Gestational Pathology

Question 1

What does MgSO4 do to treat pre-eclampsia?

Answer 1

Calcium antag to prevent seizures

Question 2

Central to pre-eclampsia is believe to be _____ _____

Answer 2

Inadequate Uterine-Placental Perfusion

Question 3

With a live term fetus and placental abruption and the mom is not stable, what tx goes first?

Answer 3

First Mother

Question 4

2 Gestational Trophoblastic diseases that are Non-Cancerous

Answer 4

1. Complete Hydatidiform Mole

2. Partial Hydatidiform

Question 5

Patho difference of Placental abruption vs Previa

Answer 5

• Abruption means placenta detaches

- Previa means placenta blocks internal os

Question 6

What are Placenta accreta, Increta, and Percreta?

Answer 6

• Placenta does not separate
• Progresses with “alphabet”
• Placenta invades tissue

Question 7

Key sign of pre-eclampsia that transitioned into Eclampsia

Answer 7

Seizures

Question 8

Never perform what physical exam maneuver for a placenta previa?

Answer 8

PELVIC EXAM May perforate placenta!

Question 9

Which mole has Jumbo uterine and Synctiotrophoblasts?

Answer 9

Complete Mole

Question 10

How to reverse MgSO4 toxicity from trying to treat pre-eclampsia?

Answer 10

Calcium Gluconate

Question 11

Which mole has a fetus, small uterine, and Cytotrophoblasts?

Answer 11

Partial

Question 12

Complete vs Partial Hydatidiform Pathology

Answer 12

• Complete= Egg w/ no chromosome

- Partial= Triploid (two sperm)

Question 13

Pre-eclampsia shows with BP greater than ___/___ along with possiblity of proteinuria, thrombocytopenia, renal fail, liver fail, pulm fail

Answer 13

140/90

Question 14

Gestational HTN vs Pre-Eclampsia

Answer 14

No organ damage in Gestational HTN

Question 15

The ____ is the most common site for ectopic pregnancy

Answer 15

Ampulla

Question 16

To manage ectopic pregnancies, methotrexate antagonizes ______ ____

Answer 16

Folic Acid

Question 17

With a live term fetus and placental abruption ______ is preferred to treat

Answer 17

C-Section

Question 18

Key SYMPTOM difference between patient’ placental abruption vs previa?

Answer 18

• Abruption is painful

- Previa is Painless

Question 19

What is gestational HELLP syndrome?

Answer 19

Hemolysis
Elevated Liver Enzymes
Low Platelets

Question 20

What drug prevents seizures in pre-eclampsia?

Answer 20

MgSO4

Question 21

To manage ectopic pregnancy, provide the folic acid antagonist known as ______

Answer 21

Methotrexate