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FM Cases > 12 - 16 yo F with vaginal bleeding and UCG > Flashcards

12 - 16 yo F with vaginal bleeding and UCG Flashcards

1
Q

the USPSTF recommends screening for chlamydia in which groups?

A
  • all sexually active women age 24 and younger

- sexually active women age 25 and older who are at increased risk

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2
Q

what are the risk factors for chlamydial infection?

A
  • hx of chlamydial or other STI
  • new or multiple partners
  • inconsistent condom use
  • exchanging sex for money or drugs

NO RECOMMENDATION FOR SCREENING MEN

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3
Q

what is Goodell’s sign?

A

softening of the cervix

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4
Q

what is Hegar’s sign?

A

softening of the uterus

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5
Q

what is Chadwick’s sign? what is the cause?

A
  • bluish-purple hue in the cervix and vaginal walls

- caused by hyperemia

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6
Q

enlargement of the uterus can be felt at week ___ on bimanual exam

A

8

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7
Q

at what week can the uterine fundus be palpated about the pubic symphysis?

A

week 12

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8
Q

during what weeks will the uterine enlargement, measured in centimeters, approximate gestational age?

A

weeks 20-36

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9
Q

fetal heart tones can be elicited via handheld doppler bewteen weeks _____

A

10-12

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10
Q

fetal movement is detected by the mother around weeks _______

A

18-20

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11
Q

softening of the cervix = __________ sign

A

Goodell’s sign

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12
Q

softening of the uterus = __________ sign

A

what is Hegar’s sign?

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13
Q
  • bluish-purple hue in the cervix and vaginal walls
  • caused by hyperemia

what is the name of this sign?

A

Chadwick’s sign

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14
Q

what is implantation bleed?

A

bleeding that occurs in early pregnancy around the time of missed menses as a result of an invasion of the trophoblast into the decidua

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15
Q

what is Naegele’s rule?

A
  • add 1 year
  • subtract 3 months
  • add 1 week
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16
Q
  • definition: ectropion

- what is its significance?

A
  • when the central part of the cervix appears red from mucous-producing endocervical epithelium protruding through the os, onto the face of the cervix
  • no clinical significance and is common in women who are taking OCPs
17
Q

what % of women who have miscarriages have subsequent normal pregnancies and births?

A

87%

18
Q

what are the 3 most common causes of first trimester bleeding?

A
  • spontaneous abortion
  • ectopic pregnancy
  • idiopathic bleeding in a viable pregnancy
19
Q

BHCG should approximately double every ____ hours during weeks _______ in a normal pregnancy

A
  • 48

- 6-7 weeks

20
Q

intrauterine contents (gestational sac, fetal pole, etc) are not expected to be seen until the quantitative BHCCG reaches over _________ IU/L

A

1500 IU/L

21
Q

to detect an intrauterine pregnancy by transabdominal US, the BHCG will typically be over ______ IU/L

A

5000 IU/L

22
Q

what is Kleihauer-Betke testing?

A
  • helps to estimate the quantitative amount of fetal Hb in the maternal circulation and with dosing RhoGam
  • helps determine if a type and screen should be done
23
Q

definition: spontaneous abortion

A

loss of a pregnancy without outside intervention before 20 weeks gestation

24
Q

definition: threatened abortion

A

bleeding before 20 weeks gestation

25
Q

definition: inevitable abortion

A

dilated cervical os

26
Q

definition: incomplete abortion

A

some but not all of the intrauterine contents have been expelled

27
Q

definition: missed abortion

A

fetal demise without cervical dilation and/or uterine activity

28
Q

definition: septic abortion

A

with intrauterine infection (abdominal pain and fever)

29
Q

definition: complete abortion

A

products of conception have been completely expelled from uterus

30
Q

loss of a pregnancy without outside intervention before 20 weeks gestation

A

spontaneous abortion

31
Q

bleeding before 20 weeks gestation

A

threatened abortion

32
Q

dilated cervical os

A

inevitable abortion

33
Q

some but not all of the intrauterine contents have been expelled

A

incomplete abortion

34
Q

fetal demise without cervical dilation and/or uterine activity

A

missed abortion

35
Q

with intrauterine infection (abdominal pain and fever)

A

septic abortion

36
Q

products of conception have been completely expelled from uterus

A

complete abortion

37
Q

what are the main indications for suction D&C?

A
  • heavy bleeding

- patient preference

38
Q

what are the main contraindications for suction D&C?

A
  • active pelvic infection

- patient refusal

39
Q

what is the most common protocol for medical abortion?

A

800 mcg misoprostol (cytotec), possibly repeated day 3

FM Cases (40 decks)

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