High-risk pregnancies US Medical PG Flashcards - Medical Study Cards
Master High-risk pregnancies with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
High-risk pregnancies Flashcard Deck - 10 Cards
Flashcard 281: Androgen insensitivity syndrome is characterized by an absent uterus, cervix, and upper vagina due to normal production of _____
Answer: anti-müllerian hormone (MIF)
Extra:
https://onlinemeded.org/spa/gynecology/primary-amenorrhea/acquire?ref=anki
Flashcard 282: How do you manage **placenta previa**?
Diagnose: _____
Management: _____
Answer: Transvaginal ultrasound
Extra: Digital pelvic exams are contraindicated in suspected placenta previa as they can provoke massive hemorrhage.
Placental migration: Many previas identified in the second trimester will resolve as the lower uterine segment elongates. If a previa is not present in the second trimester, it will not develop later in the pregnancy.
Flashcard 283: What is a common side effect of levonorgestrel-containing IUD?
_____
Answer: Amenorrhea
Extra:
https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki
Flashcard 284: What is the treatment for mild twin to twin transfusion syndrome?
_____
Answer: Expectant management
Extra:
Flashcard 285: What blood pressure defines preeclampsia with severe features?
_____
Answer: ≥ 160/110 mmHg
Extra: Defined as systolic ≥ 160 mmHg OR diastolic ≥ 110 mmHg.
Flashcard 286: Karyotyping of a fetus prior to delivery is obtained through a(n) _____
Answer: amniocentesis
Extra:
https://onlinemeded.org/spa/obstetrics/advanced-prenatal-evaluation/acquire?ref=anki
Flashcard 287: Patients with müllerian agenesis lack ovaries
_____
Answer: F
Extra: Müllerian agenesis (Mayer-Rokitansky-Küster-Hauser syndrome) is characterized by the congenital absence of the uterus and the upper two-thirds of the vagina. Ovaries are present and functional because they develop from the genital ridge, not the Müllerian ducts. Consequently, patients have normal secondary sexual characteristics and a 46,XX karyotype.
Flashcard 288: Ectopic pregnancies are confirmed with _____ and, if **ruptured**, are treated with _____
Answer: ultrasound
Extra: Stable patients may be candidates for medical management with methotrexate.
https://onlinemeded.org/spa/gynecology?ref=anki
Flashcard 289: Patients at high risk for preeclampsia (e.g. multiple gestation) are initiated on _____ prophylaxis for preeclampsia
Answer: low-dose aspirin
Extra:
https://onlinemeded.org/spa/obstetrics/eclampsia/acquire?ref=anki
Flashcard 290: Placenta implants across cervical os, leading to painless vaginal bleeding when the cervical os dilates is suggestive of _____
Answer: placenta previa
Extra: Placenta previa presents with painless, bright red vaginal bleeding in the third trimester. The bleeding is maternal in origin.
Contrast this with vasa previa, where fetal vessels cross the internal os and the bleeding is fetal in origin (leading to rapid fetal distress).
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