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31 Cards in this Set

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What is HELLP syndrome?
Hemolysis, Elevated Liver enzymes,
Low enzymes, Low Platelets
What is the target BP for a patient with severe preeclamsia?
What does the diastolic BP need to be maintained at?
<160/110
DBP maintain 90-100 to maintain fetal blood flow
What is the drug of choice to prevent seizures in preeclampsia?
Magnesium Sulfate
1. What is the infecting organism of Chancroid?

2. Is a Chancroid painful or painless?
1. Hemophilus ducreyi
(Chancroid)
2. Painfull
Pregnant female with HTN, proteinuria (>300mg/24 h) and edema of face and hands, Name the diagnosis?
Preeclampsia
The following risk factors are for the following disease?
African American
Nulliparity
Multiple gestations
Exteme ages (<15 or >35)
Chronic HTN
Positive famaily History
Preeclampsia
Describe the risk factors for Ectopic Pregnancy?
1. Previous history of PID
2. IUD,
3. DES exposer,
4. Prior pelvic history
5. a positive history of ectopic pregnancy
Presence of fixed abdominal tenderness on turning the patient and may be seen in ectopic pregnancy, Name the sign?
Adler's sign
Retained fetal tissue, , no vaginal bleeding, no products of conception are expelled and the internal cervical os is closed, What type of abortion?
Missed Abortion
Patient b/w 30-55 premenstrually has bilateral lumpy and tender breats. Mammography shows dense breat\st tissue, Diag?
Fibrocystic breast disease
(Benign cyst formation)
a women who is breastfeeding presents with a warm, tender, swollen and erythematous breast,
Diag?
Mastitis (Staph Aureus)
How can Gestational thrombocytopenia, ITP, HELLP, Pseudothrombocytopenia, TTP and HUS? be differentiated?
gestational gone after delivery.

ITP will persist after delivery
ITP: FAT RN: Fever, Autoimmune hemolytic anemia, Thrombocytopenia, Renal disease, Neurologic disease

HELLP variant of preeclampsia and will have hemolysis and increased liver enzymes

HUS Renal disease
Nonmalignant condition that affects menopausal women. The subareolar ducts become blocked with debris, causing pain, inflammatory nipple discharge, and retraction of the nipple. Name the diag?
Mammary duct ectasia
Benighn neoplasm found in young women, they are usually round, rubbery, movable, and nontender, name diag?
Fibroadenoma
What are the two most common causes of third trimester bleeding?
1. Placenta previa
(Painless Bleeding)
2. Placenta abruptio
(Painful Bleeding)
What are the risk factors for Placenta previa?
1. Advanced maternal age
2. Multiparity
3. Smoking history
4. Prior C-section
T or F, Vaginal examination is contraindicated in a patient with Placenta Previa? (Painless bleeding)
True
Fetal Vessels associated with the cord tranverse across the lower uterine segment and present in advance of the fetal presenting part, Causes rapid bleeding when disrupted during labor.
Vasa Previa
Blood-tinged vaginal discharge that occurs when the cervix is dilated and the onset of labor is imminent?
Bloody Show
Patient complaines of Petechiae, ecchymoses, and nose and gum bleeding?
Gestational Thrombocytopenia or ITP

ITP lasts after delivery
What is the most common cause of postmenopausal vaginal bleeding?
Can you name another cause of postmenopausal vaginal bleeding?
1. Atrophic Vaginitis
2. Endometrial Carcinoma
T or F all postmenopausal women with vaginal bleeding require a biopsy to r/o endometrial carcinoma?
True
How would you classify a
1. Hydatiform mole
2. Invasive mole
3. Choriocarcinoma
They are all Malignant gestational trophoblastic neoplasms.
What is the most common presenting symptom of a prolactinoma in a women?
Secondary amenorrhea
What is the most common cause of secondary amenorrhea?
Pregnancy
If a patient is not menstruating and they have galactorrhea, what do you think of?
Hyperprolctinemia
1. Pituatray adenoma
2. Hypothyroidism
3. Reserpine, Methyldopa, Phenothiazine, contraceptives
List the differential diagnosis of persistent vaginal bleeding in a preadolescent female?
1, Neoplasm (Sarcoma Botyroides)
2. Precocious puberty
3. Foreign Body
4. Sexual assualt
5. Infections
The persistance of corpus luteum, delayed menses, pelvic mass, negative pregnancy test. Clinically confused with ectopic pregnancy, Name the syndrome?
Halban's syndrome
What are the expected changes in gonadotropin levels after menopause?
FSH increases 10-20 fold
LH increases 3 fold
What happens to progesterone production in menopause?
Progesterone is no longer produced in menopause.
What risk factor are associated with bone loss and osteoporosis?
1. White
2. Asian
3. Thin women
4. Sedentary life style
5. Smoking
6. age of menopause