reproductive 579-583

Question 1

in 1’ hypogonadism what will be the testosterone, LH level?

Answer 1

low test, high LH

Question 2

in testosterone secreting tumor, what will be the testosterone, LH lever?

Answer 2

high testosterone, low LH

Question 3

in defective androgen receptor, what will be testostereon, LH lever?

Answer 3

high test, high LH

Question 4

the order of the worst prognosis of ob n gy tumors

Answer 4

ovarian > cervical > endometrial

Question 5

3 causes for oligohydromnios

Answer 5

placental insufficiency, bilateral renal agenesis, post urethral valves and its inability to urinate

Question 6

most common location/size of the ectopic preg?

Answer 6

shows 10 mm embryo in oviduct at 7 wk gestation

Question 7

level of hCG in ectopic preg?

Answer 7

lower than expected rise based on dates

Question 8

5 risk factors for ectopic preg?

Answer 8

1. hx of infertility
2. saplingitis (PID)
3. ruptured appendix
4. prior tubal surgery
5. endometriosis

Question 9

dx?

painless vessel rupture, fetal bradycardia (less than 110/min), fetal vessels traveling to placenta unprotected by Wharton jelly

Answer 9

Vasa previa

Question 10

path associated with defective decidual layer?

Answer 10

placenta Accreta (Attaches to myometrium w/o penetrating)

placenta Increta (placenta Into myometrium)

placenta Percreta (placenta Penetrates myometirum)

Question 11

presentations of placenta accreta/increta/percreta?

Answer 11

often detected on ultrasound prior to delivery

no separation of placenta after delivery –> postpartum bleeding

Question 12

complication of placenta accreta/increta/percreta?

Answer 12

Sheehan

Question 13

dx?

no prostate, normal testosterone/estrogen, internal genitalia normal, but ambiguous external genitalia, 46 XY

Answer 13

5 alpha reductase def

Question 14

in 5 alpha reductase def, why do you see ambiguous external genitalia and no prostate?

Answer 14

b/c DHT made from testosterone by 5 alpha reductase converts genital tubercle, urogenital sinus into male external genitalia, prostate

Question 15

2 conditions associated with female pseudo hermaphrodite?

Answer 15

congenital adrenal hyperplasia, exogenous administration of androgens during pregnancy

Question 16

dx?

masculinized female infant (46, XX), inc serum testosterone

when the mother was preg, she had hirsutism

Answer 16

aromatase def

Question 17

dx?

honeycombed uterus, hyperemesis, hyperthyroidism, pre-eclampsia

Answer 17

complete mole

Question 18

2 diagnosis criteria for gestational hypertension?

Answer 18

BP>140/90 after 20th wk of gestation

Question 19

diagnosis criteria for preeclampsia

Answer 19

new onset of HTN with either proteinuria or end organ dysfunction after 20th wk of gestation

Question 20

pathophysio of preeclampsia?

Answer 20

abnormal placental spiral arteries –> endothelial dysfunction –> vasoconstriction, ichemia

Question 21

6 complications of preeclampsia?

Answer 21

placental abruption
coagulopathy
renal failure
uteroplacental insufficiency
eclampsia

Question 22

definition of eclampsia?

Answer 22

preeclampsia + maternal seizures

Question 23

what is the manifestation of severe preeclampsia?

Answer 23

HELLP syndrome

Question 24

what is the complication of HELLP?

Answer 24

hepatic subcapsular hematomas –> rupture –> severe hypotension