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Study sets matching "ob gyn"

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Study sets matching "ob gyn"

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)
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
87 terms
OB/GYN Surgical Instruments
Auvard weighted speculum
graves vaginal speculum
De Lee bladder blade
single tooth tenaculum
Auvard weighted speculum
graves vaginal speculum
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
778 terms
OB/GYN
It is recommend that a complete pelvic…
Week 1 -2
Amniotic membrane fuses with chorionic…
"Major Embryology Events: ... Fertilizati…
Transabdominal and Transvaginal
Development of the doinate follicle
14-16
Cleavage... 16-cell... Trophoblast
It is recommend that a complete pelvic…
Transabdominal and Transvaginal
Week 1 -2
Development of the doinate follicle
405 terms
OB/GYN
Down syndrome serum findings
When to perform triple testing
AFP > _____ MOM is suspicious for neur…
PROM vs. PPROM
•↓AFP... •↓Estriol... •↑hCG ... •↑Inhibin A
15-20wk
2.0-2.5
•PROM: ROM prior to labor... •PPROM: PROM before 37wk
Down syndrome serum findings
•↓AFP... •↓Estriol... •↑hCG ... •↑Inhibin A
When to perform triple testing
15-20wk
Ob/gyn
Auvard weighted speculum
Hank dilators
Hegar dilators
Sims uterine sound
Auvard weighted speculum
Hank dilators
100 terms
OB/GYN
Steps for collecting cord blood
Exclusions for cord blood collection
Plan B (Levonorgestrel): how to take
Ulipristal acetate (ella): why over pl…
1. clamp cord ... 2. clean area of cord... 3. cannulate umbilical v…
Expulsion of placenta before or during collection... malodorous…
--take up to 5 days after unprotected sex. Lowers risk of pre…
--decreases risk of unintended pregnancy by 90% . ... --maintain…
Steps for collecting cord blood
1. clamp cord ... 2. clean area of cord... 3. cannulate umbilical v…
Exclusions for cord blood collection
Expulsion of placenta before or during collection... malodorous…
108 terms
OB/GYN
Endometrial biopsy for AUB pretest/con…
emergency contraception1
Stress incontinence dxtx2
vaginal blds, abd pain/uterine tendern…
bHCG first, women >45yo/postmenopausal, <45y/o w/ persist sym…
copper IUD most effective
dx cotton swab insertion w/ >30 angle upon increased abd pres…
Placental abruption
Endometrial biopsy for AUB pretest/con…
bHCG first, women >45yo/postmenopausal, <45y/o w/ persist sym…
emergency contraception1
copper IUD most effective
85 terms
OB/GYN
discriminatory value
pseudogestational sac
Arias-Stella reaction
culdocentesis
the lower limit of serum hCG at which a TVS can reliably visu…
one-layer sac that is the result of an intracavitary fluid co…
hypersecretory endometrium of pregnancy seen on histologic ex…
-an 18G needle is inserted posterior to the cervix, between t…
discriminatory value
the lower limit of serum hCG at which a TVS can reliably visu…
pseudogestational sac
one-layer sac that is the result of an intracavitary fluid co…
533 terms
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…
33 terms
OB/Gyn
IUGR
2 types of IUGR (Most Common?)
Erythroblastotis Fetalis
Hydrops Fetalis
Infant weighing below the 10th percentile of GA ... -A decrease…
Symmetric-25% all measurements more than 2 weeks below GA.... As…
destruction of fetal RBC's... Mother is attacking baby... RH incomp…
Excessive accumulation of fluid in fetal tissues and body cav…
IUGR
Infant weighing below the 10th percentile of GA ... -A decrease…
2 types of IUGR (Most Common?)
Symmetric-25% all measurements more than 2 weeks below GA.... As…
734 terms
OB/GYN
hCG level growth during early pregnancy?
Appropriate weight gain during pregnan…
Nutrition supplementation during pregn…
Physiologic changes during pregnancy?…
levels double every 48 hours
low BMI: 28-40 lbs... normal BMI: 25-35... overweight: 15-25... obese:…
folic acid, iron, calcium. Vitamin D and B12 if vegetarian
1. increased renal flow and GFR... 2. Increased HR, CO and decre…
hCG level growth during early pregnancy?
levels double every 48 hours
Appropriate weight gain during pregnan…
low BMI: 28-40 lbs... normal BMI: 25-35... overweight: 15-25... obese:…
146 terms
OB/GYN
Abortion
Abruptio Placentae
Afterbirth
Amniotic Sac
Spontaneous (miscarriage) or induced termination of pregnancy
A condition in which the placenta separates from the uterine…
The placenta, membranes of the amniotic sac, part of the umbi…
The "bag of water" that surrounds the developing fetus.
Abortion
Spontaneous (miscarriage) or induced termination of pregnancy
Abruptio Placentae
A condition in which the placenta separates from the uterine…
113 terms
OB/GYN
Leiomyoma (Fibroid/ myoma tumor)
Adenomyosis
Endometritis
Endometriosis
- MC BENIGN neoplasm of the female genital tract... - MC in AA's…
- Endometrial glands and stroma are present within the uterin…
Infection of the endometrium during pregnancy... S&S... - Staph an…
- MC at ovaries... - MC CAUSE OF INFERTILITY... S&S:... - Dysmennorhe…
Leiomyoma (Fibroid/ myoma tumor)
- MC BENIGN neoplasm of the female genital tract... - MC in AA's…
Adenomyosis
- Endometrial glands and stroma are present within the uterin…
108 terms
OB/GYN
DX: 23-year-old woman with a long-stan…
complications of PCOS
PCOS dx steps
PCOS plan
PCOS
Diabetes mellitus... endometrial cancer... hyperlipidemia... metabolic…
- Thyroid-stimulating hormone... - prolactin... - lipid profile... - g…
Regulate menstrual cycles with combination oral contraceptive…
DX: 23-year-old woman with a long-stan…
PCOS
complications of PCOS
Diabetes mellitus... endometrial cancer... hyperlipidemia... metabolic…
137 terms
OB/GYN
Postpartum hemorrhage
Mag Sulfate... Terbutaline... Ritodrine
Oxytocin, Carboprost, Misopristol, Met…
Breech Presentations
Most common cause is uterine atony 2/2 insufficient postpartu…
tocolytic (uterine relaxant)... Terbutaline and Ritodrine: sele…
Uterotonic drugs... First line: Oxytocin, if given quickly hypo…
Frank breech: by far the most common. Fetal buttocks with LE…
Postpartum hemorrhage
Most common cause is uterine atony 2/2 insufficient postpartu…
Mag Sulfate... Terbutaline... Ritodrine
tocolytic (uterine relaxant)... Terbutaline and Ritodrine: sele…
9 terms
OB/GYN
Weighted speculum
Delee universal bladder retractor
Hank uterine dilators
Goodell uterine dilator
Weighted speculum
Delee universal bladder retractor
40 terms
OB/GYN
When will egg implant in wall of uterus?
Umbilical cord
Placenta
amniotic sac
7 days after fertilization
2-way blood flow, 3 vessels surrounded by clear protective ge…
vascular organ, exchange for nutrients and O2, expelled after…
grows from placenta, encases fetus, 16-32 ox clear watery liq…
When will egg implant in wall of uterus?
7 days after fertilization
Umbilical cord
2-way blood flow, 3 vessels surrounded by clear protective ge…
11 terms
OB/GYN
Septate uterus... Septum that extends to…
55%
Incisional endometriosis (tends not to…
Hydrocolpos
Dx? Key findings?
What percent of MDAs does septate uterus comprise?
29 yo woman s/p Caesarean section with endometriosis and nomc…
Dx?
Septate uterus... Septum that extends to…
Dx? Key findings?
55%
What percent of MDAs does septate uterus comprise?
75 terms
ob/gyn
increases breast cancer risk
menopause
calculating estimated delivery date (N…
rhesus (rho) factor
family history in first degree relative (mother or sister), p…
average age is 51. The gradual transition to menopause is per…
add 9 months and 1 week from last normal menstrual period.
if the mother is Rh (-) and the father is Rh (+) then rhogam…
increases breast cancer risk
family history in first degree relative (mother or sister), p…
menopause
average age is 51. The gradual transition to menopause is per…
153 terms
OB/GYN
HSV
Contraception types
Heb B exposure in unvaccinated person
Hep B exposure in vaccinated and respo…
prodrome of viral illness, burning and itching vulva before l…
...
exposed to HBsAg: Give HBIg and start vaccination series ... exp…
nothing... non-responder:HbIg x2 or HbIg+HB vaccine
HSV
prodrome of viral illness, burning and itching vulva before l…
Contraception types
...
98 terms
Ob-gyn
Pre-eclampsia tx
Eclampsia dfn
Eclampsia tx
When should gestational DM be screened?
Treatment: antihypertensives, deliver at 34 weeks... (severe) or…
Preeclampsia + maternal seizures
Treatment: antihypertensives, IV magnesium sulfate, immediate…
24-28 weeks
Pre-eclampsia tx
Treatment: antihypertensives, deliver at 34 weeks... (severe) or…
Eclampsia dfn
Preeclampsia + maternal seizures
94 terms
GYN/OB
cervical
conization
cystocele
dialation
pertaining to the neck of the uterus
removal of a cone-shaped section (cone biopsy) of the cervix
herniation of the bladder into the urinary canal
act of stretching or enlarging an area of the body
cervical
pertaining to the neck of the uterus
conization
removal of a cone-shaped section (cone biopsy) of the cervix
113 terms
OB/GYN
Leiomyoma (Fibroid/ myoma tumor)
Adenomyosis
Endometritis
Endometriosis
- MC BENIGN neoplasm of the female genital tract... - MC in AA's…
- Endometrial glands and stroma are present within the uterin…
Infection of the endometrium during pregnancy... S&S... - Staph an…
- MC at ovaries... - MC CAUSE OF INFERTILITY... S&S:... - Dysmennorhe…
Leiomyoma (Fibroid/ myoma tumor)
- MC BENIGN neoplasm of the female genital tract... - MC in AA's…
Adenomyosis
- Endometrial glands and stroma are present within the uterin…
17 terms
OB/GYN
Russian Forceps
O'Connor O'Sullivan Retractor
Heaney Ballentine Clamp
Heaney Clamp
G&H
R&E
G&H
G&H
Russian Forceps
G&H
O'Connor O'Sullivan Retractor
R&E
24 terms
OB/GYN
Cardinal Movements of Labor
Delivery process
Clinical pelvimetry - obstetrical conj…
Clinical pelvimetry 2
1. Engagement - biparietal diameter enters the pelvic inlet.…
place hand on perineum to flex head > head out > check for nu…
midpubis --> sacral promontery = obstetrical conjugate (>10.5…
Cardinal Movements of Labor
1. Engagement - biparietal diameter enters the pelvic inlet.…
Delivery process
place hand on perineum to flex head > head out > check for nu…
198 terms
OB/GYN
U/L or bloody discharge Tx
FHT monitoring: Sinusoidal Pattern
Fibroadenoma - most appropriate test t…
Fibroadenoma - most appropriate diagno…
Surgery
Severe fetal anemia
US
FNA
U/L or bloody discharge Tx
Surgery
FHT monitoring: Sinusoidal Pattern
Severe fetal anemia
388 terms
OB/GYN EOR Exam
____cancer is the most common gynecolo…
Endometrial cancer: The most common ro…
The most common precursor of endometri…
Pathology: 80% is Type I and occurs in…
Endometrial, Adenocarcinoma
via direct extension of tumor downward toward cervix or outwa…
endometrial hyperplasia
estrogen exposure; estrogen independent
____cancer is the most common gynecolo…
Endometrial, Adenocarcinoma
Endometrial cancer: The most common ro…
via direct extension of tumor downward toward cervix or outwa…
118 terms
OB/GYN
MCC of secondary amenorrhea
Other causes of amenorrhea in women wi…
Causes of amenorrhea in hypoestrogenic…
Causes of secondary dysmenorrhea (list…
Pregnancy
- Asherman Synd (intrauterine adhesions-most often associated…
Central nervous system tumor... Stress... Hyperprolactinemia (tx: B…
Endometriosis... Adenomyosis... Uterine Fibroids... PID... Use of an IUD
MCC of secondary amenorrhea
Pregnancy
Other causes of amenorrhea in women wi…
- Asherman Synd (intrauterine adhesions-most often associated…
809 terms
Ob/Gyn
At what weeks can you start checking g…
At what weeks can you start using anat…
During third trimester if Hb < 11, wha…
The most common location of an ectopic…
11-14 weeks
18-20 weeks
Replace Fe
Ampulla
At what weeks can you start checking g…
11-14 weeks
At what weeks can you start using anat…
18-20 weeks
244 terms
Ob/Gyn
What causes most commonly causes varia…
What causes most commonly causes late…
34-year-old G2P1 woman is 40 weeks ges…
Historically, the purpose of performin…
cord compression... --Placental insufficiency is usually assoc…
uteroplacental insufficiency
Elevate the fetal head with a vaginal hand and perform a Cesa…
second
What causes most commonly causes varia…
cord compression... --Placental insufficiency is usually assoc…
What causes most commonly causes late…
uteroplacental insufficiency
23 terms
Surgical Instruments - OB/GYN
Russian Forceps... OB/GYN... Long/Medium…
O'Conner O'Sullivan Retractor... OB/GY…
Heany Clamp... OB/GYN... Heavy Pattern…
Heany-Ballentine Clamp... OB/GYN... Long…
Russian Forceps... OB/GYN... Long/Medium…
O'Conner O'Sullivan Retractor... OB/GY…
16 terms
OB/GYN
Russian Forceps
O'Connor O'Sullivan Retractor
Heany Clamp
Heany-Ballentine Clamp
Grasping/Holding
Self Retaining
Grasping/Holding
Grasping/Holding
Russian Forceps
Grasping/Holding
O'Connor O'Sullivan Retractor
Self Retaining
170 terms
OB/GYN
common cause of low back pain in 3rd t…
b-HCG levels in intrauterine pregnancy…
management for preterm labor (<34 week…
criteria for preterm labor (<34 weeks)
increase in lumbar lordosis and relaxation of ligaments suppo…
1500-2000 mIU/mL... seen with transvaginal ultrasonography
if adequately contracting with cervical dilation and effaceme…
- contractions: 4 in 20 mins or 8 in 60 mins... - no indication…
common cause of low back pain in 3rd t…
increase in lumbar lordosis and relaxation of ligaments suppo…
b-HCG levels in intrauterine pregnancy…
1500-2000 mIU/mL... seen with transvaginal ultrasonography
75 terms
OB/GYN
What are the dose recommendations for…
What factors constitute high risk for…
Timeframe during which folate suppleme…
How do we estimate date of confinement…
Folate 0.4-1mg/d (normal risk)... Folate 5mg/d (high risk)
1) Diabetes mellitus... 2) BMI >35... 3) Previous hx. NTD... 4) Anti-e…
8-12 wks preconception - End of T1
1st day of LMP + 7d -3mo.
What are the dose recommendations for…
Folate 0.4-1mg/d (normal risk)... Folate 5mg/d (high risk)
What factors constitute high risk for…
1) Diabetes mellitus... 2) BMI >35... 3) Previous hx. NTD... 4) Anti-e…
35 terms
OB/GYN
An endometrial stripe > __ is suggesti…
medical abortion </= 9 weeks meds
Tanner stage II and IV for breasts:
Tanner stage III for pubic hair
4mm
Mif+Mis = best ... Mifeprostone: prostaglandin antagonist, cause…
II: bud... IV: secondary mound ... (I- prepubertal, II - bud, III-…
III: becomes coarser, spreads laterally... (I- none, II- small…
An endometrial stripe > __ is suggesti…
4mm
medical abortion </= 9 weeks meds
Mif+Mis = best ... Mifeprostone: prostaglandin antagonist, cause…
24 terms
OB GYN
Antepartum
Postpartum
Pre natal
perinatal
Before Delivery
After delivery
Existing before delivery
Occurring near or at the time of birth
Antepartum
Before Delivery
Postpartum
After delivery
18 terms
OB/GYN
OB
GYN
FDA
ThinPrep & Autocyte
Physician who delivers babies
Short for gynecologist who treats diseases of the female repr…
Food and drug administration
Liquid based metjod used for pap smears
OB
Physician who delivers babies
GYN
Short for gynecologist who treats diseases of the female repr…
223 terms
OB/GYN
noninvasive imaging used to id intraut…
assess for fetal anemia - if >20wks sh…
10-12 wks for advanced maternal age >3…
test not reliable until 16wks; less da…
ultrasound
transcranial doppler
CVS
amniocentesis
noninvasive imaging used to id intraut…
ultrasound
assess for fetal anemia - if >20wks sh…
transcranial doppler
41 terms
OB GYN
Erection physio
Injectables
PDE5 Inhibition
Apomorphine
Nonadrenergic noncholinergic system releases NO -> increase c…
PGE1 (alprosadil -> excellent... Trimix (phentolamine papaverine…
possible life threatening hypotension (combined with nitrates…
sublingual formation works in 20 mins... D1/D2 agonist... less effe…
Erection physio
Nonadrenergic noncholinergic system releases NO -> increase c…
Injectables
PGE1 (alprosadil -> excellent... Trimix (phentolamine papaverine…
161 terms
OB/GYN
A woman who is or has been pregnant?
A woman who is in or who has experienc…
A woman who has been pregnant more tha…
A woman who has never been and is not…
Gravida
Primigravida
Multigravida
Nulligravida
A woman who is or has been pregnant?
Gravida
A woman who is in or who has experienc…
Primigravida
449 terms
Ob Gyn
gestational HTN
elevated vaginal pH >4.5... think what?
lichen sclerosis
Lichen planus
- higher prevalence multiparous women... - most common cause HTN…
- Bacterial Vaginosis!
- extreme vulvar pruritus and may also present with vulvar bu…
- inflammatory mucocutaneous eruptions - remissions and flare…
gestational HTN
- higher prevalence multiparous women... - most common cause HTN…
elevated vaginal pH >4.5... think what?
- Bacterial Vaginosis!
54 terms
OB GYN
Skene's ducts
Bartholin's glands
Uterus
Fallopian tube
Drain the skene's gland, lie on either side of urethral meatus
Glands at the lower end of the vagina. Can become infected an…
Hollow organ in the female reproductive system that holds fet…
Carries egg from ovary to uterus.
Skene's ducts
Drain the skene's gland, lie on either side of urethral meatus
Bartholin's glands
Glands at the lower end of the vagina. Can become infected an…
325 terms
OB GYN
Active phase labor
Latent phase labor
Active phase
Protraction of active labor
~4cm. The change in cervix per time and not uterine contracti…
Initial part labor where the cervix mainly effaces rather tha…
Dilation occurs more rapidly and cervix >4cm
Change in cervical dilation is less than expected
Active phase labor
~4cm. The change in cervix per time and not uterine contracti…
Latent phase labor
Initial part labor where the cervix mainly effaces rather tha…
21 terms
OB GYN
Amplified DNA probe
Amplified DNA probe
breast biopsy
breast biopsy
test for detection of chlamydia and gonorrhea
screening test for men and women, performed on all pregnant f…
removal of lump or needle biopsy where a small incision is ma…
after clinical exam, mammography, or when ultrasound reveals…
Amplified DNA probe
test for detection of chlamydia and gonorrhea
Amplified DNA probe
screening test for men and women, performed on all pregnant f…
22 terms
OB Gyn
UTI- pregnancy treatment
UTI
GBS
GBS Penicillin allergy anaphylaxis type
Amoxicillin/Ampicillin, nitrofurantoin (2-3rd trimesters), fi…
TMP-SMX
Penicillin/ampicillin
Clindamycin
UTI- pregnancy treatment
Amoxicillin/Ampicillin, nitrofurantoin (2-3rd trimesters), fi…
UTI
TMP-SMX
80 terms
OB GYN
DUB
Endometrial Neoplasm
Endometriosis
Fibroids/leomyomata
- not structure prob or regular menstruation... - Dx of exclusio…
- 4th most common female cancer... - adenocarcinoma MOST COMMON…
- cyclic pain associated with menstruation... - Dx with laparosc…
- 20% women have this... - benign bleeding... - location matters, j…
DUB
- not structure prob or regular menstruation... - Dx of exclusio…
Endometrial Neoplasm
- 4th most common female cancer... - adenocarcinoma MOST COMMON…
101 terms
OB GYN
Fat necrosis of breast
Pregnancy Fluid overload Cx
Not recommended vaccines during pregna…
Breech presentation NVD
Can mimic malignancy due to fixed with skin/ nipple retractio…
Mitral stenosis becomes symptomatic --> Afib
HPV... MMR... Live Flu... Chicken pox ? varicella... --> 4 weeks before
Perform external cephalic version >37 weeks... NVD only if all p…
Fat necrosis of breast
Can mimic malignancy due to fixed with skin/ nipple retractio…
Pregnancy Fluid overload Cx
Mitral stenosis becomes symptomatic --> Afib
8 terms
OB GYN
Twin-Twin Transfusion
Twin Reversed Arterial Perfusion Syndr…
Fetal Papyraceous
Twin-Twin Embolization Syndrome
MonoCHORIONIC twin w/ vascular placenta communication
Intraplacental shunting w/ a pump twin and an acardiac twin
Pressed flat dead fetus
Embolized necrotic dead baby to living baby... Only can occur in…
Twin-Twin Transfusion
MonoCHORIONIC twin w/ vascular placenta communication
Twin Reversed Arterial Perfusion Syndr…
Intraplacental shunting w/ a pump twin and an acardiac twin
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