Preeclampsia, gestational diabetes, ectopic pregnancy, and placental abruption concepts tested on USMLE Step 1, beyond the endocrinology and pathology overview.
About this set
35 basic cards for USMLE Step 1 Reproductive Medicine. Set 6 of 8 in USMLE Reproductive. It opens with "What blood pressure reading, confirmed on two occasions, defines hypertension" and "What urine protein level over 24 hours is a diagnostic criterion for". Study it alongside the other USMLE Step 1 sets below.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What blood pressure reading, confirmed on two occasions, defines hypertension in preeclampsia after 20 weeks gestation?
Show answer
140/90 mmHg or higher- What urine protein level over 24 hours is a diagnostic criterion for preeclampsia?
Show answer
300 mg or more per 24 hours- What early placental defect underlies the pathophysiology of preeclampsia?
Show answer
Failure of trophoblastic remodeling of the spiral arteries, causing placental ischemia- In preeclampsia, is maternal serum sFlt-1 (soluble fms-like tyrosine kinase-1) increased or decreased?
Show answer
Increased- In preeclampsia, is maternal serum placental growth factor (PlGF) increased or decreased?
Show answer
Decreased- HELLP syndrome, a severe complication of preeclampsia, stands for Hemolysis, Elevated Liver enzymes, and ____.
Show answer
Low Platelets- What clinical event defines eclampsia in a patient with preeclampsia?
Show answer
New-onset generalized tonic-clonic seizures- What drug is given to prevent and treat seizures in severe preeclampsia and eclampsia?
Show answer
Magnesium sulfate- What is the only definitive treatment for preeclampsia?
Show answer
Delivery of the fetus and placenta- At what point in pregnancy is universal screening for gestational diabetes typically performed?
Show answer
24 to 28 weeks gestation- What initial screening test is used for gestational diabetes?
Show answer
1-hour 50-gram oral glucose challenge test- What placental hormone is a major cause of maternal insulin resistance during pregnancy?
Show answer
Human placental lactogen (hPL)- What is the first-line treatment for gestational diabetes?
Show answer
Diet and exercise (lifestyle modification)- Poorly controlled gestational diabetes causes fetal hyperinsulinemia, which leads to what fetal growth complication?
Show answer
Macrosomia- Why do infants of diabetic mothers often develop hypoglycemia shortly after birth?
Show answer
Fetal hyperinsulinemia persists after the maternal glucose supply is cut off at delivery
FlashKeepers