OBGYN FINAL Flashcards
physiological exam of ____ usually reveals a ….by granuloma cells within the ovarian structure
Follicle Cysts
which of the following is true?
a. alcohol has a direct toxic effect on cells, decreasing cell proliferation and growth
b. alcohol increases placental blood flow, resulting in fetal hypoxia
c. alcohol increases the risk of fetal macrosomia and uterine bleeding
d. alcohol is the leading cause of low birth weight babies
a or d
p/p at 35 weeks gestation with a week-long history of dizziness when getting up from a supine position
IVC syndrome
p/p at 32 weeks gestation weight severe itching across the superior half of the thorax and bilateral posterior arms without any skin changes
pruritis gravidarum
p/p at 30 weeks gestation complaining of left lower abdominal pain that radiates to the groin area with….
round ligament syndrome
leopold maneuver is a palpation procedure that evaluates for fetal_______&________.
li, position and presentation
which of the following uttering location is the ideal implantation site?
a. ant inf isthmus
b. ant sup funds
c. post inf isthmus
d. post sup fundus
anterior inferior isthmus
T/F labor is triggered by a decrease in progesterone and the release of oxytocin?
true
p/p at 10 weeks gestation with a 2 day history of vaginal bleeding, no cervical dilation
threatened abortion
p/p at 11 weeks gestation w/ a 9 day history of vaginal bleeding persistent abdominal cramping and moderate cervical effacement
complete abortion
expulsion of products of conception months after death of the embryo, no symptoms of pregnancy present
missed abortion
form of controception works by immobilizing and killing sperm
cooper t-iud
active phase
first stage of laber
consists of time from complete dilation to delivery of baby
second stage of labor
consists of the time from delivery of baby through delivery of placenta
third stage of labor
decent of baby
2nd stage of labor
epidural is administered in this stage
2nd stage of labor
the hour immediately following delivery
4th stage of labor
latent phase
first stage of labor
prostoglandin is released in this stage
1st stage of labor
signs of placental separation
3rd stage of labor
involution of the uterus begins immediately upon expulsion of the placenta
true
22 yr old patient, 5 weeks postpartum presents complaining of general malaise, fever, right breast swelling that is painful when nursing
pupural mastitis
35 yr old female presents with multiple painful breast nodules, nodule size and pain fluctuates w/ menstrual cycle
fibrocystic breast disease
55 yr old female presents with a well defined breast lump in one breast that is swollen and painful, there is also clear nipple discharge present
intraductal papilloma
T/F: identical twins arise from the division of 2 fertilized ovum into 2 separate embryos
False
buttock presentation w/ flexed thigh and extended knees
brank breech
fetal “squat” position w/ both thighs and knees flexed
complete breech
most common form of breech presentation
frank breech
one or both thighs exteneded w/ one or both knees extended below fetal buttock
footling or incomplete
most commonly occuriring symptom associated with menopause
hot flashes
herniation of the bladder into the anterior….
cystocele
pastry is used to correct_______
uterine prolapse
small intestine prolapses through posterior vaginal….at the level of the cul de sac of douglas
enterocele
the condition can produce possible problems w/ fecal defacation
rectocele
first day of menstration
foll
swelling of gra…of stigma
ovulation
formation of the corpus luteum
luteum
due to the withdrawal of progesterone
mensuration
endometrium proliferation
follicle
production of “uterine milk”
luteum
alkaline cervical mucus formation
foliicular
cervical os closes
luteum
bladder dysfunction that is caused by neurological damage
neurogenic bladder
herniated disc is one etiology for this
neurogenic bladder
history of urine loss w/ symptoms of bladder irritation
detrusor dyssynergia
loss of anatomic angle b/t the bladder and the urethra
genuine stress incontinence
most commonly occuring form of urinary stress incontinence
detrusor dyssnegia
patient reports loss of urine w/ physical activities like coughing/sneezing
genuine stress incontinence
sudden inability to control the bladder followed by a delayed large loss of urine
detrusor dyssnergia
T/F: bacteria are the most common etiology for urinary….aureus produces 90% of these infections
false
T/F: implant antibacterial defenses ininclude free flow emptying of the bladder
true
contraceptive devices
foreign body vaginitis
produces clear fluid discharge
herpes simplex/infectious vaginitis
produces rotten odor w/ grey discharge
gard…vaginitis/nonspecific vaginitis
produces “strawberry cervix”
trichomonas vaginitis/infectious vaginitis
producesc sticky “cottage cheese” discharge
candida albicans/infectious vaginitis
seen in postmenopausal patients
atrophic vaginitis
sexual activity
traumatic vaginitis
T/F: Neisseria Gonnorhea is the most common etiology for PID?
True
T/F: PID is an infection of the lower genital tract in women that usually starts in the upper genital tract and descends to involve the lower genital tract
false
cystic nodule
more likely benign
complex/solid nodule
more likely malignant
nodule is adhered to adjacent structure
more likely malignant
nodule with areas of necrosis
more likely malignant
presence of ascites
more likely malignant
small nodule less than 1.5 cm
more likely benign
smooth, distinctly bordered nodule
more likely benign
T/F: functional ovarian cysts are cysts that are related to the menstraul cycle and…can resolve on own
True
T/F: cystic teratoma is a malignant tumor of embryonic origin
True?
T/F: polycystic….the multiple cysts taht develop with PCDS are… & w/ PCDS, the patient is both hyper energetic….
false
benign tumors composed of smooth muscle and connective tissue elements
leiomyoma
laser ablasion is one form of treatment for this condition
endometriosis
non painful, unless pressing against adjacent organ
leiomyoma
one treatment for this condition is myomectomy
leiomyoma
ovaries are the most common site of occurrence for this condition
endometriosis
presence of chocolate cysts on ovaries
endometriosis
presence of endometrial glands and stroma w/i uterine myometrium
adenomyosis
this condition presents w/ an enlarged uterus that is tender to palpate on pelvic examination
adenomyosis
triad of symptoms of dysphagia, dysmenorrheal, and dysphagia
endometriosis
postcoital bleeding is a symptom associated with
cervical cancer
which of the following conditions can present in its early stage?
cervical cancer, ovarian cancer, uterine cancer, vulva cancer?
abnormal bleeding is the most important warning, s/s associated with
uterine cancer
T/F:primary infertility is defined as a woman who has never been pregnant despite more than a year of unprotected intercourse
true
laparotomy is the surgical procedure used to treat
ovarian cancer
which of the following is the most frequently chosen and most effective form of contraception?
sterilization
which of the following presentations is a red flag for mossible….menopausal patients
onset of menstrual bleeding after c section of menstrual flow
T/F: history of spontaneous abortion is a contraindication for using combined….contraceptive.
false
prevents pregnancy by impeding fertilized…
progestin only pill
G7-P42-1-6 is a formula used to state obstetric history…what do the numbers stand for?
7=number of pregnancies 4=number of full term delivery 2= number of preterm delivery 1=number abortion/miscarriage 6=number living children
T/F: Rh factor is a protein found on the outside of the uterus
True
____is….placenta from the site of uterine implantation….
abrupt placenta
A ________is a p…..fortified by 2 sperm producing an abnormal fetus
Partial mole
