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RDS Test 2 > B8-076 Reproductive Health > Flashcards

B8-076 Reproductive Health Flashcards

1
Q

OTC urine pregnancy tests detect an hCG over […]

A

25

(she said: so moments pregnant, will be positive)

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2
Q

unintended pregnancy occurs more often in in women of […] SES status

A

low

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3
Q

most common reason for presenting for abortion after 16 weeks

A

woman did not realize she was pregnant

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4
Q

surgical method of induced abortion in 2nd trimester

A

D&E

(most common method in 2nd trimester)

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5
Q

surgical method of abortion in 1st trimester

A

MUA/D&C

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6
Q

medication method of abortion in 1st trimester

A

misoprostol + mifepristone

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7
Q

medication method of abortion in 2nd trimester

A

labor induction

(less common than D&E, usually women with babies with genetic anomalies)

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8
Q

[mifepristone vs. misoprostol]
progesterone receptor antagonist

A

mifepristone

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9
Q

[mifepristone vs. misoprostol]
necrotizes decidua, softens cervix, increases uterine sensitivity to prostaglandins

A

mifepristone

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10
Q

[mifepristone vs. misoprostol]
prostaglandin E1 analog

A

misoprostrol (cytotec)

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11
Q

[mifepristone vs. misoprostol]
stimulates uterine contractions

A

misoprostrol (cytotec)

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12
Q

misoprostol is taken […] after mifepristone

A

24 hrs

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13
Q

contraindications to medication abortion [3]

A

ectopic pregnancy
coagulation disorders
porphyria

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14
Q

serum hCG levels should decrease by at least […]% 6-10 days after taking mife/miso

A

60

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15
Q

ultrasound with no […] 4-10 days after mife/miso can confirm completion of medication abortion

A

gestational sac

(thickened endometrium is ok as long as there is no gestational sac)

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16
Q

[…] given before uterine aspiration decreases the risk of post procedure infection

A

antibiotics

17
Q

Rhogam should be given to Rh- patients after […] weeks gestational age

A

12

(so not really needed for first trimester abortion)

18
Q

[…] million patients per year experience complications from unsafe abortion

A

7

19
Q

nearly all of abortion related deaths/injuries occur in what regions?

A

developing world

20
Q

about half of all EPL is due to

A

chromosomal abnormalities

21
Q

most common trisomy causing ELP
always lethal

A

trisomy 16

22
Q

anembryonic gestation or embryonic demise is known as […] abortion

A

missed abortion

23
Q

IUP on ultrasound
cervix closed
no tissue passed

A

threatened abortion

24
Q

IUP on ultrasound
cervix open
no tissue passed

A

inevitable

25
Q

+/- IUP on ultrasound
cervix open
tissue passed

A

incomplete

26
Q

no IUP on ultrasound
cervix open
tissue passed

A

complete

27
Q

gestational sac with mean sac diameter greater than 25 mm, without evidence of fetal pole

A

anembryonic gestation

28
Q

CRL > 7mm with no cardiac activity on US

CRL=crown rump length

A

embryonic demise

29
Q

using mifepristone before misoprostrol greatly decreases the risk of needing […] to complete the abortion

(over using misoprostrol alone)

A

aspiration

30
Q

best tools for evaluation of ectopic pregnancy

A

bHCG
US

31
Q

most common location of ectopic pregnancy

A

ampulla of uterine tube

32
Q

greatest risk factors for ectopic pregnancy

A

previous tubal surgery
previous ectopic pregnancy

33
Q

medication treatment for ectopic pregnancy

A

methotrexate followed by serial hCGs

(must have normal bone/liver/renal functioning)

34
Q

vaginal bleeding in early pregnancy is […] until proven otherwise

A

ectopic

35
Q

normal implantation occurs […] days after fertilization

A

5-7

36
Q

invasion of the trophoblastic tissue into the decidua results in the production of […]

A

hCG

37
Q

risk factors for ectopic pregnancy [3]

A

hx of PID
previous tubal surgery
previous ectopic

38
Q

women who are Rh negative should receive Rhogam to prevent

A

alloimmunization

RDS Test 2 (21 decks)

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