3/31/13 b Flashcards
What agent is used to Tx central precocious puberty?
GnRH analog
In women with severe PMS unresponsive to conservative Tx, what is the first-line medical therapy?
SSRIs
What is the 2nd line medical Tx for severe PMS?
alprazolam
What is the first step in pregnant women who have an abnormal serum AFP? Why?
US to ensure correct dating and rule out nonviable preg and multiple gestation
Which hormone is responsible for interstitial edema of the hands and face in pregnancy?
estrogen
What is the differential for night sweats, insomnia, and irregular menses in a middle-aged woman?
menopause and hyperthyroidism
What is the karyotype of a person w/ Swyer syndrome?
46, XY
15 y.o. pt w/ failure to develop menses or secondary sexual characteristics: what is the next step?
US to visualize uterus
15 yo pt w/ primary amenorrhea and uterus is present, next step?
serum FSH
15 yo pt w/ primary amenorrhea, uterus absent, next step?
karyotype analysis
15 yo pt w/ primary amenorrhea, uterus present, FSH is low; next step?
pituitary MRI
15 yo pt w/ primary amenorrhea, uterus present, FSH hi: next step?
karyotyping
How is the first stage of labor defined?
onset of true labor to full cervica dilation
How is the latent phase defined?
0 to 3-4 cm dilation
How is the active phase defined?
3-4 cm to full dilation
How is the 2nd stage of labor defined?
full dilation to birth of baby
How is the 3rd stage of labor defined?
birth of baby to delivery of placenta
What is the normal length of time for the first stage of labor for a primigravida? multigravida?
<14 hrs.
What is the normal rate of cervical dilation in the active phase of labor for the primigravida? multigravida?
> 1cm/hr; >1.2cm/hr
What is the normal length of time for the 2nd stage of labor for the primigravida? multigravida?
30min-3hr; 5-30min
What is the normal length of time for the 3rd stage of labor?
0-30 min
How is arrest of descent (active phase of first stage of labor) defined for a primigravida? multigravida?
no descent for 2 hrs; 1 hr
How much time is added before calling arrest of descent in case of an epidural?
1 hr
How do you define an arrest of dilation for a nulliparous pt? multiparous?
2 hrs for both
