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35 Cards in this Set
- Front
- Back
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what is the best treatment of severe pre-eclampsia
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labor induction regardlss of gestational age
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what is the most common cause of maternal death due to eclampsia?
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intracerebral bleed
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what is the most common cause of maternal death due to eclampsia
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intracerebral bleed
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the management of pre-eclampsia in the preterm patient is
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observation until severe criteria are noted, or term gestation is reached
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chronic HTN in a pregnant patient is diagnosed if the woman has HTN prior to 20 weeks or
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beyond 12 weeks postpartem
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fibroadenomas or fibrocystic change alter within the menstrual cycle
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fibrocystic change only
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secondary infertility
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a woman was able to get pregnant in the past but has been unable to for the past year
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What are the five main factors of infertility
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1. ovulatory
2. uterine 3. tubal 4. semen 6. peritoneal (endometriosis) |
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mid luteal is day
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21
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36 hours after the onset of the LH surge
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ovulation
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HSG should be performed at what point during the mestrual cycle
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midfollicular phase...therefore days 6 - 10
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therapy for ovarian causes of infertility
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colmiphene citrate
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cervica factor is an infrequent etiology of infertility but may be considered
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with thick viscid cervical mucous before ovulation
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normal semen analysis =
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2cc, 20mill sperm, 50 percent move, 30 normal morphology...if abnormal recheck after a period of 74 days because thats how long it takes to makeem
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when is ovarian torsion most commonly seen in pregnancy
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at 14 weeks when the uterus rises above the pelvic brim or immediately after delivery with rapid involution
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where is the location of appendiceal pain in a pregnant woman
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superior and lateral to mcburney's point
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a common physiologic effect of pregnancy is an increase in gallbladder volume and biliary sludge especially after
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the first trimester
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what is actually a typical symtpm with ovarian torsion
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the acute onset of colicky pain...treatment is surgical if untwisting the adnexa results in reperfusion an ovarian cystectomy may be perfrmd however is reperfusion is not established oophorectomy is indicated
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how does one confirm a hemoperitoneum in the case of an ectopic pregnancy
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culdocentesis (needle aspiration after piercing the posterior vaginal fornix into the cul-de-sac
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Fatal genetic defect in Caucasians
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Cystic Fibrosis
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TV U/S can detect pregnancy as early as
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5.5 - 6 weeks
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If ectopic pregnancy is detected and the HCG is over 1500 and an U/S does not detect anything what is the next step
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laparoscopy
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what are the two types of surgeries performed for an ectopic and what are the scenarios that indicate them
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1. Salpingectomy...usually performed for those gestations that are too large for conservative therapy, when rupture has occurred, or for those women who do not desire future fertility
For a woman who desires to preserve her fertility and has an unruptured tubal pregnancy a salpingostomy can be performed |
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After medical therapy of an ectopic pregnancy a patient comes to the hospital complaining of abdominal pain
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if its between 3-7 days after then is is probably a result of tubal abortion
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what lab elevation is is indicative of beta thal
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A2
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what lab elevation can be indicative of alpha-thal
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HgB F
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What test of the vaginal fluid prior to digital exam may indicate risk for preterm delivery
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fetal fibronectin assay
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in a nulliparous woman what is needed to diagnose preterm labor
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A single exam revealing 2cm dilation and 80 percent effacement
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A short cervix especially with lower uterine cervix changes like what are worrisome for preterm pregnancy
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funneling or breaking of the amniotic cavity into the cervix
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name the most comonly used agents for tocolysis
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indomethacin, ritrodrine, nifedipine, terbutaline
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what is fetal fibronectin
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a basement membrane that helps bind placental membranes to the decidua of the uterus
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cervical length less than what results in an increased risk of preterm
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A cervical length of less than 25 results in an increased risk of preterm delivery...also an impinging of the amniotic cavity into the cervix so-called funneling, increases the risk of preterm delivery
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what is the incidence of preterm labor in the united states
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11%....11%
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when is indomethacin contraindicated for tocolysis
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the 3rd trimester as it can mess with the PDA
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major side effect lesser known by myself of MgSO4
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pulmonary edema
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