Reproduction

Question 1

What is the normal fetal HR?

At 20 wks the uterus is at the height of what?

Answer 1

120-160.

Umbilicus.

Question 2

What is done for an RH neg mother?

Answer 2

RhoGam given at 28-29 weeks. If Baby is Rh+ at delivery then mother given another dose.

Question 3

Preeclampsia is Dx when in the pregnancy?
Classic triad?
What is eclampsia?

Answer 3

> 20 weeks.
HTN, Proteinuria, +/- Edema.
When preeclampsia is left untreated it can develop into eclampsia which involves developing seizures.

Question 4

Gestational DM: What is the management?

What don’t you give?

Answer 4

Lifestyle modifications, insulin if needed.

Oral hypoglycemics: DM T2 medications.

Question 5

What is the MCC of 3rd trimester bleeding?
S/S?
Dx?
Tx?
What is another cause of 3rd trimester bleeding and s/s?
Dx?
Tx?

Answer 5

Abruptio Placentae: Painful vaginal bleed, back pain; Abd pain.
US not sensitive, use fetal stress testing.
C-section if not manageable.
Placental Previa: a painless vaginal bleed.
US is diagnostic.
Hold tight until term and then C-section.

Question 6

What is the first line therapy and some others to treat hypertension in pregnancy?
What meds are contraindicated in prego?

Answer 6

Methyldopa.
Labetalol, Hydralazine.
ACEI and ARBs

Question 7

What is the management of a functional ovarian cyst in premenopausal woman who is asymptomatic?

Answer 7

If simple cyst is < 8 cm on US than can be monitored with repeat US in 8-12 weeks.
Usually go away on their own in 8-12 weeks.

Question 8

What is the #1 cause of dysfunctional uterine bleeding?

Answer 8

Anovulation

Question 9

Menstrual Cycle:
Follicular Phase?
Ovulatory Phase?
Luteal Phase?

Answer 9

F: Day 1 of menses to day 13, development of follicles: Increased FSH, decreased progesterone and increased estrogen ending with LH surge.
O: LH surge and increased estrogen, ovulation Day 13-17
L: Day 15 to Day 1 of menses; decreased estrogen and increased progesterone, LH and FSH low steady levels.

Question 10

G1PO female in 1st trimester with hyperemesis gravidarum, bleeding, abdominal pain and an US reveals snowlike pattern grouping of vesicles. What is the diagnosis and what test is needed?

Answer 10

Gestational trophoblastic neoplasia–ranges from simple molar prego to choriocarcinoma that can metastasize.
CXR is needed as the most common metastisis is to the lung.

Question 11

What is the pathophysiologic abnormality in the Prego woman causing the features of preeclampsia and eclampsia?

Answer 11

Generalized endothelial dysfunction.

Question 12

What BP is the time to initiate HTN therapy in a patient having preeclampsia?

Answer 12

> or = 160/105

Question 13

What is the causative organism in bacterial vaginosis and has clue cells?

Answer 13

Gardner Ella