OB Gen Flashcards by Kenneth Junel Idio

2 cells involved in follicular phase

Thecal and granulosa cells

How well did you know this?

Not at all

Perfectly

Average of menstrual cycle

28 +- 7days

How well did you know this?

Not at all

Perfectly

Responsible for ovulation and follicular rupture

How well did you know this?

Not at all

Perfectly

Formation of spinnbarkeit

Ovulation

How well did you know this?

Not at all

Perfectly

Process where the remains of the graffian follicle becomes corpus hemorrhagicum and final matures to Corpus Luteum

Luteinization

How well did you know this?

Not at all

Perfectly

Causes mittelschmerz

Corpus hemorrhagicum

How well did you know this?

Not at all

Perfectly

Chemotactic activating factor for neutrophils

IL-8 is chemotact8

How well did you know this?

Not at all

Perfectly

Day of menses that endometrium has been restored

5th day

How well did you know this?

Not at all

Perfectly

Most important factor in the recovery of endometrium after menses

Slight increase in estrogen

How well did you know this?

Not at all

Perfectly

Earliest histological evidence of progesterone action

Basal vacuolation

How well did you know this?

Not at all

Perfectly

Decidual layers

Basalis, capsularis, parietalis

How well did you know this?

Not at all

Perfectly

Zygote cytoplasm is successively cleaved to form what?

Blastula

How well did you know this?

Not at all

Perfectly

At 32 cell stage the blastomeres form what?

Morula

How well did you know this?

Not at all

Perfectly

Occurs when fluid secreted within the morula forms the blastocyst cavity

Blastocyst formation

How well did you know this?

Not at all

Perfectly

Forms the yolk sac

Hypoblast

How well did you know this?

Not at all

Perfectly

Blastocyst implants at around 7 days post conception usually where?

Posterior superior wall of uterus

How well did you know this?

Not at all

Perfectly

Process that estalishes the 3 primary germ layers

Gastrulation

How well did you know this?

Not at all

Perfectly

Forms the primitive ectoderm

Epiblast

How well did you know this?

Not at all

Perfectly

Normal amniotic fluid by term

840 ml

How well did you know this?

Not at all

Perfectly

Preferred precursor of progesterone biosynthesis by the trophoblast

Maternal plasma LDL cholesterol

How well did you know this?

Not at all

Perfectly

Type of estrogen that is a marker of fetal well being

Estriol

How well did you know this?

Not at all

Perfectly

Fetal period begins when?

8 weeks after fertilization or 10 weeks after onset of last menses

How well did you know this?

Not at all

Perfectly

Commences beginning of 3rd week after ovulation and fertilization and lasts up to 8 weeks AOG

Embryonic period

How well did you know this?

Not at all

Perfectly

By how many weeks does the uteus become an abdominal organ

12 weeks

How well did you know this?

Not at all

Perfectly

Poor pap smear quality during pregnancy

Arias stella reactiob

Wt gain during pregnancy

211; 2 11 11, 1st, 2nd, 3rd tri ; Total-24

Only coagulation factors not increased during pregnancy

11 and 13

Change in heart rate during prenancy

Increase in heart rate by 10

Change in BP

Decrease in diastolic BP

4 periods of increased cardiac output in pregnancy

28th AOG, labor, immediately postpartum, 1st week postparum

Change in GFR during pregnancy

Increases by 50%

Positional change of appendix during pregnancy

Upward and lateral

Gums become hyperemic and soften

Epulis

Pituitay enlargement is approximately

135%

Impaires neutrophil activation during prenancy

Relaxin

HCG is detectable in maternal blood and urine how man days after ovulation?

8-9

Fetal heart beat is detected via steth at how many weeks?

16-19 weeks

Braxton hicks occurs at how many weeks

28 weeks

Spontaneous bleeding occurs with platelet of how much

20,000

Platelet is given at what number

50,009

Prenatal visits:

Every 4 until 28; then every 2 until 36; weekly thereafter

Asymptomatic bacteruria urine culture growth

>100,000

Required iron supplementation

27-30 mg

N36

Travel is allowed up to how many weeks

Unsafe vaccinations during pregnancy

MMR polio varicella yellow fever

Management for candidiasis

Miconazole, clotrimazole, nystatin

Uterine size correlates well at what aog

20-31 weeks

Uterus is palpable at level or just above of symphysis

12 weeks

Uterus palpable midway between symphysis pubis and umbilicus

16 weeks

Uterus palpable at level of umbilicus

20 weeks

Discrepancy in fundal size

3cm

Norml fetal movement

8-10 kicks/ 2hrs

Normal NST

Reactive: 2 or more accelerations occuring within 20 minutes that peak at 15 bpm or more above baseline, each lasting 15 secs or more

Test measuring utero placental function

Contraction stress test

Normal CST

3 contractions in 10 minutes= no late decelerations: NEGATIVE

BPP: 5 components

Fetal heart acceleration, breathing, movement, tone, amniotic fluid volume

BPP of normal non asphyxiated fetus

10, 8 normal AFV

Normal AFV:

Single vertical pocket >2cms

Umbilical cord compression may cause fetal tachy/bradycardia?

Brady

Single most important indicator of an adequately oxyenated fetus

Baseline or beat to beat variability

Moderate(normal variabilty)

6-25 beats/min

Early decelerations signify

Head compression

Variable compressions signify

Umbilical cord compression

Late decelerations signify

Uteroplacental insufficiency

Most common isolated structural defects

Congental heart defects

AFP level that indicates fetal risk for neural tube defect

> 3.5

Banana sign is found in?

NTD(elongation and downward displacement of the cerebellum)

Lemon sign found in?

NTD(frontal bone scalloping)

Triple serum makers?

AFP, hCG, estriol

Triple serum marker elevated in trisomy 21

hCG

Best predictor of resorption of ectopic pregnancy

hCG level of <1000

A viable pregnancy has a hCG of

1500

Most identified risk factor for ectopic pregnancy

Previous PID

Highest relative risk factor for ectopic pregnancy

Documented tubal pathology

Most frequent sx of extopic pregnancy

Abdominal pain

Gold standard for dx of ectopic pregnancy

Laparoscopy

Single best prognostic indicator of successful tx with methotrexate jn ectopic pregnanch

Hcg <1000

Act by drawing water from proteoglycan complexes causing the complexes to dissociate and thereby allowing the cervix to soften and dilate

Laminaria digita/ japonica

Most commonly used cerclage,

Mc donald

Earliest sign of pregnancy seen woth TVS

Intradecidual sign

Anechoic sac without distinct chorionic ring(4 weeks)

Intradecidual sign

Single placental "mass", a triangular projection of placental tissue beyond placental surfaces could be seen extending between layers of the intertwin membrane

Twin Peak Sign

Lung compliance: increase or decrease

No change

Progesterone inc sensitivity to CO2 leading to a decrease or increase in tidal volume?

Increase

Serum crea: inc or decrease

Decrease

Screening for congenital abnormalities

A baby evolving inside (AFP, B HCG, Estriol, Inhibin) - check for Down's (arrange alphabetically and down,up,down,up)

Five cranial signs of NTDS

Small berries, vines, lemons ,bananas, mangoes(small BPD, ventriculomegaly, frontal bone scalloping-lemon sign, banana sign, effacement of custerna magnus)

BPP

My Big FAT profile is a 10 (movement, breathing, FHR, AFV, Tone) 10 is perfect score

TV ultrasonographic cervical finding that correlates with preterm delivery

Funneling

Diaphragm rises by

4cm

Fetal head is partially flexed with anterior fontanel or bregma presenting

Sinciput

Demonstrates adequacy of pelvic inlet

Engagement (u get engaged when u are adequate)

DOC for pregnant women with chlamydia

Erythromycin

Tobacco pouch apperance

Endometrial TB

OB Gen Flashcards

(94 cards)