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51 Cards in this Set
- Front
- Back
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Q1050. what is the maternal MCC of IUGR?
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A1050. Chronic maternal Hypertension
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Q1051. what is considered normal in the Hunter-Sims postcoital test for sperm?; (2)
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A1051. 1. 8 - 10 motile sperm in highpowered field; 2. thin cervical mucous
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Q1052. Abortion type:; bleeding, cervical dilation, retained POC
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A1052. Inevitable abortion
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Q1053. Dx:; woman at 18 week with decrease in uterine size, loss of pregnancy symptoms (no Fetal Heart Beat) and brownish vaginal discharge. The cervix is closed and no intrauterine contents have passed
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A1053. Missed abortion
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Q1054. what is the cause of Testicular femninization?; How do they present?; (5)
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A1054. cause: absence or dysfunction of testosterone receptors; Breasts, no pubic hair, amenorrhea, vagina that ends in blind pouch and without Hirsutism
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Q1055. what is the staging for ovarian cancer (Ia,b,c - IV)?
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A1055. Ia: confined to one ovary; Ib: involves both ovaries; Ic: either a or b with rupture of ovary, disease outside capsule or positive washings; II: Extends into pelvis; III: Mets into abdomen; IV: Distant Mets
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Q1056. what gestational time does the formation for the (3) types of twins occur:; 1. Di-Di; 2. Mono-Di; 3. Mono-Mono
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A1056. Di-Di: zero - 3 days; Mono-Di: 3 - 8 days; Mono-Mono: 8 - 13 days
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Q1057. what ovarian tumor is most commonly assoc with increased AFP?
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A1057. Endodermal Sinus Tumor; (Most Aggressive Germ Cell Tumor; Schiller-Duval Bodies; from extraembrionic tissue)
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Q1058. what ovarian tumor is most commonly assoc with increased hCG?
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A1058. Choriocarcinoma
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Q1059. what are the steps and Dx in diagnosing a Secondary Amenorrhea?; (5)
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A1059. 1. RULE OUT Pregnancy; 2. If Galactorrhea present: High TSH = Hypothyroidism, Nml TSH and High Prolactin = Pituitary tumor or drug; 3. Galactorrhea not present: Progesterone challenge, (+) Bleeding = good estrogen -> Anovulation; 4. (-) Bleeding -> Hysteroscopy for Ashermans; 5. Neg Ashermans -> test LH/FSH: Low LH/FHS = Hypothalamic-Pituitary, High LH/FSH = Ovary problem
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Q1060. what is the safe treatment for a pregnant woman who may get alcohol poisoning from bindge drinking?
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A1060. Benzodiazepines
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Q1061. Of all the woman trying to get pregnant, how many will conceive in one year?
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A1061. 80 - 85%
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Q1062. Dx:; anterior abdominal wall defect in the infant where the skin, muscles and fascia are missing and the cord inserts into a created amniotic membrane that covers the abdominal organs
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A1062. Omphalocele
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Q1063. Dx:; anterior abdominal wall defect in the infant where the abdominal contents are herniated lateral to the normal insertion of the umbilical cord
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A1063. Gastroschsis
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Q1064. MC female sexual disorder
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A1064. Hypoactive sexual desire
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Q1065. what are the precursor cells to the placental membranes?
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A1065. Trophoblasts
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Q1066. during a Threatened abortion, what lab is low?
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A1066. Estradiol levels
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Q1067. what is the most common reason for an abnormal triple screen?; what is the first step for an abnormal triple screen?
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A1067. incorrect gestational age; first step: Ultrasound for accurate dating
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Q1068. what test determines the amount of fetal RBC in the maternal circulation?
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A1068. Kleihaur-Bettke test
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Q1069. (5)* safe Vaccines during pregnancy
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A1069. HOTY-D:; Hep B,; Oral Polio,; Tetanus,; Yellow fever,; Diphtheria
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Q1070. what (5)* exposures in pregnancy require Immune Globulin?
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A1070. The Mom Can Really Hurt:; Tetanus,; Measles,; Chickenpox,; Rabies; Hep A and B,
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Q1071. Dx:; post-delivery in third stage there is a sudden gush of blood, umbilical cord lengthening and the uterus rises and firms
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A1071. Placental separation
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Q1072. Definition:; the fatty substance consisting of desquamated epithelial cells and sebaceous matter that covers the skin of the fetus
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A1072. Vernix
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Q1073. what is the main use of prostaglandins in delivery?
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A1073. ripening of the cervix
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Q1074. which Leopold Maneuver:; What fetal part occupies the fundus?; What apect of fetal to mother relationship does it determine?; (2)
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A1074. First maneuver determines:; 1. Fetal Lie; 2. Fetal Presentation
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Q1075. which Leopold Maneuver:; On what side is the fetal back?
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A1075. Second amneuver
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Q1076. which Leopold Maneuver:; What fetal part lies over the pelvic inlet?; What apect of fetal to mother relationship does it determine?
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A1076. Third maneuver; determines: Fetal Position
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Q1077. which Leopold Maneuver:; On which side is the cephalic prominence?
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A1077. Fourth maneuver
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Q1078. Type of Breech:; thighs are flexed, legs extended over anterior surface of body, feet are in front of face
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A1078. Frank breech
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Q1079. Type of Breech:; thighs are flexed on the abdomen and legs are flexed (folded)
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A1079. Complete breech
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Q1080. Describe the 4 types of vaginal tears
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A1080. First degree: skin and vaginal mucosa; Second degree: including underlying muscle; Third degree: including anal sphinctor; Fourth degree: including rectal mucosa
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Q1081. what causes fluid retention postpartum?; (2)
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A1081. High Estrogen levels during Pregnancy; Increased Venous Pressure in lower body during pregnancy
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Q1082. what external stimulus provokes milk letdown?
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A1082. cry of the infant
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Q1083. what are the diabetic classifications?; (8)
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A1083. Gestational:; A1: < 120 two-hr PP glucose; A2: > 120 Non-Gestational (normal DM):; B: onset > 20 yo; C: onset 10 - 19 yo; D: onset < 10 yo; F: any onset age including neFropathy; H: any onset age including Heart prob; R: any onset age including Retinopathy
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Q1084. what is the CNS anomaly most specific to mother with DM?
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A1084. Caudal regression
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Q1085. if a woman is taking anticonvulsants during pregnancy, what vitamin should be supplemented?
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A1085. Folic Acid (if not, risk of defects or Anemia related to folic acid deficiency)
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Q1086. since asthma can be exacerbated by respiratory tract infections in pregnant women, what specific vaccine should be given to all asthma patients for prophylaxis?
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A1086. Killed Influenzae Vaccine
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Q1087. which anti-HTN medication in pregnancy can cause the AE of SLE-like syndrome?
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A1087. Hydralazine
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Q1088. (5)* contraindications to giving Tocolytics
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A1088. BAD CHad:; Bleeding (severe),; Abrupto placentae,; Death of fetus,; Chorioamnionitis,; HTN (severe)
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Q1089. first step in management for PROM
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A1089. evaluate for Chorioamnionitis; (if so, deliver baby and Antibiotics)
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Q1090. what is the Apt test and its results?
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A1090. place vaginal blood in tube with KOH; turns Brown = Maternal; turns Pink = Fetal
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Q1091. Dx:; pregnant woman is rushed into ER from car accident and has back pain
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A1091. Placental abruption
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Q1092. why is Estrogen a Pro-coagulant?; (2)
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A1092. Increases Factors VII and X; Decreases Anti-Thrombin III
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Q1093. best method of hormonal birth control for woman with SLE?
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A1093. Injectable Progesterone
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Q1094. what secretes Progesterone in the Luteal phase?; what does the secretion cause with respect to hormones?
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A1094. Corpus luteum; causes: decrease in LH and FSH
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Q1095. what hormone not related to menstrural cycle, inhibits GnRH pulsations and ovulation?
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A1095. Prolactin
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Q1096. MC postoperative complication?
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A1096. Pulmonary Atelectasis
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Q1097. MC cause of primary amenorrhea?
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A1097. Gonadal dysgenesis
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Q1098. MC reason for neonatal sepsis?
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A1098. Chorioamnionitis (GBS or e.coli)
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Q1099. Dx:; a baby with ambiguous genitalia is born to a mother who complains of increased facial hair growth over the last few months
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A1099. Luteoma of pregnancy (Dx after birth...virilization in mother and fetus)
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Q1100. Diff Dx for Menorrhagia; (6)*
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A1100. LACE-UP:; Leiomyoma,; Adenomyosis,; Coagulopathy,; Endometrial Hyperplasia,; Uterine (Endometrial) or Cervical CA,; Polyps of endometrium
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