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ChiroBoards2: Obstetrics and Gynecology

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Question
Answer
Alpha fetoprotein   measured in pregnant women as a screening tool for developmental abnormalities  
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Alpha fetoprotein: abnormal in (2) conditions   Down Syndrome and Open Neural Tube defects  
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Amenorrhea   abnormal cessation of menses  
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Amniocentesis: done for 3 reasons   Done for the health of fetus, chromosomes, and lung maturity  
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Breast milk: deficient in (2)   vitamin D and Iron  
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Colostrum   First Breast milk  
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Dilation of the cervix (what stage?)   stretching that occurs during 1st stage of labor  
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Dysmenorrhea   painful menses  
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Dystocia   abnormal, painful, or prolonged labor  
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Effacement   Thinning of the cervix  
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Engagement   decent of the fetal skull to the level of the ischial spines  
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Hyperemesis Gravidarum   Excessive nausea and vomiting during pregnancy  
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Laparoscopy: for   Endometriosis  
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Lightening   Baby drops into pelvis 2 weeks before delivery and causes lower abdominal pain  
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Linea Nigra   midline dark tummy streak  
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Lochia   during and post-delivery vaginal discharge  
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Lochia: colors   1st = red; 2nd = yellow; 3rd = white  
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Mittelschmerz   pain in abdomen at ovulation  
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multiparous   more than one delivery  
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nulliparous   never given birth to viable infant  
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primpara   first preg. of viable infant  
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M/C cause of post partum Infxn   C-section  
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puerperium   time between delivery of placenta to complete involution  
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Quickening   1st perception(felt) by the mother of a fetal life inside her  
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station   identifies fetal position in relation to the ischial spines  
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best signs of pregnancy (2)   menses 3 weeks late and presence of fetal heartbeat  
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Chadwick's sign   bluish discoloration of the vagina  
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Goodell's sign   softening of the tip of the cervix  
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Hegar's sign   softening of the isthmus of the uterus  
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Piskacek's   enlarged uterus near the uterine tube over the site of implantation  
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most common reason for post-partum hemorrage?   atonic uterus  
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Braxton Hick's contractions   early uterine contractions without cervical changes  
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m/c area affected by malignancy in female's genital tract?   cervix  
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Chloasma aka   melasma  
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Chloasma   brown hyperpigmentation of the face/"mask of pregnancy"  
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Choriocarcinoma   Malignancy of the placenta due to abnormal epithelium  
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Cystocele   Herniation of bladder into the vagina  
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Eclampsia   toxemia of pregnancy  
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Eclampsia: causes.....   hypertension, leading to convulsions  
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Endometriosis   Abnormal endometrial tissue outside the uterus  
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Endometriosis: musculoskeletal symptom   abdominal/back pain  
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M/c type of post-partum infection (bac. =___) and causes ____   staph/strep; endometritis  
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Fibrocystic breast dx   palpable nodules in breast after ovulation with regression after menses  
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Hyatidiform mole   benign trophoblastic tissue which develops at the placenta  
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Hyatidiform mole: if malignant, is called ?   Choriocarcinoma  
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Hydatidiform mole: blood test   Very high HCG level  
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Pre-eclampsia   toxemia of pregnancy with HEP signs  
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Pre-eclampsia : HEP   Hypertension, Edema, Proteinuria  
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Rectocele   Herniation of the rectum into vagina  
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FSH: does what?   maturation of the follicle  
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HCG: does what?   promotes health of corpus leuteum; used to detect pregnancy  
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LH: does what?   most responsible for ovulation  
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oxytocin: does what? (2)   uterine contractions during labor and milk let down  
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Prolactic: does what?   milk production  
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1st stage of labor (time span)   1st meaningful contraction to full dilation of cervix (10cm)  
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2nd stage of labor (time span)   From full dilation of the cervix to delivery of baby  
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3rd stage of labor (time span)   Delivery of baby to delivery of placenta  
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4th stage of labor (time span)   Delivery of placenta to several hours later when uterine tone helps expel any remaining contents.  
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Praevia   low lying placenta with partial obstruction of the internal os  
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Abruptio   placenta; detaches from site; premature separation causes spontaneous abortion  
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Accreta   placenta does not separate after delivery  
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Battledore placenta   umbilical cord is attached at the margin of the placenta  
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Pap Smear Classification: I   Normal  
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Pap Smear Classification: II   Atypical or benign (infxn or inflamm.)  
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Pap Smear Classification: III   dysplasia/pre-cancerous  
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Pap Smear Classification: IV   In situ/non-invasive carcinoma  
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Pap Smear Classification: V   Malignancy/invasive  
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