2 first line options for endometriosis - ANS-NSAIDs and OCPs
2 increase problems in diabetic mothers - ANS-Growth restriction
Macrosomia
2 maximum commonplace aspect outcomes of fluoxetine - ANS-Sleep and sexual
disturbances
2 non-gyne conditions related to persistent pelvic pain - ANS-Interstitial cystitis
IBS
2 checks for Cushing's - ANS-24hr urinary cortisol
Dexamethasone suppression take a look at
2nd trimester vaginal bleeding with reassuring maternal and fetal status: first step in control -
ANS-US to r/o placenta previa (earlier than vaginal examination b/c of hazard of bleeding
second trimester vaginal bleeding with reassuring maternal and fetal status: first step in
control - ANS-US to r/o placenta previa (before vaginal exam b/c of danger of bleeding
2nd trimester vaginal bleeding with reassuring maternal and fetal fame: first step in control -
ANS-US to r/o placenta previa (before vaginal exam b/c of chance of bleeding
3 causes of overdue decels - ANS-Uteroplacental insufficiency --> fetal acidosis --> fetal
hypoxia
3 headaches of epidurals - ANS-Spinal headache, localized back pain, meningitis
3 pills for early scientific abortion - ANS-Mifepristone (antiprogestin), MTX (antimetabolite),
misoprostol (prostaglandin)
All induce uterine contractility, either at once (misoprostol) or by decreasing progesterone
inhibition
three other reasons of improved MSAFP - ANS-NTDs, abdominal wall defects, more than
one gestation
3 capability causes of variable decels - ANS-Cord compression, low amniotic fluid, fetal
hypoxia
four indicators for endometrial biopsy in pts with DUB - ANS-Age >35, diabetes, weight
problems, chronic HTN
4 methods of treating vaginal warts - ANS-Trichloroacetic acid, podophyllin, excision,
fulguration (electric present day)
4 symptoms of dizygotic twins - ANS-Dividing membrane thickness >2mm
Twin height (lambda) signal
Different genders
2 separate placentas (anterior and posterior)
5 elements of a BPP - ANS-NST, tone, moves, breathing, amniotic fluid volume
50% of girls with continual pelvic pain have a history of - ANS-Physical or sexual abuse
6 components of intense pre-eclampsia - ANS-HTN >one hundred sixty/110, proteinuria >5g
on 24hr, oliguria, pulmonary edema, thrombocytopenia, multiplied liver enzymes
Abnormalities that may imply Down's - ANS-Flattened nasal bridge, small size, small rotated/
cup-formed ears, andal hole feet, hypotonia, a protruding tongue, brief large hands, Simian
creases, epicanthic folds, and indirect palpebral fissures
,Absolute contraindications to MTX - ANS-Breastfeeding, immunodeficient, alcoholic, blood
dyscrasia, pulmonary disorder, PUD, hepatic/renal/hematology dysfxn
Acute/ speedy decels are - ANS-Variable
Advantages of the midline episiotomy over the mediolateral episiotomy - ANS-Less ache,
much less blood loss, ease of repair
Affect of being pregnant on thyroid hormones - ANS-Increased TBG and stimulation of TSH
receptor by means of hCG -->
Increased total T3/T4, regular loose T3/T4, low-ordinary TSH
After what number of days should surgical abortion be achieved in place of clinical? -
ANS-forty nine days due to the fact that LMP
After what gestational age is manual vacuum aspiration contraindicated? - ANS-8wks
After what point are breech displays tried to be converted? - ANS-37wks (b/c maximum
self-clear up through then)
After what time are the fetus and placenta usually expelled one by one? - ANS-10wks
Amenorrhea eval - ANS-Uterus on pelvic U/S: if FSH accelerated --> karyotype; if FSH
reduced --> cranial MRI
Uterus absent on U/S: if forty six,XX/ nml testosterone, shows atypical Mullerian dev't; if forty
six,XY/male testosterone tiers, suggests androgen insensitivity
Amenorrhea, typically developed breasts, absent pubic/axillary hair - ANS-Androgen
insensitivity syndrome; may have inner testicles and be 46XY w/ excessive male-level
testosterone
Amsel standards are used to diagnose - ANS-BV
Androgen ranges are ___ and estrogen stages are ___ in PCOS - ANS-Both increased
Appearance of a septic toddler - ANS-Pale, lethargic, excessive temp
Are SSRIs safe while breastfeeding? - ANS-Yes!
Areas involved in lichen planus - ANS-Hair-bearing pores and skin and scalp, nails, oral
mucous membranes and vulva
Asherman's Syndrome consists of the presence of what? - ANS-Uterine synechiae
(intrauterine adhesions)
At what antibody titer stage is the mom already sensitized (i.E. RhoGAM no longer helpful),
and at what stage is the fetus at hazard for hemolytic disease - ANS-1:6
1:sixteen
At what beta-hCG degree can an intrauterine being pregnant be liked? - ANS->2000
Basis for PMS/PMDD - ANS-Serotoninergic dysregulation (reduced serotonin in
progesterone-dominant luteal section)
Besides HTN and cocaine use, danger elements for abruption encompass - ANS-Short
umbilical twine
Tobacco use
Folate deficiency
Best Abx for UTIs in being pregnant - ANS-Amox, nitrofurantoin, cephalexin
Best analysis of primary syphilis - ANS-Dark subject microscopy (won't have Abs but)
Best least invasive choice for prolapse - ANS-Pessary
Best dimension on U/S for estimation of fetal size - ANS-Abdominal circumference (b/c
affected in each symmetric and asymmetric fetal boom restriction)
Best medical Rx for urge incontinence (detrusor overactivity) - ANS-Anticholinergics, e.G.
Oxybutynin
, Best experiment to search for mets in pt with level 1 endometrial most cancers - ANS-CXR
(greater invasive scans now not needed)
Best surgical options (2) for pts with proper strain incontinence w/ hypermobility -
ANS-Retropubic urethropexies or slings
Betamethasone has shown reduced incidence of this non-pulm hardship of prematurity -
ANS-Intracerebral hemorrhage
Bilateral, multinodular, stable masses on each ovaries - ANS-Pregnancy luteoma: benign
circumstance, no Rx
Bleeding patterns standard on Depo - ANS-Irregularity for first 2-three months; amenorrhea
in 50% after 1 12 months
Bloody show because the reason for bleeding ought to be associated with - ANS-Cervical
dilation
Bloody show as the purpose for bleeding ought to be associated with - ANS-Cervical dilation
Bloody display because the purpose for bleeding ought to be related to - ANS-Cervical
dilation
BPP of 4 or less - ANS-Delivery if fetus is >26wks
Breast nodule with ordinary mammogram - ANS-Still need cytology, e.G. FNA
Breastfeeding with pink shiny nipples and peeling on the outer edge burning whilst feeding -
ANS-Candidiasis (observe child's mouth)
Bug and abx preference for mastitis - ANS-Dicloxacillin (erythro if pen-allergic)
BUN and Cr levels in pregnancy - ANS-Both lower because of accelerated GFR and renal
plasma waft
Cause of a normocytic anemia in being pregnant - ANS-Hemodilution: maternal blood
volume increases extra than RBC extent
(iron deficiency might cause microcytic)
Cause of amenorrhea in female athlete's trial - ANS-Decreased GnRH/LH --> estrogen
deficiency
Cause of central precocious puberty - ANS-Early activation of the HPO axis
Cause of irregular menstrual cycles in young adults (e.G. Rapidly after menarche? -
ANS-Inadequate LH/FSH secretion, regularly leading to anovulation after which leap forward
bleeding (HPG axis immaturity)
Cause of low-grade 3 day postpartum fever with out different symptoms/symptoms -
ANS-Breast engorgement
Cause of combined incontinence - ANS-Increased intra-belly stress reasons the
urethral-vesical junction to descend causing the detrusor muscle to contract
Cause of mucopurulent cervicitis - ANS-Chlamydia or gonorrhea
Cause of neonatal thyroidtoxicosis if mom has just had thyroidectomy due to Graves? -
ANS-Thyroid stimulating Ig levels stay excessive for several months after thyroidectomy and
might pass placenta
Cause of peripheral precocious puberty - ANS-Gonadal or adrenal launch of extra
intercourse hormones
Cause of postpartum hair loss - ANS-High estrogen in being pregnant --> synchrony of hair
boom
Cause of Sheehan Syndrome - ANS-Anterior pituitary necrosis after big blood loss
Cause of pressure incontinence - ANS-Increase in intra-abdominal pressure (coughing,
sneezing) whilst the patient is in the upright position