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When does the basal body temperature increase occur in relation to ovulation?
24 hours after ovulation when progesterone increases
What uterine pathology is a/w excess unopposed estrogen is the main risk factor?
endometrial hyperplasia or carcinoma
What uterine pathology is a/w dx by endometrial biopsy in the clinic?
Endometrial hyperplasia or carcinoma
What ovarian tumor is a/w intraperitoneal accumulation of mucinous material?
An obese woman presents with amenorrhea and increased levels of serum testosterone; what is the dx?
Polycystic ovarian syndrome
A pregnant woman with a previous c-section is at increased risk for what?
Scarring can lead to a placenta previa or accreta
Pregnant woman at 16 weeks gestation presents with atypically large abdomen and HTN; what abnormality may be seen on blood test and the disorder?
beta hCG in a molar pregnancy
A 23 yo female on Rifampin for TB prophylaxis and on birth control (estrogen) gets pregnant, why?
Rifampin increases CP-450 causing an increased metabolism of estrogen leading to less effective birth control.
What is abruptio placentae?
Painful bleeding in 3rd trimester due to abrupt detachment leading to fetal death.
A/w DIC; smoking; cocaine; HTN; spousal abuse
What is Placenta accreta?
Massive bleeding after delivery; no separation of placenta after birth.
Defective decidual layer allows placenta to attach to myometrium.
A/w prior c section
What is placenta previa?
Painless bleeding in any trimester.
Attachment of placenta to lower uterine segment.
May occlude internal os
a/w prio c section
What is an ectopic pregnancy?
Pain with or without bleeding.
Most often in fallopian tubes.
Suspect in increased hCG and sudden lower abdominal pain; mistaken for appendicitis.
What breast pathology is a/w small, mobile, firm mass with sharp edges in a 24 yo woman?
What breast pathology is a/w the loss of e-cadherin cell adhesion gene on chromosome 16?
Invasive lobular carcinoma
What breast pathology is a/w multiple bacterial fluid filled lesions with diffuse breast pain?
Fibrocystic changes of breast
A 58 yo postmenopausal woman is on Tamoxifen; what is she at increased risk of acquiring?
What is the two-cell theory of estradiol production?
Theca Cells make androstenedione stimulated by LH
Granulosa cells make estradiol from androstenedione stimulated by FSH
Production of thick mucus that inhibits entry of sperm into uterus, progesterone or estrogen?
When does beta hCG appear in urine during pregnancy?
2 weeks post conception
4 weeks after last menstrual period
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