Week 1 Q+A Flashcards

1
Q

does TVUS measurement of endometrial thickness include myometrium?

A
  • No
  • just endometrium (thin white line in uterus)
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2
Q

what typical ages for molar pregnancy?

A
  • extremes of age i.e. very young or very old
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3
Q

how many chromosomes would you see in a partial mole?

A
  • 69
  • 23+23+23
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4
Q

partial mole creates a fetus? true or false?

A
  • non-viable fetus
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5
Q

a complete mole creates a fetus? true or false?

A
  • no fetus
  • 2 sets of paternal genes and no maternal genes
  • 46 chromosomes
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6
Q

typical appearance of a molar pregnancy?

A
  • snowstorm appearance
  • lots of vesicles inside uterus
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7
Q

what type of pregnancy is this?

A
  • partial molar pregnancy
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8
Q

how does oestrogen work?

A
  • helps thicken lining of the womb to prepare the uterus to carry a pregnancy
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9
Q

hoe does progesterone work?

A
  • differentiates endometrium by stimulating the growth of blood vessels that supply the lining of the womb (endometrium) and stimulates glands in the endometrium
  • it also prohibits muscle contractions in uterus that would cause the body to reject an egg
  • if the egg isn’t fertilized, corpus luteum breaks down, leading to a drop in progresterone levels. endometrium breaks down = beginning of menstrual period
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10
Q

ovulation induction tx in those with PCOS?

A
  • clomid
  • gonadotrophins
    -> downsides multiple stimulation could end up cancelling them
  • laparoscopic ovarian drilling - mono ovulation - therefore multiple pregnancy is low
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11
Q

disadvantages to laparoscopic ovarian drilling

A
  • surgical risk
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12
Q

how does a copper coil work?

A
  • copper alters the cervical mucus, which makes it more difficult for sperm to reach an egg and survive
  • prevents implantation

molecularly
- increases level of copper ions in uterine and tubular fluid
- increased level of prostaglandin levels
- increased WBC’s
- make it difficult for sperm to penetrate

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13
Q

how does pure oestrogen work to suppress ovulation in tx of PMD?

A
  • oestrogen help and alleivates symptoms by suppressing ovulation - reducing LHRH, reducing FSH/LH and preventing follicular development
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14
Q

rectovaginal endometriosis pain peaks at what point?

A
  • starts around a week before menstruating and pain peaks during menstruation
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