All Topics Flashcards

1
Q

Normal ph of the vagina

A

3.8-4.2

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2
Q

Flutamide

  • Moa
  • adverse effects
A
  • antiandrogen
  • most common ae: dry skin
  • associated with hepatitis

“FLUtamide Gives the Liver the FLU and Cracked Skin too”

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3
Q

Most common cause of hemolytic disease of newborn

A

ABO incompatibility

  • 1st preg is worst
  • neonatal jaundice
  • type A in newborn usually
  • IgM so no hydrops fetalis like with Kell, Duffy, Kidd Ab

“ABO Must stay ABOut and Away from the baby”

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4
Q

Most common cause of maternal-fetal group incomptability

A

ABO incompatibility

  • 1st preg is worst
  • neonatal jaundice
  • type A in newborn usually
  • IgM so no hydrops fetalis like with Kell, Duffy, Kidd Ab

“ABO Must stay ABOut and Away from the baby”

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5
Q

Most common type of nonproliferative breast lesion

A

Breast cyst

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6
Q

5 Causes of bloody nipple discharge

Clue: TIIPP of the breast

A
Trauma
Infection - mastitis
Intraductal carcinome
Papilloma
Pagets disease 

“Bleeding at the TIIPP of the breast”

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7
Q

Osteopenia definition

A

Between -1 to -2.5

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8
Q

Osteoporosis and severe osteoporosis definition

A

Osteoporosis below -2.5

Severe osteoporosis below -2.5 + fracture

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9
Q

Hormons from anterior pituitary

Clue: FLATPG

A

FSH LH ACTH TRH Prolactin GnRH

“FLAT PG”

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10
Q

Hormones of the Posterior pituitary

A

Oxytocin ADH

- same alpha subunit

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11
Q

1st sign of sheehan syndrome

A

Failure of lactation

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12
Q

Name 3 primary estrogens of the body and its origin

Clue: One Two Three

A

estrONE - one body menopause
estraDIol - two ovaries
esTRIol - three mom/baby/placenta or trimesters

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13
Q

Different between Duffy Fya and Duffy Fyb

A

Fya - Awful like “Fire” causing erythroblastosis fetalis

Fyb - Better so baby lives

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14
Q

Enzyme that convertes 17 hydroxyprogesterone to androstenedione

A

21 hydroxylase

- if deficient, get inc steroid production —> virilization, CAH

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15
Q

Organ that makes DHEA

A

Adrenal glands

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16
Q

Enzyme that converts testosterone to dihydrotestosterone

A

5 alpha reductase

- if deficient, no external male genitalia

17
Q

Enzyme that converts testosterone to estrogen

A

Aromatase

- inhibitors: letrozole (for fibroids, endometriosis) and anastrozole (for breast cancer)

18
Q

Ag that cause erythroblastosis fetalis

A

Kell - Kills
Kidd - Kills
Duffy fya - Dies

19
Q

Ag that cause severe hemolytic disease

A

EDC and Kell

“Kell Kills the EDC baby”

20
Q

Enzyme that converts 17 hydroxypregnenolone to 17 hydroxyprogesterone

A

17 alpha hydroxylase

- if deficient, inc in mineralocorticoids —> HTN, high Na

21
Q

Inherited thrombophilias and mode of inheritance

Clue: Mother of V PACS

A
Factor V 
Prothrombin 3 G20210A
Antithrombin 3 
Protein c
Protein s
MTHFR 
- all AD except for MTHFR which is AR
“Mother of V-Dominant-PACS”
22
Q

Complication with inherited thrombophilia

23
Q

Complication w acquired thrombophilia

A

Stillbirth

24
Q

Different treatments for lichen planus

A
Cyclosporine
Systemic corticosteroids
Hydroxyquinoline
Methotrexate
Clobetasol
25
Lichen planus features
- hardest to tx - multiple meds - assoc w desquamative inflammatory vaginitis (tx: clindamycin) - wickham striae
26
Lichen sclerosis features
- cigarette paper - thinning - figure of 8 (perianal involvement) - assoc with SCC - loss of rete pegs - tx: clobetasol
27
Lichen simplex chronicus features
- pruritic - leathery - tx: clobetasol
28
Puberty stages Clue: BPAM
Breast Pubarche Adrenarche Menarche
29
Most precise method to evaluate pregnancy affected by alloimmunization
MCA dopplers for fetal anemia
30
Best test for diagnosis of VWD
Ristocetin co factor activirt
31
Most common bleeding disorder
``` Von Willebrand’s disease Types: 1 2 3 ```
32
Most common cause of non-maternal death
1) homicide | 2) MVA
33
What is direct maternal death?
Death of mom resulting from ob complication during labor, postpartum, or from interventions, omissions, incorrect tx, or chain of events resulting from any of these Ex - hemorrhage, eclampsia, uterine rupture
34
What is indirect maternal death?
Death of mom resulting from previous existing disease or disease that devloped during pregnancy that was no due to obstetric causes but was aggravated by physiological effects if pregnancy Ex - cardiac disease, lupus, rheumatoid, HIV, DM, sickle cell disease