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57 Cards in this Set

  • Front
  • Back
Risk of sensitization in Rh-neg woman after D&E if RhoGAM not given
0-10%
Risk of endomyometritis after CSD
35-45%
Uterine atony as the indication for a cesarean hysterectomy
35-45%
Hormone that suppresses maternal lymphocyte activity
Progesterone
Pregnancy hormone necessary for development of male ext genitalia
hCG
Pregnancy hormone produced primarily by the placenta
Estriol
Pregnancy hormone that elevates ketone levels
hPL
Pregnancy hormone produced by the uterus
Prolactin
Pregnancy hormone that inhibitsw lactation during pregnancy
Estrogens
Pregnancy hormone which lack of causes 1st Trimester abortions
Progesterone
Pregnancy hormone lacking in Anencephaly OR lack of a placental enzyme
Estrogens
Vessels connected to the fetal ductus venosus
Portal vein goes into ductus venosus, IVC comes out
Relation of fetal Cardiac Output & O2 Consumption vs adult
3 times greater in fetus
Fetal circulation with the most oxygenated blood
Ductus venosus
When does Significant fetal lung contributions to amniotic fluid occur?
Early 2nd Trimester
How does Iron cross placenta?
Endocytosis
How does Glucose cross placenta
Facilitated Transport
How does AAs cross placenta?
Active Transport
MCC of 2nd Trimester b/l abdominal pain
Round Ligament tension
Aside from fetal wt, what is the largest contributor to wt gain?
Blood Volume
Rate of congenital anomalies with antipsychotics
6%
Rate of congenital anomalies with epileptic moms
6%
Risk a/w alcohol during pregnancy, esp 1st Trimester
Heart defects (esp VSDs)
How long to try labor before moving onto CSD?>
If no change in 2h, move to CSD
What fetal acid-base d/o is present with Severe Variable Decelerations
Resp Acidosis
Is h/o CSDs risk factor for Placental Abruption?
NO
Papular rash, arthritis and perihepatic "violin string" adhesions
Gram-neg diplococcus [neisierra gc]
Vulvar ulcer, marked inguinal lymphadenopathy, diagnosis by complement fixation
Obligatory intracellular bacteria, L-type (chlamydia)
Congenital infection consisting of nonimmune hydrops, skin rash, and hepatomegaly
Spirochete (Syphilis)
Lesion in tertiary syphillis [i.e. with positive CSF sample]
Gummas
Most important reason that PID must be recognized & treated early
Prevention of Tubo-ovarian abscess
Woman with PID, adnexal mass, and fever
admit to hospital based of Pelvic exam, order Pelvic U/S, start IV ABX
Embryologic homolog of male Cowper Gland
Bartholin Gland
Contains sebaceous glands but not hair follicles or sweat glands; is a paired structure
Labia minora
Azygous artery of the vagina
Cervical
Discharge, odor, ph 5.5, wet mount with lack of WBCs and no protozoa
BV
2 mos postpartum with itching, dyspareunia, dry vaginal walls
atrophic vaginits
Vaginal wet mount shows predominance of cells with large nuclei (parabasal cells)
Atrophic vaginitis
Ant vaginal wall prolapses, if supported uterus & cervix prolapse; what is Tx?
Vaginal hysterectomy and anterior repair
Risk of lap Burch procedure
Risk of urinary retention
Effectiveness of guardasil at preventing HPV16&18 related cervical cancer
95%
Subtype of endometrial Ca with very poor prognosis; also a type of borderline ovarian tumor
Papillary serous
Most common endometrial Ca
Endometroid
Describe lung volume changes in pregnancy
TV incr, FRC (ERV & RV) Decr, TLC remains aprx the same
How long for a nonbreathing parturient's SpO2 to fall below 90?
2-3 mins [compared with 7-9 mins in nonpregnant healthy pt; this is mostly d/t decr FRC]
Which nerve carries the pain of 2nd stage of labor?
Pudendal
How effective are tocolytics?
Not very. Delay labor 1-2 days, enough time for betamethasone to help fetal lung maturity
Hormone responsiblke for oocytes through metaphase II
LH
Anorexia Nervosa hormonal changes
Decr FSH&LH, Decr Estrogens
MCC of hypergonadotropic Amenorrhea
Turner Syn
MCC of rapidly progressing hirsuitism
Andostenedione
Greatest risk of ectopic pregnancy
Infertility
Red hemorrhagic vesicules & white lesions with pelvic peritoneal defect on lap
Allen Master Lesions
Male Hypospadias with Gynecomastia
Reigenstein Syn (Incomplete Androgen Insensitivity)
Hormone secreted in follicular stage & suppresses FSH
Estrogen & Inhibin A
23 y/o F, irregular menses, hirsuitism, best initial step
17-hydroxyprogesterone
Etiology & Tx of stress/exercise induced amenorrhea
Hypothalamic amenorrhea, Tx with OCP (Norgestimate & ethyl estradiol)