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Year2 Repro exam II > Wed-GTD > Flashcards

Flashcards in Wed-GTD Deck (25):
1

36 y.o G5P3 at 13 weeks with uterine bleeding based on LMP, nausea and vomiting
what could she have?
what labs?

GDM
twins
wrong on dates
gestational trophoblastic disease
tumor, fibroids
labs: CBC, hCG, US

2

US shows lots of areas of clear black space. bubbles.
Dx?

some type of mole

3

hCG is 150,00
suggests?

mole
or twins

4

Tx for woman "pregnant" with US suggestive of mole

D&C

5

what is gestational trophoblastic disease

abnormal proliferation of trophoblast of the placenta

6

most common cause gestational trophoblastic disease

hydatidiform mole
complete. partial and invasive

7

what is gestational trophoblastic neoplasia

local invasion
choriocarcinoma, placental trophoblastic tumor, epitheloid trophoblastic tumore
curable 85-100%

8

causes of complete mole

46 XX
36XY if fertilized by two sperm
all paternal chromosomes
empty ovum
no fetal tissue

9

causes of incomplete or partial mole

69XXY
fertilizaiton of ovum with haploid maternal by 2 sperm
fetal tissue present

10

causes of moles

genomic imprinting
paternal: placental growth
maternal: fetal growth

11

complicaitons from moles are due to what

elevated hCG

12

what are the complications with molar pregnancy

ovarian enlargement from theca lutein cysts
hyperemesis gravidarum
early development of preeclampsia
hyperthyroidism
hemorrhage

13

incidence of molar pregnancy higher where

asian women and latin american countries

14

Sx of molar pregnancy

consistent with early pregnancy
vaginal bleeding-- tumor separation from decidua

15

risk factors molar pregnancy

>35 y.o
Hx of previous GTD

16

Dx molar pregnancy

no fetal heartbeat
increased bhCG
enlarged ovaries
grapelike cluster expelled into vagina
U/S- snowstorm apperance

17

Tx molar pregnancy

D&C to remove tissue
follow hCG levels

18

what to do if hCG stay elevated in GTN

chemo and/or excisional surgery

19

which type of mole more likely to become choriocarcinoma

complete

20

what is a threatened abortion

1st trimester bleeding

21

what is metrorrhagia

bleeding between menses

22

what is menometrorrhagia

heavy bleeding and bleeding in between menses

23

oligomenorrheag

intervals >35 days
4-9 periods/year

24

EGBUS

external genitalia
bartholins gland
uterus
skenes glands

25

AVAF uterus

anteverted anteflexed