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OB Test # 4

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
show Cystocele  
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show Rectocele  
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Uterus protrudes downward into the upper vagina, pulling vagina with it.C/O: pain in groin, backache in sacral areaMgmt: Kegel exercises, Pessary-ring, Surgery   show
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show Bimanual Palpatation  
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show Ovarian Cysts  
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show Polycystic Ovarian Disease  
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show D&C (dilatation and curettage)  
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show Laparoscopy  
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show Abnormal Pap and Colposcopy  
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show Dysmenorrhea  
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Cramping without other pathology.Prostaglandins produced by the uterus are the primary cause.C/O: pain in abdomen,back,thighs,nausea,diarrhea,fatigue,h/a   show
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show Secondary Dysmenorrhea  
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Absence of menses.   show
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show Primary Amenorrhea  
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show Secondary Amenorrhea  
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show Abnormal Uterine Bleeding  
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Symptoms:irritability,lethargy,depression,crying,sleep disturbances,hostility,migraines,syncope,n/v,constipation,bloating,craving for sweets,acne,breast swelling and tenderness; these usually occur between ovulation and onset of menses.   show
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prolonged, heavy bleeding during the regular cycle.   show
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Bleeding between regular menstrual periods. May be r/t first cycles of birth control,or may signal pathology such as cervical cancer, uterine masses/tumors, ectopic pregnancy.   show
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show Hypomenorrhea  
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Abnormally long menstrual flow.   show
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Uterine fibroids.May cause increased uterine size,heavy menstrual bleeding,pelvic pressure,infertility.Tx: Myomectomy,endometrial ablation,uterine artery embolization,hysterectomy   show
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Benign endometrial tissue.Symptoms:dysmenorrhea,abnormal bleeding,pelvic/vaginal pain.   show
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show Menopause  
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Time prior to menopause when woman moves from normal ovulation to cessation of menses.Includes hot flashes,PMS,irregular periods,insomnia,mood changes,decreased interest in sex.   show
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show Hormone Replacement Therapy (HRT)  
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Inability to achieve pregnancy after one year of unprotected intercourse.   show
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A couple who have never had a child.   show
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A couple with at least one delivery, but currently unable to achieve or maintain pregnancy.   show
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show Sterility  
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A couple who has difficulty conceiving because both partners have reduced fertility.   show
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show CNS Defects  
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show Spina Bifida  
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show Myelomeningocele  
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show Hydrocephalus  
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show Encephalocele  
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Absence of both cerebral hemispheres and of the overlying skull. This condition is incompatible with life. Frequently stillborn or dies within hours/days. Care is only supportive. Grief counseling.   show
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show Gastrointestinal Congenital Anomalies  
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Common. Congenital midline opening in lip or palate resulting from failure of primary palate to fuse. Cause:multiple genetic & environmental factors (infection,alcohol,radiation,steroid usage,anticonvulsants,etc.)Tx:surgical repair done at 6-12 wks   show
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Mild to severe respiratory distress.Absence of breath sounds on one side (usually left).Presence of bowel sounds in chest.Scaphoid (sunken) abdomen.If large hernia, lung may be undeveloped on that side (hypoplastic).   show
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Congenital deformity in which portions of foot and ankle are twisted out of normal position. Varying degrees of severity.Causes:genetic predisposition,in utero compression,abnormal embryonic development   show
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Meatus opens below the glans penis or anywhere along the ventral surface of the penis.Tx: surgical correction during first year; no circumcision.   show
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