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80 Cards in this Set
- Front
- Back
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Gynecoid pelvis
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Normal shape
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Anthropoid pelvis
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AP elongated
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Android pelvis
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Heart shaped
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Platypelloid pelvis
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ML elongated
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Inguinal ligament course, formed by
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From ASIS to pubic tubercle. Formed by fusion of int/ext obliques
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False pelvis vs true pelvis
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False pelvis above true pelvis. False supports pregnant uterus, true for passage of fetus
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Relaxin
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Hormone that softens joints in pregnancy
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Clitoral innervation
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Terminal branch of pudendal
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Nabothian cysts
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Retention cysts from blocked cypts in uterine cervix
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Pelvic diaphragm muscles
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Lev Ani (pubococcugeus, ileococcygeus, puborectalis) & coccygeus muscle (innerv = S234)
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Spinal cord/dural space end at
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Spinal cord - L2.
Dural space- S2 |
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Lymph drainage of vagina
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Ant2/3 - Sup inguinal
Post2/3 - deep inguinal, ext iliac, femoral |
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Obturator nerve function
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Supply adductors & medial sensation of thigh
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Sacrospinous Lig course
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Sacrum to ischial spine
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Sacrotuberous lig course
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Post crest of ilium/potst iliac spines/sacrum to ischial tuberosity
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Ilioinguinal course
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ASIS to pubic tubercle
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Arcuate lig course
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Fills space below pubic arch
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What divides lesser/greater sciatics
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Sacrospinous
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Contents of greater sciatic foramen -
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Piriformis, gluteal vessels, sciatic nerve, post femoral cutaneous
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Course of internal pudendal
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Out greater sciatic, in lesser
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Func of ant hypogastric nerve
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mons, ant labia majora
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Funct of post iliac nerve
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Gluteals
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Funct of ilioinguinal nerve
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Ant/medial labia majora
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Funct of genitofemoral nerve
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Deep labial
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Funct of pudendal nerve
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Clitoris, middle/post labia
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Circumvallate placenta -
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Small placenta constricted by amniotic ring
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Battledore Placenta
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Placenta w/ marginal insertion of cord
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Femoral nerve funct
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Supply quads, sens to ant/med thigh
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Acanthosis
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Hyperplasia of keratinocytes in stratum spinosis (in syphilis, lichen planus, venereal warts, cancer)
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Gartner duct cyst histo
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Small cuboidal cysts
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HSV histo
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Small intranuclear inclusion bodies, irreg nucleoli, multiple nuclei
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Arias Stella rxn
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Atypism, mitoses, proliferation of endometrium in pregnancy (25% of women)
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Ovarian layers in order
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Germinal epithel, cortex, medulla
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Ovarian follicle layers in order
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Ova, zona pellucida, granulosa, theca interna
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When is organogenesis complete?
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8wks (except brain)
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What does testosterone do in the fetus
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Causes differentiation of gonadal ridge (to testis)
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Where do germ cells come from?
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endoderm of primitive gut
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Paramesonephric duct -->
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Oviducts, uterus, upper vagina
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Dopamine vs GnRH
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Dopamine inhib GnRH
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Which NT increases GnRH
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NE
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#of carbons in sex steroids
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Progestins - 21
Androgens - 19 Estrogens - 18 |
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Potency of estrogens
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Etradiol>estrone>estriol (each by 10x)
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How is insulin involved in PCOS
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Insulin --> Dec SHBG --> inc free T
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Ovulation releases:
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Secondary oocyte, First polar body
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Hormones from Corpus Luteum
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estrogen, progesterone, inhibin
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Ashermans damages which part of endometrium?
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basalis
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Principle adrenal androgen
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DHEAS
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Substrate for aromatase
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Androstenedione
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When is serum progest. hCG positive?
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at first missed menses
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When is max CO in pregn
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Immediately after deliv
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Smallest diameter of fetal head
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suboccipitobregmatic diameter
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Oxyg blood from placenta goes where?
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portal sinus, ductus venosis
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Surfactant from which pneumocytes?
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Type II
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Fetal breathing movements how often?
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30-60 min
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Podophyllin resin & preg
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stillbirth
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Captopril and preg
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Reduced plac circ, oligo, pulm hypoplas
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Valproic acid and preg
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Spina bifida
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Isoretinoin and preg
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CNS/craniofacial abn
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Methamizole & preg
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scalp defects
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Misoprostol & preg
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abortion
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Glomerular diseasse in preecclampsia
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Glomerular capillary endotheliosis
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Ocular lesions in preecclampsia
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artierolar spasm
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Most common cong heart defect
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VSD
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Prevalance of sickle cells disease in AA's
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1/500
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Risk of abnormality w/ rubella exposure
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25-50%
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Congenital rubella symptoms
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HSmegaly, hearing loss, others
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Uric Acid and preecclampsia
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Uric Acid increases in preecclampsia
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Normal delivery descent
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First posterior then inferior
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Interspinous diameter should be:
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at least 10cm
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Ave blood loss in delivery
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500-600cc
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Attitude
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describes orientation of fetal parts
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Cardinal movements of labor
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Engagement, flexion, extension, external rotation
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Def of engagement
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When greatest biparietal diameter passes inlet
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Posteriosr asynclitism
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Sagittal suture closer to sacrum
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Conglutinate cervix
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Effaced and engaged but no cervical dilation
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coverlaire uterus
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Intramyometrial bleeding
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w/ position assoc w/ prolapsed cord
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Footling breach
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APGAR qualities
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HR, REs effort, Muscle tone, Reflex irritation, Color
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Cooling neonate causes
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metabolic acidosis (w/ compens resp alk)
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Most common cause of lack of resp effort:
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Upper airway obst
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