High-risk pregnancies — Flashcards

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: What is the treatment for mild twin to twin transfusion syndrome? _____

Answer: Expectant management

Extra: 

Flashcard 283: 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 284: What is a common side effect of levonorgestrel-containing IUD? _____

Answer: Amenorrhea

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 285: 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 286: 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 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: What blood pressure defines preeclampsia with severe features? _____

Answer: ≥ 160/110 mmHg

Extra: Defined as systolic ≥ 160 mmHg OR diastolic ≥ 110 mmHg.

Flashcard 289: What is the treatment for pre-eclampsia with severe features, eclampsia, or HELLP syndrome? _____

Answer: Magnesium and delivery

Extra:  https://onlinemeded.org/spa/obstetrics/eclampsia/acquire?ref=anki 

Flashcard 290: What is the likely diagnosis in a newborn with thin, loose skin, a thin umbilical cord, and a wide anterior fontanel? _____

Answer: Fetal growth restriction