quiz 6 Flashcards

1
Q

Babies born prematurely in the US account for what percent of all perinatal mortality?

A

75%

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2
Q

MOA of magnesium sulfate?

potential complications?

A

competes w Ca for entry into cells ;

maternal flushing, HA, resp depression at high doses

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3
Q

MOA of ritodrine or terbutaline when admin. in management of preterm labor?
a possible complication?

A

increases cAMP in cells which decreases free Ca;

anxiety

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4
Q

when used in management of preterm labor, Indocin blocks the production of?

A

PG

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5
Q

25yo is being treated for preterm labor w Nefedipine, a possible complication is..

A

decrease in uteroplacental blood flow

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6
Q

which tocolytic agent is considered to have highest degree of safety?

A

mag sulfate

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7
Q

for a pt. w a h/o preterm delivery, what has been shown to most sign. decrease risk of preterm delivery in NEXT preg?

A

weekly intramuscular progesterone supplem

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8
Q

source of leukocytosis of greatest concern?

abdomen mildly tender, WBC of 15,000 next step?

A

chorioamnionitis ;

amniocentesis

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9
Q

most appropriate technique to evaluate cervical length?

A

U/S

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10
Q

best indicator of intrauterine infection assoc w premature rupture of membranes

A

bacteria on gram stain of amniotic fluid

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11
Q

PROM presents a sign risk of pulm hypoplasia and skeletal malformations before what gestational age ?

A

22wks

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12
Q

delivery is gen recommended when PROM occurs after how many wks

A

34

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13
Q

PROM occurs at 30wks, fetus is breech, next step in management?

A

Admin of corticosteroids

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14
Q

major categories central to the WHO classification system of endometrial hyperplasia?

A

cytologic atypia, and glandular/stromal architecture

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15
Q

cmplx hyperplasia histo

A

increased gland to stroma ratio giving a “crowded” or “back to back” appearance

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16
Q

stage of endometrial ca that invades part of the bladder and periaortic LNs

17
Q

tumor limited to the uterus invading greater than 50% of the myometrium, with cervical stromal involvement

18
Q

tumor was carcinoma in situ w one focus of adenosquamous carcinoma limited to upper 1/3 of vagina

19
Q

postmenopausal bleeding, pelvic pain, a rapidly enlarging uterus, should have strong index of suspicion for?

A

uterine sarcoma

20
Q

stage 2 carcinoma of the ovary

A

growth inv one or both ovaries w pelvic extension

21
Q

stage 4 carcinoma of the ovary

A

growth inv one or both ovaries w distant mets

22
Q

fxnal ovarian cysts are defined as

A

anatomic variations

23
Q

Coelomic epithelium gives rise to what ovarian neoplasm?

approx what % of these are benign?

A

serous cystadenoma;

70%

24
Q

when a child or adolescent presents w an ovarian neoplasm, the MC type is?

A

benign cystic teratoma

25
brenner cell tumors may be assoc w?
mucinous tumors
26
which ovarian tumor has highest malignant potential?
serous cystadenoma
27
malignant ovarian epithelial cell tumors spread primarily by?
direct extension w/in the peritoneal cavity
28
what is the primary surgical approach inv in Tx of ovarian carcinoma?
cytoreductive surgery or "tumor debulking "
29
MC virilizing ovarian tumor
Arrhenoblastoma
30
fallopian tube carcinoma that has extended to uterus would be stage?
2
31
Meigs syndroma- ascites, R pleural effusion and ?
ovarian fibroma
32
dysmaturity Syndrome is most assoc w?
umbilical cord comrpession
33
macrosomia fetus weighs atleast? | cesearan considered if weight is more than?
4000-4500g; | 4500-5000g