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9- Reproductive (2 Hours & 23 minutes)

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   Content of this Session
    • Ectopic Pregnancy
    • Spontaneous abortion
    • Placental abruption (abruptio placentae)
    • Placenta previa
    • Vasa previa
    • Placenta accreta/increta/percreta
    • Postpartum hemorrhage
    • Gestational hypertension (pregnancy-induced hypertension)
    • Preeclampsia
    • Eclampsia
    • HELLP syndrome

 

 

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[h] Neurology System Flashcards

[i] Master this session in just 5 minutes.

[q] What is the most likely diagnosis?

27 years old female presenting with amenorrhea, vaginal bleeding, and unilateral pelvic-abdominal pain. Pregnancy test is done and was positive + Failure of ultrasound to see a normal intrauterine gestational sac when the serum β-hCG titer is >1,500 mIU?

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[q] The most common location of ectopic pregnancies is ………….?

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[q] In case of …………, uterine curettage would reveal decidual changes in the endometrium due to progesterone secretion but no embryonic or trophoblastic tissue (no villi).

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[q] Ectopic pregnancy + signs of peritoneal irritation (abdominal guarding and rigidity) and Hypotension & tachycardia are suggestive of …………..?

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[q] The most common cause of spontaneous abortion is …………..?

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[q] What is the most likely diagnosis?

30 years old female patient presenting with painful late pregnancy bleeding after motor vehicle accident + ultrasound shows normal fundal or lateral uterine wall placental implantation not over the lower uterine segment?

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[q] Placental abruption puts the patient at risk for ……….. due to tissue factor released by decidual bleeding

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[q] What is the most likely diagnosis?

30 years old female patient G5, P4 presenting with painless late pregnancy bleeding + ultrasound shows placental implantation over the lower uterine segment?

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[q] What is the most likely diagnosis?

30 years old female patient G5, P4 presenting with painless late pregnancy bleeding, followed by fetal bradycardia (< 110 beats/min) after rupture of the memranes + ultrasound shows

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[q] Causes of Vasa previa are …………. and …………….?

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[q] Placenta ……………. occurs when the villi invade the deeper layers of the endometrial deciduus basalis but do not penetrate the myometrium.

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[q] Placenta ……….. occurs when the villi invade the myometrium but do not reach the uterine serosal surface or the bladder.

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[q] Placenta ………….. occurs when the villi invade all the way to the uterine serosa (invades entire uterine wall) or into the rectum or bladder (can result in hematuria).

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[q] …………… is the most common cause of excessive postpartum bleeding.

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[q] If uterine massage, oxytocin failed to control excessive postpartum hemorrhage, ……………….. can be used and save the uterus if the mother still desire fertility.

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[q] ………….  is diagnosed with sustained elevation of BP ≥ 140/90 mmHg after 20 weeks of pregnancy without proteinuria. BP returns to normal baseline postpartum and no symptoms of preeclampsia are seen.

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[q] ………….. new-onset hypertension with either proteinuria or end-organ dysfunction after 20th week of gestation. End-organ dysfunction may include symptoms (headache, epigastric pain, visual changes), thrombocytopenia (platelet count <100,000/mL), doubling of liver transaminases, pulmonary edema, serum creatinine >1.1 mg/dL, or doubling of serum creatinine.

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[q] ………….  should be used in cases of preeclampsia to prevent seizure.

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[q] The definitive treatment of Preeclampsia is …………….?

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[q] …………. is the presence of unexplained generalized seizures in a hypertensive, proteinuric pregnant woman in the last half of pregnancy.

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[q] …………. is a potential manifestation of severe preeclampsia (preeclampsia with thrombotic microangiopathy involving the liver). Characterized by Hemolysis, Elevated Liver enzymes, Low Platelets. Blood smear shows schistocytes.

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[q]

[x][restart]

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