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ARDMS OBGYN EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS WITH CLEAR DIAGRAMS
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ARDMS OBGYN EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS WITH CLEAR DIAGRAMS
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ARDMS OBGYN EXAM WITH COMPLETEQUESTIONS AND CORRECT ANSWERS
WITH CLEAR DIAGRAMS
When does the first trimester begin?
Begins with the first day of the woman's last menstrual period
(lmp) and ends 10 weeks later.
Marks the point when all organ systems have been
differentiated and are in place and the embryo has become a
fetus.
The end of the first trimester
Occurs 14 days after the first day of menstrual period.
Ovulation
Determines the beginning of pregnancy in clinical obstetrics.
The first day of the last period
Embryologic tests are based on what?
Conceptual age
Gracie uterus
Name for uterus during pregnancy
Chadwick's sign
Bluish purple discoloration of the cervix, vagina, and labia during
pregnancy as a result of increased vascular congestion.
Goodell's sign
softening of the vaginal portion of the cervix
,Hegar's sign
softening of the lower uterine segment (uterine isthmus)
Hyper pigmentation of the lines alba
The fibrous structure that runs down the the abdominal midline
Labratory hormones that can determine early pregnancy
Progesterone, early pregnancy factor, HCG
beta-hCG stands for?
Beta subunit of human chorionic honadotropin in maternal serum
In a normal first trimester pregnancy what happens to
progesterone?
Progesterone levels rise to multiples of those observed during the
non pregnant state and are an indicator of the integrity of an
intrauterine gestation.
What lab in the first trimester is an indicator of the integrity
of an intrauterine pregnancy?
Progesterone
First trimester lab levels for progesterone range from?
10-44nanograms per milliliter (ng/ml)
Typical progesterone levels first trimester pregnancy are 10-
44 no/ml. Labs less than this Raise concern for?
Ectopic pregnancy and are also assoc. with and increased risk of
failed intrauterine pregnancy
early pregnancy factor
,Is a protein produced by the conceptual within hours after
fertilization.
Earliest laboratory evidence of pregnancy?
Early pregnancy factor
How is EPF (early pregnancy factor) measured?
Using the rosette inhibition test (RIT), positive or negative results
When is EPF produced?
Prior to implantation.
human chorionic gonadotropin (hCG) can be detected In the
maternal serum as early as
6-8days post conception
Type of hcg test that is either positive or negative results?
Qualitative serum hcg
Type of hcg test that is more sensitive and provides a
numerical value that can be followed serially and correlated
with a normal progressing gestation to rule out failed
pregnancy.
Quantitative
human chorionic gonadotropin is secreted by?
Secreted by physiologically active trophoblastic tissue.
What test excludes the diagnosis of a live pregnancy
anywhere in the body.
A negative beta hcg blood test
, Descrinatory levels of serum beta hcg
Early pregnancy timeline
When does fertilization occur?
24-36 hours after ovulation.
Fertilization of the ovum occurs how many days after the
beginning of the last mentrual period?
15-16 days after
Conceptual age is how much less than menstrual age?
2 weeks less
Mentrual age
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