HRR Week 3 Flashcards

1
Q

How do Theca cell and granulosa cell dysfunction contribute to PCOS symptoms?

A
  • Thecal cells overproduce androgens

- Granulosa cells under-convert androgens to estrogen

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2
Q

Hegar sign and Chadwick sign are (presumptive, probable, or positive) signs of pregnancy?

A

Probable

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3
Q

Definition of puerperium:

A

From delivery of placenta to 6 weeks postpartum

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4
Q

HELLP syndrome:

A
  • Hemolysis
  • Elevated Liver enzymes
  • Low Platelets
  • Probably represents a severe form of pre-eclampsia
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5
Q

What distinguishes pre-eclampsia from gestational HTN?

A

Proteinuria

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6
Q

Diagnosis of mild pre-eclampsia:

A
  • BP at least 140/90
  • 2nd reading 4-6 hours later must also be elevated
  • 300 mg or more protein on 24 hr urine collection (~1-2 on urine dipstick)
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7
Q

Diagnosis of severe pre-eclampsia:

A
  • BP at least 160/110
  • 2nd reading 6 hours later must also be elevated
  • 5g or more protein on 24 hr urine collection
  • SSx of end organ damage (pulmonary edema, RUQ pain, visual changes, HA, elevated LFTs)
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8
Q

Infectious etiologies of intrauterine growth restriction (IUGR):

A
T = toxoplasmosis
O = other (syphilis, varicella)
R = rubella
C = cytomegalovirus
H = herpes
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9
Q

Contrast the presentation of placenta previa vs. abruptio placentae:

A
  • Placenta previa: painless vaginal bleeding

- Abruptio placentae: painful vaginal bleeding

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10
Q

What are the crown rump measurements necessary in order to have a meaningful nuchal translucency measurement?

When is it usually done?

What are the normal ranges?

A

42 - 85 mm

11 - 14 weeks

> 3 is abnormal,

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11
Q

What are the normal ranges for amniotic fluid measurements?

A
  • Maximum vertical pocket (MVP): 2 - 8 cm

- Amniotic fluid index (AFI): 5 - 20 cm

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12
Q

What STI can you diagnose from a wet mount?

A

Trichomonas

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13
Q

Contrast lichen sclerosis vs lichen planus in regards to anatomic location:

A
  • Lichen sclerosis is almost always confined only to the vulva
  • Lichen planus may affect both the vulva and the vagina
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14
Q

Which condition is responsive to treatment with lidocaine, vestibulodynia or generalized unprovoked vulvodynia?

A

Vestibulodynia

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