OB Flashcards

0
Q

Pregnancy 20-36 weeks

> 3 contractions in 30 minutes

Dilated <2cm and no change

A

Preterm contractions

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1
Q

Pregnancy 20-36 weeks

> 3 contractions in 30 minutes

Dilated >2cm or changing

A

Preterm labor

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2
Q

Pregnant 18-22 weeks

Painless cervical dilatation

Delivery of previable baby

A

Cervical insufficiency

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3
Q

Menopause

A

Mean age is 51 years old

Perimenopausal is about 4 years

The age at which menopause occurs determined by genetics

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4
Q

What is the initial endocronologic change in menopause?

A

⬆️ FSH, ⬇️ INHIBIN

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5
Q

Pathognomonic sign of menopause?

A

Hot flushes

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6
Q

All menopausal effects and complications are relieved by estrogen except?

A

Loss of libido

Tx: IM testosterone

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7
Q

ESTROGEN

Continuous administration at physiologic replacement dose

A
  1. 625mg of conjugated equine estrogen
  2. 625mg of estrogen sulfate
  3. 5mg of micronized estradiol
  4. 05 transdermal estrogen
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8
Q

Peak of LH

A

10-12 hours prior

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9
Q

Due to estrogen

A

Ferning

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10
Q

Seen in the proliferative of the menstruak cycle

A

Ferning

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11
Q

Due to progesterone

A

Beading

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12
Q

Seen in the secretory phase of the menstrual cycle and pregnancy

A

Beading

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13
Q

Most predominant estrogen in pregnancy and serves as an indicator of fetal well being

A

Estriol

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14
Q

Substance responsible for the migration of the active follicle to the surface of the ovary as well rupture

A

Estrogen

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15
Q

Hormone of pregnancy is considered diabetogenic because of its antagonism on the cellular action of insulin, decreasing insulin utilization

A

Human placental lactogen/Human chorionic somatotropin

16
Q

Nonpregnant reproductive years

A

Estradiol

17
Q

Production site of estradiol

A

Ovary

18
Q

Type of estrogen in pregnancy

A

Estriol

19
Q

Production site of pregnancy

A

Placenta

20
Q

Type of estrogen after menopause

A

Estrone

21
Q

Production site of estrone

A

Adipose

22
Q

Marker of fetal well being

A

Estriol

23
Q

Produced exclusively by the fetus

A

Estriol

24
Q

Pregnancy of hormone

A

hCG

25
Q

Proposed mechanism for GDM

A

Human placental lactogen

26
Q

Diabetogenic hormone

A

Human placental lactogen

27
Q

Chorionic growth hormone

A

Human placenta lactogen

28
Q

Chorionic somatomammotropin

A

Human placenta lactogen

29
Q

Has growth hormone like activity

A

Human placenta lactogen

30
Q

Woman who has never completed a pregnancy to a stage of viability

A

Nulligravida