Substance use in pregnancy US Medical PG Flashcards - Medical Study Cards
Master Substance use in pregnancy 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.
Substance use in pregnancy Flashcard Deck - 10 Cards
Flashcard 1: Eclampsia and HELLP syndrome both warrant immediate _____
Answer: delivery of the baby
Flashcard 2: Gestational diabetes can lead to a placental _____, causing fetal asphyxia, growth restriction, and polycythemia
Answer: vasculopathy
Flashcard 3: Preeclampsia is caused by abnormal placental _____ arteries, causing endothelial dysfunction, vasoconstriction, and ischemia
Answer: spiral
Flashcard 4: When a patient is pregnant, low levels of -hCG should be concerning for failing or _____ pregnancies
Answer: ectopic
Flashcard 5: In Potter sequence, oligohydramnios causes _____ of the developing fetus
Answer: compression
Flashcard 6: What volume defines oligohydramnios?
Answer: <200 mL or <0.2 L (at term) :: volume
Extra: Oligohydramnios is defined as:
- Amniotic Fluid Volume (AFV) < 200 mL
- Amniotic Fluid Index (AFI) < 5 cm
- Single Deepest Pocket (SDP) < 2 cm
Polyhydramnios is defined as > 2000 mL (> 2 L).
Flashcard 7: What are the classic clinical features of late congenital syphilis?
Answer: Presence of saber shins, saddle nose, mulberry molars, and Hutchinson (notched) incisors.
Extra: Congenital syphilis is caused by the prenatal transplacental transmission of Treponema pallidum. Signs include:
• Hutchinson triad: Notched incisors, interstitial keratitis, and 8th nerve deafness.
• Bone findings: Saber shins, Higouménakis sign (medial clavicular thickening).
• Teeth: Mulberry molars.
• Face: Saddle nose, Rhagades (perioral fissures).
Flashcard 8: What are the major contraindications and the primary mechanism of combined estrogen/progestin oral contraceptives?
Answer: Contraindications: Smokers > 35 y/o, hx of DVT/PE, stroke, and ER+ breast cancer.
Mechanism: Prevents ovulation.
Key Side Effect: Thrombosis.
Extra: contraceptionsmokers > 35 y/o, hx DVT, stroke, ER+ cancerin combination prevents ovulation thrombosis
Flashcard 9: GYN tumor incidence in US: _____ > _____ > _____
Answer: endometrial
Flashcard 10: Typical clinical and histological features of Granulosa cell tumor?
Answer: Increased Estrogen, Call-Exner bodies, Abnormal uterine bleeding (AUB)
Extra: - Call-Exner bodies: Small follicles with eosinophilic secretions.
- Clinical: Precocious puberty (kids), endometrial hyperplasia/carcinoma (adults due to estrogen exposure).
- Marker: Inhibin.
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