Study sets matching "ob gyn"

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Study sets matching "ob gyn"

427 terms
Ob/Gyn
when do you do a pap smear after a hys…
when can patient's stop pap smears
pap recomendations for women 30-65
findings of PID (aka cute salpingitis)
if the hysterectomy was done for cervical cancer or high grad…
- at 65-70 if they have had three consecutive negative pap sm…
- screen every 5 years with cytology and HPV testing OR cyt…
lower abdominal pain, adenexal tenderness, fever, cervical mo…
when do you do a pap smear after a hys…
if the hysterectomy was done for cervical cancer or high grad…
when can patient's stop pap smears
- at 65-70 if they have had three consecutive negative pap sm…
13 terms
OB GYN
fibroids
differential diagnosis of vaginitis
intrapartum fetal heart rate monitoring
management of preterm labor <34 weeks
smooth muscle poliferation within the myometrium. causes uter…
...
...
fibroids
smooth muscle poliferation within the myometrium. causes uter…
differential diagnosis of vaginitis
57 terms
OB/GYN
hydrosalpnix
PID - hydrosalpnix
tubo-ovarian abscess
uterine fibroids (labeled)
hydrosalpnix
PID - hydrosalpnix
OB/GYN
What is the vertex presentation?
Where is 0 for the "station" to assess…
What is the first stage of labor?
What is the second stage of labor?
baby head down
mom's ischial spine... (negative numbers are above the spine, po…
true, regular contractions until fully dilated... last for null…
begins from full dilation and ends with delivery of infant... p…
What is the vertex presentation?
baby head down
Where is 0 for the "station" to assess…
mom's ischial spine... (negative numbers are above the spine, po…
205 terms
OB/GYN
Nagele Rule
Goodell Sign
Linden sign
Chadwick Sign
LMP - 3mo + 7d
Softening of cervix... 4 weeks... 1st sign of pregnancy
Softening of midline uterus... 6 weeks
Bluish discoloration of uterus/cervix... 6-8 weeks
Nagele Rule
LMP - 3mo + 7d
Goodell Sign
Softening of cervix... 4 weeks... 1st sign of pregnancy
388 terms
OB GYN
cardinal principle of management of PROM
abruptio placentae
presentation of abruptio placentae
PROM definition
gestational age... evaluation of relative risks of delivery vers…
premature separation of placenta from uterus
bleeding, uterine contractions, and fetal distress
rupture of membranes before onset of labor
cardinal principle of management of PROM
gestational age... evaluation of relative risks of delivery vers…
abruptio placentae
premature separation of placenta from uterus
375 terms
OB/GYN
Cervidil (Cervix Dilator)
1st Step for Induction of Patient with…
Superior Measurement for 10-Day Discre…
Pregnancy Anti-Retrovirals (I.V. Durin…
Prostaglandin E2 (Similar to PGE1 Misoprostol); Prostaglandin…
Ripen (Dilate) Using Prostaglandins or Balloon
Ultrasound
Lamivudine, Nevirapine, or Zidovudine (LaNeZ)
Cervidil (Cervix Dilator)
Prostaglandin E2 (Similar to PGE1 Misoprostol); Prostaglandin…
1st Step for Induction of Patient with…
Ripen (Dilate) Using Prostaglandins or Balloon
235 terms
OB GYN-
Lecture 1 June 24, 2016
what is the term for the collective fe…
External Female St
Mons Pubis
...
vulva
"● Mons Pubis. ● Labia Majora ● Labia Minora. ● Clitoris. ● V…
"Is rounded, soft fullness of subcutaneous fatty tissue, prom…
Lecture 1 June 24, 2016
...
what is the term for the collective fe…
vulva
246 terms
OB/GYN
What is the gold standard for diagnosi…
C- Section patients are encourage to a…
Hysterectomy & Dietary Changes
Calendar Method
Laparoscopy
24
Patient 's are at an increased risk for osteoporosis. Dairy c…
Determines a woman's fertility by - 18 days from the shortest…
What is the gold standard for diagnosi…
Laparoscopy
C- Section patients are encourage to a…
24
OB/GYN
redo sections
What type of oral contraceptives decre…
tubal ligation reduces risk of what ty…
greatest predictor of regret after tub…
intrapartum care, molar pregnancies, twins, isoimmunization
combined OCPs
ovarian. mechanism unknown
young age
redo sections
intrapartum care, molar pregnancies, twins, isoimmunization
What type of oral contraceptives decre…
combined OCPs
33 terms
*OB/GYN*
Categories of Gynecological Abnormalit…
Vaginal atresia
Types of Vaginal Atresia
Mullerian Aplasia
1) Anatomic Abs: A)Vaginal Atresias - proximal or distal (M…
Absence if part of the vagina
1) of the distal vagina (less common), 2) of the *proximal…
Vaginal Atresia of the proximal vagina from failure of form…
Categories of Gynecological Abnormalit…
1) Anatomic Abs: A)Vaginal Atresias - proximal or distal (M…
Vaginal atresia
Absence if part of the vagina
72 terms
OB/Gyn
Why do we give folic acid to pregnant…
Why do comorbid conditions need to be…
What vaccine must a mother get while p…
What is potter's sequence?
-To prevent spinal bifida ... -At least 400 micrograms, but a pr…
-DM-->heart defects, neuro tube defects, goal=A1C less than 6…
-Tdap in the 3rd trimester... -Also, get your influenza :)
-Happens when the women takes ACE-inhibitors... -The babies don'…
Why do we give folic acid to pregnant…
-To prevent spinal bifida ... -At least 400 micrograms, but a pr…
Why do comorbid conditions need to be…
-DM-->heart defects, neuro tube defects, goal=A1C less than 6…
175 terms
OB GYN
*Physiologic Changes in PFTs in Pregna…
Venous Drainage:... - R Ovarian Vein... -…
*Intrahepatic Cholestasis of Pregnancy…
*Pruritic Urticarial Papules and Plaqu…
↑Inspiratory capacity in 3rd trimester 2/2 ↑TV and ↑IRV. ... ↑M…
R Ovarian Vein: IVC... L Ovarian Vein: L Renal Vein... *Uteri…
Def: functional disorder of bile formation, develops 2nd-3r…
Def: red papules within striae with sparing around umbilicu…
*Physiologic Changes in PFTs in Pregna…
↑Inspiratory capacity in 3rd trimester 2/2 ↑TV and ↑IRV. ... ↑M…
Venous Drainage:... - R Ovarian Vein... -…
R Ovarian Vein: IVC... L Ovarian Vein: L Renal Vein... *Uteri…
450 terms
OB/GYN
The physiologic status of puberty is:…
The bladder is considered adequately f…
A routine image protocol of the pelvis…
If pelvic pathology is present, what o…
c. premenarche
b. it extends past the uterine fundus
b. cervix, right adnexa, left adnexa, uterus, rectouterine re…
c. Morison's pouch, subphrenic, renal
The physiologic status of puberty is:…
c. premenarche
The bladder is considered adequately f…
b. it extends past the uterine fundus
Ob/gyn, Ob/Gyn Terminology
Auvard weighted speculum
Hank dilators
Hegar dilators
Sims uterine sound
Auvard weighted speculum
Hank dilators
57 terms
OB/GYN
hydrosalpnix
PID - hydrosalpnix
tubo-ovarian abscess
uterine fibroids (labeled)
hydrosalpnix
PID - hydrosalpnix
149 terms
ObGyn
Dystocia
Placenta previa
Placenta abruption
Cephalopelvic disproportion (CPD)
Ineffective and difficult labor
Placenta is abnormally implanted in the lower uterine segment…
Placenta is prematurely separated from the wall of the uterus
mothres pelvis is too small to accommodate the head of the fe…
Dystocia
Ineffective and difficult labor
Placenta previa
Placenta is abnormally implanted in the lower uterine segment…
198 terms
OB-GYN
Urine leakage due to increased intra-a…
What is the treatment for stress incon…
How do alpha agonists treat stress inc…
Urine leakage accompanied by or preced…
Stress incontinence
Kegel exercises & alpha agonists (Midodrine, Pseudoephedrine)
They increase urethral sphincter tone and increase urethral r…
Urge incontinence
Urine leakage due to increased intra-a…
Stress incontinence
What is the treatment for stress incon…
Kegel exercises & alpha agonists (Midodrine, Pseudoephedrine)
316 terms
OB/GYN
lichen sclerosis
lichen planus
vulvar psoriasis
lichen simplex chronicus
inflammatory dermatosis in the vluva.... all ages but mostly pos…
uncommon inflammatory skind condition... nails, scalp, skin muco…
silvery-red patches over elbows, knees, scalp, nails, includi…
Thickened skin with accentuated markings and excoriations (sc…
lichen sclerosis
inflammatory dermatosis in the vluva.... all ages but mostly pos…
lichen planus
uncommon inflammatory skind condition... nails, scalp, skin muco…
862 terms
OB/GYN
What muscle group may be seen in the f…
In the prepubertal uterus, the length…
A set routine for performance of an ex…
In a patient with unilateral hematocol…
iliopsoas
two thirds of the size
protocol
renal
What muscle group may be seen in the f…
iliopsoas
In the prepubertal uterus, the length…
two thirds of the size
194 terms
OB/GYN
Young woman with 18 or 20 week size ut…
Caput Succedaneum
Cephalohematoma
Leading cause for C-secitons
A Fibroid uterus
Swelling of fetal head, crosses suture lines (C = crosses S =…
Collection of blood under periosteum of skull, does not cross…
Dystocia = abnormal labor
Young woman with 18 or 20 week size ut…
A Fibroid uterus
Caput Succedaneum
Swelling of fetal head, crosses suture lines (C = crosses S =…
98 terms
*OB/GYN
Complications of Prematurity
Risk Factors: Prematurity... Nonprogress…
Smooth philtrum & thin vermillion bord…
Sensorineural deafness... BLINDNESS (chor…
RDS, PDA, Bronchopulmonary dysplasia, intraventricular hemorr…
Cerebral Palsy
FAS (fetal alcohol syndrome)
Congenital CMV... MC congenital viral infection
Complications of Prematurity
RDS, PDA, Bronchopulmonary dysplasia, intraventricular hemorr…
Risk Factors: Prematurity... Nonprogress…
Cerebral Palsy
57 terms
OB/GYN
hydrosalpnix
PID - hydrosalpnix
tubo-ovarian abscess
uterine fibroids (labeled)
hydrosalpnix
PID - hydrosalpnix
618 terms
Ob/Gyn
Appropriate gestational window to scre…
Components of last menstrual period ar…
Location of fundus at 16 weeks
Location of fundus at 20 weeks
16 to 20 weeks gestation
1. patient sure of LMP... 2. regular menses... 3. LMP was normal... 4.…
Midway between pubic symphysis and umbilicus
Umbilicus
Appropriate gestational window to scre…
16 to 20 weeks gestation
Components of last menstrual period ar…
1. patient sure of LMP... 2. regular menses... 3. LMP was normal... 4.…
56 terms
OB-GYN DIT
Dx of pre-eclampsia
Risk factors for ectopic pregnancy
Fetal Ht Rate patterns... 1. Early decele…
Organisms commonly associated with acu…
1. new onset HTN in 2nd half of preg:... -- BP >/- 140/90 after…
98% occur in fallopian tube... - h/o of prior ectopic preg... - h/…
1. Early deceleration: onset of decel coincides with onset of…
1. Chlamydia... 2. Neisseria gon... Tx: ... 1. Chlamydia: ... - Azithrom…
Dx of pre-eclampsia
1. new onset HTN in 2nd half of preg:... -- BP >/- 140/90 after…
Risk factors for ectopic pregnancy
98% occur in fallopian tube... - h/o of prior ectopic preg... - h/…
76 terms
OB/GYN
Cervical Anatomy
ECTOcervix
ENDOcervix
Transformation Zone
ECTOcervix; ENDOcervix; Transformation Zone
Visualized on speculum exam. Contains flat, squamous epitheli…
Beyond the os, includes canal. Contains tall, columnar epithe…
Squamocolumnar Junction "SCJ" area where ECTO and ENDO meet.…
Cervical Anatomy
ECTOcervix; ENDOcervix; Transformation Zone
ECTOcervix
Visualized on speculum exam. Contains flat, squamous epitheli…
307 terms
OB-GYN Questions
Oxygen crosses the placenta by... a: pino…
Glucose crosses the placenta by... a: fac…
Amino acids cross the placenta by... a: f…
Pregnancy has what effect on gastric m…
c: simple diffusion
a: facilitated diffusion
b: active transport
d: Gastric motility typically decreases
Oxygen crosses the placenta by... a: pino…
c: simple diffusion
Glucose crosses the placenta by... a: fac…
a: facilitated diffusion
951 terms
OB/GYN
thelarche
menarche
How long does the follicular stage last
What occurs during the follicular phase?
breast dev... usually occurs b/t ages of 8 and 11
first menstrual cycle... onset generally occurs b/t ages of 10…
1 - 13 days
increased FSH --> growth of follicles --> increases estrogen…
thelarche
breast dev... usually occurs b/t ages of 8 and 11
menarche
first menstrual cycle... onset generally occurs b/t ages of 10…
347 terms
OB/GYN
36 weeks primigravida changes?
what decreases in pregnancy
uterus present, breasts present
6 weeks pregnant 6 cm ovarian cyst
increased tidal volume?, increased second heart sound split w…
peripheral vascular resistance?
outflow obstruction
leave it
36 weeks primigravida changes?
increased tidal volume?, increased second heart sound split w…
what decreases in pregnancy
peripheral vascular resistance?
192 terms
OB/GYN
Young girl w missed period:
3 Cardiac changes in pregnancy:
Morning sickness usually ends what week:
Nagele's rule:
Do an Hcg
Decrease SVR and BP... Increase CO
14-16
Take LMP: Subtract 3 mo, add 7 days, add a year... Ex: 5/9/14 -…
Young girl w missed period:
Do an Hcg
3 Cardiac changes in pregnancy:
Decrease SVR and BP... Increase CO
17 terms
Ob Gyn
4 questions to ask women who present t…
For contractions, ask about
For bleeding, assess
For possible ruptured membranes, ask a…
Labor symptoms,... 1. bleeding... 2. leakage of fluid... 3. pre-eclamp…
- how long the contractions have been felt... -how far apart the…
onset, subjective amount,... whether bright red or not, if there…
the onset of leakage, the amount and... color of the fluid, if t…
4 questions to ask women who present t…
Labor symptoms,... 1. bleeding... 2. leakage of fluid... 3. pre-eclamp…
For contractions, ask about
- how long the contractions have been felt... -how far apart the…
101 terms
COMAT Ob/Gyn
Thick, white, odorless discharge vagina.
Bacterial vaginosis is diagnosed in wo…
Multiple painful, ulcerated lesions wi…
___ causes painless genital papillose…
Candida... - pH normal range 3.5-4.5 acidic ... - recent antibi…
1. Homogenous vaginal discharge ... 2. Discharge has a *pH gre…
Genital herpes due to HSV-1 or HSV-2
Klebsiella granulomatis
Thick, white, odorless discharge vagina.
Candida... - pH normal range 3.5-4.5 acidic ... - recent antibi…
Bacterial vaginosis is diagnosed in wo…
1. Homogenous vaginal discharge ... 2. Discharge has a *pH gre…
105 terms
Ob/Gyn Shelf - GYN
Cholesterol --> Androstenedione? ... Andr…
adnexal mass + bleeding + hydroureter?
name that incontinence:... - underactive…
surgery to repair the pubocervical fas…
Cholesterol --> Androstenedione = Theca interna, desmolase, L…
cervical cancer
- underactive detrusor = OVERFLOW... - overactive detrusor = URG…
cystocele
Cholesterol --> Androstenedione? ... Andr…
Cholesterol --> Androstenedione = Theca interna, desmolase, L…
adnexal mass + bleeding + hydroureter?
cervical cancer
339 terms
OB GYN
All of the following belong to externa…
Which of the following is the main ves…
Which of the following is the cervical…
Which of the following diseases is not…
C Vagina
D A. uterina
C Pap smear
D Toxoplasmosis
All of the following belong to externa…
C Vagina
Which of the following is the main ves…
D A. uterina
Ob/gyn
Auvard weighted speculum
Hank dilators
Hegar dilators
Sims uterine sound
Auvard weighted speculum
Hank dilators
89 terms
OB/GYN
At what beta-hCG level should you be a…
In a normal, viable IUP, the beta-hCG…
At what GA should you be able to pick…
It's normal for the WBC count to be el…
1500-2000 and 5000-6000 respectively
66%
10 weeks
6-16k, and up to 20k during labor due to the stress response.
At what beta-hCG level should you be a…
1500-2000 and 5000-6000 respectively
In a normal, viable IUP, the beta-hCG…
66%
672 terms
OB/GYN
Anterior Cul-de-sac location?
Abortion
LMP
Amenorrhea
Posterior to bladder and anterior to uterus.
2nd trimester expulsion.
First day of last menstrual period.
Absence of menstruation.
Anterior Cul-de-sac location?
Posterior to bladder and anterior to uterus.
Abortion
2nd trimester expulsion.
158 terms
ob gyn
Mono chorionic, ... double amnion
maternal complications are more compli…
dividing memrbane
Delivery can/cannot be
Thin membrane dividing
Twin pregnancy
is very important to identify with twins
can plausible with both twins are vertex
Mono chorionic, ... double amnion
Thin membrane dividing
maternal complications are more compli…
Twin pregnancy
103 terms
OB/Gyn
What causes morning sickness?
How long does morning sickness last?
Definition of embryo?
Definition of fetus?
b-hCG, estrogen and progesterone produced by placenta
Until EGA 12-14 weeks
Fertilization to 8 weeks
8 weeks to birth
What causes morning sickness?
b-hCG, estrogen and progesterone produced by placenta
How long does morning sickness last?
Until EGA 12-14 weeks
202 terms
OB GYN
1st trimester screening
2nd trimester screening
3rd Trimester screening
Quad Screen (NT defects and Down's syn…
Full HPI & PE, BP, HR, BMI... Labs: Blood Type and Screen, CBC,…
11-14wk: FHT, labs (offer Fe if anemic), encourage breast fee…
24-28: Screen Gest DM, norm FM discussion, Discuss prenatal c…
Serum pregnancy associated plasma protein A (PAPP-A),... Beta hu…
1st trimester screening
Full HPI & PE, BP, HR, BMI... Labs: Blood Type and Screen, CBC,…
2nd trimester screening
11-14wk: FHT, labs (offer Fe if anemic), encourage breast fee…
74 terms
OB GYN
What is the triad for congenital toxop…
what is the classic triad for congenit…
what is the triad for congenital CMV?
do genital warts impede with vaginal b…
Chorioretinitis, Intracranial calcifications, and encephaliti…
Deafness, cataracts, heart disease
Jaundice at birth (rare at birth, usually appears a couple da…
no, unless to big to give birth
What is the triad for congenital toxop…
Chorioretinitis, Intracranial calcifications, and encephaliti…
what is the classic triad for congenit…
Deafness, cataracts, heart disease
Ob Gyn
Stages of Labor... Normal labor progress…
Nonreassuring Fetal Status
Preterm Labor
Placental Abruption... RF... History of Abru…
First Stage (avg 10-12hrs null, 6-8 multi) : onset of contr…
Repetitive Late Decels... Bradycardias... Loss of Variability ... Tx:…
Risk Factors ... No partner... Low socioeconomic status... Anxiety... D…
Intense contractions, dark flowing vaginal bleed, preterm lab…
Stages of Labor... Normal labor progress…
First Stage (avg 10-12hrs null, 6-8 multi) : onset of contr…
Nonreassuring Fetal Status
Repetitive Late Decels... Bradycardias... Loss of Variability ... Tx:…
97 terms
OB Gyn
differences btwn androgen insen and mu…
neonatal abstinence syndrome
opiod addiction during preg: options,…
Pathophysio of athletes w/ amenorrhea
androgen: no pubic hair, XY, testes, infertile, need gonadect…
from withdrawal of opioids... high pitched cry... irritability... fee…
safe to be on methadone, continue during preg and taper durin…
decr LH and GnRH --> decr ESTROGEN... at risk for infertility,…
differences btwn androgen insen and mu…
androgen: no pubic hair, XY, testes, infertile, need gonadect…
neonatal abstinence syndrome
from withdrawal of opioids... high pitched cry... irritability... fee…
25 terms
OB/Gyn: DUB I
Prolonged/excessive uterine bleeding?
Uterine bleeding occurring at *irregul…
Excessive bleeding occurring at *irr…
Uterine bleeding occurring at *regular…
menorrhagia
metrorrhagia
menometrorrhagia
polymenorrhea
Prolonged/excessive uterine bleeding?
menorrhagia
Uterine bleeding occurring at *irregul…
metrorrhagia
ObGyn Final Copied
Obstetrics
Obstetrical Hx includes:
CA chiros scope of practice w/ OBGYN
A "term" pregnancy is in the range of
The medical profession that deals with pregnancy, childbirth,…
chron list of all pregnancies... birthing info... parity (TPAL)
May perform breast, speculum, rectal, bimanual pelvic, rectov…
37-42 weeks
Obstetrics
The medical profession that deals with pregnancy, childbirth,…
Obstetrical Hx includes:
chron list of all pregnancies... birthing info... parity (TPAL)
67 terms
ARDMS OB/GYN
Days 6-13 in the uterus are considered…
The hormone primarily responsible for…
The corpus luteum secretes:
The ovary is attached to the uterine c…
Proliferative
LH
Progesterone
Ovarian
Days 6-13 in the uterus are considered…
Proliferative
The hormone primarily responsible for…
LH
320 terms
OB/Gyn Shelf
First line Tx of Atrophic vaginitis... -I…
Vulvar lichen planus Tx
Lichen sclerosis Tx
Components of Quadruple Screen
Mild: moisturizers and lubricants... Moderate/Severe: low dose…
Steroids
Steroids
1. Maternal serum a-fetoprotein... 2. B-hCG... 3. Estriol... 4. Inhibi…
First line Tx of Atrophic vaginitis... -I…
Mild: moisturizers and lubricants... Moderate/Severe: low dose…
Vulvar lichen planus Tx
Steroids
261 terms
OB/GYN Midterm
If a young woman has not menstruated y…
What percentage of pregnancies are uni…
What are some of the reasons for a dec…
What are the top two most commonly use…
whenever she BEGINS to have sexual activity - ovulation often…
50%
1. effective use of prevention messages... 2. increase in use of…
pill... female sterilization
If a young woman has not menstruated y…
whenever she BEGINS to have sexual activity - ovulation often…
What percentage of pregnancies are uni…
50%
69 terms
Ob and Gyn
List 12 physiological changes of pregn…
What is the threshold of viability acc…
List 6 features of placental abruption
List 4 signs of uterine rupture
CVS... 1. bp declines early then increases in third trimester... 2.…
> or equal to 23 weeks
1. fetal distress... 2. vaginal bleeding... 3. abdominal cramps... 4.…
1. shock... 2. abdo pain... 3. easily palpable fetal anatomy... 4. fet…
List 12 physiological changes of pregn…
CVS... 1. bp declines early then increases in third trimester... 2.…
What is the threshold of viability acc…
> or equal to 23 weeks
2,000 terms
OB-GYN EOR
Nageles rule for estimating due date
Schedule for prenatal visits: 1st visi…
Fundal height at 20 weeks gestation?
T/F: at 21 weeks gestation and on the…
Start at 1st day of LMP, add 1 year, subtract 3 mos, add 7 days
First visit is 6-8 weeks after LMP, followed by q4wks until 3…
At umbilicus
True
Nageles rule for estimating due date
Start at 1st day of LMP, add 1 year, subtract 3 mos, add 7 days
Schedule for prenatal visits: 1st visi…
First visit is 6-8 weeks after LMP, followed by q4wks until 3…
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