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51 Cards in this Set

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Q1050. what is the maternal MCC of IUGR?
A1050. Chronic maternal Hypertension
Q1051. what is considered normal in the Hunter-Sims postcoital test for sperm?; (2)
A1051. 1. 8 - 10 motile sperm in highpowered field; 2. thin cervical mucous
Q1052. Abortion type:; bleeding, cervical dilation, retained POC
A1052. Inevitable abortion
Q1053. Dx:; woman at 18 week with decrease in uterine size, loss of pregnancy symptoms (no Fetal Heart Beat) and brownish vaginal discharge. The cervix is closed and no intrauterine contents have passed
A1053. Missed abortion
Q1054. what is the cause of Testicular femninization?; How do they present?; (5)
A1054. cause: absence or dysfunction of testosterone receptors; Breasts, no pubic hair, amenorrhea, vagina that ends in blind pouch and without Hirsutism
Q1055. what is the staging for ovarian cancer (Ia,b,c - IV)?
A1055. Ia: confined to one ovary; Ib: involves both ovaries; Ic: either a or b with rupture of ovary, disease outside capsule or positive washings; II: Extends into pelvis; III: Mets into abdomen; IV: Distant Mets
Q1056. what gestational time does the formation for the (3) types of twins occur:; 1. Di-Di; 2. Mono-Di; 3. Mono-Mono
A1056. Di-Di: zero - 3 days; Mono-Di: 3 - 8 days; Mono-Mono: 8 - 13 days
Q1057. what ovarian tumor is most commonly assoc with increased AFP?
A1057. Endodermal Sinus Tumor; (Most Aggressive Germ Cell Tumor; Schiller-Duval Bodies; from extraembrionic tissue)
Q1058. what ovarian tumor is most commonly assoc with increased hCG?
A1058. Choriocarcinoma
Q1059. what are the steps and Dx in diagnosing a Secondary Amenorrhea?; (5)
A1059. 1. RULE OUT Pregnancy; 2. If Galactorrhea present: High TSH = Hypothyroidism, Nml TSH and High Prolactin = Pituitary tumor or drug; 3. Galactorrhea not present: Progesterone challenge, (+) Bleeding = good estrogen -> Anovulation; 4. (-) Bleeding -> Hysteroscopy for Ashermans; 5. Neg Ashermans -> test LH/FSH: Low LH/FHS = Hypothalamic-Pituitary, High LH/FSH = Ovary problem
Q1060. what is the safe treatment for a pregnant woman who may get alcohol poisoning from bindge drinking?
A1060. Benzodiazepines
Q1061. Of all the woman trying to get pregnant, how many will conceive in one year?
A1061. 80 - 85%
Q1062. Dx:; anterior abdominal wall defect in the infant where the skin, muscles and fascia are missing and the cord inserts into a created amniotic membrane that covers the abdominal organs
A1062. Omphalocele
Q1063. Dx:; anterior abdominal wall defect in the infant where the abdominal contents are herniated lateral to the normal insertion of the umbilical cord
A1063. Gastroschsis
Q1064. MC female sexual disorder
A1064. Hypoactive sexual desire
Q1065. what are the precursor cells to the placental membranes?
A1065. Trophoblasts
Q1066. during a Threatened abortion, what lab is low?
A1066. Estradiol levels
Q1067. what is the most common reason for an abnormal triple screen?; what is the first step for an abnormal triple screen?
A1067. incorrect gestational age; first step: Ultrasound for accurate dating
Q1068. what test determines the amount of fetal RBC in the maternal circulation?
A1068. Kleihaur-Bettke test
Q1069. (5)* safe Vaccines during pregnancy
A1069. HOTY-D:; Hep B,; Oral Polio,; Tetanus,; Yellow fever,; Diphtheria
Q1070. what (5)* exposures in pregnancy require Immune Globulin?
A1070. The Mom Can Really Hurt:; Tetanus,; Measles,; Chickenpox,; Rabies; Hep A and B,
Q1071. Dx:; post-delivery in third stage there is a sudden gush of blood, umbilical cord lengthening and the uterus rises and firms
A1071. Placental separation
Q1072. Definition:; the fatty substance consisting of desquamated epithelial cells and sebaceous matter that covers the skin of the fetus
A1072. Vernix
Q1073. what is the main use of prostaglandins in delivery?
A1073. ripening of the cervix
Q1074. which Leopold Maneuver:; What fetal part occupies the fundus?; What apect of fetal to mother relationship does it determine?; (2)
A1074. First maneuver determines:; 1. Fetal Lie; 2. Fetal Presentation
Q1075. which Leopold Maneuver:; On what side is the fetal back?
A1075. Second amneuver
Q1076. which Leopold Maneuver:; What fetal part lies over the pelvic inlet?; What apect of fetal to mother relationship does it determine?
A1076. Third maneuver; determines: Fetal Position
Q1077. which Leopold Maneuver:; On which side is the cephalic prominence?
A1077. Fourth maneuver
Q1078. Type of Breech:; thighs are flexed, legs extended over anterior surface of body, feet are in front of face
A1078. Frank breech
Q1079. Type of Breech:; thighs are flexed on the abdomen and legs are flexed (folded)
A1079. Complete breech
Q1080. Describe the 4 types of vaginal tears
A1080. First degree: skin and vaginal mucosa; Second degree: including underlying muscle; Third degree: including anal sphinctor; Fourth degree: including rectal mucosa
Q1081. what causes fluid retention postpartum?; (2)
A1081. High Estrogen levels during Pregnancy; Increased Venous Pressure in lower body during pregnancy
Q1082. what external stimulus provokes milk letdown?
A1082. cry of the infant
Q1083. what are the diabetic classifications?; (8)
A1083. Gestational:; A1: < 120 two-hr PP glucose; A2: > 120 Non-Gestational (normal DM):; B: onset > 20 yo; C: onset 10 - 19 yo; D: onset < 10 yo; F: any onset age including neFropathy; H: any onset age including Heart prob; R: any onset age including Retinopathy
Q1084. what is the CNS anomaly most specific to mother with DM?
A1084. Caudal regression
Q1085. if a woman is taking anticonvulsants during pregnancy, what vitamin should be supplemented?
A1085. Folic Acid (if not, risk of defects or Anemia related to folic acid deficiency)
Q1086. since asthma can be exacerbated by respiratory tract infections in pregnant women, what specific vaccine should be given to all asthma patients for prophylaxis?
A1086. Killed Influenzae Vaccine
Q1087. which anti-HTN medication in pregnancy can cause the AE of SLE-like syndrome?
A1087. Hydralazine
Q1088. (5)* contraindications to giving Tocolytics
A1088. BAD CHad:; Bleeding (severe),; Abrupto placentae,; Death of fetus,; Chorioamnionitis,; HTN (severe)
Q1089. first step in management for PROM
A1089. evaluate for Chorioamnionitis; (if so, deliver baby and Antibiotics)
Q1090. what is the Apt test and its results?
A1090. place vaginal blood in tube with KOH; turns Brown = Maternal; turns Pink = Fetal
Q1091. Dx:; pregnant woman is rushed into ER from car accident and has back pain
A1091. Placental abruption
Q1092. why is Estrogen a Pro-coagulant?; (2)
A1092. Increases Factors VII and X; Decreases Anti-Thrombin III
Q1093. best method of hormonal birth control for woman with SLE?
A1093. Injectable Progesterone
Q1094. what secretes Progesterone in the Luteal phase?; what does the secretion cause with respect to hormones?
A1094. Corpus luteum; causes: decrease in LH and FSH
Q1095. what hormone not related to menstrural cycle, inhibits GnRH pulsations and ovulation?
A1095. Prolactin
Q1096. MC postoperative complication?
A1096. Pulmonary Atelectasis
Q1097. MC cause of primary amenorrhea?
A1097. Gonadal dysgenesis
Q1098. MC reason for neonatal sepsis?
A1098. Chorioamnionitis (GBS or e.coli)
Q1099. Dx:; a baby with ambiguous genitalia is born to a mother who complains of increased facial hair growth over the last few months
A1099. Luteoma of pregnancy (Dx after birth...virilization in mother and fetus)
Q1100. Diff Dx for Menorrhagia; (6)*
A1100. LACE-UP:; Leiomyoma,; Adenomyosis,; Coagulopathy,; Endometrial Hyperplasia,; Uterine (Endometrial) or Cervical CA,; Polyps of endometrium