Key Concepts in Obstetrics and Gynecology
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Acute Fatty Liver Disease [ Ans: ] Occurs in third trimester
with nausea/vomiting.
Hyperemesis Gravidarum [ Ans: ] Hypochloremic
hypokalemic hypoglycemic metabolic alkalosis.
Paget's Disease [ Ans: ] Adenocarcinoma of breast and
vulva.
Pregnant Glucose Goals [ Ans: ] Fasting <95, 1 hour <140,
2 hour <120.
Secondary Amenorrhea Workup [ Ans: ] First check beta-
hCG, then prolactin and TSH.
Hydatidiform Mole Signs [ Ans: ] Preeclampsia <20 weeks,
profuse vomiting, enlarged uterus.
Fitz-Hugh-Curtis Syndrome [ Ans: ] PID with RUQ pain,
fever, hypotension.
Endometritis Symptoms [ Ans: ] Uterine tenderness, foul
lochia, fever.
Septic Abortion Treatment [ Ans: ] D&C and antibiotics for
unsterile abortion.
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Gonorrhea/Chlamydia Screening [ Ans: ] Recommended
for <25 years old and high-risk.
Ovarian Cancer Ultrasound [ Ans: ] Septated mass with
solid components.
Biophysical Profile (BPP) 0-4 [ Ans: ] Indicates immediate
delivery is necessary.
BPP 4-8 [ Ans: ] Repeat BPP in 24 hours for clarity.
BPP 8-10 [ Ans: ] Indicates good condition, repeat in 1
week.
Doppler with No FHR [ Ans: ] May indicate fetal demise;
confirm with ultrasound.
Non-Stress Test (NST) [ Ans: ] Doppler FHR vs. Time; good
if 15/15.
Chorioamnionitis Symptoms [ Ans: ] Fever, fetal
tachycardia, uterine tenderness, purulent discharge.
Syphilis Treatment [ Ans: ] Intramuscular Penicillin G
administration.
Lichen Sclerosus Diagnosis [ Ans: ] Confirmed by punch
biopsy; can progress to SCC.
Primary Dysmenorrhea Treatment [ Ans: ] NSAIDs or oral
contraceptive pills.