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13 Cards in this Set
- Front
- Back
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benign GTD is aka ___
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hydatidiform mole
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2 kinds of mole
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complete
partial |
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___% of all moles are complete
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90
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4 RFs for molar pregnancy
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nulliparity
prior molar pregnancy extremes of age asian |
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in complete mole, a ___ sperm fertilizes a ___ ovum
the resulting cell then ___s |
normal
enucleate replicates paternal chromosomes |
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6 sx of complete mole
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vaginal bleeding
uterus LGA theca-lutein cysts pre-eclampsia HG hyperthyroidism |
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workup for molar pregnancy
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bhCG
US |
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tx for molar pregnancy (2)
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D&C + oxytocin
anti-D if Rh- |
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followup for molar pregnancy
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serial bhCG (until 0)
contraception during followup |
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3 kinds of malignant GTD
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invasive/persistent mole
chorioca placental site trophoblastic tumor (PSTT) |
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tx for invasive mole
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single agent chemo
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tx for chorioca
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single agent chemo
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tx for PSTT
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hysterectomy
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