3/6/13 b

Question 1

How is hypothyroidism thought to cause prolactinemia?

Answer 1

TRH stimulates prolactin release

Question 2

What else STIMULATES prolactin release?

Answer 2

serotonin

Question 3

What is the main uterine abnormality leading to secondary amenorrhea?

Answer 3

Asherman’s syndrome

Question 4

What is assymetric IUGR?

Answer 4

caudal end smaller

Question 5

Which has a better prognosis, symmetric or assymetric IUGR?

Answer 5

assymetric

Question 6

What are the 3 main factors causing symmetric IUGR?

Answer 6

chromosomal abnormalities, congenital anomalies, TORCH infections

Question 7

In symmetric IUGR, the insult usu. occurs before ___ wks.

Answer 7

28

Question 8

Are the factors causing assymetric IUGR maternal or fetal?

Answer 8

maternal

Question 9

Name some factors causing assymetric IUGR.

Answer 9

htn, smoking, pre-eclampsia, uterine anomalies, APLA, colagen vascular disease

Question 10

In a pt. w/ hypogonadotropic hypogonadism d/t physical/emotional stress (e.g. anorexia) what is the first medical treatment for inducing ovulation?

Answer 10

pulsatile GnRH agonist

Question 11

What is the appropriate Tx for mild pre-ecclampsia before term?

Answer 11

bed rest and close observation

Question 12

WHat are the options for hypertension control in pre-eclampsia or eclampsia?

Answer 12

Hydralazine, non-selective α-/β-blocker, CCB

Question 13

What is the preferred non-selective α-/β-blocker for pre-eclampsia/eclampsia?

Answer 13

labetalol

Question 14

_______ is used when a missed abortion is Dxed after the 16th week of labor.

Answer 14

Induction of labor

Question 15

WHat is the Tx of choice for inevitable abortion?

Answer 15

suction curettage

Question 16

When does false labor occur?

Answer 16

last 4-8 wks of preg

Question 17

Where is the pain of contractions located in true labor?

Answer 17

upper abdomen and back

Question 18

Where is the pain of contractions located in false labor?

Answer 18

lower abdomen

Question 19

What is the difference in the rhythm and intensity of contractions in true and false labor?

Answer 19

true: increasing intensity, rhythmic; false: no change in intensity, irregular (In the last month, may become rhythmic and increase in intensity.)

Question 20

What can be given to differentiate between true and false labor?

Answer 20

sedatives - relieve false labor

Question 21

What usually resolves amenorrhea in pts taking OCPs?

Answer 21

increase estrogen dose

Question 22

What are the 3 proposed mechs of infertility in endometriosis?

Answer 22

adhesioms in peritoneum (prevent oocyte transfer to Fallopian tubes); endometrial factors w/in uterus–>poor nimplantation; other hormonal issues

Question 23

Which breast cancer drug increases the risk of endometrial carcinoma?

Answer 23

tamoxifen