1. Ch 1 - Reproductive Basics

Question 1

excess levels of BhCG indicate

Answer 1

twins, hydatidiform mole, choriocarcinoma, embryonal carcinoma

Question 2

inadequate levels of BhCG indicate

Answer 2

ectopic, threatened abortion, missed abortion

Question 3

which BhCG subunit is specific? which is related to LH, FSH, and thyrotropin

Answer 3

B is specific. A is shared

Question 4

BhCG peaks at how many weeks

Answer 4

9-10

Question 5

BhCG is produced by

Answer 5

placental synctiotrophoblasts

Question 6

which pregnancy hormone antagonizes insulin

Answer 6

human placental lactogen

Question 7

progesterone is produced where

Answer 7

corpus luteum - luteal cells

9+ weeks - exclusively by placenta

Question 8

Name the Estrogen

nonpregnant reproductive years
Follicle - Granulosa

Answer 8

Estradiol

Question 9

Name the Estrogen

Pregnancy
Placenta - from fetal adrenal DHEAS

Answer 9

Estriol

Question 10

Name the Estrogen

Post Menopause
Adipose - from adrenal steroids

Answer 10

Estrone

Question 11

bluish discoloration of cervix/vagina due to increased vascularity in pregnancy

Answer 11

Chadwick sign

Question 12

blotchy pigmentation of the nose/face in pregnancy

Answer 12

Chloasma

Question 13

A Systolic/Diastolic ejection murmur is normal during pregnancy

Answer 13

Systolic

Question 14

pH change normal is pregnancy

Answer 14

respiratory alkalosis

Question 15

name the hormone

promotes the growth of ducts in the breast

Answer 15

estrogen

Question 16

name the hormone

stimulates development of milk producing alveolar cells

Answer 16

progesterone

Question 17

name the hormone

stimulates milk production

Answer 17

prolactin

Question 18

name the hormone

causes milk ejection

Answer 18

oxytocin

Question 19

period of greatest teratogenic risk

Answer 19

3-8 weeks

Question 20

name the drug causing these birth defects

midfacial hypoplasia, long philtrum

Answer 20

alcohol

Question 21

name the drug causing these birth defects

T shaped uterus, vaginal adenosis, predispo for vaginal clear cell carcinoma

Answer 21

Diethylstilbestrol (DES)

Question 22

name the drug causing these birth defects

craniofacial dysmorphism, mental retardation, microcephaly

Answer 22

Dilantin

Question 23

name the drug causing these birth defects

congenital deafness, microtia

Answer 23

Isotretinoin (Accutane)

Question 24

name the drug causing these birth defects

Ebstein’s anomaly

Answer 24

Lithium

Question 25

name the drug causing these birth defects

teeth discoloration after 4 months

Answer 25

Tetracycline

Question 26

name the drug causing these birth defects

Phocomelia, limb reduction defects

Answer 26

thalidomide

Question 27

name the drug causing these birth defects

Neural tube defects

Answer 27

Valproic acid (Depakote)

Question 28

name the drug causing these birth defects

Chondrodysplasia

Answer 28

Warfarin

Question 29

name the genetic syndrome

primary amenorrhea, web neck, streak gonads

Answer 29

Turner syndrome

Question 30

name the genetic syndrome

testicular atrophy, gynecomastia, azoospermia

Answer 30

Klinefelter syndrome

Question 31

name the genetic syndrome

short stature, mental retardation, endocardial cushion cardiac defects

Answer 31

Down syndrome

Question 32

name the genetic syndrome

rocker bottom feet, clenched fists

Answer 32

Edward - trisomy 18

Question 33

name the genetic syndrome

cyclopia, proboscis, holoprosencephaly, cleft lip/palate

Answer 33

Patau - trisomy 13