Pregnancy Hormones and Terminology Quiz
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Questions and Answers

Which hormone shares its alpha subunit with hCG?

  • Human placental lactogen (hPL)
  • Prolactin (PRL)
  • Thyroid-stimulating hormone (TSH) (correct)
  • Progesterone (P4)

    • What is the primary role of hCG during early pregnancy?

  • To stimulate the production of hPL
  • To increase levels of insulin
  • To maintain the corpus luteum (correct)
  • To stimulate the thyroid gland directly

    • Which hormone primarily causes relaxation of smooth muscle during pregnancy?

  • Progesterone (correct)
  • hCG
  • Estrogen
  • hPL

    • Which of these hormones is known for its insulin antagonist effect during pregnancy?

    <p>Human placental lactogen (hPL) (D)</p> Signup and view all the answers

    What effect does estrogen have on thyroid hormones during pregnancy?

    <p>Stimulates TBG, leading to an increase in total T3 and T4 levels. (C)</p> Signup and view all the answers

    Which of the following is NOT a common skin change during pregnancy?

    <p>Increased skin turgor (A)</p> Signup and view all the answers

    What is the primary function of the corpus luteum in early pregnancy?

    <p>To produce progesterone (D)</p> Signup and view all the answers

    When do hCG levels typically peak during pregnancy?

    <p>At approximately 10 to 12 weeks (A)</p> Signup and view all the answers

    What does the 'A' in TPAL designation represent?

    <p>Abortuses (C)</p> Signup and view all the answers

    What is the Goodell sign?

    <p>Softening and cyanosis of the cervix at or after 4 weeks (A)</p> Signup and view all the answers

    A woman who has had one full-term birth, one preterm birth and two miscarriages would be represented by which TPAL designation?

    <p>P1-1-2-3 (B)</p> Signup and view all the answers

    A woman who is pregnant for the first time is correctly referred to as:

    <p>Nulliparous (D)</p> Signup and view all the answers

    What does the term 'grand multip' refer to?

    <p>A woman whose parity is greater than or equal to 5 (C)</p> Signup and view all the answers

    According to Nägele's rule, if a woman's LMP was 12/1/2023 what would be her estimated date of delivery (EDD)?

    <p>9/8/2024 (C)</p> Signup and view all the answers

    What is the difference between gestational age (GA) and developmental age (DA)?

    <p>GA is usually 2 weeks more than DA (D)</p> Signup and view all the answers

    In assisted reproductive technology (ART), how is the estimated date of confinement calculated?

    <p>By adding 266 days from the date of ovulation (B)</p> Signup and view all the answers

    In the context of Twin-to-Twin Transfusion Syndrome (TTTS), what additional option should always be offered to the patient?

    <p>Pregnancy termination (B)</p> Signup and view all the answers

    What is a primary concern in the management of monochorionic-monoamniotic (Mo-Mo) twins?

    <p>Cord entanglement and intrauterine fetal demise (IUFD) (A)</p> Signup and view all the answers

    What is the typical delivery method for Mo-Mo twins?

    <p>Cesarean section between weeks 28-34 after continuous fetal monitoring (C)</p> Signup and view all the answers

    What is the most common presentation of twins at the time of delivery?

    <p>Both vertex (C)</p> Signup and view all the answers

    When is a trial of labor suitable for twins?

    <p>When both twins are vertex presenting (A)</p> Signup and view all the answers

    Why is breech extraction advantageous for the delivery of the second twin?

    <p>It allows for quick grasping of the twin's lower extremity and expedited delivery (D)</p> Signup and view all the answers

    Which delivery method is generally recommended for nonvertex presenting twins?

    <p>Cesarean section (A)</p> Signup and view all the answers

    When might a vaginal delivery be considered for triplets?

    <p>When all triplets are vertex presenting and between 1,500g and 2,000g (B)</p> Signup and view all the answers

    Which factor is LEAST likely to increase the risk of preeclampsia?

    <p>Cohabitation with the baby's father for more than a year prior to conception (B)</p> Signup and view all the answers

    According to the information provided, what is the minimum threshold for diagnosing gestational hypertension?

    <p>Systolic reading of 140 mm Hg or more and diastolic reading of 90 mm Hg or more, measured on at least two occasions hours apart (A)</p> Signup and view all the answers

    What does the information suggest about the relationship between urine dip and 24-hour urinary protein levels?

    <p>Two-thirds of patients with elevated blood pressures and negative or trace protein on urine dip had significant proteinuria when tested. (B)</p> Signup and view all the answers

    A woman who had preeclampsia in her previous pregnancy is now pregnant with a new partner. How would her risk of preeclampsia compare to other women?

    <p>Her risk is similar to a woman who has never been pregnant before. (D)</p> Signup and view all the answers

    Which of the following is considered a risk factor that is primarily immunogenically related to preeclampsia?

    <p>Nulliparity (A)</p> Signup and view all the answers

    According to the provided information, which of the following is NOT a risk factor for preeclampsia?

    <p>Being male (D)</p> Signup and view all the answers

    Which blood pressure reading would be considered diagnostic of gestational hypertension assuming it is measured more than once 4-6 hours apart?

    <p>145/95 mm Hg (C)</p> Signup and view all the answers

    Although changes of 30 mm Hg above pre-pregnancy systolic BP or 15 mm Hg above pre-pregnancy diastolic BP are no longer diagnostic of gestational hypertension, what is their significance?

    <p>They should still be noted clinically as potentially significant. (A)</p> Signup and view all the answers

    What is the recommended gestational age range for routine gestational diabetes screening in women with low risk?

    <p>Between 24 and 28 weeks' gestation (B)</p> Signup and view all the answers

    According to the White classification, what characterizes Class A1 diabetes during pregnancy?

    <p>Diet controlled gestational diabetes (D)</p> Signup and view all the answers

    A pregnant woman with a history of diabetes since she was 12 and has had it for 15 years falls into which class of White classification?

    <p>Class C (A)</p> Signup and view all the answers

    What is the most common initial glucose screening test used in the United States during pregnancy?

    <p>50-g glucose load test with 1-hour plasma glucose measurement (A)</p> Signup and view all the answers

    A pregnant woman has a 1-hour glucose level of 135 mg/dL after a 50-g glucose load. How is this result typically interpreted?

    <p>Positive, indicating the need for further glucose tolerance test (D)</p> Signup and view all the answers

    According to White classification, which class is assigned to pregnant women with proliferative retinopathy?

    <p>Class R (A)</p> Signup and view all the answers

    Which of the following is NOT a recommended method for preventing HIV transmission?

    <p>Sharing needles for intravenous drug use (A)</p> Signup and view all the answers

    What is indicated if a pregnant woman has a 1-hour glucose level of 145 mg/dL after a 50-g glucose load?

    <p>A glucose tolerance test (e.g. 100-g glucose load test) (A)</p> Signup and view all the answers

    What is the estimated risk of HIV infection from blood transfusion with improved screening methods?

    <p>Less than 1 in 1,000,000 (D)</p> Signup and view all the answers

    According to the content provided, which of the following is NOT a sign or symptom of endometritis?

    <p>Normal cervical or vaginal discharge (D)</p> Signup and view all the answers

    Which of these drug classes does NOT act to inhibit reverse transcriptase?

    <p>Integrase inhibitors (D)</p> Signup and view all the answers

    What is the primary mechanism of action of protease inhibitors in HIV treatment?

    <p>Interfering with the synthesis of viral particles (D)</p> Signup and view all the answers

    What does HAART stand for, in the context of HIV treatment?

    <p>Highly Active Antiretroviral Therapy (C)</p> Signup and view all the answers

    Which of the following is an important concern regarding HIV infection in women?

    <p>The prevention of vertical transmission to the fetus (C)</p> Signup and view all the answers

    What proportion of infants born to HIV-infected mothers will become infected with HIV if no treatment is given?

    <p>Approximately 25% (A)</p> Signup and view all the answers

    Which of the following is NOT mentioned as a factor that increases the risk of vertical HIV transmission?

    <p>Early membrane rupture (A)</p> Signup and view all the answers

    Study Notes

    Table of Contents

    • Front of Book
      • Authors
      • Preface
      • Acknowledgments
      • Abbreviations
    • Table of Contents
      • Part 1 - Obstetrics
      • Part 2 - Gynecology
    • Back of Book
      • Questions
      • Answers
      • Index
      • Color Plates

    Abbreviations

    • This page contains a list of abbreviations, acronyms, and other shorthand commonly found in medical texts.

    Preface

    • Discusses the history of the Blueprints series, highlighting its evolution and continued success in providing board review materials for medical students and residents.
    • Expands its content to the latest research and therapies, covering topics like cervical dysplasia, preeclampsia, cervical insufficiency, preterm labor, and contemporary uterine fibroid and breast cancer treatment methods.
    • Notes the inclusion of color plates and a revised bibliography for enhanced visualization and improved evidence-based information.
    • Emphasizes the flexibility of Blueprints, noting use by medical students, residents, physician assistants, nurses, and other medical professionals.

    Abbreviations (Page 3)

    • Full list of abbreviations and their definitions.

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    Blueprints Obstetrics And Gynecology 5th Edition PDF

    Description

    Test your knowledge on the various hormones involved in pregnancy and important terminology associated with it. This quiz covers topics such as hormone functions, pregnancy signs, and the TPAL system. Dive into the fascinating world of reproductive biology!

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