High-risk pregnancies — Flashcards

Flashcard 661: Gestational diabetes = diabetes that begins > _____ weeks of gestation

Answer: 20

Flashcard 662: How do you manage virilization during pregnancy? _____

Answer: Conservative

Flashcard 663: What is the next step in management for a pregnant woman at 25 weeks gestation that presents after feeling no fetal movement for the past two days? Fetal heart sounds are not heard on Doppler. _____

Answer: Transabdominal ultrasound

Flashcard 664: How much fetal blood is neutralized by 300 mcg (one dose) of Rhogam? _____

Answer: 30mL

Flashcard 665: All forms of poorly controlled maternal diabetes are associated with increased risk of fetal lung _____, preterm delivery, and macrosomia

Answer: immaturity

Flashcard 666: What is the mode of delivery of a patient who's pregnant with twins, twin A is in vertex position and twin B is vertex? _____

Answer: Vaginal delivery

Extra: 

Flashcard 667: The treatment for adenomyosis if childbearing is desired is _____

Answer: progestins

Extra: 

Flashcard 668: Uterine sarcoma is a gynecologic malignancy that has increased frequency following _____ and tamoxifen use

Answer: pelvic radiation

Extra: Uterine sarcomas (e.g., leiomyosarcoma) are rare but aggressive gynecologic malignancies. They are associated with prior pelvic radiation and long-term tamoxifen use (which also increases the risk of endometrial adenocarcinoma).

Flashcard 669: **Vulvar** squamous cell carcinoma usually presents in women age _____

Answer: >60

Extra: In contrast, **cervical** squamous cell carcinoma usually presents in younger women (mean age ~50).

Flashcard 670: _____ can cause increased aromatization of androgens to estrone leading to anovulation and abnormal uterine bleeding

Answer: Obesity