OGG Flashcards

1
Q

what is a hysterosalpingogram (HSG)

A

They put dye in the uterus and tubes and then x-ray to see whether the fallopian tubes are patent (open) and if the inside of the uterus (uterine cavity) is normal.

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2
Q

for tay sachs disease, how many parents need to be carriers to risk an affected child?

A

both

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3
Q

how do you DDX intrauterine from ectopic pregnancy?

A

ultrasound

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4
Q

what is a full term pregnancy?

A

40 weeks from LMP (38-42 weeks)

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5
Q

what changes happen in maternal physiology?

A

skin - estrogen stimulates melanocytes (linea alba, areola, dark scars)

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6
Q

what vitamins are important in pregnancy for vegetarians who don’t eat meat or dairy

A

B12

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7
Q

what vitamin is a teratogenic?

A

Vitamin A

beta-carotene is seen as OK

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8
Q

what is the pathophysiology of preeclampsia?

A

generalized vasospasm
decreased blood supply to brain and other organs
Presents after 20 weeks - usually in the last trimester

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9
Q

what is the Tx for preeclampsia

A

bed rest

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10
Q

what is the management for shoulder dystocia?

A

corkscrew maneuver to rotate baby’s shoulders

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11
Q

what happens at term?

A
vertex over the pelvic inlet
engagement into the pelvis
begin effacement and dilation
cervical ripening (softening)
pass mucus from cervix
effacement (thinning) and dilation of cervix
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12
Q

what is the longest phase of labor?

A

latent phase

  • contractions 5 to 20 minutes
  • duration 20 sec or longer
  • about 0-3 cm dilated
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13
Q

what is the concern of prolonged rupture of membranes?

A

increased risk of infection after 24 hours

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14
Q

how do you monitor fetus through birth?

A

external fetal monitor

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15
Q

at the 5 minute APGAR, what is a bad score?

A

below 6

think neurologic sequelae

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16
Q

what is the cheesy substance that covers newborn?

A

vernix caseosa

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17
Q

what reflex is normal in a baby but abnormal in adult?

A

babinski should be positive in newborn

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18
Q

what is puerperium?

A

6 week period postpartum when organs are returning back to pre-pregnancy regions

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19
Q

what is a high risk of puerperium?

A

UTIs

  • LBP
  • CVA tenderness
  • fever
  • nausea and vomitting
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20
Q

during pregnancy, when should someone do a diabetes screen

A

24-28 weeks

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21
Q

how does preeclampsia-eclampsia present? (3)

A

hypertension
edema/weight gain
proteinuria

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22
Q

what is the tx for preeclampsia

A

bed rest
high protein diet
magnesium sulphate

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23
Q

what clinical signs are visible in an oxygen deprived newborn up to 12 hours after birth?

A

decreased LOC and/or movement
poor tone
apnea spells
seizures 12-24 hours

24
Q

what clinical signs are visible in an oxygen deprived newborn after 24 hours after birth?

A

signs from 0-12 hours plus:
jitteriness
weakness

25
Q

enterocele

A

weakening of the rectovaginal septum allowing small intestine to herniate down between layers of septal wall

26
Q

procidentia

A

complete uterine prolapse (3rd degree)

27
Q

dyspareunia

A

painful intercourse

28
Q

painful intercourse (dyspareunia) where the pain is at the entry (introitus)

A

vaginismus-muscle contractions

infection, sores, low estrogen

29
Q

dyspareunia where the pain is with friction

A

infection, low estrogen

30
Q

dyspareunia where the pain is with deep penetration

A

pelvic pathology/adhesions

inflammation of cervix, uterus, adnexa

31
Q

what is pain with ovulation (mid-cycle)

A

mittelschmerz

32
Q

signs and sx of ovulation

A

dysmenorrhea -menstrual cramps
cervical mucus changes
basal body temp

33
Q

what is the effects of estrogen

A

vaginal cornification
reduced vaginal pH
increased cervical mucus pH

34
Q

what is the effects of progesterone

A

increased acidity of cervical mucus

thermogenic effect - increase basal temperature

35
Q

what can be a cause of hypermenorrhea (menorrhagia)

A

hypothyroid
pregnancy
infection
endometrial cancer

36
Q

anovular cycle

A

a menstrual cycle with no ovulation

37
Q

what are long term reasons of anovulation

A
ovarian failure (no estrogen)
follicles producing estrogen (unopposed estrogen, no progesterone)
38
Q

what is a risk of anovulation

A

uterine / endometrial cancer

39
Q

premenstrual dysphoric disorder (PDD/ PMS) criteria

A

signs and sx appear cyclically after ovulation

7 symptom-free days in follicular phase

40
Q

uterine contracts are associated with increased

A

prostaglandins

41
Q

dysmenorrhea

A

pain with period. either 1˚or 2˚ causes

42
Q

dyspareunia can be caused by

A

endometriosis

43
Q

a milky discharge can be caused by

A

oral contraceptives

estrogen

44
Q

most common cancer in women

A

breast

45
Q

breast cancer presentation

A

single, non-tender, hard mass with poor margins

46
Q

paget’s carcinoma presentation

A

itching or burning of nipple

superficial erosion or ulceration

47
Q

what is associated with malodorous (amine-like) “fishy” grayish discharge?

A

bacterial vaginosis

48
Q

HPV infection is associated with:

A

cervical and vulvar cancer

49
Q

what does herpes simplex virus look like?

A

HSV-1 causes sores around the mouth and lips (sometimes called fever blisters or cold sores).

In HSV-2, the infected person may have sores around the genitals or rectum.

50
Q

what is the 3rd MC cancer in the world that starts out as an STI?

A

cervical cancer

51
Q

predisposing factors of cancer of the uterine cervix

A

dysplasia

52
Q

risk factors for endometrial adenocarcinoma

A

50-70 yo

family hx

53
Q

what is significant about the minipill

A

progesterone-only contraceptive pill

54
Q

what is a significant symptom of endometriosis AND pelvic inflammatory disorder (PID)?

A

dyspareunia

55
Q

S/s of menopause

A

related to estrogen

no increased breast size