Postpartum hemorrhage — Flashcards

Flashcard 1: retained placental tissue

Answer:

Extra: postpartum hemorrhage or infection

Flashcard 2: Identify 2

Answer: uterine artery and vein

Flashcard 3: What sexual changes are common in elderly women?

Answer: vaginal shortening, thinning, and dryness

Flashcard 4: Placenta accreta often requires _____ after delivery due to attachment of the placenta to the uterus

Answer: hysterectomy

Extra:   * Hysterectomy is the surgical removal of the uterus Watch Gestational Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-gestational-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/reproduction/videos/pathology-of-pregnancy?index=8] https://onlinemeded.org?ref=anki 

Flashcard 5: Acute (lactational) mastitis is associated with _____

Answer: breast feeding

Extra:   Watch Benign Breast Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-breast-benign-breast-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki 

Flashcard 6: Treatment for acute (lactational) mastitis is _____ plus _____

Answer: continued drainage (e.g. feeding)

Extra:   Watch Benign Breast Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-breast-benign-breast-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/obgyn?ref=anki Clogged milk ducts → flu-like symptoms, focal unilateral breast pain with erythema/induration and axillary lymphadenopathy 

Flashcard 7: What is the likely diagnosis in a 6-month postpartum woman that presents with irregular vaginal bleeding, an enlarged uterus, and dyspnea with multiple infiltrates on CXR? _____

Answer: Choriocarcinoma

Extra:  Watch Hydatidiform Mole & Choriocarcinoma [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-hydatidiform-mole-and-choriocarcinoma?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch Hydatidiform Mole & Choriocarcinoma [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-hydatidiform-mole-and-choriocarcinoma?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki 

Flashcard 8: Severe hemorrhage during pregnancy or after delivery may lead to _____ and/or hypovolemic shock

Answer: DIC

Extra:  Watch Gestational Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-gestational-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch Gestational Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-gestational-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki 

Flashcard 9: Which hormone remains elevated following parturition? _____

Answer: Prolactin

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 10: Symptoms of Sheehan syndrome include poor _____, loss of _____, and fatigue

Answer: lactation

Extra:   *  decreased anterior pituitary function -> decreased LH secretion -> decreased pubic hair growth Watch Hypothalamic & Pituitary Dysfunction Etiologies [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-hypothalamic-and-pituitary-disorders-hypothalamic-and-pituitary-dysfunction-etiologies?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/endocrine?ref=anki 

Flashcard 11: Amniotic fluid emboli can lead to massive hemorrhage and _____, especially postpartum; due to the thrombogenic nature of amniotic fluid

Answer: DIC

Extra:   https://onlinemeded.org/spa/pulmonology/pulmonary-embolism/acquire?ref=anki 

Flashcard 12: What is the most common inciting event for development of mastitis? _____

Answer: Nipple trauma

Extra:  Watch Benign Breast Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-breast-benign-breast-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch Benign Breast Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-breast-benign-breast-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki 

Flashcard 13: Acute endometritis presents as fever, abnormal _____, and _____ pain

Answer: uterine bleeding

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 14: Women who are in the _____ period are at particularly high risk of developing myasthenia gravis

Answer: postpartum

Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/neurology/videos/neuromuscular-junction-nmj?index=6] https://onlinemeded.org?ref=anki 

Flashcard 15: Hypopituitarism may be caused by _____ syndrome, which is a(n) pregnancy-related infarction of the pituitary gland

Answer: Sheehan

Extra:   Watch Hypothalamic & Pituitary Dysfunction Etiologies [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-hypothalamic-and-pituitary-disorders-hypothalamic-and-pituitary-dysfunction-etiologies?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 16: Severe bleeding from leiomyoma (fibroid) may lead to _____

Answer: iron deficiency anemia

Extra:   https://onlinemeded.org/spa/gynecology/endometrial-cancer/acquire?ref=anki  Green overlay: leiomyoma tissue; transverse section White overlay: leiomyoma tissue; longitudinal section Black arrows: mitotic figure White arrows: blood vessels Uterine leiomyoma Limited assessment possible as only one image is accessible: This image is of a transvaginal ultrasound, whereby the transducer is positioned near the cervix and the sound waves are sent cranially, resulting in a sagittal section of the uterine corpus (D) and cervix (C). The endometrium (A) lies central in the uterus and is termed endometrial stripe in ultrasound. There are three suspected myomas (B) in the myometrium, with both cranially located myomas heterogeneous and hypoechoic and the myoma at the bottom of the image demonstrating calcifications. 

Flashcard 17: What is the most common cause of postpartum hemorrhage? _____

Answer: Uterine atony

Extra:   * massive bleeding may lead to Sheehan syndrome Watch Gestational Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-gestational-disorders-gestational-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/reproduction/videos/pathology-of-pregnancy?index=9] https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 18: In the immediate postpartum period, why can some women develop chills and shivering? _____

Answer: Decreased estrogen and progesterone levels → mild hyperthermia

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 19: Are SSRIs safe during breastfeeding? _____

Answer: Yes

Extra:  https://onlinemeded.org/spa/psychiatry?ref=anki 

Flashcard 20: Uterine artery _____ can be used to treat bleeding and bulk symptoms in fibroids

Answer: embolization

Extra: 

Flashcard 21: How can breastfeeding lead to vaginal atrophy? _____

Answer: Breastfeeding (↑ prolactin) → ↓ GnRH → ↓ LH and ↓ FSH → ↓ estrogen → vaginal dryness (atrophy)

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 22: A thin endometrial stripe suggests a(n) _____ uterine cavity

Answer: empty

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 23: Post partum hemorrhage and absent uterus is suggestive of _____

Answer: uterine inversion

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 24: What is a contraindication to methylergonovine? _____

Answer: Hypertension (since it causes vasoconstriction)

Extra:  https://onlinemeded.org/spa/obstetrics/abnormal-labor/acquire?ref=anki 

Flashcard 25: Treatment of postpartum urinary retention causing overflow incontinence is _____

Answer: urethral cath

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 26: How do you treat life-threatening uterine hemorrhage? Place _____ IVs Administer IV _____ to stabilize blood pressure Adminster IV _____ to shut off uterine bleeding Type and cross the patient If hemoglobin falls below _____, administer transfusions

Answer: two large bore

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 27: What is the most likely diagnosis and a postpartum patient who develops shock with minimal bleeding, a palpable uterus, and a purple vaginal mass? _____

Answer: Vaginal hematoma

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 28: What is the recommended treatment for a breastfeeding woman with a suspected breast abscess? _____

Answer: Needle aspiration, antibiotics, and continued feeding

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 29: _____ days postpartum, patients may experience lochia serosa, which is characterized by serosanguineous or brown discharge

Answer: 4-14

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 30: Uterus fundus located at level of _____ = no uterine atony

Answer: umbilicus

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 31: What is the most likely cause of postpartum hemorrhage in a patient that presents with profuse vaginal bleeding with a soft, boggy, enlarged uterus on pelvic examination? Ultrasound reveals a thin endometrial stripe. _____

Answer: Uterine atony

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki  

Flashcard 32: Placenta accreta = _____

Answer: c-section

Extra:  https://onlinemeded.org/spa/obstetrics/normal-labor/acquire?ref=anki 

Flashcard 33: _____ days postpartum, patients may experience lochia alba, which is characterized by white, yellow, and creamy discharge

Answer: 11-50

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 34: Post-pregnancy dysparenuia is due to elevated _____ levels associated with breastfeeding

Answer: prolactin

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 35: Normal postpartum changes include shivering, lochia, and a(n) _____ uterus

Answer: contracted

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 36: _____ should be suspected in postpartum women with an enlarged uterus, dark, bloody vaginal discharge, and pulmonary infiltrates

Answer: Choriocarcinoma

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 37: Initial treatment of postpartum hemorrhage includes bimanual massage and uterotonics (e.g. _____)

Answer: oxytocin

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 38: Heavy bleeding with retained products of conception (POC) post-termination of pregnancy is managed with _____

Answer: D&C

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 39: Afebrile postpartum patient with a non-erythematous, fluctuant breast mass = _____

Answer: galactocele

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 40: Uterine artery embolization is used only in _____menopausal women who do not desire fertility

Answer: pre

Extra: 

Flashcard 41: _____ days postpartum, patients may experience lochia rubra, which is characterized by dark or bright red discharge

Answer: 1-4

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 42: Postpartum urinary retention is typically related to bladder _____

Answer: atony

Extra:  https://onlinemeded.org/spa/obstetrics/ob-operations/acquire?ref=anki 

Flashcard 43: Breast engorgement _____ cause a low-grade fever

Answer: can

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 44: What is the next step in management after manual replacement of the uterus in a woman with uterine inversion with a retained placenta? _____

Answer: Placental removal and uterotonics

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 45: What is the likely diagnosis in an afebrile postpartum woman that presents with unilateral firmness and tenderness of the breast? _____

Answer: Plugged duct

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 46: Frequent nursing, warm shower/compresses, massaging breast to express milk are ways to manage breast _____

Answer: engorgement

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 47: Vulvovaginal atrophy commonly involves the perianal region _____

Answer: F

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 48: What is the recommended treatment for a breastfeeding woman with acute mastitis? _____

Answer: analgesics, breastfeeding, and antibiotics

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 49: Uterine atony is managed with _____ and oxytocin

Answer: uterine massage

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 50: What drug can be given after a complete spontaneous abortion to decrease infection risk? _____

Answer: Methylergonovine

Extra: 

Flashcard 51: Vaginal atrophy is managed with _____

Answer: estrogen cream

Extra:  https://onlinemeded.org/spa/gynecology/endometrial-cancer/acquire?ref=anki 

Flashcard 52: Postpartum fever that does not resolve after antibiotics is suggestive of _____

Answer: septic pelvic thrombophlebitis

Extra: 

Flashcard 53: What is the pathophysiologic cause of postpartum telogen effluvium (hair loss)? _____

Answer: High estrogen levels during pregnancy

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 54: Postpartum hemorrhage is defined as >_____ blood loss after vaginal delivery

Answer: 1000 mL

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 55: Postpartum endometritis is managed with _____

Answer: clindamycin and gentamicin

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

Flashcard 56: How do you treat non-hemorrhagic abnormal uterine bleeding? First-line: _____ and _____ Second-line: _____ or elective _____

Answer: OCPs

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 57: Flu-like symptoms (fever, myalgias) and focal, unilateral breast pain with erythema is suggestive of _____

Answer: lactational mastitis

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 58: What is the safest way to prevent lactation in a postpartum woman? _____

Answer: Conservative: supportive bra, ice packs, analgesics

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 59: Postpartum hemorrhage with failure of placenta to deliver within 30 minutes of delivery = _____

Answer: retained products of conception

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 60: Retained placenta is defined as failure of the placenta to deliver within _____ of delivery

Answer: 30 minutes

Extra:  https://onlinemeded.org/spa/obstetrics/normal-labor/acquire?ref=anki 

Flashcard 61: Asthmatic w/ postpartum hemorrhage, failed uterine massage and high-dose oxytocin is managed with _____

Answer: tranexamic acid

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 62: What is the likely diagnosis in a postpartum woman that presents with lactation failure, amenorrhea, fatigue, and hypotension for months after a spontaneous vaginal delivery complicated by uterine atony? _____

Answer: Sheehan syndrome

Extra:  https://onlinemeded.org/spa/gynecology/secondary-amenorrhea/acquire?ref=anki 

Flashcard 63: What is the next step in management for a mother with post-partum hemorrhage following a forceps-assisted vaginal delivery? The patient is afebrile and the uterus is normal-sized and firm. _____

Answer: Genital tract inspection

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 64: Uterine sub-_____ can lead to late postpartum bleeding

Answer: involution

Extra: 

Flashcard 65: What is the diagnosis in a febrile patient with a focal area of breast erythema, fluctuation, and tenderness? _____

Answer: Breast abscess

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 66: What is the supsected diagnosis when the patient has a postpartum hemorrhage and the uterus can't be felt? _____

Answer: Uterine inversion

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 67: What is the diagnosis in a febrile patient with a focal area of breast erythema, induration, and tenderness? _____

Answer: Lactational mastitis

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 68: What is the recommended treatment for symptomatic postpartum pubic symphysis diastasis? _____

Answer: Supportive (e.g. NSAIDs, physical therapy)

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 69: Postpartum hemorrhage (PPH) and boggy uterus is suggestive of _____

Answer: uterine atony

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 70: What is the typical outcome of postpartum thyroiditis? _____

Answer: Return to euthyroid over several months

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 71: Uterine inversion is managed with _____

Answer: manual replacement

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 72: What is the recommended treatment for a patient with suspected postpartum endometritis? _____

Answer: Clindamycin and gentamicin

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

Flashcard 73: _____ are contraindicated up to 4 weeks after pregnancy because of increased risk of DVTs

Answer: OCPs

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 74: Galactocele is typically characterized as a soft, mobile, _____ subareolar mass

Answer: non-tender

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 75: Pregnant patient and nontender midline mass appreciated with Valsalva is suggestive of _____

Answer: rectus abdominis diastasis

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 76: The Depot medroxyprogesterone shot (DMPA) can cause unpredictable _____ that resolves after 2-3 months

Answer: bleeding

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 77: Hypopituitarism may be caused by Sheehan syndrome, which is a pregnancy-related _____ of the pituitary gland

Answer: infarction

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 78: What is the likely diagnosis in a patient that is 6 hours postpartum that presents with inability to void, diffuse lower abdominal tenderness, and persistent urinary dribbling? _____

Answer: Postpartum urinary retention

Extra:  https://onlinemeded.org/spa/obstetrics/ob-operations/acquire?ref=anki 

Flashcard 79: _____ is an obstetric emergency in which the uterine fundus collapses into the endometrial cavity, turning the uterus partially or completely inside out following vaginal birth

Answer: Uterine inversion

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 80: _____ refers to normal vaginal discharge containing blood and/or mucus in the postpartum period

Answer: Lochia

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 81: History of mastitis is a contraindication towards breastfeeding _____

Answer: F

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 82: The risk factors for uterine atony are: 1. _____ 2. Prolonged labor 3. Blockade of uterine contractions (fibroids, magnesium sulfate)

Answer: Excessive uterine enlargement (macrosomia, multiple gestation)

Extra: 

Flashcard 83: Administration of high-dose _____ is the treatment of choice in hemodynamically stable women with acute abnormal uterine bleeding

Answer: oral conjugated estrogen

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 84: Normal postpartum changes include transient low grade fever, _____ engorgement, and self limited hair loss

Answer: breast

Extra: 

Flashcard 85: What is the likely diagnosis in an afebrile postpartum woman that presents with bilateral, symmetric warmth and tenderness of the breasts 3 days after delivery? _____

Answer: Breast engorgement

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 86: How do you treat retained placenta? First-line: _____ Refractory: _____

Answer: D&C

Extra:  https://onlinemeded.org/spa/obstetrics/postpartum-hemorrhage/acquire?ref=anki 

Flashcard 87: What is the likely diagnosis in a breastfeeding woman that presents with fever and localized breast erythema/tenderness with a palpable, fluctuant mass on physical exam? _____

Answer: Breast abscess

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 88: Soft, mobile, non-tender subareolar mass is suggestive of _____

Answer: galactocele

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 89: What is the best contraceptive option for breastfeeding postpartum patients? Why? _____

Answer: Progestin-only contraception No increase in thromboembolism risk

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

Flashcard 90: What is the most common cause of nipple discharge (serous or bloody)? _____

Answer: intraductal papilloma (often bloody)

Flashcard 91: Does postpartum thyroiditis present as transient hyperthyroidism or hypothyroidism?_____

Answer: Both

Flashcard 92: _____ is a self-limited thyroiditis arising up to 1 year after delivery

Answer: Postpartum thyroiditis

Flashcard 93: Once postpartum thyroiditis is resolved, the majority of women are _____

Answer: euthyroid (level of thyroid)

Flashcard 94: Does postpartum thyroiditis usually present with a goiter?_____

Answer: No

Flashcard 95: Acute (lactational) mastitis is associated with _____

Answer: breast feeding

Flashcard 96: Amniotic fluid emboli can lead to massive hemorrhage and _____, especially postpartum; due to the thrombogenic nature of amniotic fluid

Answer: DIC

Flashcard 97: Pregnancy-related infarction of the pituitary gland (Sheehan syndrome) often occurs following _____

Answer: postpartum bleeding

Flashcard 98: What is the treatment for postpartum blues? _____

Answer: Supportive

Flashcard 99: Placenta accreta (or increta/percreta) presents with no separation of the placenta after delivery and _____

Answer: heavy post-partum bleeding

Flashcard 100: Severe bleeding from leiomyoma (fibroid) may lead to _____

Answer: iron deficiency anemia

Flashcard 101: What is the most common cause of postpartum hemorrhage?_____

Answer: Uterine atony