Midwifery Quiz 2

Front 1

nonpalpable flat
<1cm

Back 1

Macule

Front 2

nonpalpable flat
>1cm

Back 2

patch

Front 3

palpable, solid mass that is raised
<1 cm

Back 3

Papule

Front 4

palpable, solid mass that is raised
1-2cm

Back 4

Nodule

Front 5

palpable, solid mass that is raised
>2cm

Back 5

Tumor

Front 6

wide
Flat, elevated, superficial papule with surface area greater than height

Back 6

Plaque

Front 7

Superficial cutaneous area of edema (ex. Mosquito bite Positive PPD) (vs. blister, which is fluid filled and flattens)

Back 7

Wheal

Front 8

Palpable fluid filled (like a blister)
<1cm

Back 8

Vescicle

Front 9

Palpable fluid filled (like a blister)
>1cm

Back 9

Bulla

Front 10

pus-filled vescicle

Back 10

Pustule

Front 11

larger and filled with semi-solid material
Palpable and fluid filled blister

Back 11

Cyst

Front 12

circular shape

Back 12

annular

Front 13

weblike shape

Back 13

reticular

Front 14

coin-shaped, not central clearing

Back 14

discoid

Front 15

if blanchable, it is

Back 15

vascular lesion

Front 16

fine uplifting of skin is called

Back 16

scale

Front 17

thick, rough-looking skin is called

Back 17

Hyperkeratosis

Front 18

common skin problems in pregnancy (3)

Back 18

PUPPP, HSV II, candidiasis

Front 19

common ear infection in pregnancy

Back 19

otitis media b/c eustacian tube becomes congested

Front 20

common middle ear problem in pregnancy

Back 20

hearing loss from otosclerosis

Front 21

common facial/middle ear problem in pregnancy

Back 21

Bell's Palsy 2/2 decreased immune response/virus proliferates

Front 22

common inner ear problem in pregnancy

Back 22

sudden deafness syndrome 2/2 hypercoagulability and microemboli

Front 23

common nose problem in pregnancy

Back 23

rhinitis 2/2 increased vascularity

starts at end of first tri and stays until done bfing

Front 24

allergies in pregnancy

Back 24

increased cortisol may improve allergies

if paired with rhinitis, may be worse in pregnancy

Front 25

common throat problem in pregnancy

Back 25

laryngopathia gravidarum: 2/2 increased congestion

Front 26

common breathing problem in pregnancy

Back 26

sleep apnea 2/2 rhinitis

Front 27

common GI problem in pregnancy

Back 27

GERD: increased pressure and increased hoarseness

Front 28

urticaria

Back 28

prurutic rx to lots of stimuli
see wheals (hives)

Front 29

PUPPP stands for

Back 29

Pruritic Urticarial Papules and Plaques of Pregnancy

Front 30

normal skin changes in pregnancy

Back 30

hyperpigmentation (especially linea nigra)
melasma/chloasma: mask of pregnancy
striae: stretch marks
increased bleeding
varicosities of vulva and legs
spider angiomas

Front 31

hair and nail changes in pregnancy

Back 31

hair loss PP normal
nails brittle and soft

Front 32

most common dermatosis of pregnancy

Back 32

PUPPP

Front 33

Itching and papules on abdomen in 3rd trimester is...

Back 33

PUPPP

Front 34

PUPPP lasts...

Back 34

1-6 weeks

Front 35

puppp looks like... (3 characteristics)

Back 35

1-3mm erhytematous papules
coalesce into urticarial plaques
have a polycyclic arrangement

Front 36

lesions overlying the striae indicate

Back 36

PUPPP (not PG)

Front 37

vescicles 2-3mm indicates

Back 37

PUPPP (in PG vesicles evolve into larger bullae)

Front 38

tx of PUPPP

Back 38

reassurance, compresses, lotions, steriods...no need for more...will end at birth or before

antihistamines help control itch and help woman sleep

Front 39

acute inflammation with erythema, edema, and vesiculation with weeping, severe pruritis

Back 39

eczema

Front 40

tx of eczema

Back 40

avoid irritants
keep skin moisturized
compresses

Front 41

papulosquamous disease
scale, papules, and plaques on elbows, knees, scalp
shaprly marginated and silvery white scale

Back 41

psoriasis

Front 42

rosacea

Back 42

chronic facial disorder of pilosebaceous unit: flushing and red areas on face

Front 43

tinea corpus

Back 43

ringworm
annular form

Front 44

Pityriasis versicolor

Back 44

scaling dermatosis caused by yeast
caused by heat, perspriation, or oily skin.
opportunistic flora grows
see: cirular, white scaling patches on upper trunk: THIS IS WHAT I HAVE

Front 45

Impetigo

Back 45

crusted lesions/pustules
bacterial infection

Front 46

warts are called...

Back 46

verruca vulgaris

Front 47

Pityriasis Rosea

Back 47

herald patch,
annual patches with raised border
smaller lesions in 10-14 days symmetrical.
SEE PINE TREE SHAPE!!!!! Viral.

Front 48

Pine tree shape is

Back 48

pityriasis rosea

Front 49

pediculosis pubis

Back 49

crab lice

Front 50

linear, curve-shaped lesions

Back 50

scabies

Front 51

no melanocytes

Back 51

vitiligo

Front 52

freckles are under the label of

Back 52

lentigo

Front 53

eye changes in pregnancy

Back 53

corneal edema: hard to wear contacts
blurring of vision b/c tears change
get new contacts 2/3 wks PP

Front 54

pregnancy and asthma

Back 54

may improve or worsen
no impact on birth outcomes as long as well-controlled
meds for asthma are safe in pregnancy

Front 55

allergies in pregnancy

Back 55

see more congestion/rhinitis, but NOT more allergic rhinitis

Front 56

USE vs
ABUSE vs
ADDICTION

Back 56

abuse: freq regular use, altered function, state of craving, failure to follwo through on ADLs/responsiblitities

addiction: w/drawal sx and cravings, drug-seeking behaviors, more drugs neededto get high, more time in drug-seeking behaviors

Front 57

Diagnosis of substance abuse

Back 57

1: in the last year, have you done more than you meant to?

2: have you wanted/needed to cut done in the last year?

Front 58

most accepted model of addiction

Back 58

biophyscosocial behavioral model

Front 59

stages of change

Back 59

precontemplation
contemplation w/"aha" moment
action
relapse prevention/maintenance
relapse

Front 60

best way to support change

Back 60

Motivation Enhancement Therapy

Front 61

most common medical problem PP

Back 61

PPD

Front 62

mostly in women (mental disorder)

Back 62

bipolar disorder II

Front 63

DSM criteria for panic attacks

Back 63

four physical sx develop and peak in 10 mins

discrete period

Front 64

PMS ACOG definition

Back 64

1 physical
1 emotional
remits with menses

Front 65

PMDD DSM criteria

Back 65

5 symptoms of affect/emotions or physical

always associated with menses

Front 66

women are 75% of pts with...

Back 66

borderline personality disorder

Front 67

PUPPP vs. PG

Back 67

PUPPP: 1st preg
PG: any preg

PUPPP: UMBILICAL SPARING,located in striae, regress after delivery
PG: Periumbilical at first, then spreads, worsens after delivery, results in increased fetal mort/morb!

PUPP:
PG:

Front 68

tx of pg

Back 68

relieve pruritis, prevent blisters, prevent erosion

steroids,
emollients
antihistamines

TREAT!!!!