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Ob/Gyn > 3/31/13 b > Flashcards

3/31/13 b Flashcards

1
Q

What agent is used to Tx central precocious puberty?

A

GnRH analog

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2
Q

In women with severe PMS unresponsive to conservative Tx, what is the first-line medical therapy?

A

SSRIs

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3
Q

What is the 2nd line medical Tx for severe PMS?

A

alprazolam

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4
Q

What is the first step in pregnant women who have an abnormal serum AFP? Why?

A

US to ensure correct dating and rule out nonviable preg and multiple gestation

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5
Q

Which hormone is responsible for interstitial edema of the hands and face in pregnancy?

A

estrogen

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6
Q

What is the differential for night sweats, insomnia, and irregular menses in a middle-aged woman?

A

menopause and hyperthyroidism

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7
Q

What is the karyotype of a person w/ Swyer syndrome?

A

46, XY

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8
Q

15 y.o. pt w/ failure to develop menses or secondary sexual characteristics: what is the next step?

A

US to visualize uterus

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9
Q

15 yo pt w/ primary amenorrhea and uterus is present, next step?

A

serum FSH

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10
Q

15 yo pt w/ primary amenorrhea, uterus absent, next step?

A

karyotype analysis

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11
Q

15 yo pt w/ primary amenorrhea, uterus present, FSH is low; next step?

A

pituitary MRI

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12
Q

15 yo pt w/ primary amenorrhea, uterus present, FSH hi: next step?

A

karyotyping

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13
Q

How is the first stage of labor defined?

A

onset of true labor to full cervica dilation

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14
Q

How is the latent phase defined?

A

0 to 3-4 cm dilation

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15
Q

How is the active phase defined?

A

3-4 cm to full dilation

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16
Q

How is the 2nd stage of labor defined?

A

full dilation to birth of baby

17
Q

How is the 3rd stage of labor defined?

A

birth of baby to delivery of placenta

18
Q

What is the normal length of time for the first stage of labor for a primigravida? multigravida?

A

<14 hrs.

19
Q

What is the normal rate of cervical dilation in the active phase of labor for the primigravida? multigravida?

A

> 1cm/hr; >1.2cm/hr

20
Q

What is the normal length of time for the 2nd stage of labor for the primigravida? multigravida?

A

30min-3hr; 5-30min

21
Q

What is the normal length of time for the 3rd stage of labor?

A

0-30 min

22
Q

How is arrest of descent (active phase of first stage of labor) defined for a primigravida? multigravida?

A

no descent for 2 hrs; 1 hr

23
Q

How much time is added before calling arrest of descent in case of an epidural?

A

1 hr

24
Q

How do you define an arrest of dilation for a nulliparous pt? multiparous?

A

2 hrs for both

Ob/Gyn (21 decks)

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