Module 5- OB Intro Flashcards

1
Q

Timelines of the trimesters

A

1st: 0 days-12w6d
2nd: 13 weeks- 27w6d
3rd: 28 weeks- 40 weeks

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2
Q

What bloodwork happens and when?

A

1st: PAPPA and hCG
16 weeks: triple and quad screen
24-28 weeks: glucose tolerance screen

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3
Q

When is it called and embryo and when is it called a fetus?

A

After 10 weeks the embryo becomes the fetus

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4
Q

What is the purpose of the zona pellucida?

A

Prevents other sperm from getting into the egg

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5
Q

What is the purpose of the corona radiata?

A

Provides nutrients to the ovum

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6
Q

Where does fertilization occur in the female pelvis?

A

Ampullar portion of the Fallopian tubes

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7
Q

When is implantation complete by?

A

11-12 days post ovulation/9-10 days post fertilization

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8
Q

Syncytiotrophoblast produces what?

A

hCG

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9
Q

Which is the more external one, which is more internal?:
-syncytiotrophoblast
-cytotrophoblast

A

Syncytiotrophoblast- external
Cytotrophoblast- internal

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10
Q

What is the early placenta?

A

Chorion frondosum (which is part of the cytotrophoblast)

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11
Q

Describe the decidua layers of the uterus (3)

A
  1. Decidua basalis- underlying the conceptus and becomes the maternal side of the placenta
  2. Decidua capsularis- covers over the gestational sac
  3. Decidua parietalis(Vera)- all remaining decidua
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12
Q

Describe the 3 layers of the trilaminar disc

A
  1. Endoderm: inner (linings GI and respiratory tract)
  2. Ectoderm: outer (forms CNS and surface of the ectoderm- hair, skin, teeth, nails)
  3. Mesoderm: middle (forms muscle and bone)
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13
Q

When is the yolk sac seen on ultrasound?

A

From 5 weeks to about 10-12 weeks

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14
Q

What is the upper limit of normal for the yolk sac before 10 weeks?

A

6mm

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15
Q

How much does the gestational sac grow per day?

A

1.1mm/day

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16
Q

When should fetal heart motion be detected?

A

5mm or greater

17
Q

When do B hCG levels plateau?

A

8 weeks

18
Q

What do high B hCG levels indicate? Low levels?

A

High- twins, moles, choriocarcinoma, teratomas, gonadotropin producing tumours
Low- ectopic, fetal demise, inaccurate dates

19
Q

Pseudocyesis

A

A woman feels pregnant. But isn’t.

20
Q

Single set of unpaired chromosomes (23)

A

Haploid

21
Q

Paired chromosomes

A

Diploid (46 chromosomes- 23 pairs)

22
Q

3 complete chromosome sets (69 chromosomes)

A

Triploid

23
Q

Condition where there is one extra chromosome present in each cell additional to the normal diploid (46 becomes 47)

A

Trisomy

24
Q

Karyotype meaning

A

How chromosomes are expressed