Study guide for OB part I Flashcards

1
Q
  1. What are the small vessels found In the periphery of the uterus
A

Arcuate (JL p 970)

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2
Q
  1. Endo vag an anteverted uterus know where the cervix and uterus is located on an image
A

cervix is to the right and the fundus is to the left on the screen (JL p 962)

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3
Q
  1. Nobathian cysts where are they located?
A

Cervix

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4
Q
  1. Complications in delivery can occur if there is fibroid located where?
A

near the cervix (JL)

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5
Q
  1. An acquired condition of obstruction of the cervical canal
A

cervical stenosod (JL)

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6
Q
  1. Know about adenmoyosis anything you can
A

Benign disease diffuse. Ectopic occurence of endometrial tissue

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7
Q
  1. Know how the measurement of the endo should be done and what plane it should be done in
A

In the fundus, in long, hyperechoic to hyperechoic (JL)

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8
Q
  1. Gardners duct cyst what is it?
A

vagina (JL P 979)

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9
Q
  1. Most common adnexal mass is what?
A

Corpus luteum cyst

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10
Q
  1. Tumor with a history of endometriosis what might we be looking at?
A

endometrioma (harley slide 23)

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11
Q
  1. Know the normal ovarian texture
A

homogeneous central,e chogenic medullary small anechoic or cystic follicles in cortex varies with age (JL p 1002)

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12
Q
  1. What is the most common begin tumor of the ovary?
A

A dermoid (harley slide 23).

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13
Q
  1. PID
A

Pelvic inflammatory disease. early sexual activity, mutiple partners, hx of stds and douching, Salpingitis, Hydrosalpinx, and Pyosalpinx ,Toa,Endometriosis, endometrioma

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14
Q
  1. Partial or complete rotation of the ovary?
A

Torsion

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15
Q
  1. What is an infection in the fallopian tube? Specifically asking for the fallopian tube?
A

Salpingitis (JL)

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16
Q
  1. Uterine anomaly associated with infertility?
A

septate uterus T-shaped (JL p 1040)

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17
Q
  1. PCOS know all about it?
A

bilateral enlarged polycystic ovaries occurs in late teens endocrine imbalance Clinical findings: amenorrhea, obesity, infertility, hirsutism Sono findings: multiple tiny cysts around the perophery of the ovary, ovary may be normal size or enlarged (JL box 42-7 p 1009)

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18
Q
  1. After ovulation progesterone is secreted by what?
A

Corpud lutem cyst (Harley pg 1100)

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19
Q
  1. Caudal regression syndrome most commonly seen in PT’s with what disorder
A

diabetes (JL pg 1178)

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20
Q
  1. Development of conjoined twins when the division takes place?
A

13 weeks after conception

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21
Q
  1. Seizure and coma in the third trimester?
A

Eclampsia? (JL)

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22
Q
  1. When the fetal death occurs and doesn’t reabsorb?
A

Papyrcus

23
Q
  1. Pregnant increasing hypertension and proteinuria and edema lead to what?
A

Preclamyspia

24
Q
  1. What find confirms the present of a diamniotic pregnancy
A

membrane that separates the fetuses (JL)

25
Q

A condition in which ascites is present in the fetal abdomen not for not for fetal maternal blood reason?

A

Non-immune hydrops

26
Q
  1. In an RH sensitize PT what are the findings of the fetal hydrops
A

Pleural effusion polyhydroamnios Pericardial Effusion If an except answer, the answer is thin placenta (JL quizlet)

27
Q
  1. Uterine contractions resolve typically in what time period?
A

20-30 minutes (harley slide 47)

28
Q
  1. What is caudal regression syndrome?
A

lack of development of the caudal spine and cord (JL)

29
Q
  1. Monochromic twin pregnancy if one develops without a heart what is it?
A

Acradiac (JL slide 57)

30
Q
  1. Poly oli what is the other name for it?
A

Stuck twin (JL)

31
Q
  1. Di, di pregnancy what are you going to see
A

it will have its own placenta, chorion and sac (JL)

32
Q
  1. Know twin to twin transfusion know all the ends and outs of it?
A

ateriovenouis shunt w/in placenta arterial blood is pumped into venous fo the other twin with less blood flow will have kidney problems and develop oligo The other twin will have poly with heart failure possible (JL p 1186)

33
Q
  1. Overlapping of the skull bones?
A

Spalding sign

34
Q
  1. Premature labor what is that?
A

37 weeks

35
Q
  1. Early noninvasive means of assessing aneuploidy
A

NT test (JL)

36
Q
  1. Amniotic fluid AFP what does it do with fetal age
A

Decrease

37
Q
  1. What can be used for an amniocentesis
A

devolpment of lung maturity, the condition of the Rh and determine karyotype

38
Q
  1. Sono findings that may suggest a chromosomal anomaly
A

Heart defects Clenched hands Omphalocele Micrognathia Talipes Choroid Plexus Cysts Congenital diaphragmatic hernia Cerebellar hypoplasia Menignomylocele SGA IUGR and hydramnios (harley slide 35)

39
Q
  1. Amniocentesis why do we preform them?
A

determine karyotype, lung maturity, and Rh condition. (harley slide 29)

40
Q
  1. Where is AFP found in the fetus? (what parts)
A

found in the fetal spine, gastrointestinal tract, liver, and kidneys (harley slide 30)

41
Q
  1. What is the condition increase nuchal thickening, shortened femur, polyectasis what are we looking at?
A

Downs trisomy 21 ??

42
Q
  1. Cranial anomalies choroid plexus cyst facial anomalies and rocker bottom what are we looking at?
A

trisomy 18

43
Q
  1. What disorder is holorposcephaly and proboscises
A

A lobar

44
Q
  1. Most common aneuploidy condition
A

Downs 21 ???

45
Q
  1. If you see a single umbilical artery what should you look for?
A

genitourinary defect? (JL)

46
Q

What is the quad screen evaluate

A

looks at the alpha-fetoprotein, human chorionic gonadotropin, unconjugated estriol, and inhibin-A (harley slide 28)

47
Q
  1. Large cystic hygroma and coractation of the aorta and hydrops?
A

Turners syndrome

48
Q
  1. Post amniocentesis demonstrates what?
A

Fetal cardiac activity

49
Q
  1. 4D US what is it?
A

??

50
Q
  1. Advantages of 3D US
A
  • Decreased patient scan times
  • Documentation of image planes not attainable using conventional 2D ultrasound
  • Retrospective review of stored patient anatomy
  • Rotation of amniotic scan planes
  • More accurate volume measurements
  • More standardized documentation
  • Decreased repetitve probe motions

pg 1207 (BF)

51
Q
  1. What is the most common cord entanglement?
A

Nuchal Cord pg. 1245 (BF)

52
Q
  1. What is it when the cord is slipped over the fetus head and shoulders?
A

True Knot pg. 1245 (BF)

53
Q
  1. Cord inserts into the membranes before placenta what is it called?
A

Valmentous

54
Q
  1. Inadequate fetal distend?
A

Short cord