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Flashcards in Uwise 2 Deck (13)
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1
Q

What kind of ovarian cancer am I thinking if there is hyperplasia of the endometrium and why?

A

Granulosa cell tumor because of all the estrogen it secretes

2
Q

What is the most common type of ovarian neoplasm in women under 30 and over 30?

A

Under: germ cell
Over: surface epithelial

3
Q

What is the most significant risk factor for endometrial cancer if present?

A

Obesity

4
Q

If hysterectomy is indicated for vaginal bleeding, but the lady is undecided on future kids, what is a good short term option for the bleeding?

A

GnRH agonist

5
Q

Besides bleeding, what else can GnRH agonists be used for?

A

Decrease the size of fibroids

6
Q

What type of patients do we not use terbutaline and ritodrine in?
Magnesium sulfate is contraindicated in what type of patients?

A

Diabetes

M gravis

7
Q

Besides maturing the lungs, what other two associations do we find with the use of betamethasone?

A

Decreased intracerebral hemorrhage

Decreased necrotizing enterocolitis

8
Q

What is the strength of the fetal fibronectin test?

A

Negative predictive value.
Ladies with a negative test have a negative predictive value of 99, meaning out of 100 with a negative test, 99 will not go into labor .

9
Q

Which agent competes with calcium for entry into the cells?

A

Magnesium sulfate

10
Q

Cause of cord compression for variable decelerations?

A

The rupture of the membranes causes low amniotic fluid

11
Q

What intervention can reduce the risk of preterm premature rupture of the membranes?

A

17 alpha hydroxyprogesterone

12
Q

What can be tricky about testing for rupture of membranes?

A

False positive nitrazine test.
Semen, blood, other things can make the test a false positive. So if the ferning is negative and plenty of fluid in the amniotic sac, then its not rupture of membranes.

13
Q

What is the point of giving magnesium sulfate in patients?

What are we thinking with repetitive frequent painful contractions?

A

Neuroprotection in patients less than 32 weeks

Placenta abruption