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Asso Clinical Sciences (2.2) > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Measured in pregnant women using maternal blood or amniotic fluid as a screening test for a subset of developmental abnormalities; it is principally INCREASED in open neural tube defects and DECREASED in down syndrome.

A

Alpha Fetoprotein

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2
Q

The abnormal cessation of menses (absent pre-menarche and post-menopause)

A

Amenorrhea

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3
Q

Exam of Amniotic Fluid - done for the health of the fetus, chromosomes, lung maturity.
(If born <37wks = MUST HAVE DONE!)

A

Amniocentesis

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4
Q

Deficient in vitamin D and iron

A

Breast Milk

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5
Q

First breast milk

A

Colostrum

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6
Q

The expansion or stretching of the cervix during 1st stage of labor

A

Dilation of the cervix

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7
Q

Painful menses

A

Dysmenorrhea

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8
Q

1* dysmennorrhea is hormonal and has increased _____

A

Prostaglandin

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9
Q

2* dysmennorrhea is from what?

A

Pathology i.e. endometriosis

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10
Q

Abnormal, painful or prolonged labor

A

Dystocia

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11
Q

Thinning of the cervix in conjunction with dilation during 1st stage.

A

Effacement

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12
Q

Decent of the fetal skull to the level of the ischial spines

A

Engagement

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13
Q

Excessive nausea and vomiting during pregnancy

A

Hyperemesis Gravidarum

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14
Q

The MC surgical procedure for the diagnosis and treatment of Endometriosis

A

Laparoscopy

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15
Q

The baby drops into the pelvis 2 weeks before delivery & produces lower abdominal pain.

A

Lightening

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16
Q

Dark streak down the midline of the abdomen seen during pregnancy.

A

Linea Nigra

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17
Q

Vaginal discharge after delivery and throughout the puerperium; 1st red, 2nd yellow, 3rd white.

A

Lochia

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18
Q

1st menstrual cycle

A

Menarche

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19
Q

Pain in abdomen at ovulation (rare)

A

Mittelschmerz

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20
Q

More than one delivery of viable infant

A

Multiparous

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21
Q

Never given birth to a viable infant

A

Nulliparous

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22
Q

First pregnancy with a viable infant

A

Primpara

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23
Q

MC from C-Section; MC complication of childbirth

A

Post Partum Infection

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24
Q

Period of time after the delivery of the placenta to the complete involution of the organs (shrinking back to original size @ 6wks), and what is an infection during this time called?

A

Puerperium

Puerperal Sepsis

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25
Q

1st perception by the mother of fetal life

A

Quickening

26
Q

Identifies the fetal head position (cm) in relation to the spines of the Ischium.

A

Station

27
Q

What are the signs of pregnancy?

A

1) Menses 3 weeks late &

2) Presence of fetal HEARTBEAT (best)

28
Q

Bluish discoloration of the vagina (sign of pregnancy)

A

Chadwick’s sign

29
Q

Softening of the tip of the cervix

A

Goodell’s sign

30
Q

Softening of the isthmus of the uterus

A

Hegar’s sign

31
Q

Enlargement of the uterus near the uterine tube over the site of implantation.

A

Piskacek’s sign

32
Q

MC reason for post-partum hemorrhage

A

Atonic Uterus

33
Q

Early uterine contractions (oxytocin) without cervical changes. “Fake contraction”

A

Braxton Hick’s Contractions

34
Q

MC location for malignancy of the female genital tract

A

Cervix

35
Q

Brown hyperpigmentation of the face/mask of pregnancy

A

Chloasma aka Melasma

36
Q

Malignancy of the placenta due to abnormal epithelium

Extremely high HCG!!!

A

Choriocarcinoma

37
Q

Herniation of the urinary bladder into the vagina (Anteriorly)

A

Cystocele

38
Q

A toxemia of pregnancy caused by hypertension leading to convulsions.
High BP, Edema, etc.

A

Eclampsia

39
Q

The fertilized egg most commonly implants in one of the fallopian tubes. Symptoms include light vaginal bleeding, lower abdominal pain, cramping on one side of the pelvis.

A

Ectopic Pregnancy

40
Q

Abnormal endometrial tissue outside the uterus. Abdominal/Back pain & can cause infertility.
PAINFUL INTERCOURSE!

A

Endometriosis

41
Q

MC type of post-partum infection (staph/strep); inflammation of endometrium.

A

Endometritis

42
Q

Palpable nodules in breast after ovulation with regression after menses (overweight diabetic women)
“Painful, bumpy boobs @ cycle worse with caffeine”

A

Fibrocystic Breast Disease

43
Q

A benign of trophoblastic tissue which develops at the placenta. May become malignant and then is called Choriocarcinoma. Very high HCG seen.
(Makes placenta without baby)

A

Hydatidiform Mole

44
Q

Presence of numerous cysts along the outer edge of the ovary caused by hormonal imbalance.
Usually no menstration monthly
Associated with diabetes

A

Polycystic Ovarian Syndrome

45
Q

Toxemia of pregnancy with the following signs: HEP - Hypertension, Edema, Proteinuria

A

Pre-eclampsia

46
Q

Herniation of the rectum into the vagina (posteriorly); “collapsed pouch” along the posterior vaginal wall.

A

Rectocele

47
Q

Responsible for maturation of the follicle in the ovary

prepares it

A

FSH

48
Q

Promotes health of corpus leuteum; used to detect pregnancy

A

HCG

49
Q

Most responsible for ovulation

releases it

A

LH

50
Q

Uterine contractions during labor & milk let-down (ejection) following delivery.

A

Oxytocin

51
Q

Responsible for milk production

A

Prolactin

52
Q

Stage of Labor:

From the 1st meaningful contraction to the full dilation of the cervix to 10cm; longest stage (up to 36 hours)

A

1st - Dilation

53
Q

The release of the mucus plug during the first stage of labor

A

Bloody show

54
Q

Stage of Labor:
From full dilation of the cervix to delivery of the baby
(urge to push)

A

2nd - Expulsion

55
Q

Stage of Labor:
From delivery of the baby to delivery of the placenta
(most dangerous to mother)

A

3rd - Placental Delivery

56
Q

Stage of Labor:
A period of time from delivery of the placenta to several hours when the tone of the uterus is established and the uterus contracts expelling any remaining contents.

A

4th - Stabilization

57
Q

Low lying placenta with partial obstruction of the internal os
Must have C-Section

A

Placenta Praevia

58
Q

Normally placed placenta, detaches from site; spontaneous abortion/premature separation

A

Placenta Abruptio

59
Q

Placenta does not separate after delivery

Grows into muscular layer of uterus causing hysterectomy after delivery

A

Placenta Accreta

60
Q

Umbilical cord is attached at the margin of the placenta (rather than the center). It rarely occurs and does not affect placental functioning.

A

Battledore Placenta

61
Q

What are the following Pap Smear Classifications:

I, II, III, IV, V

A 
I - Normal
II - Atypical or Benign (possible infection/inflammation)
III - Dysplasia / Pre-cancerous
IV- In Situ / Non-invasive carcinoma
V - Malignancy / Invasive

Asso Clinical Sciences (2.2) (7 decks)

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