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23 Cards in this Set
- Front
- Back
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Patient with a positive prenancy test <20 weeks presentd with vaginal bleeding and signs of preeclampsia.
Incease B-hCG titer out of proportion with gestational age, absent heart sounds and cluster of grapes appearance on gross exam and snowstorm appearance on ultrasound? |
Maligant Gestational Trophoblastic Neoplasm.
1. Hydatiform mole 2. Invasive mole 3. Choriocarcinoma |
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What is the most common cause of vaginitis?
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Gardenella Vaginalis
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Strawberry-appearing cervix or vaginal mucosa, vaginal discharge is green and frothy.
What is the infection? |
Trichomoniasis
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A woman under the age of 30 years presenting with a mobile breast mass that has well-defined borders most likely has?
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Fibroadenoma
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A benign tumor, patterns often present with a bloody discharge from the nipple in the absence of a breast mass?
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Intraductal papilloma
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Patient who presents with an erythematous and warm breast may have?
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Inflammatory breast carcinoma
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Eczemoid breast changes in the nipple( itching, oozing and bleeding)?
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Paget's disease of the breast
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What is Nagele's or McDonald's rule?
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1. 1st day of LMP
2. Go back 3 months 3. Add 7 days (based on a 28 day menstrual cycle) |
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When should the initial visit occur and each susequent visit?
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1. Initial visit: 6-8 weeks after LMP
2. Every 4 weeks Initial visit- 28 wks 3. 2 to 3 weeks 28-36 4. 36 to delivery weekly |
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When do you add a routine vaginal examination?
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37 weeks
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What happens at 10 weeks gestation?
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1. Fetal Heart tones are heard
2. Urinalysis for glycosuria and proteinuria |
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What is the normal fetal heart rate?
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120-160 bpm
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Name some factors that increase AFP?
(five of them) |
1. Spina Bifida
2. Placental anomalies 3. Abdominal Wall defects (Omphalocele, gastroschisis) 4.Multiple gestations SPAM IS HIGH IN AFP |
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What hormone caused mid-cycle spotting or light bleeding?
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Decline in Estrogen which occurs right after the LH surge
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What is the term for first awarness of fetal movement?
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Quickening
Primigravida: 18-20 weeks Mulrtigravida: 14-18 weeks |
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Bluish discoloration of vagina and cervix, Name the sign?
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Chadwick's sign
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Softening between the fundus and cervix, Name the sign?
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Hagar's sign
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When is Chroionic villous sampling done?
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b/w 10-13 weeks (first trimester)
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What is the advantage of chronic villous sampling?
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The ability to do it in the first trimester (this allows the option of a first trimester termination, also results are available within 48 hours. CVS is a diagnostic not screening test.
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What is the disadvantage of chronic villous sampling?
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Unlike amniocentesis, CVS specimens cannot be used in AFP testing for neural tube defects.
Also risk is slightly higher with CVS than amniocentesis |
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How long is the Luteal phase of the cycle?
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Normally 14 days
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Name the hormones, and their source, that are involved in mainitaining a normal menstrual cycle?
1. From the ovary? 2. From the Pituitary? 3. From the hypothalamus? |
1. From the ovary?
Estrogen and Progesterone 2. From the Pituitary? FSH, LH, 3. From the hypothalamus? Prolactin and TSH |
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What is the most accurate test of ovulation?
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Endometrial Biopsy
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