pregnancy

Question 1

urine bHCG detectable in urine

Answer 1

14 days after fertilization

Question 2

bHCG in blood

Answer 2

8 days after fertilization

Question 3

Ovarian torsion

Answer 3

Sudden severe unilateral pain brought on by movement. Twist of infundibulopelvic ligament/suspensory ligament. Could be due to weight of adnexal mass

Question 4

hemolytic disease of the newborn

Answer 4

maternal IgG crosses the placenta and attacks RBCs. RhD - mother will attack RhD + baby

Question 5

Smooth philltrum,thin vermillion border, intellectual disability

Answer 5

Fetal alcohol syndrome

Question 6

First pharyngeal arch

Answer 6

CN V3, maxillary process, mandibular process,

Question 7

2nd pharyngeal arch

Answer 7

Cn 7, smile, stapes, styloid

Question 8

most common cause of painless vaginal bleeding in third trimester

Answer 8

placenta previa

Question 9

valproic acid in pregnancy

Answer 9

increased risk of neural tube defects

Question 10

atrialization of the right ventricle

Answer 10

Epstein anomaly - can be caused from lithium use in pregnancy

Question 11

potter sequence

Answer 11

Pulmonary hypoplasia
oligohydramnios
twisted face
twisted skin
extremity defects
renal failure - ARPKD, posterior urethral valves, agenesis,

babies who can’t Pee develop Potter sequence

Question 12

most sensitive test for determining pregnancy

Answer 12

serum bHCG

Question 13

complete mole

Answer 13

46 XX; 46 XY

Question 14

trisomy 18

Answer 14

low set ears, clenched fists, micrognathia, rocker bottom feet, congenital heart defects, low birth weight

Question 15

carbamazepine in pregnancy

Answer 15

causes congenital neural tube defects

Question 16

pregnant patient with DVT treat with

Answer 16

heparin

Question 17

yellow green foul smelling vaginal discharge

Answer 17

trichomonas

Question 18

koilocytes

Answer 18

indicative of HPV - condyloma accuminata

Question 19

uterine fibroids

Answer 19

leiomyoma - benign smooth muscle tumors in the myometrium

Question 20

connects cervix to pelvic wall

Answer 20

cardinal ligament - ligate during hysterectomy

Question 21

LH in the menstrual cycle

Answer 21

stimulates follicle to release the egg,

Question 22

mechanism of combined oral contraceptives

Answer 22

to prevent ovulation, small dose of estrogen and progesterone, inhibit the LH surge so the follicle does not release the egg, subsequence decrease in GnRH -> decrease FSH and LH

Question 23

BRCA gene

Answer 23

DNA repair protein

Question 24

mifepristone

Answer 24

progesterone receptor antagonist to induce medical abortion

Question 25

nulliparity increases risk for

Answer 25

endometrial cancer (CA 125)

Question 26

placenta adherent to the endometrial wall

Answer 26

placenta accreta - grows too deeply into the wall

Question 27

proliferation of endometrial glands in myometrium

Answer 27

adenomyosis

Question 28

endometriosis

Answer 28

ectopic endometrial tissue, dysmenorrhea, dysparunia, adnexal mass, immobile uterus (retroverted)

Question 29

pre eclampsia

Answer 29

new consent hypertension at > 20 wks plus proteinuria and or signs of organ dysfunction - caused by widespread endothelial cell damage and results in widespread capillary leakage