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35 Cards in this Set
- Front
- Back
What is Gravity?
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The number of times a woman has been pregnant.
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What is Parity?
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The number of pregnancies that led to a birth beyond 20 weeks gestational age of an infant weighing > 500g.
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What is Developmental Age?
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The number of weeks and days since fertilization.
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What is Gestational Age?
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The number of weeks and days measure from the last menstrual period.
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How can you determine Gestational Age?
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LMP, Fundal height, Quickening, Fetal heart tone, Ultrasound.
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What is Nägele's rule?
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The estimation of delivery date by adding 9 months + 7 days to the last missed period.
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What can be the causes of an elevated MSAFP level?
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Open neural tube defect, abdominal wall defect, multiple gestation, incorrect gestational dating, fetal death, and placental abnormalities.
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When do you perform MSAFP test?
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15-20 weeks of gestation.
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What is a Quad Screen?
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Inhibin A, estriol, ß-hCG, and MSAFP.
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How would trisomy 21 appear on a Quad test?
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AFP and estriol would be decreased; ß-hCG and inhibin A would be increased.
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How would trisomy 18 appear on a Quad screen?
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AFP, estriol, ß-hCG, and inhibin A would all be decreased.
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When can amniocentesis be performed?
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Weeks 15-17
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When is amniocentesis indicated?
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-In women who will be >35 at time of delivery.
-Women with an abnormal quad screen. -Rh-sensitized pregnancy. -To evaluate lung maturity (done in the 3rd trimester) |
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When can a chorionic villus sampling be performed?
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Weeks 10-12.
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What defects can alcohol cause?
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Growth restriction before and after birth, mental retardation, midfacial hypoplasia, renal and cardiac defects.
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What defects can androgens and testosterone derivatives cause?
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Virilization of females; advanced genital development in males.
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What defects can ACEIs cause?
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Fetal renal tubular dysplasia and neonatal renal failure, oligohydramios, intrauterine growth restriction, lack of cranial ossification.
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What defects can Coumadin derivatives cause?
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Nasal hypoplasia and stippled bone epiphyses, developmental delay, IUGR.
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What defects can Carbamazepine cause?
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Neural tube defects, fingernail hypoplasia, microcephaly, developmental delay, IUGR.
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What can Folic antagonists cause? (e.g. methotrexate, aminopterin).
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Increased spontaneous abortion rate.
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What is Oligohydraminos and what is the most common cause?
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- Amniotic fluid index <5
-Rupture of membranes. |
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What is Polyhydramnios?
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> 20 amniotic fluid index, or 2 L.
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What is the Gynecoid inlet shape?
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Round
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What is the Android inlet shape?
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Heart shaped
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What is the Anthropoid inlet shape?
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Vertically oriented oval
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What is the Platypelloid inlet shape?
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Horizontally oriented oval
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What are reversible causes of urinary incontinence?
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Delerium, Infection, Atrophic vaginitis, Pharmacologic causes, Psychiatric causes, Excessive urine production, Restricted mobility, Stool impaction. (DIAPPERS)
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What is the treatment for Mastitis?
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Continued breast-feeding and PO penicillinase-resistant antibiotics (e.g. dicloxacillin). Incision and drainage of breast abscess if present.
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What are the tumor markers for recurrent breast cancer?
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CEA, CA 15-3 or CA 27-29.
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What pharmacologic treatment should be used in all hormone receptor + patients?
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Tamoxifen
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What pharmacological agent should be used in HER2/neu-expressive cancers?
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Trastuzumab
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What are absolute contraindications to OCPs?
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Pregnancy; A history of stroke, CAD, or DVT; Breat cancer; Undiagnosed abonormal vaginal bleeding; Estrogen-dependent cancer; a benighn or malignant tumor of the liver; cigarette smoking and age > 35.
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What are absolute contraindications to IUD use?
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Pregnancy; a history of PID; acute cervical, uterine, or salpingeal infection; suspected gynecologic malignancy; undiagnosed abnormal vaginal bleeding; more than one sexual partner; prior ectopic pregnancy.
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What is primary amenorrhea?
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No menses by age 16 with secondary sexual development present; no sexual characteristics by age 14.
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What is secondary amenorrhea?
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Absence of menses for six consecutive months in women who have passed menarche.
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