gestational trophoblastic disease and other

Question 1

complete moles

Answer 1

usually 46, XX
can be 46, XY
all paternal chromosomes
no fetal tissue
increased risk for choriocarcinoma

Question 2

incomplete moles

Answer 2

69, XXY
fetal tissue present
unlikely to progress to choriocarcinmoa

Question 3

complications of molar pregnancies

Answer 3

mostly d/t elevated hCG
ovarian enlargment d/t theca lutein cysts
hyperemesis gravidarum
early preeclampsia
hyperthyroidism
hemorrhage

Question 4

dysmenorrhea

Answer 4

painful menses

Question 5

amenorrhea

Answer 5

absence of 3 periods or no menstruation by age 15

Question 6

oligomenorrhea

Answer 6

irregular menses with intervals >35 days or 4-9 periods in a year

Question 7

menorrhagia

Answer 7

heavy bleeding >80cc

Question 8

metorrhagia

Answer 8

bleeding in btwn periods

Question 9

menometorrhagia

Answer 9

heaving bleeding and bleeding inbtwn periods

Question 10

dyspareunia

Answer 10

painful intercourse

Question 11

cystocyle

Answer 11

bladder prolapse

Question 12

rectocele

Answer 12

rectum prolapse

Question 13

baden-walker sysemt

Answer 13

prolapse:
halfway to hymen-1
to hymen-2
halfway past hymen 3
out of vagina- 4

Question 14

cause of prolaspe

Answer 14

weakening of mm (levator ani)
weakening of fascia (UG diaphragm)
weakening ligaments (uterosacral, cardinal ligaments)

Question 15

risk factors for prolapse

Answer 15

postmenopause
previous pregnancies and vag deliveries
difficult deliveries
obesity

Question 16

Tx of prolpase

Answer 16

nothing
kegals, weight loss
estrogen cream
pessary
bladder sling
colposacropexy
colpocleisis

Question 17

stress incontinence

Answer 17

with sneezing, laughing, coughing, jogging etc

biggest risk factor is genetics

Question 18

OAB

Answer 18

overactive bladder

increased urgency, frequency, nocturia

Question 19

urge incontinence

Answer 19

strong need to urinate, cannot reach toilet in time

Question 20

causes of incontinence

Answer 20

DIAPPERS
Delirium
Infection
Atrophic urethritis and vaginitis
pharmaceuticals
psychological
excessive urine production
restricted mobility
stool impaction