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