Office/Defintions

Question 1

PPH Risk: Medium

Answer 1

Prior C/S
> 4 deliveries
Multiple Gestation
Large Uterine Fibroids
Chorio
Mag Sulfate
Prolonged pitocin

Question 2

PPH High Risk Factors

Answer 2

Placenta Accreta Spectrum
HCT < 30
Bleeding on admission
Known Coagulation defect
Hx PPH
Abnormal VS (tacky, hypotension)

Question 3

When is puberty initiated?

Answer 3

Puberty is initiated when GnRH is secreted in a pulsatile manner by hypothalamic neurons

Question 4

Why do irregular cycles happen (due to immature HPO axis?)

Answer 4

several cycles are anovulatory, thus resulting in irregular cycles

Question 5

Median age of menarche in America?

Answer 5

12-13 yo

Question 6

Puberty - explain

Answer 6

GNRH pulsatility increases (hypothalamus)
Follicular growth (ovary)
Estradiol Secretion + feeeback to pituitary
LH surge –> ovulation

Question 7

Primary Amenorrhea

Question 8

Secondary Amenorrhea

Question 9

Polycystic Ovarian Syndrome

Answer 9

disorder characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

Question 10

Normal Menstrual Cycle

Answer 10

21-35 days (varies based on follicular phase)
Length 3-7 days, > 10 days abnormal
No IMB
Volume: <80 ml