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125 Cards in this Set

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Period from birth until 28 days after birth

Neonatal period

Period until 1 year of age

Infancy

Period from delivery lasting about 4 to 6 weeks

Puerperium

Pregnancy terminated at <20 weeks age of gestation, or <500 grams

Abortion

Pregnancy completed at <37 weeks age of gestation

Preterm

Pregnancy completed at 37 weeks to 42 weeks age of gestation

Term

Pregnancy completed at >42 weeks age of gestation

Post-term

Pregnancy terminated at <12 weeks age of gestation

Early abortion

Pregnancy terminated at >12 weeks but <20 weeks age of gestation

Late abortion

Ultrasound done at <20 weeks age of gestation

Early ultrasound

Ultrasound done at >20 weeks age of gestation

Late ultrasound

Pregnancy completed at <34 weeks age of gestation

Early preterm

Pregnancy completed at 34 weeks to 36 weeks and 6 days age of gestation

Late preterm

Pregnancy completed at 37 weeks to 38 weeks and 6 days age of gestation

Early term

Pregnancy completed at 39 weeks to 40 weeks and 6 days age of gestation

Full term

Pregnancy completed at 41 weeks to 41 weeks and 6 days age of gestation

Late term

Death of a live born within 7 days

Early neonatal death

Death after 7 days but before 29 days

Late neonatal death

Rate of live births per 1000 females

Birth rate

Rate of live births per 1000 females aged 15 to 44 years old

Fertility rate

Four layers of anterior abdominal wall

Skin


Camper's fascia


Scarpa's fascia


Muscles

Camper's comes first

Blood supply of the abdominal skin, subcutaneous tissues and mons pubis

Superficial epigastric artery

Blood supply of abdominal muscles and fascia

Deep or inferior epigastric artery

Male homologue of labia minora

Penile urethra and skin of penis

Male homologue of labia majora

Scrotum

Male homologue of clitoris

Penis

Male homologue of Skene's glands

Prostate gland

Male homologue of Bartholin's glands

Cowper's gland

Six components of the vulva

Mons pubis


Labia majora


Labia minora


Clitoris


Hymen


Vestibule

Superior border of the vulva

Mons pubis

Lateral border of the vulva

Labiocrural fold

Inferior border of the vulva

Perineal body

Six openings of the vestibule

Urethra


Vagina


2 Bartholin's gland ducts


2 Skene's gland ducts

Surgical management of Bartholin duct cysts

Marsupialization

Anterior triangle of the perineum

Urogenital triangle

Borders of the urogenital triangle

Pubis symphysis


Ischiopubic rami


Ischial tuberosities

Posterior triangle of the perineum

Anal triangle

Borders of the anal triangle

Ischial tuberosities


Sacrotuberous ligaments


Coccyx

Seven contents of the superficial space of urogenital triangle

Bartholin's glands


Vestibular bulbs


Clitoral body and crura


Pudendal vessels and nerves


Ischiocavernous muscle


Bulbocavernous muscle


Superficial transverse perineal muscle

Two contents of the deep space of urogenital triangle

Compressor urethrae muscles


Urethrovaginal sphincter muscles

Four contents of the anal triangle

Ischioanal fossae


Anal canal


Anal sphincter complex


Puborectalis muscle

Innervation of the internal anal sphincter

Pelvic splanchnic nerve

Innervation of the external anal sphincter

Inferior branch of pudendal nerve

Blood supply of the internal anal sphincter

Superior, middle and inferior rectal arteries

Blood supply of the external anal sphincter

Inferior rectal artery (branch of internal pudendal artery)

Hemorrhoids distal to the pectinate line

External hemorrhoids

Hemorrhoids proximal to the pectinate line

Internal hemorrhoids

Landmark that distinguishes external and internal hemorrhoids

Pectinate line

Two components of the pelvic diaphragm

Levator ani muscles


Coccygeus muscle

Three levator ani muscles

Pubococcygeus


Puborectalis


Iliococcygeus

Three pubococcygeus muscles

Pubovaginalis


Puboperinealis


Puboanalis

Three components of the striated urogenital sphincter complex

Urethrovaginal urethrae


Sphincter urethrae


Compressor urethrae

Two uterine blood supply

Ovarian artery


Uterine artery

Four vaginal blood supply

Vaginal artery


Uterine artery


Middle rectal artery


Internal pudendal artery

Two blood supply of proximal vagina

Vaginal artery


Uterine artery

Blood supply of posterior vaginal wall

Middle rectal artery

Blood supply of distal vagina

Internal pudendal artery

Relationship of the ureter and uterine artery

Ureter lies beneath the uterine artery

Relationship of the ovaries and internal iliac vessels

Ovaries are medial to the internal iliac vessels

Four ligaments that support the uterus

Round ligament


Broad ligament


Cardinal or transverse cervical ligament


Uterosacral ligament

Male homologue of round ligament

Gubernaculum testis

Eponym of the cardinal or transverse cervical ligament

Mackenrodt ligament

Two main support of the uterus

Cardinal ligament


Uterosacral ligament

Two-fold peritoneum

Broad ligament

Seven structures in the broad ligament

Uterine tube


Ureter


Ovarian ligaments


Round ligaments


Uterine blood vessels, lymph nodes and nerves


Ovarian blood vessels, lymph nodes and nerves


Parametrium

Peritoneum around fallopian tube

Mesosalphinx

Peritoneum around round ligament

Mesoteres

Peritoneum over the uterovarian ligament

Mesovarium

Connective tissue lateral to the uterus within the broad ligament

Parametrium

Connective tissue lateral to the cervix

Paracervical tissues

Connective tissue lateral to the vagina

Paracolpium

Space between the symphysis pubis and urinary bladder

Retropubic space of Retzius

Space between the uterus and rectum

Recto-uterine pouch of Douglas

Four arteries entering the true pelvis

Median sacral artery


Internal iliac artery


Superior rectal artery


Ovarian artery

Four bones of the bony pelvis

2 appendicular hip bones


Sacrum


Coccyx

Three parts of the appendicular hip bone

Ilium


Ischium


Pubis

Line that divides the true and false pelvis, also known as the pelvic brim

Linea terminalis or innominate line

Five borders of the linea terminalis

Pectineal line


Arcuate line


Pubic crest


Sacral ala


Sacral promontory

Blood volume during pregnancy

40 to 45% above the nonpregnant by 32 to 34 weeks age of gestation

Abnormal level of hemoglobin at first trimester

<10 g/dL

Abnormal level of hemoglobin at second trimester

<10.5 g/dL

Abnormal level of hemoglobin at third trimester

<11 g/dL

Average hemoglobin at term

12.5 g/dL

Four presumptive symptoms of pregnancy

Morning sickness


Fatigue


Frequency in urination


Quickening

Age of gestation when morning sickness happens

6 to 18 weeks age of gestation

Age of gestation when quickening can be felt by the mother

16 to 20 weeks age of gestation

Physiologic basis of morning sickness

Effects of human chorionic gonadotropin

Peak of human chorionic gonadotropin production

8 to 10 weeks age of gestation

Plateau of human chorionic gonadotropin production

16 weeks age of gestation

Six presumptive signs of pregnancy

Cessation of menses


Beading cervical mucus


Chadwick's sign


Changes in breast


Skin changes


Increased temperature

Physiologic basis of beading of cervical mucus

Increased progesterone level

Physiologic basis of ferning of cervical mucus

Increased estrogen level

Implication of ferning of cervical mucus during pregnancy

Amniotic fluid leakage

Age of gestation when beading of cervical mucus is observed

6 weeks age of gestation

Age of gestation when Chadwick's sign is observed

6 weeks age of gestation

Vaginal mucosa becomes dark-bluish red and appears congested

Chadwick's sign

Physiologic basis of skin changes in pregnancy

Effects of melanocyte-stimulating hormone

Four skin changes in pregnancy

Chloasma or melasma


Linea nigra


Striae gravidarum


Spider telangiectasia

Mask of pregnancy

Chloasma or melasma

Darkening of linea alba

Linea nigra

Physiologic basis of striae gravidarum

Collagen breakdown

Physiologic basis of spider telangiectasia

Increased estrogen level

Age of gestation when increased temperature is observed

6 weeks age of gestation

Physiologic basis of increased temperature in pregnancy

Increased progesterone level

Seven probable evidences of pregnancy

Enlargement of abdomen


Hegar's sign


Goodell's sign


Braxton-Hicks contractions


Physical outlining of fetus


Ballottement


Detection of beta-HCG

Age of gestation when abdomen starts to enlarge

6 weeks age of gestation

Age of gestation when uterine fundus is palpable on bimanual examination

12 weeks age of gestation

Age of gestation when Hegar's sign is observed

6 to 8 weeks age of gestation

Softening of the uterine isthmus

Hegar's sign

Age of gestation when Goodell's sign is observed

4 weeks age of gestation

Softening of the cervix

Goodell's sign

Age of gestation when Braxton-Hicks contractions can be felt by the mother

28 weeks age of gestation

Painless, perceptible, irregular uterine contractions

Braxton-Hicks contractions

Trimester when ballotement is evident

Second trimester

Period when beta-HCG can be detected

6 days after fertilization


8 to 9 days post-implantation

Level of beta-HCG which results to positive pregnancy test

12.5 milli IU/mL

Four rare causes of positive pregnancy test without pregnancy

Exogenous HCG injection


Renal failure with impaired HCG clearance


Physiologic pituitary HCG


HCG-producing tumors

Three positive signs of pregnancy

Fetal heart tone


Perception of fetal movement by examiner


Sonographic recognition

Normal fetal heart rate

120 to 160 bpm

Age of gestation when fetal heart tone is heard through ausculatation

16 weeks age of gestation

Age of gestation when fetal heart tone is heard through Doppler ultrasound

10 weeks age of gestation

Age of gestation when fetal heart tone is heard through transvaginal ultrasound

5 weeks age of gestation

Age of gestation when 75g OGTT is done

24 to 28 weeks age of gestation

Physiologic basis of doing 75g OGTT in pregnancy

Effects of human placental lactogen

Grown hormone-like hormone that causes insulin resistance, lipolysis and increased fatty acids

Human placental lactogen