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Flashcards in reproductive 579-583 Deck (24)
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1
Q

in 1’ hypogonadism what will be the testosterone, LH level?

A

low test, high LH

2
Q

in testosterone secreting tumor, what will be the testosterone, LH lever?

A

high testosterone, low LH

3
Q

in defective androgen receptor, what will be testostereon, LH lever?

A

high test, high LH

4
Q

the order of the worst prognosis of ob n gy tumors

A

ovarian > cervical > endometrial

5
Q

3 causes for oligohydromnios

A

placental insufficiency, bilateral renal agenesis, post urethral valves and its inability to urinate

6
Q

most common location/size of the ectopic preg?

A

shows 10 mm embryo in oviduct at 7 wk gestation

7
Q

level of hCG in ectopic preg?

A

lower than expected rise based on dates

8
Q

5 risk factors for ectopic preg?

A
  1. hx of infertility
  2. saplingitis (PID)
  3. ruptured appendix
  4. prior tubal surgery
  5. endometriosis
9
Q

dx?

painless vessel rupture, fetal bradycardia (less than 110/min), fetal vessels traveling to placenta unprotected by Wharton jelly

A

Vasa previa

10
Q

path associated with defective decidual layer?

A

placenta Accreta (Attaches to myometrium w/o penetrating)

placenta Increta (placenta Into myometrium)

placenta Percreta (placenta Penetrates myometirum)

11
Q

presentations of placenta accreta/increta/percreta?

A

often detected on ultrasound prior to delivery

no separation of placenta after delivery –> postpartum bleeding

12
Q

complication of placenta accreta/increta/percreta?

A

Sheehan

13
Q

dx?

no prostate, normal testosterone/estrogen, internal genitalia normal, but ambiguous external genitalia, 46 XY

A

5 alpha reductase def

14
Q

in 5 alpha reductase def, why do you see ambiguous external genitalia and no prostate?

A

b/c DHT made from testosterone by 5 alpha reductase converts genital tubercle, urogenital sinus into male external genitalia, prostate

15
Q

2 conditions associated with female pseudo hermaphrodite?

A

congenital adrenal hyperplasia, exogenous administration of androgens during pregnancy

16
Q

dx?

masculinized female infant (46, XX), inc serum testosterone

when the mother was preg, she had hirsutism

A

aromatase def

17
Q

dx?

honeycombed uterus, hyperemesis, hyperthyroidism, pre-eclampsia

A

complete mole

18
Q

2 diagnosis criteria for gestational hypertension?

A

BP>140/90 after 20th wk of gestation

19
Q

diagnosis criteria for preeclampsia

A

new onset of HTN with either proteinuria or end organ dysfunction after 20th wk of gestation

20
Q

pathophysio of preeclampsia?

A

abnormal placental spiral arteries –> endothelial dysfunction –> vasoconstriction, ichemia

21
Q

6 complications of preeclampsia?

A
placental abruption
coagulopathy
renal failure
uteroplacental insufficiency
eclampsia
22
Q

definition of eclampsia?

A

preeclampsia + maternal seizures

23
Q

what is the manifestation of severe preeclampsia?

A

HELLP syndrome

24
Q

what is the complication of HELLP?

A

hepatic subcapsular hematomas –> rupture –> severe hypotension