Download NMS Obstetrics and Gynecology (National Medical Series for by Samantha M. Pfeifer PDF

By Samantha M. Pfeifer

NMS Obstetrics and Gynecology delivers clinically suitable content material in quick-review define layout for college kids engaged within the obstetrics and gynecology rotation. circumstances, questions, and a accomplished examination mix to supply extra help, no matter if the scholar is getting ready for the SHELF examination or USMLE Step 2. Differential analysis and diagnostic checking out info is definitely obvious for swift overview sooner than seeing a sufferer or offering on rounds. The text's easy-to-navigate, two-color layout positive aspects broad margins for note-taking. 

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Generally, as the bHCG quant reaches a discriminatory level, a pelvic ultrasound would be able to confirm the viability of an intrauterine pregnancy. This is especially important in women with unsure LMP or history of irregular periods. The one day history of vaginal spotting in this woman may likely not be her normal period, so obtaining a serum bHCG quant will be useful in determining the stage of her pregnancy prior to performing a pelvic ultrasound. A CT scan of the pelvis is contraindicated in a woman with positive HCG due to the exposure to radiation.

This depends on the recognition of hCG or its ␤-subunit by an antibody to the hCG molecule or the ␤-subunit. b. Serum pregnancy tests detect the presence and quantify the ␤-subunit of hCG, thus allowing serial determinations to observe increases and decreases in the level of hCG. The serum test is more sensitive than the urine test. C Confirming the diagnosis of pregnancy 1. Identification of a heartbeat. The diagnosis of pregnancy is confirmed with the identification of the fetal heartbeat, which ranges from 120 to 160 beats/min.

Indd 16 7/7/11 4:53:18 AM Fetal Physiology 17 5. Glucose 6. Iron 7. Amino acids 8. Carbon dioxide QUESTIONS 9–13 For each statement below, match the period of fetal/early neonatal life during which the event occurs. Each answer can be used once, more than once, or not at all. A First trimester B Second trimester C Third trimester D Postnatal 9. Highest concentration of hemoglobin containing two ␣-globin and two ␤-globin chains 10. Amniotic fluid volume derived from transudation 11. Closure of the ductus arteriosus 12.

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