dif to remember

Question 1

causes of hyperandrogenism in pregnancy

Answer 1

1. placental aromatase def
2. luteoma
3. sertoli - Leydig tumor
4. thecal lutein cyst

Question 2

placental aromatase def - clinical features

Answer 2

• no ovarian mass
• high maternal and fetal virilization risk
• resolution of maternal symptoms after delivery

Question 3

luteoma - clinical features

Answer 3

solid unilateral ovarian masses

• moderate maternal virilization risk, high fetal virilization risk
• spontaneous regress of masses after delivery

Question 4

theca lutein cyst - clinical features

Answer 4

• cystic bilateral ovarian masses
• moderate maternal virilization risk, low fetal virilization risk
• spontaneous regression of masses after delivery

Question 5

sertoli - Leydig tumor

Answer 5

• solid unilateral ovarian mass
• high maternal + fetal virilization risk
  surgery required (2nd trimester of postpartum

Question 6

Methylergonovine

Answer 6

uterotonic drug –> SMC contraction, uterine contration and vasoconstriction
- contraindicated if history of HTN

Question 7

characteristics not found in US in teratomas

Answer 7

no multiple septae, no ascites

Question 8

OCP - weigh gain

Answer 8

NO

Question 9

MCC of prolonged or arrested 2nd stage

Answer 9

malposition

Question 10

choriamnionitis - normal delivery or c-section

Answer 10

if reassuring NST –> normal delivery

Question 11

Missed abortion symptoms

Answer 11

Usually asymptomatic (maybe light bleeding)