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Flashcards in U-World 2 Deck (102)
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1

Steps to dx suspected placenta previa

Transabdominal US followed by transvaginal sonography
*No digital vaginal exam before US*

2

Lectin/sphingomyelin ratio less than what to give steroids

2.0

3

Most important complication of PPROM

Pulmonary hypoplasia

4

Cataracts, PDA and purpura in newborn likely

Maternal rubella infection
*Also look for hearing loss*

5

Steps for patient with decreased fetal movement

NST followed by a contraction stress test of biophysical profile if NST is non-reactive

6

What does a normal contraction stress test mean

Suggests a low likelihood of stillbirth within 1 week of test --> So redo in 1 week

7

Septic abortion treatment

Broad spectrum Ab and surgical evacuation of the uterus

8

Acid base status of hyperemesis of pregnancy

Primary metabolic alkalosis

9

Exercise rec for pregnant women

>30 min a day for 5 days week at low or moderate intensity

10

Paget's path description

large cells surrounded by halo-like areas involving the epidermis

11

Increased risk of hyperemesis garvidarum from

Increased placental mass (twins, molar pregnancy)

12

What causes a complete mole?

When 2 sperm fertilize an ovum lacking genetic material

13

What causes a partial mole

When 2 sperm fertilize a haploid ovum (triploid karyotype)

14

Most common risk factor for placental abruption

Maternal hypertension

15

When does a placental abruption not blled

Retroplacental location of the hemorrhage

16

Fetal hydantoin syndrome features

Small body size, microcephaly, digital and nail hypoplasia, hirsutism and cleft palate

17

AE of COC

VTE, HTN, hepatic adenoma, rarely strokes and MI

18

How does hypothyroidism cause hyperprolactinemia

TRH stimulates prolactin production

19

Biggest risk factor for vaginal clear cell carcinoma

In utero DES exposure

20

HTN is a risk factor for what type of fetal growth restriction

Asymmetric 2/2 uteroplacental insufficiency

21

Who is the HPV vaccine recommended for

All women 9-26 regardless of HPV status or sexual activity

22

LH and FSH levels in anovulation

Normal

23

Women >35 should be offered what chromosomal abnormality screening test

Cell-free fetal DNA testing
*Can be done in first trimester, quad screen not until 2nd*

24

Most accurate way to determine gestational age

US dating w/ fetal crown-rump measurement in the first trimester

25

Gold standard for evaluating cervix for cervical incompetence in pregnancy

Transvaginal US

26

Tamoxifen MOA

ER antagonist on breast tissue, agonist on endometrium and bone

27

Amenorrhea most commonly associated with significant stressors, eating disorders, and excessive exercise

Acquired hypogonadotropic hypogonadism

28

Preferred initial imaging for suspected gynecological tumors

Pelvic US

29

Chorioamnionitis is diagnosed by

>1 of the following: uterine tenderness, maternal or fetal tachycardia, malodorous amniotic fluid, or purulent vaginal discharge

30

Two tx for chorioamnionitis

Broad spectrum Ab and delivery