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12 Cards in this Set
- Front
- Back
Cervicalinsufficiency is primarily a _______ diagnosis characterized byrecurrent painless dilatation and spontaneous midtrimester loss. |
clinical |
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Cervicalinsufficiency is ________ a distinct and well-defined clinical entity,but only one component of the larger and more complex spontaneouspreterm birth syndrome. |
rarely |
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Currentevidence suggests that cervical competence functions along acontinuum, influenced by both endogenous and exogenous factors, suchas ______________ and _________________ |
uterine contractions, decidual/membrane activation. |
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Thetraditional nomenclature of cerclage type as prophylactic,therapeutic, and emergent should be replaced by ________-indicated, _______-indicated, and _________________–indicated cerclage. |
history, ultrasound, physical examination |
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Thereis no objective ____________________________ test for cervicalinsufficiency. |
preconceptional diagnostic |
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_________________________ for patients with a clinical history of cervicalinsufficiency remains a reasonable approach. |
History-indicated cerclage |
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Cervicalultrasound for cervical insufficiency performs ______________________ in low-risk women, but it has been proven to be a clinicallyuseful screening and diagnostic tool in selected high-riskpopulations such as those with a prior sPTB who may have a treatablecomponentofcervical insufficiency. |
poorly as a screening test |
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Inthe vast majority of women with prior sPTBs, and even those withnonclassic clinical histories of cervical insufficiency, serialsonographic evaluations of the cervix may be _____________________ to history-indicated cerclage. |
an acceptable alternative approach |
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Physicalexamination–indicated cerclage may be beneficial in reducing PTB ina subgroup of patients without markers of ____________. |
infection |
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Abdominalcerclage may be considered for those rare patients with a history of ___________________. |
failed vaginal cerclage |
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Ultrasoundindicated cerclage in twin gestation should not be performed becauseof the increase risk for _______________ with this intervention. |
preterm delivery |
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Thereis a need for randomized studies to evaluate alternative treatmentsfor cervical insufficiency such as _______________ therapy, and vaginalpessary. |
pharmacologic |