Uwise 2 Flashcards
What kind of ovarian cancer am I thinking if there is hyperplasia of the endometrium and why?
Granulosa cell tumor because of all the estrogen it secretes
What is the most common type of ovarian neoplasm in women under 30 and over 30?
Under: germ cell
Over: surface epithelial
What is the most significant risk factor for endometrial cancer if present?
Obesity
If hysterectomy is indicated for vaginal bleeding, but the lady is undecided on future kids, what is a good short term option for the bleeding?
GnRH agonist
Besides bleeding, what else can GnRH agonists be used for?
Decrease the size of fibroids
What type of patients do we not use terbutaline and ritodrine in?
Magnesium sulfate is contraindicated in what type of patients?
Diabetes
M gravis
Besides maturing the lungs, what other two associations do we find with the use of betamethasone?
Decreased intracerebral hemorrhage
Decreased necrotizing enterocolitis
What is the strength of the fetal fibronectin test?
Negative predictive value.
Ladies with a negative test have a negative predictive value of 99, meaning out of 100 with a negative test, 99 will not go into labor .
Which agent competes with calcium for entry into the cells?
Magnesium sulfate
Cause of cord compression for variable decelerations?
The rupture of the membranes causes low amniotic fluid
What intervention can reduce the risk of preterm premature rupture of the membranes?
17 alpha hydroxyprogesterone
What can be tricky about testing for rupture of membranes?
False positive nitrazine test.
Semen, blood, other things can make the test a false positive. So if the ferning is negative and plenty of fluid in the amniotic sac, then its not rupture of membranes.
What is the point of giving magnesium sulfate in patients?
What are we thinking with repetitive frequent painful contractions?
Neuroprotection in patients less than 32 weeks
Placenta abruption
