Shared Flashcard Set

Details

OB/GYN
KNOWN TEST QUESTIONS
35
Medical
Graduate
09/05/2011

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Cards

Term
What is the most common site of ectopic pregnancies?
Definition
ampullary
Term
Every two days, HCG levels should.....
Definition
double
Term
What is the most common cause of spontaneous abortion?
Definition
chromosomal abnormalities, of that is turner's syndrom (45x)
Term
What is the single largest factor in infertility?
Definition
the male
Term
What accounts for 10% of all infertility?
Definition
unexplained
Term
What is involved in an infertility work-up?
Definition
Ovulation determination, semen analysis, hysterosalpingogram
Term
What age group is eclampsia most common?
Definition
aging population
Term
Chronic hypertension is defined as...increased risks include?
Definition
occurs prior to 20 weeks gestation
risks include preterm labor, intrauterine growth retardation, fetal demise, placental abruption
Term
what is the definition of pregnancy induced hypertension?
Definition
hypertension after 20 weeks gestation without proteinuria or edema
Term
Pre-eclampsia definition, incidence
Definition
hypertension, proteinuria, edema
5%
Term
risk factors for pre-eclampsia
Definition
nulliparity, advanced maternal age, teenagers, chronic hypertension, renal disease, diabetes, family history, twins, molar pregnancy (abnormal placental growth)
Term
what is proteinuria defined as>
Definition
greater than 300mg of protein in 24 hour period
Term
what is severe pre-eclampsia defined as
Definition
systolic blood pressure above 180
diastolic blood pressure above 110
5 grams/day proteinuria
oliguria (less than 400cc a day)
Term
What defines eclampsia
Definition
same as pre-eclampsia (hbp, proteinuria, edema) plus SEIZURES
Term
what is the treatment for eclampsia
Definition
magnesium sulfate (should be given as soon as decision to deliver is made, and 2 days after)
Term
what is HELLP syndrome?
Definition
hemolysis, elevated liver enzymes, low platelets
Term
placental abruption vs placenta previa
Definition
abruption: painful
previa: painless
Term
placenta accreta
placenta increta
placenta percreta
Definition
growth of placenta through entire endometrium onto myometrium
growth into myometrium
growth through myometrium onto the serosa
Term
hyptonic myometrium (uterine atony)
Definition
most common cause of postpartum hemorrhage
Term
risk factor for post-partum bleeding
Definition
prolonged/quick labor
oxytocin induced labor
high parity
retained placenta tissue
accreta increta or percreta
Term
how to prevent post-partum bleeding
Definition
give prophylactic oxytocins after delivery of baby
Term
definitions of postpartum bleeding:
vaginal:
c/s:
c/s+histerectomy:
Definition
500cc
1000cc
1400cc
Term
Causative agents:
primary syphilis
secondary syphilis
genital herpes
chancroid
veneral warts
lymphogranula venereum
Definition
treponema pallidum
treponema pallidum
herpes simplex virus
haemophilis ducreyi
human papiloomavirus (HPV)
klebsiella granulomatis
Term
With this STD you may get a flu-like prodrome 2-3 days before genital symptoms
Definition
herpes
Term
alkaline vaginal pH (4.5 or higher)
acidic vaginal pH (3.8 or lower)
Definition
bacterial vaginosis (anaerobes)
yeast infection
Term
With what STD are you worried about dissemination?
Definition
neisseria gonorrhea
Term
what is the most common gynecological malignancy?
Definition
endometrial carcinoma (uterine cancer)
36,000 new cases and 6000 cases per year, mostly seen in menapause
Term
What is the most common exogenous risk factor for developing uterine cancer?
Definition
ingestion of unopposed estrogen
Term
What are the risk factors of cervical cancer?
Definition
HPV infection
intercourse at an early age (transformation zone exposed)
multiple partners
smoking
Term
At what stage/s can cervical cancer be treated surgically?
Definition
stage 1 (radical hysterectomy)
otherwise do radiation therapy
Term
what is the leading cause of death from gyn malignancies?
Definition
ovarian carcinoma
Term
What is the key to treating ovarian cancer?
Definition
chemotherapy
Term
what is the most frequent symptom associated with vulvar cancer?
Definition
itching
Term
postmenopausal hot flashes always respond to______
Definition
estrogen
Term
What is endometriosis and where is it commonly seen?
Definition
endometriosis is a medical condition in which cells from the lining of the uterus appear and flourish outisde the uterine cavity, most commonly on the ovaries.
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