quiz 6 Flashcards
Babies born prematurely in the US account for what percent of all perinatal mortality?
75%
MOA of magnesium sulfate?
potential complications?
competes w Ca for entry into cells ;
maternal flushing, HA, resp depression at high doses
MOA of ritodrine or terbutaline when admin. in management of preterm labor?
a possible complication?
increases cAMP in cells which decreases free Ca;
anxiety
when used in management of preterm labor, Indocin blocks the production of?
PG
25yo is being treated for preterm labor w Nefedipine, a possible complication is..
decrease in uteroplacental blood flow
which tocolytic agent is considered to have highest degree of safety?
mag sulfate
for a pt. w a h/o preterm delivery, what has been shown to most sign. decrease risk of preterm delivery in NEXT preg?
weekly intramuscular progesterone supplem
source of leukocytosis of greatest concern?
abdomen mildly tender, WBC of 15,000 next step?
chorioamnionitis ;
amniocentesis
most appropriate technique to evaluate cervical length?
U/S
best indicator of intrauterine infection assoc w premature rupture of membranes
bacteria on gram stain of amniotic fluid
PROM presents a sign risk of pulm hypoplasia and skeletal malformations before what gestational age ?
22wks
delivery is gen recommended when PROM occurs after how many wks
34
PROM occurs at 30wks, fetus is breech, next step in management?
Admin of corticosteroids
major categories central to the WHO classification system of endometrial hyperplasia?
cytologic atypia, and glandular/stromal architecture
cmplx hyperplasia histo
increased gland to stroma ratio giving a “crowded” or “back to back” appearance
stage of endometrial ca that invades part of the bladder and periaortic LNs
IVA
tumor limited to the uterus invading greater than 50% of the myometrium, with cervical stromal involvement
IIB
tumor was carcinoma in situ w one focus of adenosquamous carcinoma limited to upper 1/3 of vagina
IIIB
postmenopausal bleeding, pelvic pain, a rapidly enlarging uterus, should have strong index of suspicion for?
uterine sarcoma
stage 2 carcinoma of the ovary
growth inv one or both ovaries w pelvic extension
stage 4 carcinoma of the ovary
growth inv one or both ovaries w distant mets
fxnal ovarian cysts are defined as
anatomic variations
Coelomic epithelium gives rise to what ovarian neoplasm?
approx what % of these are benign?
serous cystadenoma;
70%
when a child or adolescent presents w an ovarian neoplasm, the MC type is?
benign cystic teratoma
brenner cell tumors may be assoc w?
mucinous tumors
which ovarian tumor has highest malignant potential?
serous cystadenoma
malignant ovarian epithelial cell tumors spread primarily by?
direct extension w/in the peritoneal cavity
what is the primary surgical approach inv in Tx of ovarian carcinoma?
cytoreductive surgery or “tumor debulking “
MC virilizing ovarian tumor
Arrhenoblastoma
fallopian tube carcinoma that has extended to uterus would be stage?
2
Meigs syndroma- ascites, R pleural effusion and ?
ovarian fibroma
dysmaturity Syndrome is most assoc w?
umbilical cord comrpession
macrosomia fetus weighs atleast?
cesearan considered if weight is more than?
4000-4500g;
4500-5000g
