is essitnal in molar pregancy
|
effectiv contraception to ensure no confusion betwee rsih bhcg
|
|
dz of 1st pregancy
|
preecmplasi
|
|
complication of leep
|
cervial stenosis
|
|
umblica cord amniot fluid and fetus multipe cyst on placent
|
incomplete mole
|
|
spren coutn ph voluem motilit morpholo and wbc count
|
semen analysis
|
|
mcc of contraception
|
tubula lighation
|
|
why increase dvt in pregancy
|
progesteron smooth muscle relaxation more statis
estorgen incrase will cuase |
|
2nd ameenora
|
failue to mentstar for 5 ormore motnhs
|
|
tx of dvt early in pregangcy
|
36 change to unfractied herpairns
|
|
ekg of dvt
|
eaked t wae sinu tachycardi right axis devation st changes
|