VERIFIED | ACE THE TEST
endometrial ablation does and treats what? - 🧠 ANSWER ✔✔procedure to
destroy or remove the endometrial lining by use of laser, electrical, or
thermal energy; used to treat abnormal uterine bleeding.
contraindications: desire for future fertility, current or high risk of
endometrial cancer hyerplasia. causes intrauterine scarring and limits
,future endometrial evaluation. contraindicated in pts high risk for
endometrial cancer (postmenopausal, lynch syndrome)
Chlamydia treatment in pregnancy - 🧠 ANSWER ✔✔Azithromycin
adnexal mass palpated in a premenopausal pt,
next steps?
typical outcome? - 🧠 ANSWER ✔✔typically benign, related to ovulation and
resolve spontaneousy
💥pregnancy test and US
💥observation and repeat exam
Secondary ammenorrhea evaluation - 🧠 ANSWER ✔✔first perform a
pregnancy test. if negative test FSH, TSH, prolactin
stress urinary incontinence is caused by what? - 🧠 ANSWER ✔✔💥urethral
hypermobility
common after vaginal delivery due to weakening of pelvic floor muscles
💥 intrinsic sphincter deficiency
, stretch injury to the pudendal nerve. most cases are self limited. if less than
6 weeks postpartum no treatment is needed.
HIV management during pregnancy - 🧠 ANSWER ✔✔Antepartum: all
pregnant women with HIV begin taking ART ASAP. Monitor CD4 count.
Intrapartum (refer to pic)
Acute fatty liver of pregnancy occurs mainly in what trimester? - 🧠
ANSWER ✔✔third trimester: RUQ pain, leukocytosis and mildly elevated
aminotransferases. fulminant liver failure that manifests as profound
hypoglycemia, hyperbilirubinemia, thrombocytopenia, and possible dic
pt with PROM (less than 37 weeks) is at risk for - 🧠 ANSWER ✔✔placental
abruption: premature separation of the placenta from the uterus.
💥can occur due to dec amniotic fluid volumes which cause uterine
decompression, maternal decidual vessels shear resulting in bleeding and
spearation of the placenta from the uterus.
💥can cause contractions and abnormal FHR tracing
intraamniotic infection, preterm labor, umbilical cord prolapse
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