2 Flashcards

(51 cards)

1
Q

decreased FSH

A

atresia of non dominant follicles

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2
Q

ovulation

A

LH surge 36 hours prior

dominant follicle ruptures relating oocyte

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3
Q

luteolysis

A

14 post ovulation

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4
Q

what maintains the corpus leutum

A

HCG form placenta

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5
Q

how long does fetes depend on maternal thyroid hormones and why

A

until own hormones at 12 weeks

for brain and CNS development

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6
Q

when is karytotyping of both parents done

A

recurrent miscarriage - 3 or more consecutive

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7
Q

Labetalol

A

alpha and beta blocker

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8
Q

nifedipine

A

CCB

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9
Q

hydrazine

A

vasodilator

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10
Q

methylopa

A

centrally acting alpha agonist

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11
Q

why is magnesium sulphate given in eclampsia

antagonist for it

A

anti hypertensive by reducing calcium uptake and an anti convulsants
calcium gluconate

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12
Q

android pelvis

A

male

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13
Q

to suppress labour

A

tocolysis like atosibin/terbutaline/indomethacin

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14
Q

syphilis screening
then which tests are done
which go negative after treatment in few months

A

IgG and IgM ELISA

IgM ELISA - recent untreated infection
TPPA - if they’ve ever had an infection
VDRL - active infection

IgM and VDRL

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15
Q

what is at risk during forceps delivery and why

A

facial nerve

mastoid process not yet fully formed

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16
Q

Erbs palsy symptoms/signs

A

pronated forearm
absent biceps reflex
absent MORO reflex on ipsilateral side

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17
Q

what is PAPPA produced by

in downs

A

placental syncyiotrophoblasts

low

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18
Q

bHCG produced form

downs

A

synciotrophoblasts

high

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19
Q

AFP produced form where
downs
MP

A

liver and yolk sac
low
high

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20
Q

inhibit A produced by

downs

A

placenta

high

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21
Q

unconjugated bilirubin uE3 produced by

downs

A

placental and fatal adrenals

down

22
Q

how can ovarian reserve be assessed

A

astral follicle count

AMH

23
Q

mennorhagia

A

prolonged and increased flow

24
Q

mettorhagia

A

regular inter menstrual bleeding

25
polymennorhoea
<21 day intervals
26
polymenorrhagia
increased bleeding and frequent cycles
27
menomattorrhoagia
prolonged menses and inter menstrual bleeding
28
amen
absence of >6 months
29
oligo
menses at interval of >35 dats
30
normla vaginal flora has what and why
lactobacillus pp which produces lactic acid/hydrogen peroxide suppress growth of other bacteria
31
what is used for a test of cure in gohhonea
culture
32
required history before endometrial biopsy
``` age date of LMP and length of cycle pattern of bleeding hormones recent pregnancy ```
33
viral shedding HSV
more in HSV2
34
where is CD4
T helper lymphocytes mainly dendritic/langerhans macrophages microglial cells
35
day 1 day 3-5 day 5-8 what happens then
fertilisation in ampulla of fallopian tube blastocysts transported into uterus blastocysts attaches to lining of uterus inner cells develop into embryo and outer cells (trophoblastic) burrow into uterine wall and become placenta
36
when are placenta and fatal heart functional by
week 5
37
bohr effect
fetal Hb can carry more oxygen in low Pco2 than in high PCO2
38
oestrogen | progesterne
growth of ductile system | development of lobule-alveolar system
39
oestrogen and prog inhibit what
milk production so levels drop at birth
40
prolactin | suckling
stimulates milk production steady rise form 15->birth increase in oxytocin - milk let down reflex
41
what gives rise to the urogenital tract
mesoderm
42
funds at 12 weeks | 20 week
pubic symphasis | umbilicus
43
what is a mammogram
low dose XR designed to specifically maximise contrast between breast tissues whilst minimising radiation dose
44
breast screening
50-70 | 3 yearly
45
breast cancer mets
lung, liver, bone, brain, skin
46
MRI screening of high risk groups
previous irradiation BRACA1/2/TP53 personal history of breast cancer
47
ix for fibroid
MRI for precise location
48
dermoid cysts can have what
thyroid tissue - hyperthyroid
49
meig's syndrome
benin fibroma pleural effusion ascites
50
endometriod carcinaom
5% or less solid growth 6-50% >50%
51
why does the transformation zone change
physiological response to menarche, pregnancy, menopause