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OBGYN > Quiz2 > Flashcards

Quiz2 Flashcards

1
Q

quickening occurs at how many weeks gestation?

A

18-20

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2
Q

Congestion and a bluish color of the vagina in early pregnancy?

A

Chadwick sign

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3
Q

Softening of the cervix on PE in early preg

A

Hegar sign

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4
Q

Excluding fetal HR reactivity, the part of biophysical profile considered most imp. is?

A

Qualitative amniotic fluid level

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5
Q

which aspect of amniotic fluid is in calculating the score in a biophysical profile?

A

Volume

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6
Q

The inheritance of Huntington disease is?

A

AD

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7
Q

The inheritance of Marfan Syndrome is?

A

AD

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8
Q

33yo pt, aunt Dx w breast ca. at 49 and her grandfather had lung ca. you recommend?

A

annual clinical breast exams, no further testing at this time

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9
Q

the quad screen adds what marker?

A

Inhibin A

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10
Q

MC complication of CVS?

A

bleeding

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11
Q

what rate of cervical dilation is considered a protraction disorder in nulliparous pts?

A

less than 1cm per hr

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12
Q

for a pt. in active labor, this provides a quantitative measurement of the strength of her uterine contractions

A

Intrauterine pressure catheter

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13
Q

management for prolonged latent phase?

A

sedation

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14
Q

Low forceps-assisted vaginal delivery occurs w the fetal head at what position?

A

AT the +2 station

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15
Q

In high risk cases, intermittent FHR auscultation should be atleast how often during active phase of labor?

A

every 15mins

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16
Q

In high risk cases, intermittent FHR auscultation should be at least how often during secoud phase of labor?

A

every 5 mins

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17
Q

During resuscitation of the newborn, metabolic well-being is best assessed by measurement of?

A

umbilical cord blood gases

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18
Q

acute bilirubin encephalopathy or kernicterus is assoc with total serum bilirubin greater than?

A

30mg/dL

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19
Q

After delivery, infant vital signs should be taken at what interval?

A

every 30mins until the signs are stable for 2hrs

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20
Q

Uterine involution is due to a decrease in the

A

size of cells in uterine myometrium

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21
Q

when is the endometrium re-est. after delivery in most pts?

A

3rd week

22
Q

Lochia rapidly decreases in amt. over the first ____ days post-partum, but can last several wks

A

2-3 days

23
Q

passage of placental eschar commonly begins btwn

A

8-14 days postpartum

24
Q

Abortion is termination of preg before what gestational age?

A

20wks

25
Q

80% of spontaneous abortions occur by what gestational age?

incidence of clinically recognized spontaneous abortion?

A

12wks ;

15-25%

26
Q

Recurrent early abortion is assoc w what chance that one parent is an ASx carrier of a Chr abnormality?

A

3%

27
Q

which location of leiomyomata is most assoc w spontaneous abortion?

A

submucosal

28
Q

approx what % of threatened abortions proceed to spontaneous abortion?

A

50%

29
Q

Asherman Sy is confirmed by ?

Tx involoves lysis of the adhesions and with?

A

hysteroscopy ;

estrogen

30
Q

Postabortal Sy results from

A

uterine atony

31
Q

etiology for vaginal bleeding in cases of ectopic is?

A

sloughing of decidua

32
Q

early in preg, quantitative bhCG levels should increase by what % in 48hrs?

A

66

33
Q

what aspect of preg is the serum progesterone most useful in assessing?

A

Viability

34
Q

primary risk factor in pts w a cervical ectopic?

A

h/o D&C

35
Q

tubal pregnancy in what region typically presents later than those in other areas?

A

isthmic

36
Q

24yo undergoing laprascopy for otherwise unexplained infertility, what are the chances endometriosis will be found in this woman?
what is the most likely site?

A

20%-40%;

posterior cul-de-sac

37
Q

a pt. w complete obliteration of the cul de sac by adhesions has?

A

severe disease

38
Q

if pt with chronic pelvic pain underwent laprascopy, the likelihood that an identifiable cause will be found is approx?

A

60-70%

39
Q

tender symmetrically enlarged “boggy” uterus suggests?

A

Adenomyosis

40
Q

Thickening of the adnexa is most consistent with?

A

PID

41
Q

what med may help treats IBS Sxs?

A

Hyoscyamine

42
Q

NSAIDs act to reduce?

A

uterine contractile activity

43
Q

avg age of menopause?

A

51

44
Q

ovarian fxn requires pulsatile secretion gnRH at what interval?

A

60-240 mins

45
Q

this hormone stimulates the granulose cells of the primary ovarian follicle

A

FSH

46
Q

what principle sex steroid is secreted by the granulose cells

A

estradiol

47
Q

underweight teen runs track, most likely cause of amenorrhea is an abnormality at the level of ?

A

the hypothalamus

48
Q

in premenstrual Sy, there is a Sx free period of atleast?

A

1 wk per cycle

49
Q

PMDD occurs in what % of women?

A

5

50
Q

hormone most likely related to underlying etiology of PMDD?

A

serotonin

51
Q

first line Tx for managing Sxs of PMS?

what else significantly improves Sxs?

A

complex carb diet (eliminate fat);

aerobic exercise and oral contraceptives

OBGYN (9 decks)

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