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Flashcards in OBGYN Deck (578)
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1

clue for PCOS(3)

acne
irregular mentrual period
hirsutism

2

what hormone is high in PCOS(2)

testosterone
high LH/FSH ratio

3

problem in PCOS causing hyperglycemia(2)

abnormal glucose metabolism
impaired glucose tolerance

4

rx of PCOS(4)

oral contraceptive
or
citrate d eclomiphen
antidrogen
metformin if impaired glucose tolerance

5

advantages of metformin in PCOS(4)

prevention of diabetes
helps losing weight
ovulation in conjoction with citrate de clomiphene
modest effect in suppressing androgen to correct hirsutism

6

normal biophysical profile

8-10

7

what to do if biophysical profile at 8 and decreased amniotic fluid

delivery should be considered

8

biophysical profile 6 with no oligoamnios fetus a < 37(2)

repeat BP in 24 hours
if the same delivery

9

biophysical profile 6 with no oligoamnios fetus a > 37

delivery

10

biophysical profile < 6 and fetus < 32 s

daily monitoring

11

biophysical profile < 6 and fetus > 32 s

delivery

12

what to do if BP =4 or less

delivery if fetus > 26 weeks of gestation

13

meaning of BPP less than 2

fetal asphyxia

14

how to assess BP

sonography

15

elements of BP(5)

NST
fetal tone
fetal movement
fetal brathing mvt
amniotic fluid volume

16

NST normal

active

17

fetal tone evaluation(2)

extension
or
flexion

18

fetal mvts

at least 2 mvts in 30 mn

19

fetal breathing mvts

at least last 20 seconds in 30 mn

20

quid of amniotic fluid volume

single pocket more than 2 cm in vertical axis

21

abnormal uterine bleeding with negative pregnancy test in young female

ovulation dysfunction

22

cause of ovulation dysfunction in young girl

immature hypothalamic pituitary ovarian axis

23

what to do in young adolescent with positive bleeding(2)

test de grossesse
test for blood coagulation

24

first line rx in ovulation dysfunction

oral estrogen

25

modality of rx in aptient with abnormal uterine bleeding (4)

high dose of oral estrogen
or high dose of combined contraceptive pills
or high dose progestin
or tranexamic acid

26

quid of tranexamic acid

antifibrinolytic used when there is contraindication with estrogen and progesterone

27

syphylis positive in pregnant women with PNC allergy next step

PNC desensitization

28

how to desensitize a patientfor PNC allergy

using incremental dose of PNC

29

first step in PNC allergy

confirm the allergy by skin testing

30

mother at 28 weeks of gestation sono confirms a dx of bilateral agenesis in mother passing clear fluid form vagina next step

allow spontaneous vaginal delivery