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 251: Thrombocytopenia in preeclampsia is a contraindication to expectant management
_____
Answer: T
Extra: Indications for delivery (contraindications to expectant management) in preeclampsia with severe features:
- Eclampsia
- Pulmonary edema
- DIC
- Non-reassuring fetal testing
- Placental abruption
- Thrombocytopenia (<100,000)
- Progressive renal dysfunction
- Persistent severe CNS symptoms
- Uncontrolled severe hypertension
https://onlinemeded.org/spa/obstetrics/eclampsia/acquire?ref=anki
Flashcard 252: _____ is a gynecologic malignancy that is often indistinguishable from a leiomyoma
Answer: Uterine sarcoma
Extra: Uterine sarcoma (such as leiomyosarcoma) often presents with symptoms similar to leiomyomas (e.g., uterine mass, pelvic pain, vaginal bleeding) and may be indistinguishable on imaging.
Flashcard 253: What is the best mode of delivery for a pregnant woman with **active genital HSV lesions or prodrome**?
_____ delivery before onset of labor and before rupture of membranes
Answer: C-section
Extra: Cesarean delivery is indicated for women with active genital HSV lesions or prodromal symptoms at the time of delivery. Ideally, this should be performed before onset of labor and rupture of membranes. For women with a history of HSV but no active lesions at delivery, vaginal delivery is the preferred route (typically with acyclovir prophylaxis starting at 36 weeks).
Flashcard 254: A short interpregnancy interval predisposes to:
- Maternal _____
- Preterm labor/PPROM → low birth weight
Answer: anemia
Extra:
https://onlinemeded.org/spa/obgyn?ref=anki
Flashcard 255: Mature cystic teratomas are common causes of premenopausal adnexal masses and have an elevated risk of _____ due to their heterogenous composition
Answer: torsion
Extra:
https://onlinemeded.org/spa/gynecology?ref=anki
Flashcard 256: Medical treatment options for fibroids includes _____, progestins, LNG IUDs, and GnRH agonists
Answer: COCs
Extra:
Flashcard 257: Preeclampsia without severe features is managed with delivery at _____
Answer: ≥37 weeks
Extra: Delivery is recommended at 37 0/7 weeks for preeclampsia without severe features.
Flashcard 258: Absence of the **upper** portion of the vagina is caused by _____
Answer: Müllerian agenesis
Extra: Müllerian agenesis (Mayer-Rokitansky-Küster-Hauser syndrome) is characterized by the failure of Müllerian duct development, resulting in the absence of the uterus, cervix, and the upper portion of the vagina. Ovaries and external genitalia are normal.
https://onlinemeded.org/spa/gynecology/primary-amenorrhea/acquire?ref=anki
Flashcard 259: Asherman syndrome (intrauterine synechiae) is often the result of intrauterine surgery (e.g. myomectomy or overaggressive _____)
Answer: dilation and curettage (D&C)
Extra:
https://onlinemeded.org/spa/obgyn?ref=anki
Flashcard 260: What is the next step in management for a hemodynamically stable young woman with RLQ pain and a β-hCG level of 1000 IU/L? Transvaginal ultrasound reveals no intrauterine or extrauterine pregnancy.
_____
Answer: Repeat serum β-hCG in 2 days
Extra:
https://onlinemeded.org/spa/gynecology?ref=anki
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