Symfony Profiler

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ApiPlatform\Metadata\GetCollection {#1135
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"_api_/flashcards{._format}_get_collection"

Symfony\Component\WebLink\GenericLinkProvider {#5463
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[]

"App\Entity\Flashcards"

[]

"api_platform.symfony.main_controller"

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null

true

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  "/api/flashcards/281" => "/api/flashcards/281"
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  "/api/flashcards/284" => "/api/flashcards/284"
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  "/api/flashcards/286" => "/api/flashcards/286"
  "/api/flashcards/287" => "/api/flashcards/287"
  "/api/flashcards/288" => "/api/flashcards/288"
  "/api/flashcards/289" => "/api/flashcards/289"
  "/api/flashcards/290" => "/api/flashcards/290"
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  "/api/flashcards/309" => "/api/flashcards/309"
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  "/api/categories/39" => "/api/categories/39"
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  "/api/categories/44" => "/api/categories/44"
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  "/api/categories/50" => "/api/categories/50"
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  "/api/flashcards/555" => "/api/flashcards/555"
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  "/api/flashcards/561" => "/api/flashcards/561"
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  "/api/flashcards/620" => "/api/flashcards/620"
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  "/api/flashcards/622" => "/api/flashcards/622"
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  "/api/flashcards/624" => "/api/flashcards/624"
  "/api/flashcards/625" => "/api/flashcards/625"
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  "/api/flashcards/629" => "/api/flashcards/629"
  "/api/flashcards/630" => "/api/flashcards/630"
  "/api/flashcards/632" => "/api/flashcards/632"
  "/api/categories/21" => "/api/categories/21"
  "/api/flashcards/633" => "/api/flashcards/633"
  "/api/flashcards/634" => "/api/flashcards/634"
  "/api/flashcards/635" => "/api/flashcards/635"
]

"_api_/flashcards{._format}_get_collection"

[
  "_stateless" => null
  "_api_resource_class" => "App\Entity\Flashcards"
  "_api_operation_name" => "_api_/flashcards{._format}_get_collection"
  "_format" => null
]

[]

[
  Symfony\Component\Security\Http\Authenticator\Debug\TraceableAuthenticator {#692
    -supports: false
    -passport: null
    -duration: null
    -stub: "App\Security\LoginControllerAuthenticator"
    -authenticated: null
    -exception: null
    -authenticator: App\Security\LoginControllerAuthenticator {#660 …}
  }
  Symfony\Component\Security\Http\Authenticator\Debug\TraceableAuthenticator {#698
    -supports: false
    -passport: null
    -duration: null
    -stub: "Symfony\Component\Security\Http\Authenticator\RememberMeAuthenticator"
    -authenticated: null
    -exception: null
    -authenticator: Symfony\Component\Security\Http\Authenticator\RememberMeAuthenticator {#699 …}
  }
]

null

"f9acbd"

[
  App\Entity\Flashcards {#2267
    -id: 25
    -question: ""
    -reponse: ""
    -date_maj: DateTimeImmutable @1772912301 {#2272
      date: 2026-03-07 20:38:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-26T17:56:36.287Z"
          "etat" => 2
        ]
        [
          "date" => "2026-01-26T17:57:01.003Z"
          "etat" => 1
        ]
        [
          "date" => "2026-02-16T10:46:50.492Z"
          "etat" => 1
        ]
        [
          "date" => "2026-03-07T19:38:21.386Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767468655 {#2271
      date: 2026-01-03 20:30:55.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/enceinte.jpg"
    -media_reponse: "/media/image/DSC00933.jpg"
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2142 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2326
    -id: 26
    -question: "Quelle est la définition de la transdisciplinarité?"
    -reponse: """
      Transdisciplinarité = Travail ensemble main dans la main entre différents types de savoirs \n
      Psy, AS, SF, GO, +/-patiente
      """
    -date_maj: DateTimeImmutable @1768241933 {#2324
      date: 2026-01-12 19:18:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767687338 {#2325
      date: 2026-01-06 09:15:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2332
    -id: 27
    -question: "A quoi est du la vulnérabilité de la femme enceinte?"
    -reponse: """
      Modification corporelle\n
      Modification psychologique\n
      Modification de statut
      """
    -date_maj: DateTimeImmutable @1768241963 {#2330
      date: 2026-01-12 19:19:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767687748 {#2331
      date: 2026-01-06 09:22:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2335
    -id: 29
    -question: "Quelle est la définition de la résilience ?"
    -reponse: """
      Processus de survie\n
      Oublier le moment traumatisant
      """
    -date_maj: DateTimeImmutable @1768241970 {#2333
      date: 2026-01-12 19:19:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767687831 {#2334
      date: 2026-01-06 09:23:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2338
    -id: 30
    -question: "Est ce qu'une personne vulnérable est forcément dans une situation précaire?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1768241976 {#2336
      date: 2026-01-12 19:19:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767688096 {#2337
      date: 2026-01-06 09:28:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2341
    -id: 31
    -question: "Quelle est la définition du désir de grossesse chez une jeune femme adolescente?"
    -reponse: """
      Mettre en avant son statut, besoin d'attention\n
      Souvent délaisse son enfant à la naissance, de plus l'attention est reportée sur l'enfant
      """
    -date_maj: DateTimeImmutable @1768242023 {#2339
      date: 2026-01-12 19:20:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767690092 {#2340
      date: 2026-01-06 10:01:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2347
    -id: 32
    -question: "Quel est le médicament à ne pas donner chez une ancienne toxicomane?"
    -reponse: "Nubain -> Provoque des signes de sevrage"
    -date_maj: DateTimeImmutable @1768242033 {#2345
      date: 2026-01-12 19:20:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767691839 {#2346
      date: 2026-01-06 10:30:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2350
    -id: 33
    -question: "A quoi correspond le principe de la faute simple prouvée?"
    -reponse: """
      A prouver par la victime\n
      La responsabilité du professionnel de santé et des établissements de santé est une responsabilité pour faute prouvée\n
      Obligation de moyen mais pas de résultat 
      """
    -date_maj: DateTimeImmutable @1773067121 {#2348
      date: 2026-03-09 15:38:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:38:41.049Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767865623 {#2349
      date: 2026-01-08 10:47:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2356
    -id: 34
    -question: "Quels sont les deux types de fautes médicales?"
    -reponse: """
      Faute contre la conscience médicale\n
      Faute contre la science médicale
      """
    -date_maj: DateTimeImmutable @1773066400 {#2354
      date: 2026-03-09 15:26:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:26:40.317Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767865689 {#2355
      date: 2026-01-08 10:48:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2362
    -id: 35
    -question: "A quoi correspond une faute contre la conscience médicale?"
    -reponse: """
      Manquement au devoir d'humanisme\n
      - Non respect du devoir d'information\n
      - Violation du secret médical\n
      - Absence de consentement\n
      - Non respect de l'indépendance professionnelle\n
      """
    -date_maj: DateTimeImmutable @1773066933 {#2360
      date: 2026-03-09 15:35:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:35:32.999Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767865851 {#2361
      date: 2026-01-08 10:50:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2365
    -id: 36
    -question: "A quoi correspond les fautes contre la science médicale?"
    -reponse: "Ensemble des agissements du professionnel de santé qui manquerait de prudence, de précision et de diligence"
    -date_maj: DateTimeImmutable @1773066660 {#2363
      date: 2026-03-09 15:31:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:31:00.376Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767865899 {#2364
      date: 2026-01-08 10:51:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2368
    -id: 37
    -question: "A quoi correspond une faute caractérisée?"
    -reponse: """
      = faute plus grave qu'une faute simple\n
      En cas de non détection d'une anomalie foetale in utero, la loi exige une faute caractérisée
      """
    -date_maj: DateTimeImmutable @1773066431 {#2366
      date: 2026-03-09 15:27:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:27:11.314Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767866052 {#2367
      date: 2026-01-08 10:54:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2371
    -id: 38
    -question: "A quoi correspond la faute présumée en matière de défaut d'information?"
    -reponse: "Parfois la charge de la preuve appartient au professionnel ou à l'établissement de santé qui doit prouver que l'information a été délivrée à l'intéressé dans les conditions prévues"
    -date_maj: DateTimeImmutable @1773066994 {#2369
      date: 2026-03-09 15:36:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:36:34.217Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767866588 {#2370
      date: 2026-01-08 11:03:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2374
    -id: 39
    -question: "Qui est en faute en cas d'infection nosocomiale?"
    -reponse: "Responsabilité de plein droit des établissements de santé"
    -date_maj: DateTimeImmutable @1773067129 {#2372
      date: 2026-03-09 15:38:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:38:49.283Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767866728 {#2373
      date: 2026-01-08 11:05:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2377
    -id: 40
    -question: "Quel est le principe qui dommine la responsabilité médicale?"
    -reponse: """
      Principe cardinal = principe de la réparation intégrale du dommage de la victime\n
      Tout le préjudice, rien que le préjudice
      """
    -date_maj: DateTimeImmutable @1773066077 {#2375
      date: 2026-03-09 15:21:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:21:17.470Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767866914 {#2376
      date: 2026-01-08 11:08:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2380
    -id: 41
    -question: "Quelle est la grille qui permet de guider les indemnités en cas de préjudice?"
    -reponse: """
      Nomenclature Dintilhac qui comprend 2 grandes parties:\n
      - préjudices patrimoniaux\n
      - Préjudices extrapatrimoniaux
      """
    -date_maj: DateTimeImmutable @1773067523 {#2378
      date: 2026-03-09 15:45:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:45:23.447Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767867918 {#2379
      date: 2026-01-08 11:25:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2383
    -id: 42
    -question: "A quoi correspond la consolidation?"
    -reponse: "Etat transitoire constitué par la période de soins, lé lésion se fixe et prend un caractère permanent = état séquellaire"
    -date_maj: DateTimeImmutable @1773067100 {#2381
      date: 2026-03-09 15:38:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:38:20.583Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767868147 {#2382
      date: 2026-01-08 11:29:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2386
    -id: 43
    -question: "Quelle est la définition de la présomption?"
    -reponse: "Déduction tirée à partir d'un fait connu, pour établir la vraisemblance d'un fait connu"
    -date_maj: DateTimeImmutable @1773065995 {#2384
      date: 2026-03-09 15:19:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:19:55.655Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767870275 {#2385
      date: 2026-01-08 12:04:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2389
    -id: 44
    -question: "Quelle est l'origine embryologique de l'appareil génital et urinaire?"
    -reponse: "Mésoblaste"
    -date_maj: DateTimeImmutable @1771932358 {#2387
      date: 2026-02-24 12:25:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:25:58.657Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767877653 {#2388
      date: 2026-01-08 14:07:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2395
    -id: 45
    -question: "A quel terme se forme l'utérus?"
    -reponse: "16 SG"
    -date_maj: DateTimeImmutable @1771932599 {#2393
      date: 2026-02-24 12:29:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:29:59.703Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767877682 {#2394
      date: 2026-01-08 14:08:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2398
    -id: 46
    -question: "A quel terme se forme le vagin?"
    -reponse: "Entre 14 et 20 SG"
    -date_maj: DateTimeImmutable @1771932908 {#2396
      date: 2026-02-24 12:35:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:35:07.987Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767877714 {#2397
      date: 2026-01-08 14:08:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2401
    -id: 47
    -question: "Quels sont les éléments issus du canal de Müller?"
    -reponse: "Trompe, utérus et la partie supérieure du vagin"
    -date_maj: DateTimeImmutable @1771932346 {#2399
      date: 2026-02-24 12:25:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:25:46.157Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767877791 {#2400
      date: 2026-01-08 14:09:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2404
    -id: 48
    -question: "A quoi sont du principalement les malformations?"
    -reponse: """
      Anomalies de la jonction des canaux de Müller\n
      Association fréquence d'anomalies rénales
      """
    -date_maj: DateTimeImmutable @1771932444 {#2402
      date: 2026-02-24 12:27:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:27:23.838Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767877862 {#2403
      date: 2026-01-08 14:11:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2407
    -id: 49
    -question: "Quelle est la malformation retrouvée vers 6-9 semaines?"
    -reponse: "Aplasie utérine"
    -date_maj: DateTimeImmutable @1771932365 {#2405
      date: 2026-02-24 12:26:05.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:26:04.873Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878013 {#2406
      date: 2026-01-08 14:13:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2410
    -id: 50
    -question: "Quelle est la malformation retrouvée vers 10-13 semaines?"
    -reponse: "Utérus bicorne"
    -date_maj: DateTimeImmutable @1771932353 {#2408
      date: 2026-02-24 12:25:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:25:53.740Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878056 {#2409
      date: 2026-01-08 14:14:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2413
    -id: 51
    -question: "Quelle est la malformation retrouvée vers 14-17 semaines?"
    -reponse: "Utérus cloisonné"
    -date_maj: DateTimeImmutable @1771932876 {#2411
      date: 2026-02-24 12:34:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:34:36.338Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878079 {#2412
      date: 2026-01-08 14:14:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2416
    -id: 52
    -question: "A quoi correspond le Sd de Rokitansky?"
    -reponse: """
      Présence d'ovaire\n
      Absence de vagin, d'utérus et de trompes
      """
    -date_maj: DateTimeImmutable @1771932529 {#2414
      date: 2026-02-24 12:28:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:28:48.970Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878348 {#2415
      date: 2026-01-08 14:19:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2419
    -id: 54
    -question: "Quel est le risque principale en cas de présence de corne?"
    -reponse: "GEU"
    -date_maj: DateTimeImmutable @1771932454 {#2417
      date: 2026-02-24 12:27:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:27:34.308Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878406 {#2418
      date: 2026-01-08 14:20:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2422
    -id: 55
    -question: "A quoi correspond une aplasie müllerienne unilatérale?"
    -reponse: "Utérus unicorne ou pseudo unicorne"
    -date_maj: DateTimeImmutable @1771932571 {#2420
      date: 2026-02-24 12:29:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:29:31.320Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878554 {#2421
      date: 2026-01-08 14:22:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2425
    -id: 56
    -question: "A quoi correspond un utérus à fond arqué?"
    -reponse: """
      Fond arqué < 1 cm\n
      non pathologique
      """
    -date_maj: DateTimeImmutable @1771932590 {#2423
      date: 2026-02-24 12:29:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:29:50.086Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767878797 {#2424
      date: 2026-01-08 14:26:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2428
    -id: 57
    -question: "Quelles sont les caractéristiques d'un utérus cloisonné?"
    -reponse: """
      Un seul corps\n
      Cloison hypoéchogène non vascularisé\n
      Fond rectiligne\n
      divergence des cornes < 60°\n
      distance des cornes > 5cm\n
      RAS au niveau des reins\n
      40% risques de FCP\n
      25% prématuré
      """
    -date_maj: DateTimeImmutable @1771932331 {#2426
      date: 2026-02-24 12:25:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:25:30.878Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879070 {#2427
      date: 2026-01-08 14:31:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2431
    -id: 58
    -question: "Quelles sont les caractéristiques d'un utérus bicorne?"
    -reponse: """
      Deux corps\n
      Aspect en lunette : 2 couronnes\n
      Fond avec échancrure > 1 cm = signe du V vésical\n
      divergences des cornes > 60°\n
      Distance des cornes < 5 cm\n
      Malformations rénales\n
      Autant de FCP que la pop générale\n
      Prématurité augmentée
      """
    -date_maj: DateTimeImmutable @1771932868 {#2429
      date: 2026-02-24 12:34:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:34:28.255Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879208 {#2430
      date: 2026-01-08 14:33:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2434
    -id: 59
    -question: "Quels sont les thérapeutiques possibles en cas d'utérus cloisonné?"
    -reponse: "Résection hystéroscopique de cloison"
    -date_maj: DateTimeImmutable @1771932899 {#2432
      date: 2026-02-24 12:34:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:34:59.038Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879598 {#2433
      date: 2026-01-08 14:39:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2437
    -id: 60
    -question: "Quelles sont les thérapeutiques possibles en cas d'utérus bicorne?"
    -reponse: "Pas de chirurgie possible"
    -date_maj: DateTimeImmutable @1771932550 {#2435
      date: 2026-02-24 12:29:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:29:10.570Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879625 {#2436
      date: 2026-01-08 14:40:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2440
    -id: 61
    -question: "Quelles sont les thérapeutiques possibles en cas de Sd de Rokitansky?"
    -reponse: "Dilatation vaginales voire chirurgie"
    -date_maj: DateTimeImmutable @1771932889 {#2438
      date: 2026-02-24 12:34:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:34:49.088Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879679 {#2439
      date: 2026-01-08 14:41:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2443
    -id: 62
    -question: "Quelle est la définition des synéchies utérines?"
    -reponse: """
      Formation d'adhérences intra-utérines (=synéchies) dans les suites de manoeuvres ou affections endo-utérines\n
      Source d'infertilité féminine
      """
    -date_maj: DateTimeImmutable @1771932151 {#2441
      date: 2026-02-24 12:22:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:22:31.046Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767879754 {#2442
      date: 2026-01-08 14:42:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2446
    -id: 63
    -question: "Quelle est la prise en charge préventive de synéchie utérine?"
    -reponse: """
      Résection par hystéroscopie\n
      Hyalobarrier endo
      """
    -date_maj: DateTimeImmutable @1771932543 {#2444
      date: 2026-02-24 12:29:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T11:29:03.754Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767880208 {#2445
      date: 2026-01-08 14:50:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2391 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2449
    -id: 64
    -question: "Quel est le pourcentage de lombalgie chez les femmes enceintes?"
    -reponse: """
      50%\n
      Souvent à partir du 2ème trimestre\n
      Normal\n
      Risque de récidive/chronicisation
      """
    -date_maj: DateTimeImmutable @1768913542 {#2447
      date: 2026-01-20 13:52:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767881861 {#2448
      date: 2026-01-08 15:17:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2455
    -id: 65
    -question: "Quels sont les facteurs favorisant les lombalgies?"
    -reponse: """
      ATCD de lombalgie préexistante\n
      Travail pénible\n
      Surpoids préexistant\n
      Multiparité\n
      Age + élevé
      """
    -date_maj: DateTimeImmutable @1768913381 {#2453
      date: 2026-01-20 13:49:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767881933 {#2454
      date: 2026-01-08 15:18:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2458
    -id: 66
    -question: "Quelles sont les modifications biomécanique chez la femme enceinte?"
    -reponse: """
      Prise de poids\n
      Avancement du centre de gravité\n
      Modification de la statique rachidienne\n
      Affaiblissement des abdominaux \n
      Rotation antérieure du pelvis\n
      Augmentation de la charge sur la colonne\n
      Changement vasculaires: pression sur l'aorte et la veine
      """
    -date_maj: DateTimeImmutable @1768913528 {#2456
      date: 2026-01-20 13:52:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767882271 {#2457
      date: 2026-01-08 15:24:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2461
    -id: 67
    -question: "Quels sont les symptômes des lombalgies?"
    -reponse: """
      Douleurs mécaniques, continues\n
      Exacerbation par le mouvement\n
      Irradiation dans le membre inférieur\n
      Raideur / douleur lombaire\n
      """
    -date_maj: DateTimeImmutable @1768913363 {#2459
      date: 2026-01-20 13:49:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767882710 {#2460
      date: 2026-01-08 15:31:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2464
    -id: 68
    -question: ""
    -reponse: """
      Hyperlordose\n
      Hypercyphose\n
      Extension de l'occiput et de la 1ère vertèbre\n
      Hyperextension du genou et aplatissement de l'arche du pied\n
      Inclinaison antérieure du bassin\n
      Angulation antérieure de la région cervicale
      """
    -date_maj: DateTimeImmutable @1768913394 {#2462
      date: 2026-01-20 13:49:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767882948 {#2463
      date: 2026-01-08 15:35:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2467
    -id: 69
    -question: "Quel est le pourcentage des douleurs pelviennes?"
    -reponse: """
      25%\n
      A partir de la 18ème semaine d'aménorrhée\n
      Souvent avec lombalgies
      """
    -date_maj: DateTimeImmutable @1768913536 {#2465
      date: 2026-01-20 13:52:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767883154 {#2466
      date: 2026-01-08 15:39:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2470
    -id: 70
    -question: "Quelles sont les thérapeutiques des douleurs lombo-pelvienne?"
    -reponse: """
      PFG\n
      Opioïdes: sur une courte période\n
      AINS : déconseillés durant la grossesse\n
      Corticoïdes: autorisés tout au long de la grossesse\n
      Infiltrations de dérivés cortisonés\n
      Solution non pharmacologiques possibles= activité physique, balnéothérapie, kiné...
      """
    -date_maj: DateTimeImmutable @1768913419 {#2468
      date: 2026-01-20 13:50:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767883420 {#2469
      date: 2026-01-08 15:43:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2473
    -id: 71
    -question: "Quels sont les facteurs de risques des lombalgies?"
    -reponse: """
      ATCD de lombalgie préexistante\n
      Travail pénible\n
      Surpoids préexistant\n
      Multiparité\n
      Age + élevé
      """
    -date_maj: DateTimeImmutable @1767883737 {#2471
      date: 2026-01-08 15:48:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767883737 {#2472
      date: 2026-01-08 15:48:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2475 …}
    -etat: null
  }
  App\Entity\Flashcards {#2479
    -id: 75
    -question: "Quels sont les différents polluants environnementaux?"
    -reponse: """
      Polluants organiques persistants\n
      Composés organiques volatils\n
      Cancérigène/ Mutagène/ Reprotoxique\n
      Perturbateurs endocriniens
      """
    -date_maj: DateTimeImmutable @1768987144 {#2477
      date: 2026-01-21 10:19:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767948483 {#2478
      date: 2026-01-09 09:48:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2485
    -id: 76
    -question: "Donne moi des exemples de CMR?"
    -reponse: """
      Amiante\n
      Plomb\n
      Phtalates
      """
    -date_maj: DateTimeImmutable @1768986990 {#2483
      date: 2026-01-21 10:16:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767948545 {#2484
      date: 2026-01-09 09:49:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2488
    -id: 77
    -question: "Quelles sont les caractéristiques des COV?"
    -reponse: """
      grande volatilité\n
      Naturels ou anthropiques (générés par l'activité humaine)\n
      Dispersion dans l'atmosphère\n
      Effets respiratoires, irritations oculaires ou rhinopharyngés\n
      Certains sont CMR
      """
    -date_maj: DateTimeImmutable @1768986814 {#2486
      date: 2026-01-21 10:13:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767948624 {#2487
      date: 2026-01-09 09:50:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2491
    -id: 78
    -question: "Quelle est la définition de perturbateurs endocriniens?"
    -reponse: "Substance ou mélange exogène altérant les fonctions du système endocrinien et induisant des effets nocifs sur la santé d'in organisme intact, de ses descendant ou sous population."
    -date_maj: DateTimeImmutable @1768987352 {#2489
      date: 2026-01-21 10:22:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767948786 {#2490
      date: 2026-01-09 09:53:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2494
    -id: 79
    -question: "Quelles sont les incidences des perturbateurs endocriniens?"
    -reponse: """
      Cryptorchidies\n
      Hypospades\n
      Altération de la qualité du sperme\n
      Endométrioses\n
      Fibromes utérins\n
      Troubles du comportement chez l'enfant\n
      Cancer hormono-dépendants\n
      Asthme\n
      Maladie thyroïdiennes auto-immunes
      """
    -date_maj: DateTimeImmutable @1768986877 {#2492
      date: 2026-01-21 10:14:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767948921 {#2493
      date: 2026-01-09 09:55:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2497
    -id: 80
    -question: "Quelle est la définition d'épigénétique?"
    -reponse: """
      Ensemble des mécanismes moléculaires et héréditaires qui modulent l'activité des gènes sans altérer la séquence d'ADN\n
      Impact sur l'expression génique
      """
    -date_maj: DateTimeImmutable @1768987330 {#2495
      date: 2026-01-21 10:22:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767949204 {#2496
      date: 2026-01-09 10:00:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2500
    -id: 81
    -question: "Quelles sont les caractéristiques de l'épigénétique?"
    -reponse: """
      Réversibles\n
      Conséquences parfois irréversibles \n
      Conséquences à court, moyen ou long terme\n
      Possibles effets transgénérationnels
      """
    -date_maj: DateTimeImmutable @1768987238 {#2498
      date: 2026-01-21 10:20:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767949266 {#2499
      date: 2026-01-09 10:01:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2503
    -id: 82
    -question: "Quelle est la période durant laquelle se met en place le capital santé?"
    -reponse: "Les 1000 premiers jours"
    -date_maj: DateTimeImmutable @1768987031 {#2501
      date: 2026-01-21 10:17:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767949781 {#2502
      date: 2026-01-09 10:09:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2506
    -id: 83
    -question: "Quelles sont les caractéristiques physiologiques de la peau d'un bébé?"
    -reponse: """
      Plus fine\n
      Plus perméable\n
      Plus sèche, film hydrolipidique fin\n
      Surface corporelle très élevée\n
      Système de régulation du pH immature \n
      Plus sensible\n
      """
    -date_maj: DateTimeImmutable @1768987020 {#2504
      date: 2026-01-21 10:17:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767952469 {#2505
      date: 2026-01-09 10:54:29.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2509
    -id: 84
    -question: "Quels sont les 3 produits à éviter pendant la grossesse?"
    -reponse: """
      Les huiles essetielles\n
      Les colorations capillaires\n
      Le vernis à ongles
      """
    -date_maj: DateTimeImmutable @1768986855 {#2507
      date: 2026-01-21 10:14:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767952913 {#2508
      date: 2026-01-09 11:01:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2512
    -id: 85
    -question: "Quelle est l'exposition aux produits cosmétiques?"
    -reponse: """
      Inhalation\n
      Ingestion\n
      Contact cutané
      """
    -date_maj: DateTimeImmutable @1768987246 {#2510
      date: 2026-01-21 10:20:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767953515 {#2511
      date: 2026-01-09 11:11:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2515
    -id: 86
    -question: "Quel est le risque des huiles végétales alimentaires?"
    -reponse: "Contient des protéines alimentaires pouvant favoriser le développement d'allergie"
    -date_maj: DateTimeImmutable @1768987001 {#2513
      date: 2026-01-21 10:16:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767954259 {#2514
      date: 2026-01-09 11:24:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2518
    -id: 87
    -question: "Que dire sur ce produit?"
    -reponse: """
      Beaucoup de produits\n
      Sodium\n
      PPG et PEG haut dans la liste\n
      Présence de parfum d'amande\n
      \n
      Mais il s'agit d'un produit qui se rince donc on peut l'utiliser mais à ne pas racheter dans l'idéal
      """
    -date_maj: DateTimeImmutable @1768986835 {#2516
      date: 2026-01-21 10:13:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767954452 {#2517
      date: 2026-01-09 11:27:32.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/Capture_d’écran_2026-01-09_à_11.26.03.png"
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2521
    -id: 88
    -question: "Que penser de ce liniment?"
    -reponse: """
      Liste d'ingrédient courte\n
      Pas d'ingrédient trop mauvais\n
      Ingrédient BIO\n
      """
    -date_maj: DateTimeImmutable @1768986977 {#2519
      date: 2026-01-21 10:16:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767954687 {#2520
      date: 2026-01-09 11:31:27.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/Capture_d’écran_2026-01-09_à_11.30.04.png"
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2524
    -id: 89
    -question: "Quelles sont les lingettes à privilégier?"
    -reponse: "Lingette carrefour car moins d'ingrédient, non parfumé pas de PEG haut dans la liste"
    -date_maj: DateTimeImmutable @1768987107 {#2522
      date: 2026-01-21 10:18:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1767955092 {#2523
      date: 2026-01-09 11:38:12.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/Capture_d’écran_2026-01-09_à_11.37.08.png"
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2527
    -id: 90
    -question: "Quelle est la définition de la responsabilité juridique?"
    -reponse: """
      Chacun doit répondre de ses actes à l'égard d'autrui, dès lors qu'il en est découlé des conséquences dommageables\n
      Elle est évolutive
      """
    -date_maj: DateTimeImmutable @1772709989 {#2525
      date: 2026-03-05 12:26:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:26:29.104Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767966002 {#2526
      date: 2026-01-09 14:40:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2529 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2533
    -id: 91
    -question: "Qui sont les 4 H de l'affaire du sang contaminé?"
    -reponse: """
      Hawaïen\n
      Homosexuels\n
      Héroïnomane\n
      Hémophile
      """
    -date_maj: DateTimeImmutable @1772709874 {#2531
      date: 2026-03-05 12:24:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:24:34.039Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767966094 {#2532
      date: 2026-01-09 14:41:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2529 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2536
    -id: 92
    -question: "Quelle est la responsabilité en cause en cas de statut public?"
    -reponse: "Responsabilité administrative"
    -date_maj: DateTimeImmutable @1772709859 {#2534
      date: 2026-03-05 12:24:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:24:19.323Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767966551 {#2535
      date: 2026-01-09 14:49:11.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2529 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2539
    -id: 93
    -question: "Quelle est la responsabilité en cause en cas de statut privé?"
    -reponse: "Responsabilité civile"
    -date_maj: DateTimeImmutable @1772709881 {#2537
      date: 2026-03-05 12:24:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:24:41.272Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767966584 {#2538
      date: 2026-01-09 14:49:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2529 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2542
    -id: 94
    -question: "A quoi sert la responsabilité ?"
    -reponse: """
      Punir\n
      Dissuader\n
      Indemniser
      """
    -date_maj: DateTimeImmutable @1772709866 {#2540
      date: 2026-03-05 12:24:26.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:24:26.339Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767966943 {#2541
      date: 2026-01-09 14:55:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2529 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2545
    -id: 95
    -question: "En quelle année pour la cour de cassation consacra pour la 1ère fois la responsabilité civile du médecin?"
    -reponse: "1835 = Naissance de la responsabilité médicale"
    -date_maj: DateTimeImmutable @1772710051 {#2543
      date: 2026-03-05 12:27:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:27:31.169Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767967794 {#2544
      date: 2026-01-09 15:09:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2551
    -id: 96
    -question: "A quel cour fait-on appel en premier en cas de litige?"
    -reponse: "Cour d'appel --> Cour de cassation "
    -date_maj: DateTimeImmutable @1772710093 {#2549
      date: 2026-03-05 12:28:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:13.851Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767967890 {#2550
      date: 2026-01-09 15:11:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2554
    -id: 97
    -question: "Quelle est la définition de la responsabilité médicale?"
    -reponse: "A pour objet de réparer les dommages causés au patient à l'occasion d'une activité médicale"
    -date_maj: DateTimeImmutable @1772710175 {#2552
      date: 2026-03-05 12:29:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:29:35.803Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767968248 {#2553
      date: 2026-01-09 15:17:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2557
    -id: 98
    -question: "Quelles sont les 2 formes de responsabilité civile?"
    -reponse: """
      Responsabilité contractuelle\n
      Responsabilité délictuelle ou extracontractuelle qui est la responsabilité de droit commun
      """
    -date_maj: DateTimeImmutable @1772710208 {#2555
      date: 2026-03-05 12:30:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:30:08.487Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767968337 {#2556
      date: 2026-01-09 15:18:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2560
    -id: 99
    -question: "Quel est le délai de prescription en responsabilité délictuelle à l'époque?"
    -reponse: "3 ans"
    -date_maj: DateTimeImmutable @1772710060 {#2558
      date: 2026-03-05 12:27:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-26T18:38:13.361Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T11:27:40.719Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767968714 {#2559
      date: 2026-01-09 15:25:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2563
    -id: 100
    -question: "Quel est le délai de prescription en cas de responsabilité contractuelle à l'époque ?"
    -reponse: "30 ans"
    -date_maj: DateTimeImmutable @1772710046 {#2561
      date: 2026-03-05 12:27:26.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:27:25.939Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767968751 {#2562
      date: 2026-01-09 15:25:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2566
    -id: 101
    -question: "A quoi correspond un contrat synallagmatique?"
    -reponse: "Obligations réciproques\n"
    -date_maj: DateTimeImmutable @1772710188 {#2564
      date: 2026-03-05 12:29:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:29:48.301Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767970562 {#2565
      date: 2026-01-09 15:56:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2569
    -id: 102
    -question: "Quelle est la responsabilité en cas d'urgence, de consentement non demandé?"
    -reponse: "Responsabilité délictuelle en l'absence de contrat"
    -date_maj: DateTimeImmutable @1772710087 {#2567
      date: 2026-03-05 12:28:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:07.702Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767970610 {#2568
      date: 2026-01-09 15:56:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2572
    -id: 103
    -question: "Quel est le délai pour agir pour toute action en responsabilité?"
    -reponse: "10 ans à compter de la date de consolidation du dommage"
    -date_maj: DateTimeImmutable @1772710183 {#2570
      date: 2026-03-05 12:29:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:29:43.237Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767972087 {#2571
      date: 2026-01-09 16:21:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2575
    -id: 104
    -question: "Quel est le juge compétent en cas d'action contre un établissement privé et/ou un médecin libéral?"
    -reponse: "Juge judiciaire"
    -date_maj: DateTimeImmutable @1772710071 {#2573
      date: 2026-03-05 12:27:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:27:51.722Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767973116 {#2574
      date: 2026-01-09 16:38:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2578
    -id: 105
    -question: "Quel est le juge compétent en cas d'action contre un établissement public ou ses agents?"
    -reponse: "Juge administratif"
    -date_maj: DateTimeImmutable @1772710136 {#2576
      date: 2026-03-05 12:28:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:56.004Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767973158 {#2577
      date: 2026-01-09 16:39:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2581
    -id: 106
    -question: "Quelle est la loi du 4 mars 2002?"
    -reponse: """
      Loi Kouchner\n
      Relative aux droits des malades et à la qualité du système de santé
      """
    -date_maj: DateTimeImmutable @1772710037 {#2579
      date: 2026-03-05 12:27:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:27:17.219Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767973576 {#2580
      date: 2026-01-09 16:46:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2584
    -id: 107
    -question: "Quelle est l'affaire qui donne une indemnité aux enfants nés avec un handicap suite à une erreur de diagnostic durant la grossesse?"
    -reponse: "Affaire Perruche"
    -date_maj: DateTimeImmutable @1772710127 {#2582
      date: 2026-03-05 12:28:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:47.118Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767974016 {#2583
      date: 2026-01-09 16:53:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2587
    -id: 108
    -question: "Quelle est l'affaire du Médiator?"
    -reponse: """
      Prescription du médiateur hors AMM aux personnes obèses.\n
      Mais des décès ont été répertoriés
      """
    -date_maj: DateTimeImmutable @1772710080 {#2585
      date: 2026-03-05 12:28:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:00.518Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1767974217 {#2586
      date: 2026-01-09 16:56:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2590
    -id: 109
    -question: "Quelle est la définition de la présentation du siège?"
    -reponse: """
      Présentation longitudinale tête en haut\n
      Tous les diamètres sont compatibles\n
      """
    -date_maj: DateTimeImmutable @1768331475 {#2588
      date: 2026-01-13 20:11:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224064 {#2589
      date: 2026-01-12 14:21:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2596
    -id: 110
    -question: "Quels sont les 3 types principaux de présentation du siège?"
    -reponse: """
      Décomplété\n
      Complet\n
      Semi-complet
      """
    -date_maj: DateTimeImmutable @1768331490 {#2594
      date: 2026-01-13 20:11:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224097 {#2595
      date: 2026-01-12 14:21:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2599
    -id: 111
    -question: "A quoi correspond cette présentation?"
    -reponse: "Siège décomplété"
    -date_maj: DateTimeImmutable @1768331495 {#2597
      date: 2026-01-13 20:11:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224314 {#2598
      date: 2026-01-12 14:25:14.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/Capture_d’écran_2026-01-12_à_14.24.36.png"
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2602
    -id: 112
    -question: "A quoi correspond cette présentation?"
    -reponse: "Siège complet = 35%"
    -date_maj: DateTimeImmutable @1768331499 {#2600
      date: 2026-01-13 20:11:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224355 {#2601
      date: 2026-01-12 14:25:55.0 Europe/Paris (+01:00)
    }
    -media_question: "/media/image/Capture_d’écran_2026-01-12_à_14.24.43.png"
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2605
    -id: 113
    -question: "Quelles sont les présentations à considérer comme présentation oblique?"
    -reponse: """
      Décomplété mode des pieds\n
      Décomplété mode des genoux
      """
    -date_maj: DateTimeImmutable @1768990489 {#2603
      date: 2026-01-21 11:14:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224502 {#2604
      date: 2026-01-12 14:28:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2608
    -id: 114
    -question: "Quelle est la fréquence de la  présentation en siège?"
    -reponse: "3 à 4%"
    -date_maj: DateTimeImmutable @1768990461 {#2606
      date: 2026-01-21 11:14:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224549 {#2607
      date: 2026-01-12 14:29:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2611
    -id: 115
    -question: "Quelles sont les étiologies des présentations podaliques?"
    -reponse: """
      Prématurité\n
      Malformations foetales\n
      Grossesses multiples\n
      Multiparité\n
      tumeurs intrinséques ou extrinséques\n
      Oligo ou hydramnios\n
      Anomalies du cordon\n
      PIB
      """
    -date_maj: DateTimeImmutable @1768331610 {#2609
      date: 2026-01-13 20:13:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768224887 {#2610
      date: 2026-01-12 14:34:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2614
    -id: 116
    -question: "Quel est le repère au TV en cas de présentation du siège?"
    -reponse: "Sacrum palpé en suivant le pli interfessier"
    -date_maj: DateTimeImmutable @1768331616 {#2612
      date: 2026-01-13 20:13:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768225038 {#2613
      date: 2026-01-12 14:37:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2617
    -id: 117
    -question: "Quelle est la définition du complément de descente?"
    -reponse: "Jusqu'à ce que la hanche antérieure se fixe sous la symphyse pubienne"
    -date_maj: DateTimeImmutable @1768990253 {#2615
      date: 2026-01-21 11:10:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768225295 {#2616
      date: 2026-01-12 14:41:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2620
    -id: 118
    -question: "Comment doit rotationner la présentation en cas de siège?"
    -reponse: "dos amené en avant"
    -date_maj: DateTimeImmutable @1768331676 {#2618
      date: 2026-01-13 20:14:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768225433 {#2619
      date: 2026-01-12 14:43:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2623
    -id: 119
    -question: "A quoi correspond la technique de Vermelin?"
    -reponse: """
      On laisse faire la femme. On ne touche pas la présentation\n
      Hands off
      """
    -date_maj: DateTimeImmutable @1768331684 {#2621
      date: 2026-01-13 20:14:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768225795 {#2622
      date: 2026-01-12 14:49:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2626
    -id: 120
    -question: "Que se passe t-il au moment de l'expulsion du siège?"
    -reponse: "Bradycardie ou rythme plat à l'expulsion\n"
    -date_maj: DateTimeImmutable @1768990273 {#2624
      date: 2026-01-21 11:11:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768226182 {#2625
      date: 2026-01-12 14:56:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2629
    -id: 121
    -question: "Quelles sont les complications du travail?"
    -reponse: """
      Procidence du cordon\n
      Procidence d'un membre inférieur\n
      Dystocie dynamique
      """
    -date_maj: DateTimeImmutable @1768990140 {#2627
      date: 2026-01-21 11:09:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768226330 {#2628
      date: 2026-01-12 14:58:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2632
    -id: 122
    -question: "Quelles sont les complications de l'expulsion?"
    -reponse: "Retard de l'engagementLong complément de descenteRotation du dos en arrière: accrochage du menton sous le pubis, relèvement d'un ou des prés, rétention de tête dernière"
    -date_maj: DateTimeImmutable @1768990392 {#2630
      date: 2026-01-21 11:13:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768226453 {#2631
      date: 2026-01-12 15:00:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2635
    -id: 123
    -question: "Quelles sont les choses à faire pour éviter les complications?"
    -reponse: """
      Echographie foetale\n
      Radiopelvimétrie\n
      Echo en début de travail
      """
    -date_maj: DateTimeImmutable @1768990237 {#2633
      date: 2026-01-21 11:10:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768226948 {#2634
      date: 2026-01-12 15:09:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2638
    -id: 124
    -question: "A quoi correspond une petite extraction du siège?"
    -reponse: "Toutes les manoeuvres qui suivent l'expulsion spontané du pôle podalique"
    -date_maj: DateTimeImmutable @1768990431 {#2636
      date: 2026-01-21 11:13:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227177 {#2637
      date: 2026-01-12 15:12:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2641
    -id: 125
    -question: "Quelle est la manœuvre de l'extraction des épaules?"
    -reponse: "Manoeuvre de Lovset"
    -date_maj: DateTimeImmutable @1768331798 {#2639
      date: 2026-01-13 20:16:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227220 {#2640
      date: 2026-01-12 15:13:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2644
    -id: 126
    -question: "A quoi correspond la manoeuvre de lovset"
    -reponse: """
      Double conversion du foetus\n
      On met le pouce sur le sacrum et 2-3ème doigts sur ailes iliaques\n
      Traction vers le bas + rotation amenant l'épaule antérieure sous la symphyse
      """
    -date_maj: DateTimeImmutable @1768331817 {#2642
      date: 2026-01-13 20:16:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227506 {#2643
      date: 2026-01-12 15:18:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2647
    -id: 127
    -question: "A quoi correspond la manoeuvre de Suzor?"
    -reponse: """
      Une seule conversion\n
      Epaule antérieure amenée sous la symphyse et dégagée\n
      """
    -date_maj: DateTimeImmutable @1768990453 {#2645
      date: 2026-01-21 11:14:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227592 {#2646
      date: 2026-01-12 15:19:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2650
    -id: 128
    -question: "A quoi correspond la manoeuvre de Bracht?"
    -reponse: """
      Saisir le foetus par les cuisses\n
      Tronc relevé vers le haut\n
      Rabattre le dos du foetus sur le ventre de sa mère
      """
    -date_maj: DateTimeImmutable @1768331847 {#2648
      date: 2026-01-13 20:17:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227782 {#2649
      date: 2026-01-12 15:23:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2653
    -id: 129
    -question: "A quoi correspond la manoeuvre de Kristellar?"
    -reponse: "Manoeuvre de Bracht + pression sus pubienne"
    -date_maj: DateTimeImmutable @1768331856 {#2651
      date: 2026-01-13 20:17:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227819 {#2652
      date: 2026-01-12 15:23:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2656
    -id: 130
    -question: "A quoi correspond la manoeuvre de Kristellar?"
    -reponse: "Manoeuvre de Bracht + pression sus pubienne"
    -date_maj: DateTimeImmutable @1768331864 {#2654
      date: 2026-01-13 20:17:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227820 {#2655
      date: 2026-01-12 15:23:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2659
    -id: 131
    -question: "A quoi correspond la manoeuvre de Mauriceau?"
    -reponse: "Enfant à cheval sur avant bras, 2 doigts dans la bouche"
    -date_maj: DateTimeImmutable @1768331880 {#2657
      date: 2026-01-13 20:18:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768227973 {#2658
      date: 2026-01-12 15:26:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2662
    -id: 132
    -question: "A quoi correspond la manoeuvre de Wiegand Martin?"
    -reponse: "Manoeuvre de Mauriceau + pression sus pubienne"
    -date_maj: DateTimeImmutable @1768331886 {#2660
      date: 2026-01-13 20:18:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768228122 {#2661
      date: 2026-01-12 15:28:42.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2665
    -id: 133
    -question: "Quel est l'EPF limite pour un AVB en siège?"
    -reponse: "Césarienne si EPF > 3800g"
    -date_maj: DateTimeImmutable @1768331898 {#2663
      date: 2026-01-13 20:18:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768228407 {#2664
      date: 2026-01-12 15:33:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2668
    -id: 134
    -question: "Quelles sont les mesures de la pelvimétrie attendue pour accepter une VB?"
    -reponse: """
      PRP > 105mm\n
      TU > 120mm\n
      Biépineux > 100mm
      """
    -date_maj: DateTimeImmutable @1768990414 {#2666
      date: 2026-01-21 11:13:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768228539 {#2667
      date: 2026-01-12 15:35:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2671
    -id: 135
    -question: "Quel est le thérapeutique utilisé en cas de spasme du col?"
    -reponse: "Seringue de Nitronal préparé systématiquement en amont pour un AVB du siège"
    -date_maj: DateTimeImmutable @1768331936 {#2669
      date: 2026-01-13 20:18:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768228697 {#2670
      date: 2026-01-12 15:38:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2592 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2674
    -id: 136
    -question: "Quelles sont les situations à risques qui peuvent entraîner plus de vulnérabilité périnatale?"
    -reponse: "Grossesse issue de PMA, âges extrêmes, pathologie chronique ou spécifique de la grossesse"
    -date_maj: DateTimeImmutable @1768242050 {#2672
      date: 2026-01-12 19:20:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768241894 {#2673
      date: 2026-01-12 19:18:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2328 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2677
    -id: 137
    -question: "Ma question"
    -reponse: """
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse\n
      Ma réponse
      """
    -date_maj: DateTimeImmutable @1772912318 {#2675
      date: 2026-03-07 20:38:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-26T17:56:27.353Z"
          "etat" => -1
        ]
        [
          "date" => "2026-02-16T10:46:52.805Z"
          "etat" => 1
        ]
        [
          "date" => "2026-03-07T19:38:34.933Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-07T19:38:37.858Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768248628 {#2676
      date: 2026-01-12 21:10:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2142 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2680
    -id: 138
    -question: "Quelles sont les FR des fibromes?"
    -reponse: """
      -Age\n
      -Origine ethnique\n
      -Prédispositions familiales\n
      -Longue période d'exposition aux oestrogènes
      """
    -date_maj: DateTimeImmutable @1768327964 {#2678
      date: 2026-01-13 19:12:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768315290 {#2679
      date: 2026-01-13 15:41:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2686
    -id: 139
    -question: "Quels sont les examens complémentaires pour dépister un fibrome?"
    -reponse: "Echographie, IRM, Hystérosonographie, Scanner (moins d'indication)"
    -date_maj: DateTimeImmutable @1768327998 {#2684
      date: 2026-01-13 19:13:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768315550 {#2685
      date: 2026-01-13 15:45:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2689
    -id: 140
    -question: "Quelle est la symptomatologie des fibromes?"
    -reponse: """
      méno/métrorragie\n
      compression des organes de voisinage\n
      douleurs pelviennes\n
      pesanteur pelvienne\n
      infertilité\n
      perte précoce de grossesse\n
      dyspareunies profondes
      """
    -date_maj: DateTimeImmutable @1768328063 {#2687
      date: 2026-01-13 19:14:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768315860 {#2688
      date: 2026-01-13 15:51:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2692
    -id: 141
    -question: "Quel est le pourcentage de fibromes asymptomatiques?"
    -reponse: "50%"
    -date_maj: DateTimeImmutable @1768328069 {#2690
      date: 2026-01-13 19:14:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768315895 {#2691
      date: 2026-01-13 15:51:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2695
    -id: 142
    -question: "A quoi correspond en terme de classification un fibrome 0 à 2?"
    -reponse: "Fibromes sous muqueux et intra cavitaire"
    -date_maj: DateTimeImmutable @1768328081 {#2693
      date: 2026-01-13 19:14:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316281 {#2694
      date: 2026-01-13 15:58:01.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2698
    -id: 143
    -question: "A quoi correspond en terme de classification un fibrome 3 à 5?"
    -reponse: "Fibromes intra muraux"
    -date_maj: DateTimeImmutable @1768328097 {#2696
      date: 2026-01-13 19:14:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316345 {#2697
      date: 2026-01-13 15:59:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2701
    -id: 144
    -question: "A quoi correspond en terme de classification un fibrome 6 à 7?"
    -reponse: "Fibromes sous séreux"
    -date_maj: DateTimeImmutable @1768328159 {#2699
      date: 2026-01-13 19:15:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316418 {#2700
      date: 2026-01-13 16:00:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2704
    -id: 145
    -question: "Quels peuvent être les signes en cas de fibromes qui compriment la vessie?"
    -reponse: "Pollakiurie, dysurie"
    -date_maj: DateTimeImmutable @1768328169 {#2702
      date: 2026-01-13 19:16:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316565 {#2703
      date: 2026-01-13 16:02:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2707
    -id: 146
    -question: "Quels peuvent être les signes en cas de fibromes qui compriment les uretères?"
    -reponse: """
      IRO\n
      Perte du rein
      """
    -date_maj: DateTimeImmutable @1768328186 {#2705
      date: 2026-01-13 19:16:26.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316597 {#2706
      date: 2026-01-13 16:03:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2710
    -id: 148
    -question: "Quels peuvent être les signes en cas de fibromes qui compriment le TD?"
    -reponse: "constipation"
    -date_maj: DateTimeImmutable @1768328209 {#2708
      date: 2026-01-13 19:16:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768316611 {#2709
      date: 2026-01-13 16:03:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2713
    -id: 149
    -question: "Quels sont les différents ttt en cas de fibromes?"
    -reponse: "Médical,  myomectomie, hystérectomie, embolisation des artères utérines, myolyse / radiofréquence"
    -date_maj: DateTimeImmutable @1768328283 {#2711
      date: 2026-01-13 19:18:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768317472 {#2712
      date: 2026-01-13 16:17:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2716
    -id: 150
    -question: "Quelle est la définition d'un fibrome?"
    -reponse: """
      Tumeur musculaire lisse bénigne, ronde, bien limitée\n
      Hormonosensible\n
      Tumeur bénigne la plus fréquente
      """
    -date_maj: DateTimeImmutable @1768328314 {#2714
      date: 2026-01-13 19:18:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323065 {#2715
      date: 2026-01-13 17:51:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2719
    -id: 151
    -question: "Quelle est l'indication la plus fréquente d'hystérectomie?"
    -reponse: "Fibromes"
    -date_maj: DateTimeImmutable @1768328318 {#2717
      date: 2026-01-13 19:18:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323135 {#2718
      date: 2026-01-13 17:52:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2722
    -id: 152
    -question: "Quelle est la fréquences des fibromes en Europe ?"
    -reponse: """
      20% des femmes à partir de 30 ans\n
      40% des femmes à 50 ans
      """
    -date_maj: DateTimeImmutable @1768328332 {#2720
      date: 2026-01-13 19:18:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323189 {#2721
      date: 2026-01-13 17:53:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2725
    -id: 153
    -question: "Quels peuvent être les signes cliniques de la présence de fibromes?"
    -reponse: """
      Signes d'anémie :asthénie, tachycardie, palpitations, pâleur cutanéo-muqueuse, dyspnée à l'effort puis au repos, troubles de la concentration\n
      Voussure abdominale\n
      Utérus volumineux, masse latéro-utérine
      """
    -date_maj: DateTimeImmutable @1768328420 {#2723
      date: 2026-01-13 19:20:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323392 {#2724
      date: 2026-01-13 17:56:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2728
    -id: 154
    -question: "Quel est l'examen diagnostic de référence des fibromes?"
    -reponse: "Echographie"
    -date_maj: DateTimeImmutable @1768328429 {#2726
      date: 2026-01-13 19:20:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323426 {#2727
      date: 2026-01-13 17:57:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2731
    -id: 155
    -question: "A quoi correspond un fibrome 0?"
    -reponse: "Intracavitaire pédiculé"
    -date_maj: DateTimeImmutable @1768328437 {#2729
      date: 2026-01-13 19:20:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323698 {#2730
      date: 2026-01-13 18:01:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2734
    -id: 156
    -question: "A quoi correspond un fibrome 1?"
    -reponse: "< 50% intramural"
    -date_maj: DateTimeImmutable @1768328449 {#2732
      date: 2026-01-13 19:20:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323734 {#2733
      date: 2026-01-13 18:02:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2737
    -id: 157
    -question: "A quoi correspond un fibrome 2?"
    -reponse: ">= 50% intramural"
    -date_maj: DateTimeImmutable @1768328455 {#2735
      date: 2026-01-13 19:20:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323763 {#2736
      date: 2026-01-13 18:02:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2740
    -id: 158
    -question: "A quoi correspond un fibrome 3?"
    -reponse: "100% intramural, au contact de l'endomètre"
    -date_maj: DateTimeImmutable @1768328519 {#2738
      date: 2026-01-13 19:21:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323828 {#2739
      date: 2026-01-13 18:03:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2743
    -id: 159
    -question: "A quoi correspond un fibrome 4?"
    -reponse: "Intra mural strict"
    -date_maj: DateTimeImmutable @1768328524 {#2741
      date: 2026-01-13 19:22:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323859 {#2742
      date: 2026-01-13 18:04:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2746
    -id: 160
    -question: "A quoi correspond un fibrome 5?"
    -reponse: "Sous séreux plus de 50% intramural"
    -date_maj: DateTimeImmutable @1768328532 {#2744
      date: 2026-01-13 19:22:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323911 {#2745
      date: 2026-01-13 18:05:11.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2749
    -id: 161
    -question: "A quoi correspond un fibrome 6?"
    -reponse: "Sous séreux moins de 50% intramural"
    -date_maj: DateTimeImmutable @1768328540 {#2747
      date: 2026-01-13 19:22:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323948 {#2748
      date: 2026-01-13 18:05:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2752
    -id: 162
    -question: "A quoi correspond un fibrome 7?"
    -reponse: "Sous séreux pédiculé"
    -date_maj: DateTimeImmutable @1768328545 {#2750
      date: 2026-01-13 19:22:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768323978 {#2751
      date: 2026-01-13 18:06:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2755
    -id: 163
    -question: "Pour quel type de fibrome le DIU est CI?"
    -reponse: "Fibromes sous muqueux et intra cavitaire"
    -date_maj: DateTimeImmutable @1768328553 {#2753
      date: 2026-01-13 19:22:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768324245 {#2754
      date: 2026-01-13 18:10:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2758
    -id: 164
    -question: "Quels sont les signes cliniques des fibromes de 0 à 2?"
    -reponse: """
      Méno/métrorragies\n
      Anémie ferriprive\n
      Dysménorrhées \n
      Perte précoces de grossesse\n
      Diminution du taux d'implantation\n
      Infertilité tubaire\n
      Pesanteur, compression, douleurs
      """
    -date_maj: DateTimeImmutable @1768328577 {#2756
      date: 2026-01-13 19:22:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768324425 {#2757
      date: 2026-01-13 18:13:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2761
    -id: 165
    -question: "Quels sont les signes cliniques des fibromes intra muraux?"
    -reponse: "Compression, pesanteur, douleurs, dyspareunies, infertilité tubaire, augmentation des pertes précoces de grossesse"
    -date_maj: DateTimeImmutable @1768328735 {#2759
      date: 2026-01-13 19:25:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768324580 {#2760
      date: 2026-01-13 18:16:20.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2764
    -id: 166
    -question: "Quels sont les signes cliniques des fibromes sous séreux?"
    -reponse: """
      Pas d'impact sur la fertilité\n
      Symptômes liés au volume\n
      Risque de torsion ou nécrobiose
      """
    -date_maj: DateTimeImmutable @1768328746 {#2762
      date: 2026-01-13 19:25:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768324627 {#2763
      date: 2026-01-13 18:17:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2767
    -id: 167
    -question: "Que faire en cas de fibromes sous-muqueux?"
    -reponse: "Hystéroscopie des myomes"
    -date_maj: DateTimeImmutable @1768328757 {#2765
      date: 2026-01-13 19:25:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768325289 {#2766
      date: 2026-01-13 18:28:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2770
    -id: 168
    -question: "Quels sont les risques obstétricaux des fibromes?"
    -reponse: """
      Accouchement prématuré\n
      RPM\n
      HRP
      """
    -date_maj: DateTimeImmutable @1768328776 {#2768
      date: 2026-01-13 19:26:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768325436 {#2769
      date: 2026-01-13 18:30:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2773
    -id: 169
    -question: "Quels sont les facteurs influençant sur le ttt choisit?"
    -reponse: "âge, désir de grossesse, importance des symptômes, types de fibromes, état général de la patiente"
    -date_maj: DateTimeImmutable @1768328801 {#2771
      date: 2026-01-13 19:26:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768326166 {#2772
      date: 2026-01-13 18:42:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2682 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2776
    -id: 170
    -question: "Quelle est la définition d'une VME?"
    -reponse: "Transformer une présentation foetale en une autre présentation en agissant sur le foetus à travers la paroi abdo"
    -date_maj: DateTimeImmutable @1768989805 {#2774
      date: 2026-01-21 11:03:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768374627 {#2775
      date: 2026-01-14 08:10:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2782
    -id: 171
    -question: "Comment se réalise une VME?"
    -reponse: """
      DD, tredelenburg\n
      Patiente détendue, pas de CU\n
      1ère main refoule le siège vers le haut, 2nd main tourne le PC\n
      Autour de son axe ventral
      """
    -date_maj: DateTimeImmutable @1768989756 {#2780
      date: 2026-01-21 11:02:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768374777 {#2781
      date: 2026-01-14 08:12:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2785
    -id: 172
    -question: "Quel est le terme minimal pour réaliser une VME?"
    -reponse: "< 36 SA"
    -date_maj: DateTimeImmutable @1768989740 {#2783
      date: 2026-01-21 11:02:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768374944 {#2784
      date: 2026-01-14 08:15:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2788
    -id: 173
    -question: "Quel est le terme idéal pour réaliser une VME?"
    -reponse: "36-38SA"
    -date_maj: DateTimeImmutable @1768989948 {#2786
      date: 2026-01-21 11:05:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768375004 {#2787
      date: 2026-01-14 08:16:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2791
    -id: 174
    -question: "Quelles sont les indications d'une VME?"
    -reponse: """
      Présentation du siège\n
      Présentation transverse ou oblique\n
      """
    -date_maj: DateTimeImmutable @1768989958 {#2789
      date: 2026-01-21 11:05:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768375359 {#2790
      date: 2026-01-14 08:22:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2794
    -id: 175
    -question: "Quels sont les facteurs de réussite de la VME?"
    -reponse: "Multiparité et absence d'obésité maternelle"
    -date_maj: DateTimeImmutable @1768989735 {#2792
      date: 2026-01-21 11:02:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768375563 {#2793
      date: 2026-01-14 08:26:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2797
    -id: 176
    -question: "Quelles sont les complications possibles de la VME?"
    -reponse: """
      Inconfort pendant la VME, choc postural\n
      Rare: Rupture utérine, métrorragies abondantes\n
      Mise en travail\n
      Décollement placentaire\n
      Pathologie funiculaire\n
      Iso-immunisation anti D\n
      Bradycardie transitoire\n
      RPM\n
      \n
      """
    -date_maj: DateTimeImmutable @1768989726 {#2795
      date: 2026-01-21 11:02:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768376449 {#2796
      date: 2026-01-14 08:40:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2800
    -id: 177
    -question: "Quelles sont les CI absolues à la VME?"
    -reponse: """
      RPM\n
      Placenta praevia et métrorragie du T3\n
      Malformations utérines, RCIU, ARCF\n
      Déflexion de la tête foetale\n
      Grossesses génellaires\n
      Disproportions foot pelviennes\n
      Indications de césarienne
      """
    -date_maj: DateTimeImmutable @1768989944 {#2798
      date: 2026-01-21 11:05:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768376755 {#2799
      date: 2026-01-14 08:45:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2778 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2803
    -id: 178
    -question: "Quelle est la définition d'une présentation transverse ou oblique?"
    -reponse: """
      Toutes les présentations pour lesquelles l'aire du détroit supérieur n'est occupé ni par la tête, ni par le siège du foetus\n
      Toujours dystociques!
      """
    -date_maj: DateTimeImmutable @1768992848 {#2801
      date: 2026-01-21 11:54:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768377866 {#2802
      date: 2026-01-14 09:04:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2809
    -id: 179
    -question: "Quelles sont les étiologies possibles d'une présentation transverse?"
    -reponse: """
      Grande multiparité\n
      Hydramnios\n
      2ème jumeau\n
      Prématurité\n
      Malformations utérines\n
      Tumeur ou placenta praevia
      """
    -date_maj: DateTimeImmutable @1768992883 {#2807
      date: 2026-01-21 11:54:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768377957 {#2808
      date: 2026-01-14 09:05:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2812
    -id: 180
    -question: "Quels sont les signes cliniques d'une présentation transverse?"
    -reponse: """
      Utérus développé dans le sens transversal ou oblique, asymétrique\n
      Foyer des BDC un peu au dessous de l'ombilic\n
      TV: excavation vide si PE intact\n
      Si PE rompue: perception moignon, creux axillaire
      """
    -date_maj: DateTimeImmutable @1768992789 {#2810
      date: 2026-01-21 11:53:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768378497 {#2811
      date: 2026-01-14 09:14:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2815
    -id: 181
    -question: "Quelles sont les évolutions du travail et complications possibles en cas de VMI?"
    -reponse: """
      Version spontanée\n
      Epaule enclavée\n
      Epaule négligée\n
      Procidence du cordon
      """
    -date_maj: DateTimeImmutable @1769593835 {#2813
      date: 2026-01-28 10:50:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T09:50:35.423Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768378913 {#2814
      date: 2026-01-14 09:21:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2818
    -id: 182
    -question: "Quel est le risque principal en cas de césarienne en présentation transverse ?"
    -reponse: "Hystérotomie hémorragique"
    -date_maj: DateTimeImmutable @1769593859 {#2816
      date: 2026-01-28 10:50:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T09:50:59.403Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768379223 {#2817
      date: 2026-01-14 09:27:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2821
    -id: 183
    -question: "Dans quelles situations pouvons nous faire une VMI?"
    -reponse: "Foetus non viable, MIU, ou 2ème jumeau"
    -date_maj: DateTimeImmutable @1768992832 {#2819
      date: 2026-01-21 11:53:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768379450 {#2820
      date: 2026-01-14 09:30:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2824
    -id: 184
    -question: "En quoi consiste la VMI?"
    -reponse: "Consiste à tourner le foetus dans l'utérus pour changer le mode de présentation: elle aboutit à une présentation du siège et à une grande extraction\n"
    -date_maj: DateTimeImmutable @1768992715 {#2822
      date: 2026-01-21 11:51:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768379893 {#2823
      date: 2026-01-14 09:38:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2827
    -id: 185
    -question: "Quelles sont les indications des VMI?"
    -reponse: """
      Extraction du J2 en présentation transverse, siège, PC non fixée\n
      Présentation transverse sur foetus MIU ou non viable\n
      Extraction d'un foetus en présentation transverse lors de la césarienne
      """
    -date_maj: DateTimeImmutable @1769593929 {#2825
      date: 2026-01-28 10:52:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T09:52:08.755Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768380024 {#2826
      date: 2026-01-14 09:40:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2830
    -id: 186
    -question: "Comment se réalise une VMI?"
    -reponse: """
      Position gynécologique\n
      Vessie sondée\n
      AG non obligatoire\n
      Préférence à MI
      """
    -date_maj: DateTimeImmutable @1769593965 {#2828
      date: 2026-01-28 10:52:45.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T09:52:45.604Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768380231 {#2829
      date: 2026-01-14 09:43:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2833
    -id: 187
    -question: "Quelles sont les 3 temps de la VMI?"
    -reponse: """
      Préhension\n
      Mutation\n
      Grande extraction
      """
    -date_maj: DateTimeImmutable @1769593876 {#2831
      date: 2026-01-28 10:51:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T09:51:16.088Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768380296 {#2832
      date: 2026-01-14 09:44:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2805 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2836
    -id: 188
    -question: "Quelles sont les caractéristiques de la listériose?"
    -reponse: """
      Listeria Monocytogène (BG + aéro-anaérobie intracellulaire\n
      Contamination digestive par aliments\n
      Résiste au froid, détruite par pasteurisation \n
      Adhère aux surfaces inertes\n
      Résiste à certains produits nettoyants \n
      MDA\n
       
      """
    -date_maj: DateTimeImmutable @1773402094 {#2834
      date: 2026-03-13 12:41:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:41:34.500Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768551849 {#2835
      date: 2026-01-16 09:24:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2842
    -id: 189
    -question: "Quelle est la fréquence de la listériose?"
    -reponse: """
      Présente dans 2-13% des produits alimentaires\n
      90% cas à faible concentration
      """
    -date_maj: DateTimeImmutable @1773402187 {#2840
      date: 2026-03-13 12:43:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:43:07.181Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768551909 {#2841
      date: 2026-01-16 09:25:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2845
    -id: 190
    -question: "Quelle est la symptomatologie maternelle?"
    -reponse: """
      Sd pseudo-grippal (1ère phase): fièvre, frissons, asthénie, myalgies, arthralgies, céphalées, TD, tableau de chorioamniotite, tableau de gastro-entérite\n
      2ème phase (3-4 semaines + tard) = hyperthermie et CU
      """
    -date_maj: DateTimeImmutable @1773401842 {#2843
      date: 2026-03-13 12:37:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:37:22.003Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552198 {#2844
      date: 2026-01-16 09:29:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2848
    -id: 191
    -question: "Comment fait-on le diagnostic de la listeria?"
    -reponse: "Hémocultures avec recherche spécifique de listéria"
    -date_maj: DateTimeImmutable @1773401683 {#2846
      date: 2026-03-13 12:34:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:34:43.525Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552237 {#2847
      date: 2026-01-16 09:30:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2851
    -id: 192
    -question: "Quels sont les signes placentaire d'une contamination placentaire?"
    -reponse: "Abcès listériens"
    -date_maj: DateTimeImmutable @1773400765 {#2849
      date: 2026-03-13 12:19:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:19:25.622Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552315 {#2850
      date: 2026-01-16 09:31:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2854
    -id: 193
    -question: "Quel est le pourcentage de mortalité périnatale à la listéria ?"
    -reponse: "25-50%"
    -date_maj: DateTimeImmutable @1773402222 {#2852
      date: 2026-03-13 12:43:42.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:43:42.581Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552355 {#2853
      date: 2026-01-16 09:32:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2857
    -id: 194
    -question: "Quel est le ttt contre la listéria?"
    -reponse: """
      Clamoxyl IV (48h) puis PO\n
      Efficacité lente car germe intracellulaire, surtout bactériostatique\n
      \n
      Si fièvre inexpliquée: 1g x 3/j pendant 10j\n
      Si listériose prouvée: 2g x 3/j pendant 3 semaines +/-aminoside 10-15jours
      """
    -date_maj: DateTimeImmutable @1773403451 {#2855
      date: 2026-03-13 13:04:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:04:10.744Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552598 {#2856
      date: 2026-01-16 09:36:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2860
    -id: 195
    -question: "Quelles sont les conséquences du streptocoque B lors des accouchements?"
    -reponse: """
      Chorioamniotite\n
      Infection du NN > 2500g\n
      Endométrite du PP
      """
    -date_maj: DateTimeImmutable @1773401535 {#2858
      date: 2026-03-13 12:32:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:32:15.359Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552920 {#2859
      date: 2026-01-16 09:42:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2863
    -id: 196
    -question: "A quel terme réalise -t-on le PV du streptocoque B?"
    -reponse: "Entre 34-38 SA"
    -date_maj: DateTimeImmutable @1773401540 {#2861
      date: 2026-03-13 12:32:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:32:20.258Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768552983 {#2862
      date: 2026-01-16 09:43:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2866
    -id: 197
    -question: "Comment réalise -t-on le PV du streptocoque B?"
    -reponse: """
      Ecouvillon de culture: balayage de l'ensemble de la cavité vaginale incluant impérativement les parois de la moitié inférieure du vagin jusqu'au vestibule et la vulve, sans spéculum\n
      Si allergie à la pénicilline --> Demande d'antibiogramme
      """
    -date_maj: DateTimeImmutable @1773403530 {#2864
      date: 2026-03-13 13:05:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:05:30.676Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553246 {#2865
      date: 2026-01-16 09:47:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2869
    -id: 198
    -question: "Dans quelles conditions considère t-on une femme SGB+?"
    -reponse: "ATCD d'infection materno-feotale à SGB ou bactériurie à SGB à n'importe quel terme de grossesse"
    -date_maj: DateTimeImmutable @1773402323 {#2867
      date: 2026-03-13 12:45:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:45:23.363Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553372 {#2868
      date: 2026-01-16 09:49:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2872
    -id: 199
    -question: "Quels sont les ATB donnés en cas de SGB en perpartum?"
    -reponse: """
      Pénicilline G\n
      Amoxicilline\n
      Erythomycine
      """
    -date_maj: DateTimeImmutable @1773402231 {#2870
      date: 2026-03-13 12:43:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:43:51.215Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553471 {#2871
      date: 2026-01-16 09:51:11.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2875
    -id: 200
    -question: "Quels sont les hôtes usuels de la flore digestive?"
    -reponse: "Strepto B, enterococcus, E. coli, bactéries anaérobies"
    -date_maj: DateTimeImmutable @1773401637 {#2873
      date: 2026-03-13 12:33:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:33:57.356Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553559 {#2874
      date: 2026-01-16 09:52:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2878
    -id: 201
    -question: "Quelles sont les bactéries d'origine incertaine au niveau de la flore vaginale?"
    -reponse: "Gardnerella, Corynebactéries, mycoplasme, haemophilus"
    -date_maj: DateTimeImmutable @1773402335 {#2876
      date: 2026-03-13 12:45:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:45:35.445Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553627 {#2877
      date: 2026-01-16 09:53:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2881
    -id: 202
    -question: "Quelle est la définition de la vaginose?"
    -reponse: "Prolifération de plusieurs bactéries remplaçant totalement les lactobacilles"
    -date_maj: DateTimeImmutable @1773402947 {#2879
      date: 2026-03-13 12:55:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:55:47.352Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553697 {#2880
      date: 2026-01-16 09:54:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2884
    -id: 203
    -question: "Quelle est la définition de la vaginite?"
    -reponse: "Prolifération anormale d'une bactérie/lactobacilles (streptocoque B, Staph aureus, entero)"
    -date_maj: DateTimeImmutable @1773400835 {#2882
      date: 2026-03-13 12:20:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:20:35.671Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553770 {#2883
      date: 2026-01-16 09:56:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2887
    -id: 204
    -question: "Quels sont les germes capables de franchir la barrière cervicale et de s'installer dans l'endocol?"
    -reponse: """
      Gonocoque\n
      Chlamydia
      """
    -date_maj: DateTimeImmutable @1773403558 {#2885
      date: 2026-03-13 13:05:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:05:57.976Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553821 {#2886
      date: 2026-01-16 09:57:01.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2890
    -id: 205
    -question: "Quels sont les signes infectieux chez le nn atteint de streptocoque B?"
    -reponse: """
      Fièvre > 37,8° ou hypothermie < 35°\n
      Teint gris, tachycardie, bradycardie, modification du temps de recoloration cutanée, hypotension artérielle, geignements, tachypnée, dyspnée, détresse respiratoire, purpura, éruption, fontanelle tendue, trouble du tonus
      """
    -date_maj: DateTimeImmutable @1773403579 {#2888
      date: 2026-03-13 13:06:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:06:19.626Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768553970 {#2889
      date: 2026-01-16 09:59:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2893
    -id: 206
    -question: "Quelles sont les indications de PV?"
    -reponse: """
      ATCD d'accouchement prématuré en contexte infectieux\n
      MAP\n
      Signes cliniques de vulvo-vaginite
      """
    -date_maj: DateTimeImmutable @1773402402 {#2891
      date: 2026-03-13 12:46:42.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:46:42.165Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554167 {#2892
      date: 2026-01-16 10:02:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2896
    -id: 207
    -question: "Quelles sont les indications de prélèvement d'endocol?"
    -reponse: """
      Signes cliniques de cervicite\n
      IST connu ou partenaires multiples\n
      Partenaire ayant une infection urogénitales \n
      Signes d'infection urinaire ou de leucocytaire à ECBU
      """
    -date_maj: DateTimeImmutable @1773403052 {#2894
      date: 2026-03-13 12:57:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:57:32.104Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554281 {#2895
      date: 2026-01-16 10:04:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2899
    -id: 208
    -question: "Quel est le but de prélèvement d'endocol?"
    -reponse: "Dépister chlamydia et gonocoque"
    -date_maj: DateTimeImmutable @1773401959 {#2897
      date: 2026-03-13 12:39:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:39:19.552Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554335 {#2898
      date: 2026-01-16 10:05:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2902
    -id: 209
    -question: "Quel est le ttt en cas de vaginose bactérienne?"
    -reponse: "Flagyl PO 1g/j pendant 7j"
    -date_maj: DateTimeImmutable @1773401950 {#2900
      date: 2026-03-13 12:39:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:39:09.919Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554512 {#2901
      date: 2026-01-16 10:08:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2905
    -id: 210
    -question: "Quel est le ttt de la cervicite à gonocoque?"
    -reponse: "Amoxicilline 1g x 3j ou C3G en PO"
    -date_maj: DateTimeImmutable @1773402681 {#2903
      date: 2026-03-13 12:51:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:51:21.190Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554623 {#2904
      date: 2026-01-16 10:10:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2908
    -id: 211
    -question: "Quel est le ttt de la cervicite à chlamydia?"
    -reponse: "Zythromax 1g, dose unique"
    -date_maj: DateTimeImmutable @1773402936 {#2906
      date: 2026-03-13 12:55:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:55:36.506Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554682 {#2907
      date: 2026-01-16 10:11:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2911
    -id: 212
    -question: "Quelles sont les manifestations cliniques de la chlamydia?"
    -reponse: """
      Cervicite, urétrite\n
      FCS\n
      RPM, accouchements prématurés\n
      RCIU\n
      INBP\n
      Infection du PP
      """
    -date_maj: DateTimeImmutable @1773402928 {#2909
      date: 2026-03-13 12:55:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:55:28.186Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554818 {#2910
      date: 2026-01-16 10:13:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2914
    -id: 213
    -question: "Quel est l'outil de diagnostic de la chlamydia?"
    -reponse: "PCR"
    -date_maj: DateTimeImmutable @1773403465 {#2912
      date: 2026-03-13 13:04:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:04:25.095Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768554912 {#2913
      date: 2026-01-16 10:15:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2917
    -id: 214
    -question: "Chez qui dépiste t-on la chlamydia?"
    -reponse: """
      Femme sexuellement actives de 15 à 25 ans inclus\n
      Femmes sexuellement actives de plus de 25 ans présentant des facteurs de risque\n
      Femmes enceintes consultant pour une IVG sans limite d'âge
      """
    -date_maj: DateTimeImmutable @1773401938 {#2915
      date: 2026-03-13 12:38:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:38:58.352Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768555636 {#2916
      date: 2026-01-16 10:27:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2920
    -id: 215
    -question: "Quelles sont les conséquences foetales du gonocoque?"
    -reponse: """
      FCS\n
      RPM\n
      RCIU\n
      Chorioamniotite
      """
    -date_maj: DateTimeImmutable @1773403566 {#2918
      date: 2026-03-13 13:06:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:06:06.693Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556043 {#2919
      date: 2026-01-16 10:34:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2923
    -id: 216
    -question: "Quel est le ttt du gonocoque?"
    -reponse: """
      Ceftriaxone\n
      Erythromycine
      """
    -date_maj: DateTimeImmutable @1773401739 {#2921
      date: 2026-03-13 12:35:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:35:39.172Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556089 {#2922
      date: 2026-01-16 10:34:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2926
    -id: 217
    -question: "Comment diagnostiquer la syphilis?"
    -reponse: "Diagnostic direct: PCR ou microcosme"
    -date_maj: DateTimeImmutable @1773402364 {#2924
      date: 2026-03-13 12:46:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:46:04.382Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556283 {#2925
      date: 2026-01-16 10:38:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2929
    -id: 218
    -question: "Quelle est la durée de l'incubation asymptomatique?"
    -reponse: "3 semaines"
    -date_maj: DateTimeImmutable @1773401847 {#2927
      date: 2026-03-13 12:37:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:37:27.319Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556318 {#2928
      date: 2026-01-16 10:38:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2932
    -id: 219
    -question: "Quelles sont les différentes étapes de la syphilis?"
    -reponse: """
      Syphilis primaire (chancre)\n
      Syphilis secondaire (roséole, polyadénopathie)\n
      Syphilis tertiaire (atteintes neurologique, osseuses et cardio-vasculaires)
      """
    -date_maj: DateTimeImmutable @1773402696 {#2930
      date: 2026-03-13 12:51:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:51:36.574Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556454 {#2931
      date: 2026-01-16 10:40:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2935
    -id: 220
    -question: "A quel terme se fait la transmission hématogène transplacentaire?"
    -reponse: "après 14-18 SA"
    -date_maj: DateTimeImmutable @1773402104 {#2933
      date: 2026-03-13 12:41:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:41:44.516Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556535 {#2934
      date: 2026-01-16 10:42:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2938
    -id: 221
    -question: "Quelles sont les conséquences d'une syphilis congénitale?"
    -reponse: """
      FCS tardives, MFIU\n
      Accouchements prématurés \n
      Hypotrophie\n
      Syphilis congénitale 
      """
    -date_maj: DateTimeImmutable @1773401728 {#2936
      date: 2026-03-13 12:35:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:35:28.089Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556612 {#2937
      date: 2026-01-16 10:43:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2941
    -id: 222
    -question: "Quels sont les symptômes de la syphilis congénitale?"
    -reponse: "Rhinorrée, glaucome, surdité, éruption vésico-bulleuse, anémie..."
    -date_maj: DateTimeImmutable @1773403550 {#2939
      date: 2026-03-13 13:05:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:05:50.610Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556689 {#2940
      date: 2026-01-16 10:44:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2944
    -id: 223
    -question: "Quel est le ttt de la syphilis primaire et secondaire?"
    -reponse: """
      Peni G- Extencilline\n
      Erythrocine
      """
    -date_maj: DateTimeImmutable @1773403459 {#2942
      date: 2026-03-13 13:04:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T12:04:19.697Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556773 {#2943
      date: 2026-01-16 10:46:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2947
    -id: 224
    -question: "Quelles sont les 3 formes d'IU?"
    -reponse: """
      Colonisation urinaire gravidique\n
      Cystite aigue gravidique\n
      Pyélonéphrite aigue
      """
    -date_maj: DateTimeImmutable @1773403061 {#2945
      date: 2026-03-13 12:57:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:57:41.800Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556896 {#2946
      date: 2026-01-16 10:48:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2950
    -id: 225
    -question: "Quelle est l'infection la + fréquente au cours de la grossesse?"
    -reponse: "E coli 75% des cas"
    -date_maj: DateTimeImmutable @1773402352 {#2948
      date: 2026-03-13 12:45:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:45:52.279Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768556948 {#2949
      date: 2026-01-16 10:49:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2953
    -id: 226
    -question: "Comment se dépiste la colonisation urinaire gravidique?"
    -reponse: "BU +/- ECBU si leu+ et ou nit+"
    -date_maj: DateTimeImmutable @1773400848 {#2951
      date: 2026-03-13 12:20:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:20:48.670Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768557141 {#2952
      date: 2026-01-16 10:52:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2956
    -id: 227
    -question: "Quelle est la définition de la colonisation urinaire gravidique?"
    -reponse: "bactériurie > 10*5 germes/ml"
    -date_maj: DateTimeImmutable @1773402380 {#2954
      date: 2026-03-13 12:46:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:46:20.079Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768557317 {#2955
      date: 2026-01-16 10:55:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2959
    -id: 228
    -question: "Quelles sont les femmes à qui on réalise un ECBU mensuel?"
    -reponse: """
      ATCD de cystite aigüe récidivante\n
      Uropathie sous jacente\n
      Diabète
      """
    -date_maj: DateTimeImmutable @1773402967 {#2957
      date: 2026-03-13 12:56:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:56:07.505Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768557368 {#2958
      date: 2026-01-16 10:56:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#2962
    -id: 229
    -question: "Quels sont les signes de la cystite aiguë gravidique?"
    -reponse: """
      Mictions impérieuses\n
      Brûlures et douleurs à la miction\n
      Pollakiurie\n
      +/- hématurie macroscopique
      """
    -date_maj: DateTimeImmutable @1773403074 {#2960
      date: 2026-03-13 12:57:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:57:54.816Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768557489 {#2961
      date: 2026-01-16 10:58:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2965
    -id: 230
    -question: "Quels sont les signes cliniques de la pyélo aigüe gravidique?"
    -reponse: "fièvre + douleurs lombaires"
    -date_maj: DateTimeImmutable @1773402117 {#2963
      date: 2026-03-13 12:41:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:41:57.750Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768557699 {#2964
      date: 2026-01-16 11:01:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2968
    -id: 231
    -question: "Quel est le ttt de la PNA en 1ère intention?"
    -reponse: "C3G (céfotaxime ou ceftriaxone)"
    -date_maj: DateTimeImmutable @1773402270 {#2966
      date: 2026-03-13 12:44:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T11:44:30.013Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558269 {#2967
      date: 2026-01-16 11:11:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2838 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2971
    -id: 232
    -question: "Quel est le pourcentage des hépatites asymptomatiques?"
    -reponse: "80-90%"
    -date_maj: DateTimeImmutable @1773573599 {#2969
      date: 2026-03-15 12:19:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:19:59.832Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558519 {#2970
      date: 2026-01-16 11:15:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2977
    -id: 233
    -question: "Quels sont les symptômes de d'hépatite?"
    -reponse: "Sd pseudo grippal, fièvre, nausées, ictère, prurit"
    -date_maj: DateTimeImmutable @1773573876 {#2975
      date: 2026-03-15 12:24:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:24:36.894Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558598 {#2976
      date: 2026-01-16 11:16:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2980
    -id: 234
    -question: "Quels sont les marqueurs augmentés en cas d'hépatite?"
    -reponse: """
      Transaminases augmentés\n
      ASAT, ALAT 30-50N, ALAT/ASAT> 1
      """
    -date_maj: DateTimeImmutable @1773573948 {#2978
      date: 2026-03-15 12:25:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:25:48.177Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558787 {#2979
      date: 2026-01-16 11:19:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2983
    -id: 235
    -question: "Comment se transmet l'hépatite VHA?"
    -reponse: "Orofécal"
    -date_maj: DateTimeImmutable @1773573454 {#2981
      date: 2026-03-15 12:17:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:17:33.918Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558832 {#2982
      date: 2026-01-16 11:20:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2986
    -id: 236
    -question: "Comment se transmet le VHE?"
    -reponse: "Orofécal"
    -date_maj: DateTimeImmutable @1773573401 {#2984
      date: 2026-03-15 12:16:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:16:41.418Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558852 {#2985
      date: 2026-01-16 11:20:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2989
    -id: 237
    -question: "Comment se transmet le VHB?"
    -reponse: "Parentéral, sexuel, néonatale "
    -date_maj: DateTimeImmutable @1773574565 {#2987
      date: 2026-03-15 12:36:05.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:05.000Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558881 {#2988
      date: 2026-01-16 11:21:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2992
    -id: 238
    -question: "Comment se transmet le VHC?"
    -reponse: "Parentéral, sexuel, néonatale "
    -date_maj: DateTimeImmutable @1773573662 {#2990
      date: 2026-03-15 12:21:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:21:02.781Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768558904 {#2991
      date: 2026-01-16 11:21:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#2995
    -id: 239
    -question: "Est ce que le VHA est tératogène?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773572989 {#2993
      date: 2026-03-15 12:09:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:09:49.594Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768559030 {#2994
      date: 2026-01-16 11:23:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#2998
    -id: 240
    -question: "Quelle est l'hépatite la plus fréquente?"
    -reponse: "VHA"
    -date_maj: DateTimeImmutable @1773573460 {#2996
      date: 2026-03-15 12:17:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:17:40.418Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768559053 {#2997
      date: 2026-01-16 11:24:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3001
    -id: 241
    -question: "Pour quelle hépatite existe t-il un vaccin?"
    -reponse: """
      VHA (en cas de voyage dans certains pays)\n
      VHB
      """
    -date_maj: DateTimeImmutable @1773573825 {#2999
      date: 2026-03-15 12:23:45.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:23:44.715Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768559192 {#3000
      date: 2026-01-16 11:26:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3004
    -id: 242
    -question: "Que faire en cas d'AG HBs+?"
    -reponse: """
      bilan hépatique complet\n
      Ac anti-HBc, anti HBe, Ac anti HBs\n
      Recherche des marqueurs de réplication virale: Ag HBe, DNA viral\n
      Sérologie VHC, VHD, VIH\n
      Dépistage entourage\n
      Cs hépatologue\n
      Vaccination entourage
      """
    -date_maj: DateTimeImmutable @1773574107 {#3002
      date: 2026-03-15 12:28:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:28:26.891Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768559568 {#3003
      date: 2026-01-16 11:32:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3007
    -id: 243
    -question: "Quelles sont les éventuelles évolution naturelle de l'hépatite B néonatale?"
    -reponse: """
      Hépatite chronique (90%)\n
      Cirrhose (20%)\n
      Cancer du foie (15%)
      """
    -date_maj: DateTimeImmutable @1773574200 {#3005
      date: 2026-03-15 12:30:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:30:00.706Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768560165 {#3006
      date: 2026-01-16 11:42:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3010
    -id: 244
    -question: "Chez qui fait-on une sérothérapie?"
    -reponse: "NN de mère Ag HBs+"
    -date_maj: DateTimeImmutable @1773573447 {#3008
      date: 2026-03-15 12:17:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:17:27.501Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768560697 {#3009
      date: 2026-01-16 11:51:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3013
    -id: 245
    -question: "A quoi devons nous penser lorsqu'une patiente est VIH+?"
    -reponse: "à dépister le VHC"
    -date_maj: DateTimeImmutable @1773572295 {#3011
      date: 2026-03-15 11:58:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:58:15.005Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768560742 {#3012
      date: 2026-01-16 11:52:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3016
    -id: 246
    -question: "Quels sont les signes de l'hépatite C?"
    -reponse: """
      20% d'ictère\n
      Asymptomatique 
      """
    -date_maj: DateTimeImmutable @1773574660 {#3014
      date: 2026-03-15 12:37:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:37:40.498Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768560820 {#3015
      date: 2026-01-16 11:53:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3019
    -id: 247
    -question: "Est ce que le VHC est tératogène?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773572308 {#3017
      date: 2026-03-15 11:58:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:58:28.775Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768560924 {#3018
      date: 2026-01-16 11:55:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3022
    -id: 248
    -question: "Est ce que l'hépatite D est tératogène?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773573573 {#3020
      date: 2026-03-15 12:19:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:19:33.083Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768561043 {#3021
      date: 2026-01-16 11:57:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3025
    -id: 249
    -question: "Est ce que l'hépatite D est fréquente?"
    -reponse: "Exceptionnel chez la femme enceinte"
    -date_maj: DateTimeImmutable @1773573883 {#3023
      date: 2026-03-15 12:24:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:24:43.677Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768561068 {#3024
      date: 2026-01-16 11:57:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3028
    -id: 250
    -question: "Est ce que le VHE est tératogène?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773572218 {#3026
      date: 2026-03-15 11:56:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:56:58.257Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768561094 {#3027
      date: 2026-01-16 11:58:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3031
    -id: 251
    -question: "Quelle est l'évolution du VHE?"
    -reponse: """
      Guérison totale dans tous les cas\n
      Pas d'évolution chronique
      """
    -date_maj: DateTimeImmutable @1773573149 {#3029
      date: 2026-03-15 12:12:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:29.107Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768561139 {#3030
      date: 2026-01-16 11:58:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3034
    -id: 252
    -question: "A quoi correspond la date de consolidation du dommage?"
    -reponse: "Commence à partir du quel on considère que le dommage n'évoluera plus ou du moins de façon non significative "
    -date_maj: DateTimeImmutable @1772710104 {#3032
      date: 2026-03-05 12:28:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:28:24.568Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768576954 {#3033
      date: 2026-01-16 16:22:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3037
    -id: 253
    -question: "Quelles sont les obligations légales du médecin?"
    -reponse: """
      Obligation de soin\n
      Obligation d'information\n
      Respect des règles d'asepsie
      """
    -date_maj: DateTimeImmutable @1772710197 {#3035
      date: 2026-03-05 12:29:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T11:29:57.150Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768577552 {#3036
      date: 2026-01-16 16:32:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2547 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3040
    -id: 254
    -question: "Qui est l'expert en cas de faute professionnel?"
    -reponse: "Personne ayant les compétences dans le domaine jugé"
    -date_maj: DateTimeImmutable @1773065888 {#3038
      date: 2026-03-09 15:18:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:18:08.573Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768577956 {#3039
      date: 2026-01-16 16:39:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3043
    -id: 255
    -question: "A quoi correspond l'affaire Maurice?"
    -reponse: """
      Inversion des résultats des analyses sur la recherche de présence d'amyotrophie spinale infantile chez un NN\n
      Le conseil d'état dit que la faute est caractérisée  =  faute marquée par son intensité et son évidence
      """
    -date_maj: DateTimeImmutable @1773065800 {#3041
      date: 2026-03-09 15:16:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:16:40.680Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768579103 {#3042
      date: 2026-01-16 16:58:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3046
    -id: 256
    -question: "Qu'est ce qui peut constituer une faute caractérisée?"
    -reponse: """
      - Absence de consultation génétique malgré identification de graves malformations\n
      - Indication de la présence d'un membre ou organe alors qu'il est absent\n
      - Affirmation émise sans doute ni réserve de la présence des 4 membres\n
      - Pas de communication de rés
      """
    -date_maj: DateTimeImmutable @1773067408 {#3044
      date: 2026-03-09 15:43:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:43:28.482Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768579566 {#3045
      date: 2026-01-16 17:06:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3049
    -id: 257
    -question: "La victime est-elle obligée de minimiser son dommage?"
    -reponse: "Oui sinon elle risque d'être privée d'une partie de son indemnisation si celle-ci n'a pas fait tout en son pouvoir pour minimiser son dommage"
    -date_maj: DateTimeImmutable @1773066818 {#3047
      date: 2026-03-09 15:33:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:33:38.174Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768580073 {#3048
      date: 2026-01-16 17:14:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3052
    -id: 258
    -question: "Quel est le plus gros contentieux en santé?"
    -reponse: "Infection nosocomiale"
    -date_maj: DateTimeImmutable @1773574244 {#3050
      date: 2026-03-15 12:30:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:30:43.972Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768581941 {#3051
      date: 2026-01-16 17:45:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3055
    -id: 259
    -question: "Sous quelle responsabilité sommes-nous en tant que professionnel de santé?"
    -reponse: "Responsabilité médicale régit par le CSP"
    -date_maj: DateTimeImmutable @1773067548 {#3053
      date: 2026-03-09 15:45:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:45:48.448Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768806886 {#3054
      date: 2026-01-19 08:14:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3058
    -id: 260
    -question: "Qui prend en charge en cas d'infection nosocomiale non grave?"
    -reponse: """
      Etablissement de santé\n
      En cas d'atteinte à l'intégrité physique et psychique < 25%
      """
    -date_maj: DateTimeImmutable @1773066092 {#3056
      date: 2026-03-09 15:21:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:21:32.069Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768807221 {#3057
      date: 2026-01-19 08:20:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3061
    -id: 261
    -question: "Qui prend en charge en cas infection nosocomiale grave?"
    -reponse: """
      ONIAM = office nationale d'indemnisation des accidents médicaux, des affections iatrogènes et des infections nosocomiales\n
      En cas d'atteinte de l'intégrité physique et psychique > 25%
      """
    -date_maj: DateTimeImmutable @1773067538 {#3059
      date: 2026-03-09 15:45:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:45:38.264Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768807347 {#3060
      date: 2026-01-19 08:22:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3064
    -id: 262
    -question: "Quelle est la définition d'un DIC?"
    -reponse: "Dommage intérêt compensatoire = viennent compenser les préjudices"
    -date_maj: DateTimeImmutable @1773067771 {#3062
      date: 2026-03-09 15:49:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:49:31.028Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768807613 {#3063
      date: 2026-01-19 08:26:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3067
    -id: 263
    -question: "Quelle est la définition d'un DIP"
    -reponse: "Dommage et intérêt punitif\n"
    -date_maj: DateTimeImmutable @1773066567 {#3065
      date: 2026-03-09 15:29:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:29:27.741Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768807876 {#3066
      date: 2026-01-19 08:31:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3070
    -id: 264
    -question: "La victime est elle obligée de minimiser son dommage?"
    -reponse: "En matière délictuelle, la victime n'est pas tenue de limiter son préjudice dans l'intérêt du responsable"
    -date_maj: DateTimeImmutable @1773066501 {#3068
      date: 2026-03-09 15:28:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:28:21.330Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768808222 {#3069
      date: 2026-01-19 08:37:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3073
    -id: 265
    -question: "Quels sont les caractères du préjudice?"
    -reponse: "Certain, personnel, évaluable en argent"
    -date_maj: DateTimeImmutable @1773065602 {#3071
      date: 2026-03-09 15:13:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:13:22.031Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768808502 {#3072
      date: 2026-01-19 08:41:42.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3076
    -id: 266
    -question: "A quoi correspond un préjudice certain?"
    -reponse: "On ne peut prétendre à l'indemnisation de préjudice éventuels ou hypothétiques"
    -date_maj: DateTimeImmutable @1773065903 {#3074
      date: 2026-03-09 15:18:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:18:22.890Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768808843 {#3075
      date: 2026-01-19 08:47:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3079
    -id: 267
    -question: "A quoi correspond un préjudice personnel?"
    -reponse: """
      Le titulaire de l'action est en principe la victime par le biais d'une action directe ou par l'intermédiaire de ses représentants locaux\n
      Si patient décédé, l'action est transmisse aux héritiers ou parfois plus largement
      """
    -date_maj: DateTimeImmutable @1773067087 {#3077
      date: 2026-03-09 15:38:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:38:07.033Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768809067 {#3078
      date: 2026-01-19 08:51:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3082
    -id: 268
    -question: "Qu'est ce qu'un préjudice patrimonial?"
    -reponse: "Préjudice évaluable en argent"
    -date_maj: DateTimeImmutable @1773066247 {#3080
      date: 2026-03-09 15:24:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:24:07.047Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768810916 {#3081
      date: 2026-01-19 09:21:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3085
    -id: 269
    -question: "Qu'est ce qu'un préjudice extra patrimonial?"
    -reponse: "Préjudice non évaluable en argent"
    -date_maj: DateTimeImmutable @1773066414 {#3083
      date: 2026-03-09 15:26:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:26:54.245Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768810977 {#3084
      date: 2026-01-19 09:22:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3088
    -id: 270
    -question: "Quels sont les préjudices patrimoniaux temporaires?"
    -reponse: """
      Dépenses de santé actuelles\n
      frais divers\n
      Perte de gains professionnels actuels
      """
    -date_maj: DateTimeImmutable @1773066296 {#3086
      date: 2026-03-09 15:24:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:24:56.163Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768813401 {#3087
      date: 2026-01-19 10:03:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3091
    -id: 271
    -question: "Quels sont les préjudices patrimoniaux permanents?"
    -reponse: """
      Dépenses de santé futures\n
      Frais de logement adapté\n
      Frais de véhicule adapté\n
      Assistance par tierce personne\n
      Pertes de gains professionnels futurs\n
      Incidence professionnelle\n
      Préjudice scolaire, universitaire ou de formation
      """
    -date_maj: DateTimeImmutable @1773066234 {#3089
      date: 2026-03-09 15:23:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:23:54.553Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768813500 {#3090
      date: 2026-01-19 10:05:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3094
    -id: 272
    -question: "Quels sont les préjudices extra-patrimoniaux temporaires?"
    -reponse: """
      Déficit fonctionnel temporaire\n
      Souffrances endurées\n
      Préjudice esthétique temporaire
      """
    -date_maj: DateTimeImmutable @1773066809 {#3092
      date: 2026-03-09 15:33:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:33:29.421Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768813581 {#3093
      date: 2026-01-19 10:06:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3097
    -id: 273
    -question: "Quels sont les préjudices extra-patrimoniaux permanents?"
    -reponse: """
      Déficit fonctionnel permanent\n
      Préjudice d'agrément\n
      Préjudice esthétique permanent\n
      Préjudice sexuel\n
      Préjudice d'établissement\n
      Préjudice lié à des pathologies évolutives\n
      Préjudice d'angoisse\n
      """
    -date_maj: DateTimeImmutable @1773066675 {#3095
      date: 2026-03-09 15:31:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:31:15.573Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768813676 {#3096
      date: 2026-01-19 10:07:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3100
    -id: 274
    -question: "Quelle est la définition du DFT?"
    -reponse: "Perte de la qualité de vie et des joies usuelles de la vie courante, rencontrée par la victime durant son hospitalisation"
    -date_maj: DateTimeImmutable @1773066637 {#3098
      date: 2026-03-09 15:30:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:30:36.941Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768814501 {#3099
      date: 2026-01-19 10:21:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3103
    -id: 275
    -question: "Quel est le pourcentage d'interventions chirurgicales au cours de la grossesse?"
    -reponse: "0,5%"
    -date_maj: DateTimeImmutable @1772108129 {#3101
      date: 2026-02-26 13:15:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:15:29.617Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828016 {#3102
      date: 2026-01-19 14:06:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3109
    -id: 276
    -question: "Quels sont les problèmes de l'anesthésie côté maternel après le 2ème trimestre?"
    -reponse: """
      Inhalation pulmonaire\n
      Hypoxie\n
      Préférer si possible une analgésie locorégionale\n
      Intubation systématique si AG
      """
    -date_maj: DateTimeImmutable @1772108208 {#3107
      date: 2026-02-26 13:16:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:16:48.016Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828171 {#3108
      date: 2026-01-19 14:09:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3112
    -id: 277
    -question: "Quels sont les risques de l'anesthésie côté foetal?"
    -reponse: """
      Tératogénicité\n
      Risque de perturbation de la circulation utéroplacentaire et de l'oxygénation foetale\n
      MAP
      """
    -date_maj: DateTimeImmutable @1772108046 {#3110
      date: 2026-02-26 13:14:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T12:08:54.643Z"
          "etat" => 1
        ]
        [
          "date" => "2026-02-26T12:14:06.052Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828247 {#3111
      date: 2026-01-19 14:10:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3115
    -id: 278
    -question: "Que se passe-t-il au niveau digestif pendant la grossesse?"
    -reponse: """
      Imprégnation progestative\n
      Migration des viscères abdominaux\n
      Distension de la paroi abdo\n
      Tolérance accrue aux spoliations sanguines
      """
    -date_maj: DateTimeImmutable @1772108409 {#3113
      date: 2026-02-26 13:20:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:20:08.880Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828383 {#3114
      date: 2026-01-19 14:13:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3118
    -id: 279
    -question: "Quelles sont les caractéristiques de l'appendicite pendant la grossesse?"
    -reponse: """
      Aussi fréquente quand population générale\n
      Grave car fréquence des formes perforées et des péritonites\n
      Retard diagnostic et difficultés\n
      Absence de cloisonnement péritonéal lors des infections abdo de la grossesse
      """
    -date_maj: DateTimeImmutable @1772107777 {#3116
      date: 2026-02-26 13:09:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:09:37.323Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828500 {#3117
      date: 2026-01-19 14:15:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3121
    -id: 280
    -question: "Quelle est la symptomatologie de l'appendicite au 1er trimestre?"
    -reponse: "Anorexie, vomissements, douleurs flanc droit, fièvre 38°, langue blanche (saburrale), défense discrète, TV douloureux, ECBU normal, hyperleucocytose, CRP élevée, appendice incompressible > 7 mm"
    -date_maj: DateTimeImmutable @1772108358 {#3119
      date: 2026-02-26 13:19:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:19:18.030Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828628 {#3120
      date: 2026-01-19 14:17:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3124
    -id: 281
    -question: "Quels sont les diagnostics différentiels de l'appendicite?"
    -reponse: "Vomissement incoercibles de la grossesse, menace d'avortement fébrile, GEU, torsion d'annexe"
    -date_maj: DateTimeImmutable @1772107698 {#3122
      date: 2026-02-26 13:08:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:08:18.260Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828702 {#3123
      date: 2026-01-19 14:18:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3127
    -id: 282
    -question: "Quelle est la symptomatologie du 2ème et 3ème trimestre?"
    -reponse: """
      Douleur de siège très variable\n
      NV, troubles du transit variable, défense dans 80% des cas, pas de souffrance foetale
      """
    -date_maj: DateTimeImmutable @1772107553 {#3125
      date: 2026-02-26 13:05:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:05:52.827Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828858 {#3126
      date: 2026-01-19 14:20:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3130
    -id: 283
    -question: "Quels sont les diagnostics différentiels de l'appendicite en per et post-partum?"
    -reponse: """
      CU, V, Fièvre, AEG, SFA\n
      En PP: Endométrite, occlusion fébrile, AEG
      """
    -date_maj: DateTimeImmutable @1772108419 {#3128
      date: 2026-02-26 13:20:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:20:19.363Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768828965 {#3129
      date: 2026-01-19 14:22:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3133
    -id: 284
    -question: "Quels sont les diagnostics différentiels de l'appendicite au 2ème et 3ème trimestre?"
    -reponse: """
      PN droite\n
      Nécrobiose aseptique d'un fibrome utérin droit\n
      Cholécystite aigue\n
      Pancréatite aiguë
      """
    -date_maj: DateTimeImmutable @1772108119 {#3131
      date: 2026-02-26 13:15:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:15:18.868Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829105 {#3132
      date: 2026-01-19 14:25:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3136
    -id: 285
    -question: ""
    -reponse: ""
    -date_maj: DateTimeImmutable @1772107782 {#3134
      date: 2026-02-26 13:09:42.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:09:42.756Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829106 {#3135
      date: 2026-01-19 14:25:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3139
    -id: 286
    -question: "Quels sont les diagnostics différentiels de l'appendicite au 1er trimestre?"
    -reponse: """
      V incoercibles 1er T\n
      MA fébrile\n
      CN droite\n
      GEU, torsion d'annexe
      """
    -date_maj: DateTimeImmutable @1772108371 {#3137
      date: 2026-02-26 13:19:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:19:31.213Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829159 {#3138
      date: 2026-01-19 14:25:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3142
    -id: 287
    -question: "Quels sont les diagnostics différentiels de l'appendicite au PP?"
    -reponse: """
      Thrombophlébite de la veine ovarienne (+fréquente à droite)\n
      Phlébite pelvienne supputée\n
      Occlusion post-césarienne\n
      Pelvipéritonite sur endométrite
      """
    -date_maj: DateTimeImmutable @1772108398 {#3140
      date: 2026-02-26 13:19:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:19:57.996Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829260 {#3141
      date: 2026-01-19 14:27:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3145
    -id: 288
    -question: "Quelles sont les complications de l'appendicite pendant la grossesse?"
    -reponse: """
      Péritonite\n
      Prématurité\n
      Infection foetale
      """
    -date_maj: DateTimeImmutable @1772107453 {#3143
      date: 2026-02-26 13:04:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:04:13.515Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829346 {#3144
      date: 2026-01-19 14:29:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3148
    -id: 289
    -question: "Jusque quel terme la coelioscopie est-elle possible?"
    -reponse: "20 SA"
    -date_maj: DateTimeImmutable @1772107432 {#3146
      date: 2026-02-26 13:03:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:03:52.346Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829405 {#3147
      date: 2026-01-19 14:30:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3151
    -id: 290
    -question: "Jusque quel terme pouvons-nous faire le signe de macBurney?"
    -reponse: "15 SA"
    -date_maj: DateTimeImmutable @1772107571 {#3149
      date: 2026-02-26 13:06:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:06:11.193Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829436 {#3150
      date: 2026-01-19 14:30:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3154
    -id: 291
    -question: "Quel est le pourcentage de mortalité foetale pendant l'intervention d'une appendicite?"
    -reponse: "35%"
    -date_maj: DateTimeImmutable @1772107895 {#3152
      date: 2026-02-26 13:11:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:11:35.521Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829636 {#3153
      date: 2026-01-19 14:33:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3157
    -id: 292
    -question: "Quelle est la fréquence de l'occlusion intestinale?"
    -reponse: "Faible"
    -date_maj: DateTimeImmutable @1772108292 {#3155
      date: 2026-02-26 13:18:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:12.334Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829717 {#3156
      date: 2026-01-19 14:35:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3160
    -id: 293
    -question: "Quelles sont les causes possibles responsables d'une occlusion intestinale ?"
    -reponse: "Bride post-opératoire le + souvent > volvulus > invagination intestinale\n"
    -date_maj: DateTimeImmutable @1772107760 {#3158
      date: 2026-02-26 13:09:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:09:20.193Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829793 {#3159
      date: 2026-01-19 14:36:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3163
    -id: 294
    -question: "A quel terme survient principalement une occlusion intestinale chez une femme enceinte?"
    -reponse: """
      22 sa\n
      37sa\n
      PP
      """
    -date_maj: DateTimeImmutable @1772107885 {#3161
      date: 2026-02-26 13:11:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:11:25.171Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768829841 {#3162
      date: 2026-01-19 14:37:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3166
    -id: 295
    -question: "Quels sont les signes d'une pseudo-obstruction du colon ou syndrome d'Ogilvie?"
    -reponse: "Tableau d'occlusion basse après une césarienne"
    -date_maj: DateTimeImmutable @1772108337 {#3164
      date: 2026-02-26 13:18:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:57.483Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768830078 {#3165
      date: 2026-01-19 14:41:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3169
    -id: 296
    -question: "Quels sont les diagnostics différentiel de l'occlusion intestinale?"
    -reponse: """
      Iléus paralytique post-opératoire banal\n
      Pelvipéritonite post-césarienne
      """
    -date_maj: DateTimeImmutable @1772107877 {#3167
      date: 2026-02-26 13:11:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T12:08:37.543Z"
          "etat" => 2
        ]
        [
          "date" => "2026-02-26T12:11:17.472Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768830441 {#3168
      date: 2026-01-19 14:47:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3172
    -id: 297
    -question: "Quel est le volvulus le plus fréquent?"
    -reponse: "Volvulus du sigmoïde ou du caecum"
    -date_maj: DateTimeImmutable @1772107561 {#3170
      date: 2026-02-26 13:06:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-24T12:09:01.656Z"
          "etat" => -1
        ]
        [
          "date" => "2026-02-26T12:06:01.212Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768830740 {#3171
      date: 2026-01-19 14:52:20.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3175
    -id: 298
    -question: "Quel est le pourcentage de la mortalité maternelle en cas d'occlusion intestinale ?"
    -reponse: "< 5%"
    -date_maj: DateTimeImmutable @1772108297 {#3173
      date: 2026-02-26 13:18:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:17.767Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768830836 {#3174
      date: 2026-01-19 14:53:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3178
    -id: 299
    -question: "Quel est le ttt en cas d'occlusion intestinale?"
    -reponse: """
      Sonde gastrique en aspiration\n
      Rééquilibration hydroélectrolytique\n
      Laparotomie\n
      Coloscopie
      """
    -date_maj: DateTimeImmutable @1772107734 {#3176
      date: 2026-02-26 13:08:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:08:53.891Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768830924 {#3177
      date: 2026-01-19 14:55:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3181
    -id: 300
    -question: "Quels sont les FR des traumatismes abdo?"
    -reponse: """
      Age\n
      Race\n
      Utilisation de drogues ou d'alcool\n
      Violences domestiques\n
      Non utilisation de la ceinture de sécurité\n
      Statut socio économique défavorisé
      """
    -date_maj: DateTimeImmutable @1772108286 {#3179
      date: 2026-02-26 13:18:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:06.048Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768831085 {#3180
      date: 2026-01-19 14:58:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3184
    -id: 301
    -question: "Quelle est la fréquence des AVP durant la grossesse avec traumatisme abdo?"
    -reponse: "55%"
    -date_maj: DateTimeImmutable @1772108303 {#3182
      date: 2026-02-26 13:18:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:23.348Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768831134 {#3183
      date: 2026-01-19 14:58:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3187
    -id: 302
    -question: "Quelle est la fréquence des chutes durant la grossesse avec traumatisme abdo?"
    -reponse: "22%"
    -date_maj: DateTimeImmutable @1772108136 {#3185
      date: 2026-02-26 13:15:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:15:36.134Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768831148 {#3186
      date: 2026-01-19 14:59:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3190
    -id: 303
    -question: "Quelle est la fréquence des assauts durant la grossesse avec traumatisme abdo?"
    -reponse: "22%"
    -date_maj: DateTimeImmutable @1772107903 {#3188
      date: 2026-02-26 13:11:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:11:43.121Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768831175 {#3189
      date: 2026-01-19 14:59:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3193
    -id: 304
    -question: "Quel est le délai d'extraction pour sortir le bébé après un ACR?"
    -reponse: "4 minutes"
    -date_maj: DateTimeImmutable @1772108125 {#3191
      date: 2026-02-26 13:15:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:15:24.868Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768831583 {#3192
      date: 2026-01-19 15:06:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3196
    -id: 305
    -question: "quelles sont les lésions qui accompagnent souvent des coups à l'abdomen?"
    -reponse: """
      Traumatisme crânien\n
      Hémorragie rétropéritonéale\n
      HRP\n
      Rupture utérine
      """
    -date_maj: DateTimeImmutable @1772108381 {#3194
      date: 2026-02-26 13:19:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:19:41.133Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768832415 {#3195
      date: 2026-01-19 15:20:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3199
    -id: 306
    -question: "Quelles sont les caractéristiques de la fracture pelvienne?"
    -reponse: """
      Morbidité élevée\n
      Naissance possible par VB si fracture stable sinon césarienne\n
      """
    -date_maj: DateTimeImmutable @1772108428 {#3197
      date: 2026-02-26 13:20:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:20:27.995Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768832494 {#3198
      date: 2026-01-19 15:21:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3202
    -id: 307
    -question: "Quelles sont les complications obstétricales du traumatisme abdominal?"
    -reponse: """
      CU\n
      RPM\n
      Rupture utérine\n
      Hémorragie foetomaternelle\n
      Placenta abruptio
      """
    -date_maj: DateTimeImmutable @1772107936 {#3200
      date: 2026-02-26 13:12:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:12:16.337Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768832593 {#3201
      date: 2026-01-19 15:23:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3205
    -id: 308
    -question: "Quelles sont les complication de la rupture utérine?"
    -reponse: """
      Embolies de liquide amniotique\n
      CID\n
      Mortalité
      """
    -date_maj: DateTimeImmutable @1772107950 {#3203
      date: 2026-02-26 13:12:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:12:30.754Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768832804 {#3204
      date: 2026-01-19 15:26:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3208
    -id: 309
    -question: "Quel est le délai de viabilité foetale?"
    -reponse: "> 23 SA"
    -date_maj: DateTimeImmutable @1772108310 {#3206
      date: 2026-02-26 13:18:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T12:18:30.417Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768832889 {#3207
      date: 2026-01-19 15:28:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3105 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3211
    -id: 310
    -question: "Quelle est la définition de la ménopause?"
    -reponse: "Arrêt définitif des règles"
    -date_maj: DateTimeImmutable @1772128938 {#3209
      date: 2026-02-26 19:02:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:02:18.303Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768833990 {#3210
      date: 2026-01-19 15:46:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3217
    -id: 311
    -question: "Quel est l'âge moyen de la ménopause?"
    -reponse: "50-52 ans"
    -date_maj: DateTimeImmutable @1772129131 {#3215
      date: 2026-02-26 19:05:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:05:31.649Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834026 {#3216
      date: 2026-01-19 15:47:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3220
    -id: 312
    -question: "Quels sont les signes de la ménopause?"
    -reponse: """
      Aménorrhée +\n
      Sd climatérique: bouffées, vaso-motrice, sueurs nocturnes, sécheresses, baisse de la libido, arthralgies...\n
      """
    -date_maj: DateTimeImmutable @1772128979 {#3218
      date: 2026-02-26 19:02:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:02:59.136Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834189 {#3219
      date: 2026-01-19 15:49:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3223
    -id: 313
    -question: "Quel est l'examen complémentaire en cas de suspicion de ménopause?"
    -reponse: """
      Dosages hormonaux (si hystérectomie/âge inhabituel/ DIU hormonal\n
      +/-mammographie, frottis...
      """
    -date_maj: DateTimeImmutable @1772129248 {#3221
      date: 2026-02-26 19:07:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:07:27.815Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834327 {#3222
      date: 2026-01-19 15:52:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3226
    -id: 314
    -question: "Quelles sont les valeurs des hormones en cas de diagnostic de la ménopause?"
    -reponse: """
      FSH> 20\n
      E < 20pg/L
      """
    -date_maj: DateTimeImmutable @1772121479 {#3224
      date: 2026-02-26 16:57:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T15:57:59.075Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834382 {#3225
      date: 2026-01-19 15:53:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3229
    -id: 315
    -question: "Quelle est la définition du Sd climatérique?"
    -reponse: """
      Symptômes de la carence en oestrogènes\n
      Manifestations variables en intensité, fréquence, durée
      """
    -date_maj: DateTimeImmutable @1772129128 {#3227
      date: 2026-02-26 19:05:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:05:27.900Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834469 {#3228
      date: 2026-01-19 15:54:29.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3232
    -id: 316
    -question: "Quelles sont les caractéristiques des bouffées vasoconstriction motrice?"
    -reponse: """
      65% des femmes\n
      TTT = oestrogène\n
      Rougeur et sueurs+++
      """
    -date_maj: DateTimeImmutable @1772128679 {#3230
      date: 2026-02-26 18:57:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:57:59.574Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834520 {#3231
      date: 2026-01-19 15:55:20.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3235
    -id: 317
    -question: "Quelles sont les caractéristiques des symptômes vulvo-vaginaux?"
    -reponse: """
      Hypotrophie des lèvres externes et internes, dépigmentation\n
      Atrophie du col\n
      Rétrécissement orifice vulvaire...
      """
    -date_maj: DateTimeImmutable @1772129206 {#3233
      date: 2026-02-26 19:06:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:06:46.132Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834592 {#3234
      date: 2026-01-19 15:56:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3238
    -id: 318
    -question: "Quelles sont les autres conséquences de la ménopause?"
    -reponse: """
      Troubles urinaires\n
      Apparition de la pilosité\n
      Amincissement et sécheresse de la peau, prise de poids, augmentation de la masse grasse, douleurs articulaires
      """
    -date_maj: DateTimeImmutable @1772128840 {#3236
      date: 2026-02-26 19:00:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:00:40.638Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834675 {#3237
      date: 2026-01-19 15:57:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3241
    -id: 319
    -question: "A quoi correspond l'ostéoporose post-ménopausique?"
    -reponse: "Déminéralisation osseuse = phénomène physiologique lié au vieillissement mais s'accélère avec la ménopause"
    -date_maj: DateTimeImmutable @1772128693 {#3239
      date: 2026-02-26 18:58:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:58:13.107Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834736 {#3240
      date: 2026-01-19 15:58:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3244
    -id: 320
    -question: "Quels sont les facteurs aggravants de l'ostéoporose?"
    -reponse: "Tabac, alcool, malnutrition"
    -date_maj: DateTimeImmutable @1772129115 {#3242
      date: 2026-02-26 19:05:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:05:15.466Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834773 {#3243
      date: 2026-01-19 15:59:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3247
    -id: 321
    -question: "Quelles sont les fractures les plus fréquentes en cas d'ostéoporose?"
    -reponse: "Rachis > poignet > col fémoral"
    -date_maj: DateTimeImmutable @1772128409 {#3245
      date: 2026-02-26 18:53:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-26T18:36:05.676Z"
          "etat" => 1
        ]
        [
          "date" => "2026-02-26T17:53:28.812Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834833 {#3246
      date: 2026-01-19 16:00:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3250
    -id: 322
    -question: "Quelle est la 1ère cause de morbimortalité chez les femmes en France?"
    -reponse: "Athérosclérose coronarienne"
    -date_maj: DateTimeImmutable @1772128795 {#3248
      date: 2026-02-26 18:59:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:59:55.022Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768834955 {#3249
      date: 2026-01-19 16:02:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3253
    -id: 323
    -question: "Pour qui est le traitement hormonal de la ménopause?"
    -reponse: "Femmes présentant un sd climatérique invalidant donc retentissant sur la qualité de vie"
    -date_maj: DateTimeImmutable @1772128916 {#3251
      date: 2026-02-26 19:01:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:01:56.170Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835043 {#3252
      date: 2026-01-19 16:04:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3256
    -id: 324
    -question: "Quelles sont les CI absolues de prescrire un traitement hormonal de la ménopause à une femme?"
    -reponse: "ATCD de cancer du sein, thrombose artérielle, TEV..."
    -date_maj: DateTimeImmutable @1772128769 {#3254
      date: 2026-02-26 18:59:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:59:29.172Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835124 {#3255
      date: 2026-01-19 16:05:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3259
    -id: 325
    -question: "Quels sont les principaux effets bénéfiques de traitement hormonal de la ménopause?"
    -reponse: "Diminution de l'ostéoporose, troubles de l'humeur, cancer du colon, troubles cognitifs, BVM, atrophie vaginale"
    -date_maj: DateTimeImmutable @1772128343 {#3257
      date: 2026-02-26 18:52:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:52:23.100Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835266 {#3258
      date: 2026-01-19 16:07:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3262
    -id: 326
    -question: "Quelles sont les principales complications du ttt hormonal de la ménopause?"
    -reponse: """
      Maladie thromboembolique\n
      Cancers hormonodépendants
      """
    -date_maj: DateTimeImmutable @1772128363 {#3260
      date: 2026-02-26 18:52:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:52:43.185Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835370 {#3261
      date: 2026-01-19 16:09:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3265
    -id: 327
    -question: "Quel est le principe du ttt hormonal de la ménopause?"
    -reponse: "Associe un oestrogène naturel et un progestatif (protège l'endomètre)"
    -date_maj: DateTimeImmutable @1772128389 {#3263
      date: 2026-02-26 18:53:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:53:09.032Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835452 {#3264
      date: 2026-01-19 16:10:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3268
    -id: 328
    -question: "Quelle est la progestérone la plus recommandée?"
    -reponse: "Progestérone naturelle et la dydrogetérone"
    -date_maj: DateTimeImmutable @1772129216 {#3266
      date: 2026-02-26 19:06:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:06:56.115Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835671 {#3267
      date: 2026-01-19 16:14:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3271
    -id: 329
    -question: "Comment évaluer le ttt hormonal de la ménopause?"
    -reponse: """
      Sous dosage: Persistance des signes de ménopause\n
      Sur dosage: Tension mammaire
      """
    -date_maj: DateTimeImmutable @1772129231 {#3269
      date: 2026-02-26 19:07:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:07:11.798Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835765 {#3270
      date: 2026-01-19 16:16:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3274
    -id: 330
    -question: "Quelle est la définition de l'insuffisance ovarienne prématurée?"
    -reponse: """
      Perte de la fonction ovarienne < 40 ans \n
      1% des femmes\n
      """
    -date_maj: DateTimeImmutable @1772128378 {#3272
      date: 2026-02-26 18:52:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:52:58.015Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835866 {#3273
      date: 2026-01-19 16:17:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3277
    -id: 331
    -question: "Comment diagnostique-t-on une IOP?"
    -reponse: """
      Anovulation > 4 mois\n
      FSH > 25 UI:L sur au moins 2 prélèvements à 1 mois d'intervalle
      """
    -date_maj: DateTimeImmutable @1772128900 {#3275
      date: 2026-02-26 19:01:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:01:40.420Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768835965 {#3276
      date: 2026-01-19 16:19:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3280
    -id: 332
    -question: "Quel est ttt en cas d'IOP?"
    -reponse: """
      PO\n
      Pilule contraceptive (oestrogène + progestatif)\n
      Minimum 2mg d'oestrogènes
      """
    -date_maj: DateTimeImmutable @1772128929 {#3278
      date: 2026-02-26 19:02:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:02:08.886Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768836031 {#3279
      date: 2026-01-19 16:20:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3283
    -id: 333
    -question: "Quelle est la durée limite du ttt hormonal de la ménopause?"
    -reponse: "5 ans"
    -date_maj: DateTimeImmutable @1772128920 {#3281
      date: 2026-02-26 19:02:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T18:02:00.053Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768837163 {#3282
      date: 2026-01-19 16:39:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3286
    -id: 334
    -question: "A quelle fréquence surveille-t-on nos patientes avec un ttt hormonal de la ménopause?"
    -reponse: "La surveillance clinique est annuelle sous ttt hormonal"
    -date_maj: DateTimeImmutable @1772128401 {#3284
      date: 2026-02-26 18:53:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-26T17:53:21.215Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768837217 {#3285
      date: 2026-01-19 16:40:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3213 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3289
    -id: 337
    -question: "A quoi correspond les 1000 premiers jours?"
    -reponse: """
      De la conception --> 2 ans\n
      Fenêtre de vulnérabilité et d'opportunités\n
      Se base sur la prévention, le dépistage et l'orientation
      """
    -date_maj: DateTimeImmutable @1773412444 {#3287
      date: 2026-03-13 15:34:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:34:04.678Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768897164 {#3288
      date: 2026-01-20 09:19:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3295
    -id: 338
    -question: "Quand a été créer l'entretien pré natal précoce?"
    -reponse: """
      Créé en 2007\n
      Obligatoire depuis le 1er mai 2020
      """
    -date_maj: DateTimeImmutable @1773412676 {#3293
      date: 2026-03-13 15:37:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:37:55.907Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768897369 {#3294
      date: 2026-01-20 09:22:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3298
    -id: 339
    -question: "Quelle est la première cause de mortalité en PP?"
    -reponse: "Le suicide"
    -date_maj: DateTimeImmutable @1773412088 {#3296
      date: 2026-03-13 15:28:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:28:08.667Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768897553 {#3297
      date: 2026-01-20 09:25:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3301
    -id: 340
    -question: "Quel est le cadre réglementaire de l'EPN?"
    -reponse: """
      Remboursé à 100%\n
      Réalisé par SF, ou un autre professionnel de la naissance
      """
    -date_maj: DateTimeImmutable @1773412554 {#3299
      date: 2026-03-13 15:35:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:35:54.362Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768897610 {#3300
      date: 2026-01-20 09:26:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3304
    -id: 341
    -question: "Quelle est la définition de l'EPP?"
    -reponse: """
      Entretien non médical\n
      Centré sur les besoins et attentes\n
      Objectif : construire un accompagnement personnalisé
      """
    -date_maj: DateTimeImmutable @1773412636 {#3302
      date: 2026-03-13 15:37:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:37:16.425Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768897961 {#3303
      date: 2026-01-20 09:32:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3307
    -id: 342
    -question: "Quels sont les objectifs de l'EPP?"
    -reponse: """
      Créer une alliance\n
      Repérer les vulnérabilités = rôle majeur dans la prévention de la dépression du PP\n
      Soutenir la parentalité\n
      Orienter vers les ressources locales
      """
    -date_maj: DateTimeImmutable @1773412579 {#3305
      date: 2026-03-13 15:36:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:36:19.122Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768898547 {#3306
      date: 2026-01-20 09:42:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3310
    -id: 343
    -question: "Combien de femmes déclarent avoir eu un EPP?"
    -reponse: "36,5%"
    -date_maj: DateTimeImmutable @1773412301 {#3308
      date: 2026-03-13 15:31:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:31:41.183Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768898570 {#3309
      date: 2026-01-20 09:42:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3313
    -id: 344
    -question: "Quels sont les objectifs de l'EPP"
    -reponse: """
      Prévenir\n
      Dépister\n
      Activation du réseau 
      """
    -date_maj: DateTimeImmutable @1773412436 {#3311
      date: 2026-03-13 15:33:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:33:56.245Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768898683 {#3312
      date: 2026-01-20 09:44:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3316
    -id: 345
    -question: "Quelles sont les caractéristiques de l'EPNP?"
    -reponse: """
      Obligatoire depuis le 1er juillet 2022\n
      Existe dans le cadre des 1000 premiers jours
      """
    -date_maj: DateTimeImmutable @1773412208 {#3314
      date: 2026-03-13 15:30:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:30:08.082Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768902300 {#3315
      date: 2026-01-20 10:45:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3319
    -id: 346
    -question: "A quel période l'EPNP doit être réalisé?"
    -reponse: "Entre la 4ème et la 8ème semaine suivant l'accouchement"
    -date_maj: DateTimeImmutable @1773412584 {#3317
      date: 2026-03-13 15:36:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:36:24.459Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768902344 {#3318
      date: 2026-01-20 10:45:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3322
    -id: 347
    -question: "Par qui est réalisé l'EPNP?"
    -reponse: "Le CNSF préconise la SF qui connaît l'environnement de la femme "
    -date_maj: DateTimeImmutable @1773412309 {#3320
      date: 2026-03-13 15:31:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:31:49.664Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768902729 {#3321
      date: 2026-01-20 10:52:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3325
    -id: 348
    -question: "Quels sont les objectifs de l'EPNP?"
    -reponse: """
      Dépister la dépression du PP\n
      Soutenir la parentalité\n
      Identifier les difficultés relationnelles\n
      Accompagner l'alimentation du bébé
      """
    -date_maj: DateTimeImmutable @1773412294 {#3323
      date: 2026-03-13 15:31:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:31:34.514Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768902803 {#3324
      date: 2026-01-20 10:53:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3328
    -id: 349
    -question: "Quelles sont les thématiques abordées à l'EPNP?"
    -reponse: """
      Vécu de la naissance et du PP\n
      Bien être mental, social, environnemental\n
      Prévention et le dépistage des troubles psychiques du PP\n
      Conduites addictives
      """
    -date_maj: DateTimeImmutable @1773412668 {#3326
      date: 2026-03-13 15:37:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:37:48.707Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768903019 {#3327
      date: 2026-01-20 10:56:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3331
    -id: 350
    -question: "Quelle est la valeur seuil de l'EPDS?"
    -reponse: "Score seuil : vigilance si >=12"
    -date_maj: DateTimeImmutable @1773412647 {#3329
      date: 2026-03-13 15:37:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:37:27.674Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768903074 {#3330
      date: 2026-01-20 10:57:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3334
    -id: 351
    -question: "Quels sont les signaux d'alerte du PP?"
    -reponse: """
      Risques suicidaire\n
      Difficulté interaction avec l'enfant\n
      Retrait de la femme\n
      Symptômes psy
      """
    -date_maj: DateTimeImmutable @1773412112 {#3332
      date: 2026-03-13 15:28:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:28:32.104Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768903173 {#3333
      date: 2026-01-20 10:59:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3337
    -id: 352
    -question: "A quelle période peut se faire un 2ème entretien post natal?"
    -reponse: "Entre la 10ème et 14ème semaine en PP"
    -date_maj: DateTimeImmutable @1773412314 {#3335
      date: 2026-03-13 15:31:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:31:54.347Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768903614 {#3336
      date: 2026-01-20 11:06:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3340
    -id: 353
    -question: "Quelle est la méthodologie de l'entretien?"
    -reponse: """
      Approche centrée sur la personne\n
      Questions ouvertes\n
      Reformulation\n
      Validation émotionnelle
      """
    -date_maj: DateTimeImmutable @1773412322 {#3338
      date: 2026-03-13 15:32:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-13T14:32:02.746Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768904271 {#3339
      date: 2026-01-20 11:17:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3291 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3343
    -id: 354
    -question: "Quelles peuvent être les étiologies différentielles ?"
    -reponse: """
      -\tPathologie de hanche (algodystrophie de hanche, ostéonécrose tête fémorale)\n
      -\tPyélonéphrite\n
      -\tContractions\n
      -\tAppendicite\n
      -\tCongestion veineuse profonde\n
      -\tFissures de contrainte et fractures occultes\n
      """
    -date_maj: DateTimeImmutable @1768927113 {#3341
      date: 2026-01-20 17:38:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913624 {#3342
      date: 2026-01-20 13:53:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3346
    -id: 355
    -question: "Quelles sont les caractéristiques du sd du canal carpien chez les femmes enceintes ?"
    -reponse: """
      Le + fréquent\n
      2 à 25% des grossesses\n
      Survenue au 2ème et 3ème trimestre\n
      Compression du nerf médian dans le canal carpien\n
      Diurne, souvent bilatéral, plus douloureux\n
      """
    -date_maj: DateTimeImmutable @1768927664 {#3344
      date: 2026-01-20 17:47:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913640 {#3345
      date: 2026-01-20 13:54:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3349
    -id: 356
    -question: "Quel est le ttt du sd du canal carpien ?"
    -reponse: """
      Port d’une attelle nocturne\n
      Infiltrations\n
      Chirurgie si sévère\n
      """
    -date_maj: DateTimeImmutable @1768927408 {#3347
      date: 2026-01-20 17:43:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913665 {#3348
      date: 2026-01-20 13:54:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3352
    -id: 357
    -question: "A quoi correspond une méralgie paresthésique ?"
    -reponse: """
      Atteinte du nerf latéral de la cuisse\n
      Douleur en raquette face antéro-latérale de la cuisse\n
      Adaptation posturale, ttt infiltratif\n
      """
    -date_maj: DateTimeImmutable @1768927592 {#3350
      date: 2026-01-20 17:46:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913681 {#3351
      date: 2026-01-20 13:54:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3355
    -id: 358
    -question: "Quels sont les ttt des tendinopathies ?"
    -reponse: "Repos, attelle, infiltration"
    -date_maj: DateTimeImmutable @1768927461 {#3353
      date: 2026-01-20 17:44:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913699 {#3354
      date: 2026-01-20 13:54:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3358
    -id: 359
    -question: "Quelle est la tendinopathie la plus fréquente ?"
    -reponse: "Tendinopathie de De Quervain = douleur sur le bord radial du poignet"
    -date_maj: DateTimeImmutable @1768927449 {#3356
      date: 2026-01-20 17:44:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913716 {#3357
      date: 2026-01-20 13:55:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3361
    -id: 360
    -question: "A quoi correspond l’ostéoporose gravidique ? "
    -reponse: """
      Déminéralisation normale de l’os au cours de la grossesse et en cas de ménopause\n
      Rare\n
      """
    -date_maj: DateTimeImmutable @1768927506 {#3359
      date: 2026-01-20 17:45:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913747 {#3360
      date: 2026-01-20 13:55:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3364
    -id: 361
    -question: "A quoi correspond l’ostéomalacie ?"
    -reponse: "Douleurs osseuses diffuses dû à une carence en vit D"
    -date_maj: DateTimeImmutable @1768927477 {#3362
      date: 2026-01-20 17:44:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913763 {#3363
      date: 2026-01-20 13:56:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3367
    -id: 362
    -question: "A quoi correspond une polyarthrite rhumatoïde ?"
    -reponse: "Maladie auto-immune à tropisme essentiellement "
    -date_maj: DateTimeImmutable @1768927396 {#3365
      date: 2026-01-20 17:43:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913772 {#3366
      date: 2026-01-20 13:56:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3370
    -id: 363
    -question: "Quels sont les ttt des polyarthrites rhumatoïdes ?"
    -reponse: "Corticoïdes autorisés"
    -date_maj: DateTimeImmutable @1768927437 {#3368
      date: 2026-01-20 17:43:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913785 {#3369
      date: 2026-01-20 13:56:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3373
    -id: 364
    -question: "Quelles sont les caractéristiques du lupus ?"
    -reponse: """
      Maladie auto-immune chronique\n
      AC dirigés contre l’organisme\n
      """
    -date_maj: DateTimeImmutable @1768926942 {#3371
      date: 2026-01-20 17:35:42.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768913796 {#3372
      date: 2026-01-20 13:56:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2451 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3376
    -id: 365
    -question: "Quelles sont les caractéristiques de la rubéole?"
    -reponse: """
      Transmis par les voies respiratoires\n
      Vaccin ROR\n
      Touche les jeunes adultes ou adolescentes avec couverture vaccinale insuffisante
      """
    -date_maj: DateTimeImmutable @1773573870 {#3374
      date: 2026-03-15 12:24:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:24:30.745Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768915740 {#3375
      date: 2026-01-20 14:29:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3379
    -id: 366
    -question: "Quelles sont les recommandations HAS concernant la rubéole?"
    -reponse: """
      Lors de la 1ère consultation de grossesse\n
      Obligatoire\n
      En cas d'absence de preuve écrite de l'immunité ou en absence de 2 doses de vaccin\n
      Ig G seulement
      """
    -date_maj: DateTimeImmutable @1773573558 {#3377
      date: 2026-03-15 12:19:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:19:18.700Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768915841 {#3378
      date: 2026-01-20 14:30:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3382
    -id: 367
    -question: "Que faire en cas d'IgG -?"
    -reponse: "Renouveler sérologie à 20 SA puis stop"
    -date_maj: DateTimeImmutable @1773573390 {#3380
      date: 2026-03-15 12:16:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:16:30.369Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768915917 {#3381
      date: 2026-01-20 14:31:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3385
    -id: 368
    -question: "Quelle est la durée d'incubation de la rubéole?"
    -reponse: "14-20jours"
    -date_maj: DateTimeImmutable @1773574628 {#3383
      date: 2026-03-15 12:37:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:37:08.416Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768915948 {#3384
      date: 2026-01-20 14:32:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3388
    -id: 369
    -question: "Quels sont les signes et l'évolution de la rubéole?"
    -reponse: """
      Phase éruptive inconstante: visage puis tronc puis extrémités\n
      Disparition en 3 jours sans cicatrices\n
      Adénopathie, fièvre\n
      Rare: encéphalite, purpura, myocardite, thrombopénie...
      """
    -date_maj: DateTimeImmutable @1773574584 {#3386
      date: 2026-03-15 12:36:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:24.183Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916050 {#3387
      date: 2026-01-20 14:34:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3391
    -id: 370
    -question: "Comment se transmet la rubéole?"
    -reponse: "Inter-humaine par gouttelettes"
    -date_maj: DateTimeImmutable @1773574614 {#3389
      date: 2026-03-15 12:36:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:54.816Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916115 {#3390
      date: 2026-01-20 14:35:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3394
    -id: 371
    -question: "Jusque quel terme l'embryologies-foetopathie est grave?"
    -reponse: "< 18 SA"
    -date_maj: DateTimeImmutable @1773573187 {#3392
      date: 2026-03-15 12:13:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:13:07.210Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916204 {#3393
      date: 2026-01-20 14:36:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3397
    -id: 372
    -question: "Comment se fait le diagnostic de la rubéole?"
    -reponse: "Augmentation des IgG entre 2 prélèvements"
    -date_maj: DateTimeImmutable @1773573983 {#3395
      date: 2026-03-15 12:26:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:26:23.746Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916237 {#3396
      date: 2026-01-20 14:37:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3400
    -id: 373
    -question: "Est ce que la rubéole est tératogène?"
    -reponse: """
      oui\n
      Coeur, audition ++
      """
    -date_maj: DateTimeImmutable @1773573397 {#3398
      date: 2026-03-15 12:16:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:16:37.186Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916426 {#3399
      date: 2026-01-20 14:40:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3403
    -id: 374
    -question: "Comment se transmet le CMV?"
    -reponse: """
      Transmission verticale : AM, accouchement, transplacentaire\n
      Transmission horizontale avec les liquides biologiques
      """
    -date_maj: DateTimeImmutable @1773574705 {#3401
      date: 2026-03-15 12:38:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:38:25.581Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916557 {#3402
      date: 2026-01-20 14:42:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3406
    -id: 375
    -question: "Quels sont les conséquences en cas d'atteinte par le CMV?"
    -reponse: """
      Dans 10% des cas\n
      Surdité\n
      Coriorétinite\n
      Atteinte sur le développement psycho moteur
      """
    -date_maj: DateTimeImmutable @1773572267 {#3404
      date: 2026-03-15 11:57:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:57:47.208Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768916809 {#3405
      date: 2026-01-20 14:46:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3409
    -id: 376
    -question: "Quel est le ttt en cas de CMV?"
    -reponse: "ttt par Valaciclovir en cas de séropositivité qui permet de diminuer la transmission verticale"
    -date_maj: DateTimeImmutable @1773573158 {#3407
      date: 2026-03-15 12:12:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:38.558Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768917096 {#3408
      date: 2026-01-20 14:51:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3412
    -id: 377
    -question: "Quelles sont les modalités de dépistage du CMV?"
    -reponse: """
      < 15 SA\n
      IgM, IgG, test d'avidité , PCR sur sang maternel
      """
    -date_maj: DateTimeImmutable @1773574221 {#3410
      date: 2026-03-15 12:30:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:30:20.972Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768917224 {#3411
      date: 2026-01-20 14:53:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3415
    -id: 378
    -question: "Quels sont les résultats en cas d'infection CMV récente?"
    -reponse: "Avidité faible"
    -date_maj: DateTimeImmutable @1773574001 {#3413
      date: 2026-03-15 12:26:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:26:41.742Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768917365 {#3414
      date: 2026-01-20 14:56:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3418
    -id: 379
    -question: "Quels sont les signes échographiques du CMV?"
    -reponse: """
      Atteinte cérébrale\n
      Malformation cardiaque\n
      Diminution des girations = cerveau lisse\n
      Thrombopénie\n
      Anémie\n
      Cytolyse hépatique\n
      RCIU\n
      Atteinte digestive
      """
    -date_maj: DateTimeImmutable @1773573110 {#3416
      date: 2026-03-15 12:11:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:11:50.242Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768917723 {#3417
      date: 2026-01-20 15:02:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3421
    -id: 380
    -question: "Comment recherche t'on en post natal le CMV?"
    -reponse: """
      Dans les urines le + fiable\n
      Dans la salive
      """
    -date_maj: DateTimeImmutable @1773574237 {#3419
      date: 2026-03-15 12:30:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:30:36.955Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768918174 {#3420
      date: 2026-01-20 15:09:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3424
    -id: 381
    -question: "Quel est le ttt en PP en cas d'atteinte au CMV?"
    -reponse: """
      Valaciclovir PO pendant 6 mois\n
      Mais risque de thrombopénie ++
      """
    -date_maj: DateTimeImmutable @1773573122 {#3422
      date: 2026-03-15 12:12:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:02.638Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768918258 {#3423
      date: 2026-01-20 15:10:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3427
    -id: 382
    -question: "Quelles sont les phases de la rougeole?"
    -reponse: """
      Incubation silencieuse\n
      Invasion (fièvre, toux, yeux, rouges, signes de Köplick)\n
      Eruption\n
      Desquamation avec état de fatigue
      """
    -date_maj: DateTimeImmutable @1773572925 {#3425
      date: 2026-03-15 12:08:45.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:08:44.911Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768919604 {#3426
      date: 2026-01-20 15:33:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3430
    -id: 383
    -question: "Est ce que la rougeole est tératogène?"
    -reponse: "non mais MFIU par altération de la circulation placentaire"
    -date_maj: DateTimeImmutable @1773574560 {#3428
      date: 2026-03-15 12:36:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:00.283Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768919671 {#3429
      date: 2026-01-20 15:34:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3433
    -id: 384
    -question: "Quelle est la maladie appelée 5ème maladie?"
    -reponse: "Parvovirus B19"
    -date_maj: DateTimeImmutable @1773573968 {#3431
      date: 2026-03-15 12:26:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:26:07.976Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768920064 {#3432
      date: 2026-01-20 15:41:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3436
    -id: 385
    -question: "Quels sont les signes cliniques d'une atteinte au parvovirus B 19?"
    -reponse: """
      Anasarque car anémie\n
      Myocardiopathie
      """
    -date_maj: DateTimeImmutable @1773574638 {#3434
      date: 2026-03-15 12:37:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:37:18.682Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768920164 {#3435
      date: 2026-01-20 15:42:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3439
    -id: 386
    -question: "Est ce qu'il y a un risque tératogène avec le parvovirus B19?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773573580 {#3437
      date: 2026-03-15 12:19:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:19:40.516Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768920219 {#3438
      date: 2026-01-20 15:43:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3442
    -id: 387
    -question: "Que se passe-t-il au niveau du RCF en cas d'anémie foetal?"
    -reponse: """
      Tachycardie\n
      Rythme sinusoïdal 
      """
    -date_maj: DateTimeImmutable @1773574713 {#3440
      date: 2026-03-15 12:38:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:38:33.231Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768920497 {#3441
      date: 2026-01-20 15:48:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3445
    -id: 388
    -question: "Comment se transmet la varicelle?"
    -reponse: "Par les voies respiratoires ++ ou contact avec les lésions cutanées"
    -date_maj: DateTimeImmutable @1773572281 {#3443
      date: 2026-03-15 11:58:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:58:01.072Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768920970 {#3444
      date: 2026-01-20 15:56:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3448
    -id: 389
    -question: "Quels sont les signes de la varicelle?"
    -reponse: """
      Eruption maculo-papuleuse prurigineuse\n
      Hyperthermie\n
      Contagiosité 2 jours avant jusqu'au croûte
      """
    -date_maj: DateTimeImmutable @1773573058 {#3446
      date: 2026-03-15 12:10:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:10:58.526Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768921073 {#3447
      date: 2026-01-20 15:57:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3451
    -id: 390
    -question: "Quelle est la durée d'incubation de la varicelle?"
    -reponse: "14 jours"
    -date_maj: DateTimeImmutable @1773572274 {#3449
      date: 2026-03-15 11:57:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:57:54.289Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768921095 {#3450
      date: 2026-01-20 15:58:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3454
    -id: 391
    -question: "Quelle est la période de la grossesse avant laquelle il y a un risque de varicelle congénitale?"
    -reponse: "< 20 SA"
    -date_maj: DateTimeImmutable @1773574696 {#3452
      date: 2026-03-15 12:38:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:38:16.348Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768921164 {#3453
      date: 2026-01-20 15:59:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3457
    -id: 392
    -question: "A quelle période y a-t-il le passage transplacentaire des AC maternels?"
    -reponse: "3 à 7 jours après début éruption"
    -date_maj: DateTimeImmutable @1773573275 {#3455
      date: 2026-03-15 12:14:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:14:34.854Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768921339 {#3456
      date: 2026-01-20 16:02:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3460
    -id: 393
    -question: "Quel est le ttt en cas de varicelle maternelle?"
    -reponse: """
      Valaciclovir PO si pas de complications \n
      Aciclovir IV si complications pulmonaires
      """
    -date_maj: DateTimeImmutable @1773572980 {#3458
      date: 2026-03-15 12:09:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:09:40.444Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768922192 {#3459
      date: 2026-01-20 16:16:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3463
    -id: 394
    -question: "Quel est le principal risque de la varicelle?"
    -reponse: "Pneumopathie varicelleuse"
    -date_maj: DateTimeImmutable @1773574621 {#3461
      date: 2026-03-15 12:37:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:37:01.632Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768922226 {#3462
      date: 2026-01-20 16:17:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3466
    -id: 395
    -question: "Quels sont les risques de la grippe durant la grossesse?"
    -reponse: """
      MAP\n
      Difficultés respiratoires 
      """
    -date_maj: DateTimeImmutable @1773573175 {#3464
      date: 2026-03-15 12:12:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:55.757Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768922638 {#3465
      date: 2026-01-20 16:23:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3469
    -id: 396
    -question: "Quel est le ttt antigrippal?"
    -reponse: "Tamiflu 75mg x 2/j pendant 5 jours"
    -date_maj: DateTimeImmutable @1773574609 {#3467
      date: 2026-03-15 12:36:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:48.966Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768922989 {#3468
      date: 2026-01-20 16:29:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3472
    -id: 397
    -question: "Comment se transmet le zika?"
    -reponse: "Tramsmis par les moustiques du genre Aedes (moustiques tigres)"
    -date_maj: DateTimeImmutable @1773572406 {#3470
      date: 2026-03-15 12:00:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:00:06.653Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768923321 {#3471
      date: 2026-01-20 16:35:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3475
    -id: 398
    -question: "Quel est le principal signe clinique du Zika?"
    -reponse: "Microcéphalie"
    -date_maj: DateTimeImmutable @1773573954 {#3473
      date: 2026-03-15 12:25:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:25:54.692Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768923499 {#3474
      date: 2026-01-20 16:38:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3478
    -id: 399
    -question: "Comment se transmet le VIH?"
    -reponse: """
      Sang\n
      Contact sexuel\n
      """
    -date_maj: DateTimeImmutable @1773573302 {#3476
      date: 2026-03-15 12:15:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:15:02.104Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768923722 {#3477
      date: 2026-01-20 16:42:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3481
    -id: 400
    -question: "Quels sont les symptôme de la primo-infection?"
    -reponse: "Fièvre, sd pseudo-grippal, adénopathies, diarrhée, asthénie"
    -date_maj: DateTimeImmutable @1773573289 {#3479
      date: 2026-03-15 12:14:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:14:49.104Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768923790 {#3480
      date: 2026-01-20 16:43:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3484
    -id: 401
    -question: "Quels sont les impacts du VIH sur la grossesse?"
    -reponse: """
      FCS\n
      thrombopénie\n
      Complications infectieuses\n
      MAP\n
      Morbidité PP\n
      Hypotrophies
      """
    -date_maj: DateTimeImmutable @1773574521 {#3482
      date: 2026-03-15 12:35:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:35:21.217Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768924138 {#3483
      date: 2026-01-20 16:48:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3487
    -id: 402
    -question: "Est ce que le VIH est tératogène?"
    -reponse: "non"
    -date_maj: DateTimeImmutable @1773572302 {#3485
      date: 2026-03-15 11:58:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T10:58:22.605Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768924164 {#3486
      date: 2026-01-20 16:49:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3490
    -id: 403
    -question: "Quel est le pourcentage de transmission materno-foetal du VIH?"
    -reponse: "< 1%"
    -date_maj: DateTimeImmutable @1773574719 {#3488
      date: 2026-03-15 12:38:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:38:39.781Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1768924207 {#3489
      date: 2026-01-20 16:50:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3493
    -id: 404
    -question: "A quoi correspond le programme FEES?"
    -reponse: """
      Diminuer l'exposition des femmes enceintes et des jeunes enfants aux polluants environnementaux présents dans\n
      - l'air intérieur\n
      -l'alimentation\n
      -les cosmétiques
      """
    -date_maj: DateTimeImmutable @1768986800 {#3491
      date: 2026-01-21 10:13:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1768983853 {#3492
      date: 2026-01-21 09:24:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2481 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3496
    -id: 405
    -question: "Dans quels conditions réalise t-on une césarienne en cas de VIH?"
    -reponse: """
      > 400 copies/ml\n
      Entre 38-39 SA
      """
    -date_maj: DateTimeImmutable @1773573568 {#3494
      date: 2026-03-15 12:19:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:19:28.849Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769001288 {#3495
      date: 2026-01-21 14:14:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3499
    -id: 406
    -question: "Dans quels conditions propose t-on un AVB en cas de VIH?"
    -reponse: "< 50 copies/ml"
    -date_maj: DateTimeImmutable @1773574546 {#3497
      date: 2026-03-15 12:35:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:35:46.866Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769001325 {#3498
      date: 2026-01-21 14:15:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3502
    -id: 407
    -question: "Dans quelle situation le risque de transmission materno-fœtale du VIH est augmentée?"
    -reponse: "Prématurité"
    -date_maj: DateTimeImmutable @1773574229 {#3500
      date: 2026-03-15 12:30:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:30:29.339Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769001585 {#3501
      date: 2026-01-21 14:19:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3505
    -id: 408
    -question: "Est ce que l'AM est possible en cas de VIH?"
    -reponse: "Possible si charge virale indétectable"
    -date_maj: DateTimeImmutable @1773573166 {#3503
      date: 2026-03-15 12:12:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:46.191Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769001828 {#3504
      date: 2026-01-21 14:23:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3508
    -id: 409
    -question: "A partir de quand fait-on le dépistage de l'HPV?"
    -reponse: "> 25 ans\n"
    -date_maj: DateTimeImmutable @1773574682 {#3506
      date: 2026-03-15 12:38:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:38:02.565Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002215 {#3507
      date: 2026-01-21 14:30:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3511
    -id: 410
    -question: "Quel est le dépistage entre 25-29 ans concernant l'HPV?"
    -reponse: "FCV/3 ans après 2 premiers tests normaux à 1 d'intervalle"
    -date_maj: DateTimeImmutable @1773574148 {#3509
      date: 2026-03-15 12:29:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:29:08.773Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002272 {#3510
      date: 2026-01-21 14:31:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3514
    -id: 411
    -question: "Quel test fait-on entre 30 -65 ans concernant l'HPV?"
    -reponse: """
      Dépistage HPV remplace FCV\n
      1er test HPV 3 ans après dernier FCV\n
      Si normal 1x/ 5 ans
      """
    -date_maj: DateTimeImmutable @1773573475 {#3512
      date: 2026-03-15 12:17:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:17:55.568Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002357 {#3513
      date: 2026-01-21 14:32:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3517
    -id: 412
    -question: "Quand se transmet l'HPV chez le foetus?"
    -reponse: "À la naissance"
    -date_maj: DateTimeImmutable @1773573834 {#3515
      date: 2026-03-15 12:23:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:23:54.378Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002688 {#3516
      date: 2026-01-21 14:38:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3520
    -id: 413
    -question: "Quels sont les organes atteints chez le NN atteint d'HPV?"
    -reponse: "Papillomatose respiratoire "
    -date_maj: DateTimeImmutable @1773572940 {#3518
      date: 2026-03-15 12:09:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:09:00.811Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002838 {#3519
      date: 2026-01-21 14:40:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3523
    -id: 414
    -question: "Quels sont les ttt possibles contre l'HPV?"
    -reponse: """
      Azote liquide\n
      ATA\n
      Aldara\n
      Laser\n
      Electrocoagulation ou excision
      """
    -date_maj: DateTimeImmutable @1773574538 {#3521
      date: 2026-03-15 12:35:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:35:38.084Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769002982 {#3522
      date: 2026-01-21 14:43:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3526
    -id: 415
    -question: "Comment se transmet le covid 19?"
    -reponse: "Transmission interhumaine par gouttelette respiratoires et manuportée"
    -date_maj: DateTimeImmutable @1773573200 {#3524
      date: 2026-03-15 12:13:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:13:19.908Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769003123 {#3525
      date: 2026-01-21 14:45:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3529
    -id: 416
    -question: "Quelle est la durée d'incubation du covid 19?"
    -reponse: "5 j"
    -date_maj: DateTimeImmutable @1773574593 {#3527
      date: 2026-03-15 12:36:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:33.183Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769003153 {#3528
      date: 2026-01-21 14:45:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3532
    -id: 417
    -question: "Quels sont les signes cliniques de l'herpès?"
    -reponse: """
      Sensation de brûlures, prurit, \n
      Vésicules sur base érythémateuse --> pustules, ulcérations, croûtes...
      """
    -date_maj: DateTimeImmutable @1773573674 {#3530
      date: 2026-03-15 12:21:14.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:21:14.381Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769003740 {#3531
      date: 2026-01-21 14:55:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3535
    -id: 418
    -question: "A quel moment la transmission materno-feotale de l'herpès est la plus importante?"
    -reponse: """
      Lors de l'accouchement +++\n
      Post accouchement HV1++
      """
    -date_maj: DateTimeImmutable @1773574670 {#3533
      date: 2026-03-15 12:37:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:37:50.115Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769003942 {#3534
      date: 2026-01-21 14:59:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3538
    -id: 419
    -question: "Quels sont les outils diagnostics de l'herpès?"
    -reponse: """
      Privilégier la PCR sur les lésions\n
      IgG HSV1 et HSV2 spécifique de type : si négatif = primo infection certaine 
      """
    -date_maj: DateTimeImmutable @1773573685 {#3536
      date: 2026-03-15 12:21:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:21:25.848Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769004311 {#3537
      date: 2026-01-21 15:05:11.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3541
    -id: 420
    -question: "Quel est le profil évocateur d'une primo-infection à HSV?"
    -reponse: """
      IgG HSV 1-\n
      IgG HSV2-\n
      PCR HSV 1 ou 2 +
      """
    -date_maj: DateTimeImmutable @1773573657 {#3539
      date: 2026-03-15 12:20:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:20:57.265Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769004586 {#3540
      date: 2026-01-21 15:09:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3544
    -id: 421
    -question: "Que faire en cas de prise en charge à distance d'un premier épisode d'herpès génital pendant la grossesse?"
    -reponse: """
      Mettre en place une prophylaxie antivirale à partir de 36 SA jusqu'à l'accouchement, afin de réduire le risque de césarienne pour lésion herpétique\n
      32 SA en cas de grossesse gémellaire
      """
    -date_maj: DateTimeImmutable @1773573635 {#3542
      date: 2026-03-15 12:20:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:20:35.798Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769004888 {#3543
      date: 2026-01-21 15:14:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3547
    -id: 422
    -question: "Quel est le délai minimal pour envisager un AVB en cas d'herpès?"
    -reponse: "< 6 semaines avant l'accouchement "
    -date_maj: DateTimeImmutable @1773574115 {#3545
      date: 2026-03-15 12:28:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:28:35.291Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769005052 {#3546
      date: 2026-01-21 15:17:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3550
    -id: 423
    -question: "Quel est le ttt en cas d'épisode initial d'herpès génital?"
    -reponse: """
      Aciclovir 200mg 1cp x 5 \n
      Valaciclovir 500mg
      """
    -date_maj: DateTimeImmutable @1773574130 {#3548
      date: 2026-03-15 12:28:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:28:50.657Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769005343 {#3549
      date: 2026-01-21 15:22:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3553
    -id: 424
    -question: "Quelle est la voie d'accouchement en cas de récurrence d'HSV?"
    -reponse: """
      Césarienne privilégiée si membrane intacte, prématurité, séropositivité au VIH\n
      AVB privilégié si RMP, après 37 SA, absence de séropositivité VIH
      """
    -date_maj: DateTimeImmutable @1773574023 {#3551
      date: 2026-03-15 12:27:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:27:03.159Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769005734 {#3552
      date: 2026-01-21 15:28:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3556
    -id: 425
    -question: "Quel est le risque d'herpès néonatale en cas de récurrence d'HSV?"
    -reponse: "1%"
    -date_maj: DateTimeImmutable @1773572415 {#3554
      date: 2026-03-15 12:00:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:00:15.170Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769005900 {#3555
      date: 2026-01-21 15:31:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3559
    -id: 426
    -question: "Quelles sont les conséquences de l'herpès chez le nouveau né?"
    -reponse: """
      Mortalité+++\n
      SNC\n
      Cutanéo muqueuse
      """
    -date_maj: DateTimeImmutable @1773574604 {#3557
      date: 2026-03-15 12:36:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:44.265Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769007190 {#3558
      date: 2026-01-21 15:53:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3562
    -id: 427
    -question: "Quel est le ttt chez le nn en cas d'herpès?"
    -reponse: "Aciclovir IV > 14j"
    -date_maj: DateTimeImmutable @1773573132 {#3560
      date: 2026-03-15 12:12:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:12:12.044Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769007366 {#3561
      date: 2026-01-21 15:56:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3565
    -id: 428
    -question: "Est ce que l'AM est possible en cas d'herpès?"
    -reponse: "Oui sauf si lésions au niveau du mamelon"
    -date_maj: DateTimeImmutable @1773574588 {#3563
      date: 2026-03-15 12:36:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-15T11:36:28.833Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769007454 {#3564
      date: 2026-01-21 15:57:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2973 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3568
    -id: 429
    -question: "Quelles sont les caractéristiques de la toxoplasmose?"
    -reponse: """
      Le plus souvent asymptomatique\n
      Atteinte fœtale et néonatale sévères\n
      Maladie bénigne
      """
    -date_maj: DateTimeImmutable @1772723724 {#3566
      date: 2026-03-05 16:15:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:15:23.857Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769007775 {#3567
      date: 2026-01-21 16:02:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3574
    -id: 430
    -question: "Quels sont les organes cibles de la toxoplasmose ?"
    -reponse: """
      Muscle\n
      SN\n
      Placenta
      """
    -date_maj: DateTimeImmutable @1772723766 {#3572
      date: 2026-03-05 16:16:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:06.724Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769007801 {#3573
      date: 2026-01-21 16:03:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3577
    -id: 431
    -question: "Quelle est la définition du diagnostic de séroconversion?"
    -reponse: "Apparition d'IgM spécifique, puis d'IgG anti-toxoplasmose"
    -date_maj: DateTimeImmutable @1772723811 {#3575
      date: 2026-03-05 16:16:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:51.006Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769008203 {#3576
      date: 2026-01-21 16:10:03.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3580
    -id: 432
    -question: "Quels sont les premier Ig à se positiver?"
    -reponse: "IgM"
    -date_maj: DateTimeImmutable @1772723815 {#3578
      date: 2026-03-05 16:16:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:55.156Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769008317 {#3579
      date: 2026-01-21 16:11:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3583
    -id: 433
    -question: "Quels sont les deuxième Ig à se positiver?"
    -reponse: "IgG"
    -date_maj: DateTimeImmutable @1772723771 {#3581
      date: 2026-03-05 16:16:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:11.190Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769008332 {#3582
      date: 2026-01-21 16:12:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3586
    -id: 434
    -question: "Comment évolue le risque de transmission materno foetale de la toxoplasmose ?"
    -reponse: "Augmente avec l'âge gestationnel"
    -date_maj: DateTimeImmutable @1772723733 {#3584
      date: 2026-03-05 16:15:33.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:15:32.907Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769008789 {#3585
      date: 2026-01-21 16:19:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3589
    -id: 435
    -question: "Quels sont les organes atteints par la toxoplasmose?"
    -reponse: """
      Atteinte cérébral\n
      Ophtalmique\n
      Épanchement des séreuses
      """
    -date_maj: DateTimeImmutable @1772723559 {#3587
      date: 2026-03-05 16:12:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:12:39.143Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769008858 {#3588
      date: 2026-01-21 16:20:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3592
    -id: 436
    -question: "Quel est le ttt en cas de séroconversion à la toxoplasmose durant la grossesse?"
    -reponse: "Spiramycine: Rovamycine"
    -date_maj: DateTimeImmutable @1772723638 {#3590
      date: 2026-03-05 16:13:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:13:58.625Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769009093 {#3591
      date: 2026-01-21 16:24:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3595
    -id: 437
    -question: ""
    -reponse: ""
    -date_maj: DateTimeImmutable @1772723735 {#3593
      date: 2026-03-05 16:15:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:15:35.757Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769009122 {#3594
      date: 2026-01-21 16:25:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3598
    -id: 438
    -question: "Que veut dire une PCR + en anténatal à la toxoplasmose?"
    -reponse: "Toxo congénitale confirmée"
    -date_maj: DateTimeImmutable @1772723475 {#3596
      date: 2026-03-05 16:11:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:11:14.777Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769010722 {#3597
      date: 2026-01-21 16:52:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3601
    -id: 439
    -question: "Quel est le ttt de consolidation de la toxo chez l'enfant?"
    -reponse: "Fansidar jusqu'à l'âge de 18 mois"
    -date_maj: DateTimeImmutable @1772723482 {#3599
      date: 2026-03-05 16:11:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:11:22.228Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769011034 {#3600
      date: 2026-01-21 16:57:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3604
    -id: 440
    -question: "Quelle est la définition d'un déclenchement du travail?"
    -reponse: "Provoquer artificiellement l'accouchement par induction de contractions utérines permettant l'effacement et la dilatation du col dans le but d'obtenir un accouchement par les voies naturelles"
    -date_maj: DateTimeImmutable @1769595130 {#3602
      date: 2026-01-28 11:12:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:12:10.632Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769069356 {#3603
      date: 2026-01-22 09:09:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3610
    -id: 441
    -question: "Quelles sont les indications médicales foetales de déclenchement?"
    -reponse: """
      RPM (>12h) et infection amniotique\n
      RPMA = déclenchement à 37 SA\n
      RCIU avec stagnation de la croissance > 37 SA\n
      Diabète déséquilibré (38-39SA) \n
      +/-macrosomie foetale --> 4500g\n
      Oligoamnios: grande citerne < 20mm\n
      Altération du RCF\n
      Diminution des MAF\n
      MFIU --> 
      """
    -date_maj: DateTimeImmutable @1769596043 {#3608
      date: 2026-01-28 11:27:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:27:23.387Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769071126 {#3609
      date: 2026-01-22 09:38:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3613
    -id: 442
    -question: "Quelles sont les indications foeto-maternelles d'un déclenchement ?"
    -reponse: """
      Sd vasculo-rénaux avec RCIU, hypoxie chronique, PE\n
      SHAG\n
      Cardiopathies, insuffisance respiratoire\n
      Cholestase gravidique vers 38-39SA
      """
    -date_maj: DateTimeImmutable @1769596130 {#3611
      date: 2026-01-28 11:28:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:28:49.969Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769071285 {#3612
      date: 2026-01-22 09:41:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3616
    -id: 443
    -question: "Quelles sont les indications maternelles de déclenchement ?"
    -reponse: "néoplasme, hémopathie, lupus, indication psychologique"
    -date_maj: DateTimeImmutable @1769595895 {#3614
      date: 2026-01-28 11:24:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:24:55.339Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769071574 {#3615
      date: 2026-01-22 09:46:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3619
    -id: 444
    -question: "Quels sont les critères pour envisager un déclenchement de convenance?"
    -reponse: """
      Score de Bischop >=7 à partir de 39 SA\n
      Accord de la patiente après information éclairée\n
      Absence de toute cCI même relative\n
      """
    -date_maj: DateTimeImmutable @1769595931 {#3617
      date: 2026-01-28 11:25:31.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:25:31.672Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769071695 {#3618
      date: 2026-01-22 09:48:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3622
    -id: 445
    -question: "Quelles sont les CI absolues au déclenchement ?"
    -reponse: """
      Présentation dystocique\n
      Prématurité < 34 SA\n
      Bassin chirurgical\n
      Disproportion foeto pelvienne évidente\n
      Signes d'hypoxie foetale aigüe\n
      Placenta praevia\n
      Utérus bi-cicatriciel\n
      """
    -date_maj: DateTimeImmutable @1769595879 {#3620
      date: 2026-01-28 11:24:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:24:39.190Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769071870 {#3621
      date: 2026-01-22 09:51:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3625
    -id: 446
    -question: "Quelles sont les CI relatives au déclenchement?"
    -reponse: """
      Siège\n
      Utérus uni-cicatriciel
      """
    -date_maj: DateTimeImmutable @1769595309 {#3623
      date: 2026-01-28 11:15:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:15:09.630Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769072034 {#3624
      date: 2026-01-22 09:53:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3628
    -id: 447
    -question: "Quels sont les critères du score de Bishop?"
    -reponse: """
      Dilatation en cm\n
      Effacement en %\n
      Consistance\n
      Position du col\n
      Position de la présentation
      """
    -date_maj: DateTimeImmutable @1769595954 {#3626
      date: 2026-01-28 11:25:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:25:54.522Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769072285 {#3627
      date: 2026-01-22 09:58:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3631
    -id: 448
    -question: "Quelle est la valeur du score de Bishop attendue pour déclencher sans maturation?"
    -reponse: """
      >= 7  chez la primi\n
      >=5 chez la multi
      """
    -date_maj: DateTimeImmutable @1769595349 {#3629
      date: 2026-01-28 11:15:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:15:49.579Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769072346 {#3630
      date: 2026-01-22 09:59:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3634
    -id: 449
    -question: "Quels sont les critères du score de Bishop simplifié?"
    -reponse: "Dilation, effacement, présentation"
    -date_maj: DateTimeImmutable @1769594699 {#3632
      date: 2026-01-28 11:04:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:04:59.076Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769072927 {#3633
      date: 2026-01-22 10:08:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3637
    -id: 450
    -question: "Quels sont les moyens de déclenchement non médicamenteux ?"
    -reponse: """
      Décollement des membranes\n
      RAM\n
      Ballonet de Cook\n
      Laminaire
      """
    -date_maj: DateTimeImmutable @1769595527 {#3635
      date: 2026-01-28 11:18:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:18:46.859Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073245 {#3636
      date: 2026-01-22 10:14:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3640
    -id: 451
    -question: "Quels sont les moyens médicamenteux de déclenchement?"
    -reponse: """
      Syntocinon\n
      Prostaglandines (dinoprostone, misoprostol, angusta)\n
      RU486 (anti-progestérone mifepristone)
      """
    -date_maj: DateTimeImmutable @1769595814 {#3638
      date: 2026-01-28 11:23:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:23:33.907Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073523 {#3639
      date: 2026-01-22 10:18:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3643
    -id: 452
    -question: "Comment se prépare le syntocinon?"
    -reponse: "5UI dans 500ml glucose 5% sous pompe"
    -date_maj: DateTimeImmutable @1769595537 {#3641
      date: 2026-01-28 11:18:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:18:57.825Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073576 {#3642
      date: 2026-01-22 10:19:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3646
    -id: 453
    -question: "Quels sont les EI du syntocinon?"
    -reponse: "effet anti-diurétique, hypertonie, hypercinésie"
    -date_maj: DateTimeImmutable @1769595361 {#3644
      date: 2026-01-28 11:16:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:16:01.745Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073625 {#3645
      date: 2026-01-22 10:20:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3649
    -id: 454
    -question: "Comment s'administre le misoprostol?"
    -reponse: """
      400ug par voie vaginale --> 1/2cp soit 200ug toutes les 4h\n
      pour les MIU, IMG
      """
    -date_maj: DateTimeImmutable @1769594856 {#3647
      date: 2026-01-28 11:07:36.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:07:36.062Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073764 {#3648
      date: 2026-01-22 10:22:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3652
    -id: 455
    -question: "Quel est l'EI du misoprostol?"
    -reponse: "hyperthermie"
    -date_maj: DateTimeImmutable @1769596001 {#3650
      date: 2026-01-28 11:26:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:26:41.704Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073779 {#3651
      date: 2026-01-22 10:22:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3655
    -id: 456
    -question: "Comment s'administre l'Augusta?"
    -reponse: """
      cp de 25ug\n
      1cp/2h 8fois ou 2cp/4h 4 fois
      """
    -date_maj: DateTimeImmutable @1769594594 {#3653
      date: 2026-01-28 11:03:14.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:03:14.291Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769073886 {#3654
      date: 2026-01-22 10:24:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3658
    -id: 457
    -question: "Quels sont les EI des prostaglandines?"
    -reponse: "Diarrhée, nausées, hypertonie"
    -date_maj: DateTimeImmutable @1769595823 {#3656
      date: 2026-01-28 11:23:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-28T10:23:43.774Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769074044 {#3657
      date: 2026-01-22 10:27:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3606 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3661
    -id: 458
    -question: "Comment se transmet le paludisme?"
    -reponse: "Piqure de moustique anophène femelle en zone d'endémie (Afrique sub-saharienne)"
    -date_maj: DateTimeImmutable @1772723780 {#3659
      date: 2026-03-05 16:16:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:20.106Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769084775 {#3660
      date: 2026-01-22 13:26:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3664
    -id: 459
    -question: "Quelle est la durée de la primo-infection palustre?"
    -reponse: "5-10j"
    -date_maj: DateTimeImmutable @1772723785 {#3662
      date: 2026-03-05 16:16:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:25.323Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769084813 {#3663
      date: 2026-01-22 13:26:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3667
    -id: 460
    -question: "Quel est le tableau clinique d'une femme atteinte de paludisme?"
    -reponse: """
      Invasion: Fièvre en plateau à 39°, embarras gastrique fébrile\n
      Phase d'état fièvre à 40°, peau séche, brulante\n
      Puis patiente se sent mieux, mais l'épisode va ressurgir toutes les 48-72h\n
      Guérison spontanée ou évolution défavorable
      """
    -date_maj: DateTimeImmutable @1772723547 {#3665
      date: 2026-03-05 16:12:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:12:27.646Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769084978 {#3666
      date: 2026-01-22 13:29:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3670
    -id: 461
    -question: "Quel est le risque du paludisme chez le foetus?"
    -reponse: """
      FCS\n
      MFIU\n
      RCIU\n
      SFA à l'accouchement\n
      Anémie\n
      Accouchement prématuré à l'hyperthermie\n
      """
    -date_maj: DateTimeImmutable @1772723801 {#3668
      date: 2026-03-05 16:16:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:16:41.256Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769085201 {#3669
      date: 2026-01-22 13:33:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3673
    -id: 462
    -question: "Quel est le ttt préventif intermittent en zone d'endémie?"
    -reponse: "Sulfadoxine pyriméthamine = fansidar --> 1x/mois lors de la CPN"
    -date_maj: DateTimeImmutable @1772723748 {#3671
      date: 2026-03-05 16:15:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T15:15:48.574Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769085485 {#3672
      date: 2026-01-22 13:38:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3570 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3676
    -id: 463
    -question: "Si je suis du groupe AB qu'est ce que j'ai dans mon sang?"
    -reponse: "Ag A et B et aucun AC"
    -date_maj: DateTimeImmutable @1773324337 {#3674
      date: 2026-03-12 15:05:37.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:05:37.133Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769086975 {#3675
      date: 2026-01-22 14:02:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3682
    -id: 464
    -question: "Si je suis du groupe O, qu'est ce que j'ai dans mon sang?"
    -reponse: "Pas d'AG, Ac A et B"
    -date_maj: DateTimeImmutable @1773324219 {#3680
      date: 2026-03-12 15:03:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:03:39.569Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087014 {#3681
      date: 2026-01-22 14:03:34.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3685
    -id: 465
    -question: "Quels sont les rhésus pourvoyeurs de grandes pathologies hémolytiques?"
    -reponse: """
      Rhésus D\n
      Rhésus c
      """
    -date_maj: DateTimeImmutable @1773324072 {#3683
      date: 2026-03-12 15:01:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:01:12.121Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087110 {#3684
      date: 2026-01-22 14:05:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3688
    -id: 466
    -question: "A quoi correspond le test de kleihauer?"
    -reponse: "Met en évidence la présence d'hématies foetales parmi des hématies adultes maternelles"
    -date_maj: DateTimeImmutable @1773324574 {#3686
      date: 2026-03-12 15:09:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:09:34.246Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087222 {#3687
      date: 2026-01-22 14:07:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3691
    -id: 467
    -question: "Quel est le principe du test de kleihauer?"
    -reponse: """
      Basé sur la résistance des GR à une solution acide.\n
      L'hémoglobine foetale étant plus résistante que l'hémoglobine adulte
      """
    -date_maj: DateTimeImmutable @1773324055 {#3689
      date: 2026-03-12 15:00:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:00:55.758Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087317 {#3690
      date: 2026-01-22 14:08:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3694
    -id: 468
    -question: "A quoi correspond le test de Coombs direct?"
    -reponse: "Test à l'anti-globuline direct\n"
    -date_maj: DateTimeImmutable @1773324184 {#3692
      date: 2026-03-12 15:03:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:03:03.989Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087558 {#3693
      date: 2026-01-22 14:12:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3697
    -id: 469
    -question: "A quoi correspond le test de Coombs indirect?"
    -reponse: """
      Recherche AC anti-D dans le sérum de la mère\n
      \n
      Si agglutination cela veut dire qu'il y a la présence d'AC dans le sérum.
      """
    -date_maj: DateTimeImmutable @1773324783 {#3695
      date: 2026-03-12 15:13:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:13:03.143Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087615 {#3696
      date: 2026-01-22 14:13:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3700
    -id: 470
    -question: "Quelles sont les causes d'immunisation rhésus?"
    -reponse: """
      Echec de prévention adaptée\n
      Hémorragies foeto-maternelles spontanées du 2ème et 3ème trimestre
      """
    -date_maj: DateTimeImmutable @1773324988 {#3698
      date: 2026-03-12 15:16:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:16:27.856Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769087792 {#3699
      date: 2026-01-22 14:16:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3703
    -id: 471
    -question: "Quel est le principe de prévention  d'une allo-immunisation?"
    -reponse: """
      Injection d'immunoglobulines humaines (Ac anti-D)\n
       Permet une réduction de 60 à 80%
      """
    -date_maj: DateTimeImmutable @1773324481 {#3701
      date: 2026-03-12 15:08:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:08:00.799Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769088193 {#3702
      date: 2026-01-22 14:23:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3706
    -id: 472
    -question: "Que faire durant la grossesse comme bilan?"
    -reponse: """
      Groupe sanguin Rh D (2 déterminations) et RAI au 1er trimestre\n
      Si femme Rh D- : Génotype rhésus foetal systématique, groupe Rh D du conjoint à documenter, informer\n
      \n
      Contrôle RAI au 6ème mois (entre 26 et 28 SA)\n
      Prophylaxie anti D: rhophylac 300ug à 28 SA
      """
    -date_maj: DateTimeImmutable @1773324670 {#3704
      date: 2026-03-12 15:11:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:11:10.629Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769088555 {#3705
      date: 2026-01-22 14:29:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3709
    -id: 473
    -question: "Quand fait-on du rophylac?"
    -reponse: "Lors d'un évènement potentiellement immunisant > 12 SA : dans les 72h"
    -date_maj: DateTimeImmutable @1773324843 {#3707
      date: 2026-03-12 15:14:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:14:02.825Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769089204 {#3708
      date: 2026-01-22 14:40:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3712
    -id: 474
    -question: "Quelle est la date limite pour faire le rophylac?"
    -reponse: "jusqu'à 30 jours"
    -date_maj: DateTimeImmutable @1773324353 {#3710
      date: 2026-03-12 15:05:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:05:53.050Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769089233 {#3711
      date: 2026-01-22 14:40:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3715
    -id: 475
    -question: "Que fait-on si il y a un nouvel événement exposant après injection d'anti D?"
    -reponse: """
      Abstention possible si:\n
      < 9 semaines pour 1 injection de 200ug\n
      < 12 semaines pour 1 injection de 300ug
      """
    -date_maj: DateTimeImmutable @1773324968 {#3713
      date: 2026-03-12 15:16:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:16:07.873Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769089360 {#3714
      date: 2026-01-22 14:42:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3718
    -id: 476
    -question: "Quelle est la dose de rhophylac en prophylaxie?"
    -reponse: "300ug"
    -date_maj: DateTimeImmutable @1773324972 {#3716
      date: 2026-03-12 15:16:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:16:12.456Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769089731 {#3717
      date: 2026-01-22 14:48:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3721
    -id: 477
    -question: "Que dit la prévention par le rhophylac au 3ème trimestre?"
    -reponse: "Proposition d'une infection prophylactique de 300ug de rhophylac IM à toute femme enceinte de rhésus -, non immunisée contre l'Ag D à 28 SA (+/- 1 semaine) pour les fœtus du rhésus positif"
    -date_maj: DateTimeImmutable @1773324394 {#3719
      date: 2026-03-12 15:06:34.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:06:33.899Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769090031 {#3720
      date: 2026-01-22 14:53:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3724
    -id: 478
    -question: "Quels sont les EI de la prophylaxie anti-D"
    -reponse: """
      Allergie ou hypersensibilité\n
      Réaction hémolytique après HMF importante "frisson-hyperthermie"\n
      Politivation des RAI, apparition inattendue d'anti-C\n
      Possitivation du test de Coombs à la naissance\n
      Interférance à la vaccination du PP
      """
    -date_maj: DateTimeImmutable @1773324043 {#3722
      date: 2026-03-12 15:00:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:00:42.925Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769090161 {#3723
      date: 2026-01-22 14:56:01.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3727
    -id: 479
    -question: "Quels sont les signes échographie d'une allo-immunisation?"
    -reponse: """
      Augmentation du pic systolique de vitesse à l'artère cérébrale moyenne\n
      Signes d'anasarque
      """
    -date_maj: DateTimeImmutable @1773324824 {#3725
      date: 2026-03-12 15:13:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:13:44.659Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769090690 {#3726
      date: 2026-01-22 15:04:50.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3730
    -id: 480
    -question: "Quel est le terme entre lequel on peut réaliser une transfusion fœtale in utéro?"
    -reponse: "> 20 SA et < 34 SA"
    -date_maj: DateTimeImmutable @1773324064 {#3728
      date: 2026-03-12 15:01:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:01:04.305Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769090803 {#3729
      date: 2026-01-22 15:06:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3733
    -id: 481
    -question: "A partir de quel taux d'hémoglobine dit-on qu'elle est basse?"
    -reponse: "< 12g/dL"
    -date_maj: DateTimeImmutable @1773324114 {#3731
      date: 2026-03-12 15:01:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:01:54.270Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769090950 {#3732
      date: 2026-01-22 15:09:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3736
    -id: 482
    -question: "Qu'est ce qui peut être responsable d'un Coombs +?"
    -reponse: "immunologique = allo-immunisation, A/B/O, Rhésus/Kell"
    -date_maj: DateTimeImmutable @1773324329 {#3734
      date: 2026-03-12 15:05:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:05:28.970Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769091002 {#3735
      date: 2026-01-22 15:10:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3739
    -id: 483
    -question: "Qu'est ce qui peut être responsable d'un Coombs -?"
    -reponse: "Non immunologique: thalassémie, drépanocytose, définit en G6PD, déficit en pyruvate kinase"
    -date_maj: DateTimeImmutable @1773324646 {#3737
      date: 2026-03-12 15:10:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:10:46.079Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769091058 {#3738
      date: 2026-01-22 15:10:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3742
    -id: 484
    -question: "Quelle est la valeur de l'hyperbilirubinémie?"
    -reponse: "> 350 umoles/L chez le nn sain > 35 SA et > 72h de ie"
    -date_maj: DateTimeImmutable @1773324551 {#3740
      date: 2026-03-12 15:09:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:09:11.384Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769091343 {#3741
      date: 2026-01-22 15:15:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3745
    -id: 485
    -question: "Quelles sont les signes d'une tendance hémorragique en post natal?"
    -reponse: """
      Purpura, pétéchies dès les premières heures de vie\n
      Hémorragies intracrâniennes\n
      Hémorragies viscérales
      """
    -date_maj: DateTimeImmutable @1773324803 {#3743
      date: 2026-03-12 15:13:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:13:23.779Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769092504 {#3744
      date: 2026-01-22 15:35:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3748
    -id: 486
    -question: "Quel est le risque majeur d'une thrombopénie sévère?"
    -reponse: "Hémorragie cérébrale"
    -date_maj: DateTimeImmutable @1773324563 {#3746
      date: 2026-03-12 15:09:23.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:09:23.167Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769092825 {#3747
      date: 2026-01-22 15:40:25.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3751
    -id: 487
    -question: "Quelles sont les allo-immunisation érythrocytaires sévères ?"
    -reponse: "Anti Rh D, Anti Kell, Anti c, Anti E"
    -date_maj: DateTimeImmutable @1773324201 {#3749
      date: 2026-03-12 15:03:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T14:03:21.319Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769092929 {#3750
      date: 2026-01-22 15:42:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3678 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3754
    -id: 488
    -question: "A quoi correspond la causalité incertaine?"
    -reponse: "Partage de la causalité entre la faute du médecin et l'événement extérieur à celui-ci"
    -date_maj: DateTimeImmutable @1773067394 {#3752
      date: 2026-03-09 15:43:14.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:43:13.883Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769415545 {#3753
      date: 2026-01-26 09:19:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3757
    -id: 489
    -question: "A quoi correspond la perte d'une éventualité favorable?"
    -reponse: "Retard de prise en charge qui entraînerait une perte de chance de survie "
    -date_maj: DateTimeImmutable @1773066915 {#3755
      date: 2026-03-09 15:35:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:35:15.486Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769416587 {#3756
      date: 2026-01-26 09:36:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3760
    -id: 490
    -question: "Dans quelles circonstances les présomptions non établies par la loi sont laissées à l'appréciation du juge et quelles sont les présomptions à admettre?"
    -reponse: "Graves, précises et concordantes"
    -date_maj: DateTimeImmutable @1773067376 {#3758
      date: 2026-03-09 15:42:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:42:56.603Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769417541 {#3759
      date: 2026-01-26 09:52:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3763
    -id: 491
    -question: "Quelles sont les causes d'exonération tenant au patient?"
    -reponse: """
      La faute du patient\n
      Prédisposition du patient
      """
    -date_maj: DateTimeImmutable @1773066649 {#3761
      date: 2026-03-09 15:30:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:30:49.860Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769420933 {#3762
      date: 2026-01-26 10:48:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3766
    -id: 492
    -question: "Quelles sont les causes d'exonération extérieures au patient?"
    -reponse: """
      Faute d'un tiers\n
      Aléa thérapeutique
      """
    -date_maj: DateTimeImmutable @1773067507 {#3764
      date: 2026-03-09 15:45:07.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:45:07.332Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769421135 {#3765
      date: 2026-01-26 10:52:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3769
    -id: 493
    -question: "Que dit la loi Kouchner concernant l'aléa thérapeutique?"
    -reponse: """
      Un médecin ne peut pas être responsable de quelque chose dont il n'a aucune maitrise \n
      Si aléa n'est pas grave (< 24% AIPP) = pas d'indemnisation\n
      Si grave (> 24% AIPP) = office national d'indemnisation des accidents médicaux = ONIAM
      """
    -date_maj: DateTimeImmutable @1773067491 {#3767
      date: 2026-03-09 15:44:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:44:51.034Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769421506 {#3768
      date: 2026-01-26 10:58:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3772
    -id: 494
    -question: "A quoi correspond le préjudice d'impréparation?"
    -reponse: "Défaut d'information qui empêche à l'individu de se préparer à toutes éventualités"
    -date_maj: DateTimeImmutable @1773067500 {#3770
      date: 2026-03-09 15:45:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T14:45:00.515Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769423262 {#3771
      date: 2026-01-26 11:27:42.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#2352 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3775
    -id: 495
    -question: "Quels sont les deux ordres de juridiction?"
    -reponse: """
      Ordre administratif \n
      Ordre judiciaire
      """
    -date_maj: DateTimeImmutable @1772719699 {#3773
      date: 2026-03-05 15:08:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:38:49.480Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T14:08:19.416Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769423849 {#3774
      date: 2026-01-26 11:37:29.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3781
    -id: 496
    -question: "Quel est le tribunal qui juge les délits?"
    -reponse: "Tribunal correctionnel"
    -date_maj: DateTimeImmutable @1772719685 {#3779
      date: 2026-03-05 15:08:05.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:37:54.617Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T14:08:05.152Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769423888 {#3780
      date: 2026-01-26 11:38:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3784
    -id: 497
    -question: "Quel est le tribunal qui juge les contraventions?"
    -reponse: "Tribunal de police"
    -date_maj: DateTimeImmutable @1772719472 {#3782
      date: 2026-03-05 15:04:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:38:10.417Z"
          "etat" => 1
        ]
        [
          "date" => "2026-03-05T14:04:31.869Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769423907 {#3783
      date: 2026-01-26 11:38:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3787
    -id: 498
    -question: "Quelles sont les cours de 1ère instance en cas de crimes?"
    -reponse: """
      Cour d'assises = présence d'un jury\n
      Cour criminelle départementale = 1 président et 4 assesseurs. Pas de jury
      """
    -date_maj: DateTimeImmutable @1772719661 {#3785
      date: 2026-03-05 15:07:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:41:43.609Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T14:07:41.737Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769424280 {#3786
      date: 2026-01-26 11:44:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3790
    -id: 499
    -question: "Quelle est la cour d'appel de 2ème degrés en cas de crimes?"
    -reponse: "Cour d'assises d'appel"
    -date_maj: DateTimeImmutable @1772719706 {#3788
      date: 2026-03-05 15:08:26.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:39:16.863Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T14:08:26.616Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769424473 {#3789
      date: 2026-01-26 11:47:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3793
    -id: 500
    -question: "Quelle est la cour d'appel de 2ème degré en cas de délits, contraventions?"
    -reponse: "Cour d'appel: chambre correctionnelle "
    -date_maj: DateTimeImmutable @1772719677 {#3791
      date: 2026-03-05 15:07:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-05T09:39:03.746Z"
          "etat" => -1
        ]
        [
          "date" => "2026-03-05T14:07:57.033Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769424539 {#3792
      date: 2026-01-26 11:48:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3796
    -id: 501
    -question: "Quelle est la définition de l'endométriose externe?"
    -reponse: """
      Présence de tissu endométrial (cellules glandulaires+ stroma) en situation hétérotopique\n
      --> Endométriose superficielle (sur le péritoine ou les organes),  profonde (sous le péritoine)
      """
    -date_maj: DateTimeImmutable @1769446070 {#3794
      date: 2026-01-26 17:47:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769432812 {#3795
      date: 2026-01-26 14:06:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3802
    -id: 502
    -question: "Quels sont les 3 types d'endométriose?"
    -reponse: """
      Ovarienne\n
      Pelvienne \n
      Profonde
      """
    -date_maj: DateTimeImmutable @1769446099 {#3800
      date: 2026-01-26 17:48:19.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769432846 {#3801
      date: 2026-01-26 14:07:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3805
    -id: 503
    -question: "A quoi correspond l'endométriose interne ou adénomyose?"
    -reponse: """
      Présence de glandes endométriales et de stroma dans l'épaisseur du myomètre\n
      Adénomyome : kyste endométriosique dans le myomètre
      """
    -date_maj: DateTimeImmutable @1769446018 {#3803
      date: 2026-01-26 17:46:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769432996 {#3804
      date: 2026-01-26 14:09:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3808
    -id: 504
    -question: "A quoi correspond un adénomyose externe?"
    -reponse: "Endométriose profonde infiltrant l'utérus"
    -date_maj: DateTimeImmutable @1769446041 {#3806
      date: 2026-01-26 17:47:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769433046 {#3807
      date: 2026-01-26 14:10:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3811
    -id: 505
    -question: "Quel est le pourcentage  de femmes en âge de procréer ayant de l'endométriose?"
    -reponse: "10%"
    -date_maj: DateTimeImmutable @1769446078 {#3809
      date: 2026-01-26 17:47:58.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769433116 {#3810
      date: 2026-01-26 14:11:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3814
    -id: 506
    -question: "Quels sont les risques augmentant la probabilité d'avoir de l'endométriose?"
    -reponse: """
      Apparentée au 1er degré\n
      Volume menstruel important\n
      Règles précoce\n
      Cycle court
      """
    -date_maj: DateTimeImmutable @1769445256 {#3812
      date: 2026-01-26 17:34:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769433320 {#3813
      date: 2026-01-26 14:15:20.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3817
    -id: 507
    -question: "Quels sont les symptômes de l'endométriose?"
    -reponse: """
      Dysménorrhée\n
      Irradiations sacrées, anales\n
      Douleurs à la défécation\n
      Rectorragies\n
      Signes urinaires\n
      Dyspareunie\n
      Infertilité
      """
    -date_maj: DateTimeImmutable @1769445755 {#3815
      date: 2026-01-26 17:42:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769433992 {#3816
      date: 2026-01-26 14:26:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3820
    -id: 508
    -question: "Que pouvons nous mettre en avant lors de l'examen clinique en cas d'endométriose?"
    -reponse: """
      TV douloureux ++\n
      Utérus rétroversé\n
      Nodule postérieur\n
      Douleurs à mise en tension des US\n
      Annexes fixées\n
      Lésions bleutée, ou inflammatoire, cartonnée (spéculum)
      """
    -date_maj: DateTimeImmutable @1769446146 {#3818
      date: 2026-01-26 17:49:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769434479 {#3819
      date: 2026-01-26 14:34:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3823
    -id: 509
    -question: "Quel est le bilan pour diagnostiquer une endométriose?"
    -reponse: "Echographie pelvienne (par un médecin référent)"
    -date_maj: DateTimeImmutable @1769445764 {#3821
      date: 2026-01-26 17:42:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769434805 {#3822
      date: 2026-01-26 14:40:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3826
    -id: 510
    -question: "Quelle est la complication de l'endométriose?"
    -reponse: "Compression ou sténose urétérale avec dilatation urétéropyélocalicielle silencieuse --> IR\n"
    -date_maj: DateTimeImmutable @1769446203 {#3824
      date: 2026-01-26 17:50:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769435237 {#3825
      date: 2026-01-26 14:47:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3829
    -id: 511
    -question: "Quel est l'examen de 2ème intention?"
    -reponse: "IRM par gel vaginal et/ou rectal"
    -date_maj: DateTimeImmutable @1769445235 {#3827
      date: 2026-01-26 17:33:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769435504 {#3828
      date: 2026-01-26 14:51:44.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3832
    -id: 512
    -question: "Quel est le ttt médical de 1ère intention pour l'endométriose?"
    -reponse: """
      Contraception oestro-progestative en continue \n
      ou micro/macro progestatif, stérilet miréna, implant\n
      Dienogest
      """
    -date_maj: DateTimeImmutable @1769445294 {#3830
      date: 2026-01-26 17:34:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769436279 {#3831
      date: 2026-01-26 15:04:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3835
    -id: 513
    -question: "Quels sont les EI de la chirurgie?"
    -reponse: """
      Altération de la réserve ovarienne\n
      Atonie vésicale\n
      SF digestifs
      """
    -date_maj: DateTimeImmutable @1769437360 {#3833
      date: 2026-01-26 15:22:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769437360 {#3834
      date: 2026-01-26 15:22:40.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: null
  }
  App\Entity\Flashcards {#3838
    -id: 514
    -question: "Quand faut-il adresser en AMP en cas de pathologie?"
    -reponse: "6 mois"
    -date_maj: DateTimeImmutable @1769445224 {#3836
      date: 2026-01-26 17:33:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769437932 {#3837
      date: 2026-01-26 15:32:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3841
    -id: 515
    -question: "Quand faut-il adresser en AMP hors ATCD particulier?"
    -reponse: "1 an"
    -date_maj: DateTimeImmutable @1769446083 {#3839
      date: 2026-01-26 17:48:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769437999 {#3840
      date: 2026-01-26 15:33:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3844
    -id: 516
    -question: "Entre quelle tranche d'âge préserve t-on les ovocytes?"
    -reponse: "29 à 37 ans"
    -date_maj: DateTimeImmutable @1769445303 {#3842
      date: 2026-01-26 17:35:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 1
    -date_creation: DateTimeImmutable @1769438114 {#3843
      date: 2026-01-26 15:35:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3798 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3847
    -id: 517
    -question: "fefreg"
    -reponse: "greezg"
    -date_maj: DateTimeImmutable @1769450335 {#3845
      date: 2026-01-26 18:58:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-01-26T17:57:16.567Z"
          "etat" => -1
        ]
        [
          "date" => "2026-01-26T17:58:55.995Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769450230 {#3846
      date: 2026-01-26 18:57:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3849 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3853
    -id: 518
    -question: "A quoi correspond une IGH?"
    -reponse: """
      Infection au dessus de l'isthme \n
      Salpingite, endométrite, abcès tube-ovarien, pelvi-péritonite\n
      """
    -date_maj: DateTimeImmutable @1772300118 {#3851
      date: 2026-02-28 18:35:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:35:18.376Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769504882 {#3852
      date: 2026-01-27 10:08:02.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3859
    -id: 519
    -question: "Quelle est la première cause de métroragie en dehors de la grossesse?"
    -reponse: "Infection --> Chlamydiae +++"
    -date_maj: DateTimeImmutable @1772299922 {#3857
      date: 2026-02-28 18:32:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:32:02.041Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505058 {#3858
      date: 2026-01-27 10:10:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3862
    -id: 520
    -question: "Quelles sont les IGH non compliquées?"
    -reponse: "Salpingite, endométrite"
    -date_maj: DateTimeImmutable @1772300743 {#3860
      date: 2026-02-28 18:45:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:45:43.415Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505348 {#3861
      date: 2026-01-27 10:15:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3865
    -id: 521
    -question: "Quelles sont les IGH compliquées?"
    -reponse: "Abcès ou pelvipéritonite --> collection avec besoin de drainage"
    -date_maj: DateTimeImmutable @1772300484 {#3863
      date: 2026-02-28 18:41:24.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:41:23.886Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505396 {#3864
      date: 2026-01-27 10:16:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3868
    -id: 522
    -question: "A partir de combien de temps de douleur pelvienne spontanée peut-on penser à une IGH?"
    -reponse: "Spontanée depuis plus de 4 jours "
    -date_maj: DateTimeImmutable @1772299912 {#3866
      date: 2026-02-28 18:31:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:31:52.613Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505459 {#3867
      date: 2026-01-27 10:17:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3871
    -id: 523
    -question: "Quels sont les facteurs de risque d'IST?"
    -reponse: """
      Femmes sexuellement actives\n
      <= 25 ans (car ectropion ++)\n
      atcd d'IST\n
      Nombre de partenaires >=2 dans l'année\n
      changement de partenaire récent\n
      Partenaire diagnostiqué avec une IST
      """
    -date_maj: DateTimeImmutable @1772300455 {#3869
      date: 2026-02-28 18:40:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:40:54.971Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505767 {#3870
      date: 2026-01-27 10:22:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3874
    -id: 524
    -question: "Quels sont les éléments à rechercher à l'examen clinique"
    -reponse: """
      Leucorrhées\n
      Saignements utérins anormaux\n
      Masse palée au toucher vaginal\n
      Fièvre > 38°C\n
      Douleur à la mobilisation utérine et douleur annexielle +++
      """
    -date_maj: DateTimeImmutable @1772300058 {#3872
      date: 2026-02-28 18:34:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:34:18.411Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769505964 {#3873
      date: 2026-01-27 10:26:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3877
    -id: 525
    -question: "Quel est le signe clinique qui donne un diagnostic positif d'IGH?"
    -reponse: "Douleur annexielle provoquée ou une douleur à la mobilisation utérine"
    -date_maj: DateTimeImmutable @1772300300 {#3875
      date: 2026-02-28 18:38:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:38:20.490Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769506028 {#3876
      date: 2026-01-27 10:27:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3880
    -id: 526
    -question: "Quels sont les examens complémentaires à prescrire?"
    -reponse: """
      Echo pelvienne (différencier une infection compliquée ou non compliquée)\n
      NF, CRP\n
      PV
      """
    -date_maj: DateTimeImmutable @1772300422 {#3878
      date: 2026-02-28 18:40:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:40:22.374Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769506291 {#3879
      date: 2026-01-27 10:31:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3883
    -id: 527
    -question: "De quoi est prédictif une hyperleucocytose?"
    -reponse: "Abcès tubo-ovarien"
    -date_maj: DateTimeImmutable @1772300125 {#3881
      date: 2026-02-28 18:35:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:35:25.677Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769506335 {#3882
      date: 2026-01-27 10:32:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3886
    -id: 528
    -question: "De quoi est souvent prédictif une CRP élevée?"
    -reponse: "IGH compliquée"
    -date_maj: DateTimeImmutable @1772300580 {#3884
      date: 2026-02-28 18:43:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:43:00.486Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769506380 {#3885
      date: 2026-01-27 10:33:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3889
    -id: 529
    -question: "Quel est l'examen en 2ème intention en cas IGH?"
    -reponse: "Scanner abdomino-pelvien"
    -date_maj: DateTimeImmutable @1772300641 {#3887
      date: 2026-02-28 18:44:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:44:01.336Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769506643 {#3888
      date: 2026-01-27 10:37:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3892
    -id: 530
    -question: "Comment peut on passer d'une IGB à une IGH?"
    -reponse: """
      contiguité\n
      hématogène\n
      ascendante
      """
    -date_maj: DateTimeImmutable @1772300312 {#3890
      date: 2026-02-28 18:38:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:38:32.656Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769507199 {#3891
      date: 2026-01-27 10:46:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3895
    -id: 531
    -question: "Quelle est la flore vaginale normale dominante?"
    -reponse: "Lactobacilles+++++ 10x5 - 10x7 bact/g"
    -date_maj: DateTimeImmutable @1772300649 {#3893
      date: 2026-02-28 18:44:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:44:08.932Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769507373 {#3894
      date: 2026-01-27 10:49:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3898
    -id: 532
    -question: "A combien doit être au maximum une bactérie issue de la flore digestive avant de causer un dérèglement ?"
    -reponse: "< 10x4 bact/g de sécrétions"
    -date_maj: DateTimeImmutable @1772300701 {#3896
      date: 2026-02-28 18:45:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:45:01.632Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769507606 {#3897
      date: 2026-01-27 10:53:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3901
    -id: 533
    -question: "Quelles sont les caractéristiques de la Chlamydia trachomatis?"
    -reponse: """
      Principal agent infectieux associé aux IGH\n
      8,3% homme, 4,2% femmes\n
      Dépistage entre 15 et 25 ans chez les femmes actives
      """
    -date_maj: DateTimeImmutable @1772300088 {#3899
      date: 2026-02-28 18:34:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:34:48.260Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769507874 {#3900
      date: 2026-01-27 10:57:54.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3904
    -id: 534
    -question: "Quelles sont les caractéristiques du gonocoque?"
    -reponse: """
      2ème cause d'IGH à agent d'IST\n
      Possibilité de co-infection Ng/Ct
      """
    -date_maj: DateTimeImmutable @1772300390 {#3902
      date: 2026-02-28 18:39:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:39:49.972Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769507957 {#3903
      date: 2026-01-27 10:59:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3907
    -id: 535
    -question: "Quelles sont les caractéristiques du Mycolplasma genitalium?"
    -reponse: """
      nouvelle chamydia\n
      Rechercher que les patientes porteuses d'une IST
      """
    -date_maj: DateTimeImmutable @1772300619 {#3905
      date: 2026-02-28 18:43:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:43:39.220Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508042 {#3906
      date: 2026-01-27 11:00:42.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3910
    -id: 536
    -question: "Quel est le type de prélèvement pour rechercher une IST?"
    -reponse: "PCR"
    -date_maj: DateTimeImmutable @1772300512 {#3908
      date: 2026-02-28 18:41:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:41:52.336Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508065 {#3909
      date: 2026-01-27 11:01:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3913
    -id: 537
    -question: "Quelle est la définition de la vaginose bactérienne?"
    -reponse: """
      Disparition quasi-complète des lactobacilles (flore de Döderlein) au profit d'une flore anaérobie polymorphe  = déséquilibre\n
      Développement de gardnerella vaginalis\n
      La vaginose bactérienne majore le risque d'IGH
      """
    -date_maj: DateTimeImmutable @1772300247 {#3911
      date: 2026-02-28 18:37:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:37:27.124Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508297 {#3912
      date: 2026-01-27 11:04:57.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3916
    -id: 538
    -question: "Que doit être la valeur du score de Nugent pour une flore normale?"
    -reponse: "<= 3"
    -date_maj: DateTimeImmutable @1772300748 {#3914
      date: 2026-02-28 18:45:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:45:47.881Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508337 {#3915
      date: 2026-01-27 11:05:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3919
    -id: 539
    -question: "Que doit être le score de Nugent en cas de flore intermédiaire?"
    -reponse: "Score compris entre 4 et 6"
    -date_maj: DateTimeImmutable @1772300018 {#3917
      date: 2026-02-28 18:33:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:33:38.111Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508364 {#3918
      date: 2026-01-27 11:06:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3922
    -id: 540
    -question: "Que doit être le score de nugent en cas de flore évocatrice d'une vaginose bactérienne?"
    -reponse: """
      Score entre 7 et 10\n
      On traite par seknol puis on met des probiotiques
      """
    -date_maj: DateTimeImmutable @1772300520 {#3920
      date: 2026-02-28 18:42:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:42:00.089Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508433 {#3921
      date: 2026-01-27 11:07:13.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3925
    -id: 541
    -question: "Quelles sont les principales espèces considérées comme pathogènes opportunistes?"
    -reponse: """
      Cocci à gram +\n
      Entérobactéries\n
      Anaérobies
      """
    -date_maj: DateTimeImmutable @1772300001 {#3923
      date: 2026-02-28 18:33:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:33:20.964Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769508852 {#3924
      date: 2026-01-27 11:14:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3928
    -id: 542
    -question: "Quels sont les différentes écouvillons de prélèvement?"
    -reponse: """
      Ecouvillon sec = score de nugent\n
      Ecouvillon prélèvement sur milieu de culture (streptocoque ...)\n
      PCR au niveau endocervical sous spéculum pour les IST \n
      """
    -date_maj: DateTimeImmutable @1772300683 {#3926
      date: 2026-02-28 18:44:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:44:43.032Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769509125 {#3927
      date: 2026-01-27 11:18:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3931
    -id: 543
    -question: "Est ce que la culture d'un abcès tube-ovarien est fréquemment polymicrobinne?"
    -reponse: "oui"
    -date_maj: DateTimeImmutable @1772300498 {#3929
      date: 2026-02-28 18:41:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:41:37.890Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510029 {#3930
      date: 2026-01-27 11:33:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3934
    -id: 544
    -question: "Quels sont les critères d'hospitalisation en cas d'IGH non compliquée?"
    -reponse: """
      Doute sur une forme compliquée\n
      Sévérité des symptômes\n
      TD\n
      Situation psychologique ou sociale\n
      Grossesse\n
      Echec d'un ttt oral d'IGH
      """
    -date_maj: DateTimeImmutable @1772299958 {#3932
      date: 2026-02-28 18:32:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:32:38.579Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510206 {#3933
      date: 2026-01-27 11:36:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3937
    -id: 545
    -question: "Quel est le ttt de 1ère intention en cas IGH non compliquées simples?"
    -reponse: """
      Ceftriaxone 1g IM 1 fois\n
      Doxycycline 100mg x 2/j PO 10j\n
      Métronidazole 500 mg x 2/j PO 10j
      """
    -date_maj: DateTimeImmutable @1772300284 {#3935
      date: 2026-02-28 18:38:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:38:04.174Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510303 {#3936
      date: 2026-01-27 11:38:23.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3940
    -id: 546
    -question: "Quels sont les ttt de 1ère intention en cas d'IGH non compliquée intermédiaire?"
    -reponse: """
      Ceftriaxoxne 1g IM, IV  1 fois\n
      Doxycycline 100mg x 2/j IV, PO 10j\n
      Métronidazole 500 mg x 2/j IV, PO 10j
      """
    -date_maj: DateTimeImmutable @1772300207 {#3938
      date: 2026-02-28 18:36:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:36:46.875Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510357 {#3939
      date: 2026-01-27 11:39:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3943
    -id: 547
    -question: "Quel est le ttt des IGH compliquées?"
    -reponse: """
      Trithérapie:\n
      Ceftriaxoxne 1-2g/j IV 3semaines\n
      Doxycycline 100mg x 2/j IV, PO \n
      Métronidazole 500 mg x 3/j IV, PO \n
      \n
      Relais PO au bout de 48h d'apyrexie --> 3 semaines au total d'antibiothérapie
      """
    -date_maj: DateTimeImmutable @1772300572 {#3941
      date: 2026-02-28 18:42:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:42:52.102Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510581 {#3942
      date: 2026-01-27 11:43:01.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3946
    -id: 548
    -question: "Comment est traité le partenaire en cas d'IST?"
    -reponse: "Doxycycline pendant 10 jours"
    -date_maj: DateTimeImmutable @1772300260 {#3944
      date: 2026-02-28 18:37:40.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:37:40.693Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769510902 {#3945
      date: 2026-01-27 11:48:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3949
    -id: 549
    -question: "Quelle est la fréquence des récidives d'IGH?"
    -reponse: "15 à 21%"
    -date_maj: DateTimeImmutable @1772300492 {#3947
      date: 2026-02-28 18:41:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:41:32.519Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769511041 {#3948
      date: 2026-01-27 11:50:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3952
    -id: 550
    -question: "Au bout de combien de temps recontrôle-t-on en cas d'IGH associée à une IST?"
    -reponse: "PV 3 à 6 mois après le ttt d'une IGH associée à CT et/ou MG est recommandé pour éliminer une infection persistante ou une réinfection"
    -date_maj: DateTimeImmutable @1772300404 {#3950
      date: 2026-02-28 18:40:04.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:40:04.838Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769511195 {#3951
      date: 2026-01-27 11:53:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3955
    -id: 551
    -question: "Quel est le pourcentage du risque d'infertilité après une IGH?"
    -reponse: """
      19%\n
      50% d'infertilité après 3 IGH
      """
    -date_maj: DateTimeImmutable @1772300626 {#3953
      date: 2026-02-28 18:43:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:43:46.500Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769511583 {#3954
      date: 2026-01-27 11:59:43.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3958
    -id: 552
    -question: "Quels sont les risques principaux d'une IGH?"
    -reponse: """
      GEU\n
      Infertilité
      """
    -date_maj: DateTimeImmutable @1772300657 {#3956
      date: 2026-02-28 18:44:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-02-28T17:44:16.933Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769511857 {#3957
      date: 2026-01-27 12:04:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3855 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3961
    -id: 553
    -question: "A partir de quel IMC pouvons nous orienter les femmes vers de la chirurgie bariatrique?"
    -reponse: "IMC > 40"
    -date_maj: DateTimeImmutable @1773329461 {#3959
      date: 2026-03-12 16:31:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:31:01.096Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769515820 {#3960
      date: 2026-01-27 13:10:20.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3967
    -id: 554
    -question: "A quel IMC parle-t-on de surpoids,"
    -reponse: "25 à 29,99"
    -date_maj: DateTimeImmutable @1773329495 {#3965
      date: 2026-03-12 16:31:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:31:35.713Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769515895 {#3966
      date: 2026-01-27 13:11:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3970
    -id: 555
    -question: "A quel IMC parle-t-on d'obésité de classe 1?"
    -reponse: "de 30 à 34,99"
    -date_maj: DateTimeImmutable @1773329657 {#3968
      date: 2026-03-12 16:34:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:34:17.660Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769515918 {#3969
      date: 2026-01-27 13:11:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3973
    -id: 556
    -question: "Quels sont les FDR de l'obésité?"
    -reponse: """
      Faibles revenus\n
      Nord et Est de la France
      """
    -date_maj: DateTimeImmutable @1773329667 {#3971
      date: 2026-03-12 16:34:27.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:34:27.479Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769515955 {#3972
      date: 2026-01-27 13:12:35.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#3976
    -id: 557
    -question: "Quels sont les EI sur la qualité de vie de l'obésité?"
    -reponse: """
      Dyslipidémie\n
      DT2\n
      HTA\n
      Cancer\n
      Asthme, apnée du sommeil\n
      Pathologies ostéo-articulaires\n
      Reflux, lithiase, \n
      Dépression majeure\n
      Altération de la qualité de vie
      """
    -date_maj: DateTimeImmutable @1773329489 {#3974
      date: 2026-03-12 16:31:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:31:29.213Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769516145 {#3975
      date: 2026-01-27 13:15:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3979
    -id: 558
    -question: "Quelles sont les situations pour lesquelles on peut proposer une chirurgie?"
    -reponse: """
      IMC>= 40\n
      IMC >= 35 avec au moins une comorbidité sévère\n
      En 2ème intention après échec d'un ttt médical, nutritionnel...
      """
    -date_maj: DateTimeImmutable @1773329695 {#3977
      date: 2026-03-12 16:34:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:34:55.093Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769516427 {#3978
      date: 2026-01-27 13:20:27.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3982
    -id: 559
    -question: "Quelles sont les techniques restrictives?"
    -reponse: """
      Anneau gastrique ajustable\n
      Gastrectomie longitudinale ou Sleeve\n
      Gastropastie verticale calibrée
      """
    -date_maj: DateTimeImmutable @1773329682 {#3980
      date: 2026-03-12 16:34:42.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:34:42.693Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769516666 {#3981
      date: 2026-01-27 13:24:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3985
    -id: 560
    -question: "Quelles ont les techniques chirurgicales mixtes?"
    -reponse: """
      Bypass\n
      Dérivation biliopancréatique
      """
    -date_maj: DateTimeImmutable @1773329523 {#3983
      date: 2026-03-12 16:32:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:32:03.745Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769516695 {#3984
      date: 2026-01-27 13:24:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3988
    -id: 561
    -question: "Quels sont les bénéfices d'une chirurgie bariatrique chez la femme enceinte?"
    -reponse: """
      DG\n
      HTA gravidique et PE
      """
    -date_maj: DateTimeImmutable @1773329531 {#3986
      date: 2026-03-12 16:32:11.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:32:11.112Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769517511 {#3987
      date: 2026-01-27 13:38:31.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#3991
    -id: 562
    -question: "Quels sont les effets délétères de la chirurgie bariatrique?"
    -reponse: """
      Accouchement prématuré\n
      PAG, RCIU\n
      Carences
      """
    -date_maj: DateTimeImmutable @1773329510 {#3989
      date: 2026-03-12 16:31:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:31:50.079Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769517588 {#3990
      date: 2026-01-27 13:39:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3994
    -id: 563
    -question: "Quels sont les ttt CI après une chirurgie bariatrique?"
    -reponse: "aspirines, corticoïdes"
    -date_maj: DateTimeImmutable @1773329456 {#3992
      date: 2026-03-12 16:30:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:30:56.013Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769517667 {#3993
      date: 2026-01-27 13:41:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#3997
    -id: 564
    -question: "Quel est le suivi obstétrical supplémentaire en cas de chirurgie bariatrique?"
    -reponse: """
      Echo de datation entre 8-10 SA\n
      Echo vers 18 SA: bilan pré-morphologique\n
      Echo 27-28 SA morphologie de croissance\n
      Echo biométrie vers 37 SA --> Dépistage PAG
      """
    -date_maj: DateTimeImmutable @1773329634 {#3995
      date: 2026-03-12 16:33:54.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:33:54.177Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769518041 {#3996
      date: 2026-01-27 13:47:21.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4000
    -id: 565
    -question: "Quelle est la supplémentation multi vitaminique en cas de chirurgie bariatrique et de grossesse?"
    -reponse: """
      Vit B12\n
      B9\n
      Vit D\n
      Zinc\n
      Fer\n
      Protéines
      """
    -date_maj: DateTimeImmutable @1773329649 {#3998
      date: 2026-03-12 16:34:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-12T15:34:09.294Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769518470 {#3999
      date: 2026-01-27 13:54:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3963 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4003
    -id: 566
    -question: "Quelles sont les différentes catégories de vaccin?"
    -reponse: """
      Vaccins vivants\n
      Vaccins tués\n
      Vaccins inactivés\n
      Vaccins avec adjuvant
      """
    -date_maj: DateTimeImmutable @1773069638 {#4001
      date: 2026-03-09 16:20:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:20:38.018Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769518938 {#4002
      date: 2026-01-27 14:02:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4009
    -id: 567
    -question: "Quels sont les vaccins possibles durant la grossesse?"
    -reponse: """
      Vaccin grippal = influvac\n
      Vaccin covid\n
      Vaccin coqueluche = repevax, boostrix\n
      Vaccin VRS = abrysvo. -> AC monoclonaux beyfortus chez le NN si vaccination-naissance < 14j\n
      Vaccin fièvre jaune si pas le choix quelque soit le terme
      """
    -date_maj: DateTimeImmutable @1773069782 {#4007
      date: 2026-03-09 16:23:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:23:01.879Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769519784 {#4008
      date: 2026-01-27 14:16:24.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4012
    -id: 568
    -question: "Quels sont les vaccins CI durant la grossesse?"
    -reponse: """
      Gardasil\n
      ROR
      """
    -date_maj: DateTimeImmutable @1773069729 {#4010
      date: 2026-03-09 16:22:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:22:09.583Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769519968 {#4011
      date: 2026-01-27 14:19:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4015
    -id: 569
    -question: "Quels sont les vaccins entres les grossesses?"
    -reponse: """
      Varicelle\n
      Rubéole
      """
    -date_maj: DateTimeImmutable @1773069790 {#4013
      date: 2026-03-09 16:23:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:23:10.329Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769520254 {#4014
      date: 2026-01-27 14:24:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4018
    -id: 570
    -question: "Quels sont les ttt à haut risque tératogène CI durant la grossesse?"
    -reponse: """
      Isotrétinoïne - contracné\n
      Méthotrexate\n
      Misoprostol-Misoone\n
      Acitrétine-Soriatane\n
      Acide valproïque-Dépakine
      """
    -date_maj: DateTimeImmutable @1773069706 {#4016
      date: 2026-03-09 16:21:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:21:46.366Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769522164 {#4017
      date: 2026-01-27 14:56:04.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4021
    -id: 571
    -question: "Quelles sont les dépendances associées à un risque malformatif?"
    -reponse: """
      Alcool\n
      Cocaïne\n
      Tabac
      """
    -date_maj: DateTimeImmutable @1773069748 {#4019
      date: 2026-03-09 16:22:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:22:28.679Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769522839 {#4020
      date: 2026-01-27 15:07:19.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4024
    -id: 572
    -question: "Quelle est la conséquence la plus fréquente liée à la consommation de cannabis pendant la grossesse?"
    -reponse: "Syndrome de sevrage néonatal"
    -date_maj: DateTimeImmutable @1773069761 {#4022
      date: 2026-03-09 16:22:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-09T15:22:41.262Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769522958 {#4023
      date: 2026-01-27 15:09:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4005 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4027
    -id: 573
    -question: "Quel est la proportion de femmes atteintes de SOPK?"
    -reponse: "5 à 10%\n"
    -date_maj: DateTimeImmutable @1772635221 {#4025
      date: 2026-03-04 15:40:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:40:21.453Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772258 {#4026
      date: 2026-01-30 12:24:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4033
    -id: 574
    -question: "Quels sont les chiffres important à retenir concernant le SOPK?"
    -reponse: """
      50% de risque de développer un DT2  ou un prédiabète avant 40 ans\n
      3x plus de risques d'avoir un cancer de l'endomètre\n
      50% des SOPK ne sont pas diagnostiqués\n
      75% des femmes atteintes de SOPK sont touchées par l'infertilité
      """
    -date_maj: DateTimeImmutable @1772635729 {#4031
      date: 2026-03-04 15:48:49.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:48:48.824Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772407 {#4032
      date: 2026-01-30 12:26:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4036
    -id: 575
    -question: "Quels sont les 3 principaux signes du SOPK?"
    -reponse: """
      Infertilité\n
      Signes d'hyperandrogénie\n
      Troubles du cycle\n
      \n
      Au moins 2 des 3 critères
      """
    -date_maj: DateTimeImmutable @1772635916 {#4034
      date: 2026-03-04 15:51:56.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:51:56.637Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772538 {#4035
      date: 2026-01-30 12:28:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4039
    -id: 576
    -question: "Quels sont les critères de Rotterdam?"
    -reponse: """
      Troubles du cycle: aménorrhée, oligo-spanioménorrhée\n
      OPK échographique\n
      Signes d'hyperandrogénie clinique et/ou biologique
      """
    -date_maj: DateTimeImmutable @1772636157 {#4037
      date: 2026-03-04 15:55:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:55:56.850Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772690 {#4038
      date: 2026-01-30 12:31:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4042
    -id: 577
    -question: "Quelle est la définition d'une aménorrhée primaire?"
    -reponse: "Absence de règle après 15 ans avec développement normal des caractères sexuels secondaires"
    -date_maj: DateTimeImmutable @1772635375 {#4040
      date: 2026-03-04 15:42:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:42:55.783Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772735 {#4041
      date: 2026-01-30 12:32:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4045
    -id: 578
    -question: "Quelle est la définition d'une aménorrhée secondaire?"
    -reponse: "Arrêt des cycles > 3 mois chez une femme antérieurement réglée"
    -date_maj: DateTimeImmutable @1772635626 {#4043
      date: 2026-03-04 15:47:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:47:06.859Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772771 {#4044
      date: 2026-01-30 12:32:51.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4048
    -id: 579
    -question: "Quelle est la définition d'une aménorrhée primo-secondaire?"
    -reponse: "Arrêt après un unique épisode menstruel suivi d'une aménorrhée "
    -date_maj: DateTimeImmutable @1772636169 {#4046
      date: 2026-03-04 15:56:09.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:56:09.466Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772808 {#4047
      date: 2026-01-30 12:33:28.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4051
    -id: 580
    -question: "Quelle est la définition d'un oligospanioménorrhée?"
    -reponse: "Cycles > 45j avec menstruations de faibles abondance"
    -date_maj: DateTimeImmutable @1772635846 {#4049
      date: 2026-03-04 15:50:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:50:46.572Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772866 {#4050
      date: 2026-01-30 12:34:26.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4054
    -id: 581
    -question: "Quelle est la définition d'un cycle court?"
    -reponse: "< 25jours"
    -date_maj: DateTimeImmutable @1772636362 {#4052
      date: 2026-03-04 15:59:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:59:22.371Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772886 {#4053
      date: 2026-01-30 12:34:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4057
    -id: 582
    -question: "Quelle est la définition d'un cycle long?"
    -reponse: "35-45 jours"
    -date_maj: DateTimeImmutable @1772636092 {#4055
      date: 2026-03-04 15:54:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:54:52.534Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769772908 {#4056
      date: 2026-01-30 12:35:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4060
    -id: 583
    -question: "Dans quelle conditions un cycle est anormal?"
    -reponse: """
      + de 3 ans après les 1ères règles: cycles < 21j ou > 35j ou < 8 cycles/an\n
      -dans les 3 ans qui suivent les 1ères réglas: cycles < 21j ou > 45j\n
      -plus d'un an après les 1ères règles: cycle > 90j\n
      -aménorrhée primaire si âge > 15 ans ou > 3 ans après le dévelo
      """
    -date_maj: DateTimeImmutable @1772636087 {#4058
      date: 2026-03-04 15:54:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:54:47.618Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773278 {#4059
      date: 2026-01-30 12:41:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4063
    -id: 584
    -question: "Quels sont les 2 rôles des androgènes?"
    -reponse: """
      - production des hormones féminines\n
      - freiner l'ovulation
      """
    -date_maj: DateTimeImmutable @1772636357 {#4061
      date: 2026-03-04 15:59:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:59:17.671Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773552 {#4062
      date: 2026-01-30 12:45:52.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4066
    -id: 585
    -question: "Quels sont les 2 critères échographies pour parler d'OPK?"
    -reponse: """
      > 12 follicules par ovaires\n
      volume ovarien > 10ml\n
      \n
      +/- follicules en périphérie avec stroma dense
      """
    -date_maj: DateTimeImmutable @1772636232 {#4064
      date: 2026-03-04 15:57:12.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:57:12.156Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773628 {#4065
      date: 2026-01-30 12:47:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4069
    -id: 586
    -question: "Quels sont les signes d'hyperandrogénie?"
    -reponse: """
      acné, pilosité, alopécie androgénique, hirsutisme\n
      Score de ferriman et gallway > 6
      """
    -date_maj: DateTimeImmutable @1772635359 {#4067
      date: 2026-03-04 15:42:39.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:42:39.431Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773717 {#4068
      date: 2026-01-30 12:48:37.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4072
    -id: 587
    -question: "Quelle est la biologie à réaliser en cas d'hyperandrogénie?"
    -reponse: """
      DHEA\n
      SDHEA\n
      D4-androstènedione\n
      Testostérone totale, libre
      """
    -date_maj: DateTimeImmutable @1772635486 {#4070
      date: 2026-03-04 15:44:46.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:44:45.780Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773807 {#4071
      date: 2026-01-30 12:50:07.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4075
    -id: 588
    -question: "Quelle est la norme de la testostérone totale libre si SOPK improbable?"
    -reponse: "< 0,6ng/ml"
    -date_maj: DateTimeImmutable @1772636188 {#4073
      date: 2026-03-04 15:56:28.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:56:27.984Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773848 {#4074
      date: 2026-01-30 12:50:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4078
    -id: 589
    -question: "Quelle est la norme de la testostérone totale libre si SOPK possible?"
    -reponse: "entre 0,6 et 1 ng/ml"
    -date_maj: DateTimeImmutable @1772635950 {#4076
      date: 2026-03-04 15:52:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:52:29.953Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773959 {#4077
      date: 2026-01-30 12:52:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4081
    -id: 590
    -question: "Quelle est la norme de la testostérone totale libre si SOPK ?"
    -reponse: "> 1,5ng/ml"
    -date_maj: DateTimeImmutable @1772636203 {#4079
      date: 2026-03-04 15:56:43.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:56:43.288Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769773989 {#4080
      date: 2026-01-30 12:53:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4084
    -id: 591
    -question: "Quels sont les autres éléments qui peuvent aider au diagnostic du SOPK?"
    -reponse: """
      Dosage AMH (augmenté), LH (augmenté), E2, FSH (normaux)\n
      Hyperinsulinisme, insulinorésistance, obésité
      """
    -date_maj: DateTimeImmutable @1772635934 {#4082
      date: 2026-03-04 15:52:14.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:52:13.887Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769774225 {#4083
      date: 2026-01-30 12:57:05.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4087
    -id: 592
    -question: "Quels sont les critères métaboliques qui sont en faveur du diagnostic SOPK?"
    -reponse: """
      Tour de taille > 88cm\n
      Triglycérides >= 1,5g/L\n
      HDL cholestérol < 0,5g/L\n
      TA >= 130/85 mmHg\n
      Intolérance au glucose (GAJ: 1-1,26), voire DT2
      """
    -date_maj: DateTimeImmutable @1772635617 {#4085
      date: 2026-03-04 15:46:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:46:57.463Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769774461 {#4086
      date: 2026-01-30 13:01:01.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4090
    -id: 593
    -question: "Quels sont les diagnostics différentiels du SOPK?"
    -reponse: """
      Bloc en 21 hydroxylase à révélation tardive\n
      Tumeur ovarienne ou surrénalienne
      """
    -date_maj: DateTimeImmutable @1772636343 {#4088
      date: 2026-03-04 15:59:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:59:03.204Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769774979 {#4089
      date: 2026-01-30 13:09:39.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4093
    -id: 594
    -question: "Quels sont les ttt envisageables pour une femme atteinte de SOPK?"
    -reponse: """
      Duphaston 3-4x/an -> Lutte contre l'hypertrophie de l'endomètre\n
      Pilule oestre-progestative de 2ème génération -> régulariser les cycles\n
      Androcur -> diminuer l'hyperandrogénie\n
      Spironolactone\n
      Clomid -> stimulation ovarienne\n
      """
    -date_maj: DateTimeImmutable @1772635841 {#4091
      date: 2026-03-04 15:50:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:50:40.755Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769775233 {#4092
      date: 2026-01-30 13:13:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4096
    -id: 595
    -question: "Quele est le principal risque d'androcur?"
    -reponse: "Méningiome cérébral"
    -date_maj: DateTimeImmutable @1772635941 {#4094
      date: 2026-03-04 15:52:21.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T14:52:21.653Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769775258 {#4095
      date: 2026-01-30 13:14:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4029 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4099
    -id: 596
    -question: "Quelle est la définition des règles?"
    -reponse: "Desquamation de l'endomètre décidualisé suite à la chute de sécrétion de progestérone par le corps jaune quand il n'y a pas eu d'implantation de l'embryon."
    -date_maj: DateTimeImmutable @1772623118 {#4097
      date: 2026-03-04 12:18:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:18:38.362Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769775887 {#4098
      date: 2026-01-30 13:24:47.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4105
    -id: 597
    -question: "Quels sont les 3 niveaux d'atteintes possibles en cas d'aménorrhées?"
    -reponse: """
      Origine centrale\n
      Origine ovarienne\n
      Anomalie du tractus reproducteur
      """
    -date_maj: DateTimeImmutable @1772623522 {#4103
      date: 2026-03-04 12:25:22.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:25:22.670Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776126 {#4104
      date: 2026-01-30 13:28:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4108
    -id: 598
    -question: "A quoi correspond une aménorrhée hypo-gonadotrope?"
    -reponse: """
      Taux de FSH et LH bas ou anormalement normaux\n
      Oestradiol bas\n
      GnRH bas
      """
    -date_maj: DateTimeImmutable @1772623218 {#4106
      date: 2026-03-04 12:20:18.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:20:18.206Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776268 {#4107
      date: 2026-01-30 13:31:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4111
    -id: 599
    -question: "Quelle est la définition d'anosmie?"
    -reponse: """
      Sd de Kallmann Morsier = absence d'odorat\n
      Bulbes olfactifs absents ou hyploplasiques
      """
    -date_maj: DateTimeImmutable @1772623469 {#4109
      date: 2026-03-04 12:24:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:24:29.075Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776428 {#4110
      date: 2026-01-30 13:33:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4114
    -id: 600
    -question: "De quelles origines peuvent être une atteinte hypothalamique centrale ?"
    -reponse: "Congénitale ou acquise"
    -date_maj: DateTimeImmutable @1772623096 {#4112
      date: 2026-03-04 12:18:16.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:18:15.861Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776572 {#4113
      date: 2026-01-30 13:36:12.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4117
    -id: 601
    -question: "Quelles sont les causes iatrogènes possibles qui causent une atteinte centrales hypothalamiques acquises?"
    -reponse: "Opioïdes, anti-épileptique"
    -date_maj: DateTimeImmutable @1772623250 {#4115
      date: 2026-03-04 12:20:50.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:20:50.131Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776652 {#4116
      date: 2026-01-30 13:37:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4120
    -id: 602
    -question: "Quelles peuvent être les causes d'une aménorrhée due à une atteinte hypophysaire centrale?"
    -reponse: """
      hyperprolactinémie\n
      maladies infiltrations/ auto-immunes\n
      atcd de trauma/chirurgie hypophysaire\n
      sd de Sheelan\n
      mutations génétiques de FSH/LH ou de leur récepteur 
      """
    -date_maj: DateTimeImmutable @1772623375 {#4118
      date: 2026-03-04 12:22:55.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:22:55.558Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1769776975 {#4119
      date: 2026-01-30 13:42:55.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4123
    -id: 603
    -question: "A quoi correspond le sd de Sheehan?"
    -reponse: "Nécrose anté-hypophysaire après collapsus vasculaire dans le cadre d'une hémorragie du PP"
    -date_maj: DateTimeImmutable @1772623650 {#4121
      date: 2026-03-04 12:27:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:30.301Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770720889 {#4122
      date: 2026-02-10 11:54:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4126
    -id: 604
    -question: "Quelle est la cause la plus fréquente d'anovulation?"
    -reponse: "SOPK"
    -date_maj: DateTimeImmutable @1772623153 {#4124
      date: 2026-03-04 12:19:13.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:19:12.974Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770720974 {#4125
      date: 2026-02-10 11:56:14.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4129
    -id: 605
    -question: "Quels sont les critères de Rotterdam?"
    -reponse: """
      Trouble du cycle\n
      Hyperandrogénie clinique ou biologique\n
      > 15 follicules / ovaire en échographie ou AMH > 30 pmol/L
      """
    -date_maj: DateTimeImmutable @1772623592 {#4127
      date: 2026-03-04 12:26:32.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:26:32.118Z"
          "etat" => -1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770721061 {#4128
      date: 2026-02-10 11:57:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2358 …}
  }
  App\Entity\Flashcards {#4132
    -id: 606
    -question: "Quelle est la définition d'une insuffisance ovarienne prématuré?"
    -reponse: "Survenue < 40 ans d'une aménorrhée persistant plus de 4 mois associée à une FSH > 25UI/L sur 2 dosages et un sd climatérique"
    -date_maj: DateTimeImmutable @1772623441 {#4130
      date: 2026-03-04 12:24:01.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:24:01.007Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770721238 {#4131
      date: 2026-02-10 12:00:38.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4135
    -id: 607
    -question: "Quelles peuvent être les causes congénitales d'une aménorrhée primaire causées par le tractus?"
    -reponse: """
      Imperforation hyménéale\n
      Cloison vaginale transversale\n
      Atrésie vaginale isolée\n
      Agénésie de l'utérus\n
      Sd d'insensibilité complète aux androgènes
      """
    -date_maj: DateTimeImmutable @1772623538 {#4133
      date: 2026-03-04 12:25:38.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:25:38.554Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770721712 {#4134
      date: 2026-02-10 12:08:32.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4138
    -id: 608
    -question: "Quel est le bilan para clinique à réaliser en cas d'aménorrhée primaire?"
    -reponse: """
      HCG\n
      FSH, LH, estradiol\n
      PRL, TSH, testo totale, delta 4 androstenedione, SDHA, 17 OHP\n
      Age osseux\n
      Caryotype\n
      Echographie pelvienne\n
      IRM pelvienne
      """
    -date_maj: DateTimeImmutable @1772623613 {#4136
      date: 2026-03-04 12:26:53.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:26:53.705Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770721848 {#4137
      date: 2026-02-10 12:10:48.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4141
    -id: 609
    -question: "Que dose-t-on en cas d'aménorrhée secondaire?"
    -reponse: """
      FSH, oestradiol, LH\n
      Prolactine\n
      Testostérone totale et 17OH-progestérone\n
      Hormone anti mullerienne\n
      Echo pelvienne
      """
    -date_maj: DateTimeImmutable @1772623410 {#4139
      date: 2026-03-04 12:23:30.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:23:30.275Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722265 {#4140
      date: 2026-02-10 12:17:45.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4144
    -id: 610
    -question: "Quelle est la définition des menstruations normales?"
    -reponse: """
      3-6jours\n
      Perte sanguines < 80ml
      """
    -date_maj: DateTimeImmutable @1772623229 {#4142
      date: 2026-03-04 12:20:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:20:28.890Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722493 {#4143
      date: 2026-02-10 12:21:33.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4147
    -id: 611
    -question: "Quelle est la définition des métrorragies?"
    -reponse: "Saignements génitaux entre les périodes de menstruation"
    -date_maj: DateTimeImmutable @1772623383 {#4145
      date: 2026-03-04 12:23:03.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:23:03.222Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722530 {#4146
      date: 2026-02-10 12:22:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4150
    -id: 612
    -question: "Quelle est la définition des ménorragies?"
    -reponse: "Menstruations trop abondantes en volume ou en durée"
    -date_maj: DateTimeImmutable @1772623635 {#4148
      date: 2026-03-04 12:27:15.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:15.653Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722556 {#4149
      date: 2026-02-10 12:22:36.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4153
    -id: 613
    -question: "Quelle est la définition de ménométrorragies?"
    -reponse: "Association de ménorragies et métrorragies"
    -date_maj: DateTimeImmutable @1772623127 {#4151
      date: 2026-03-04 12:18:47.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:18:46.957Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722589 {#4152
      date: 2026-02-10 12:23:09.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4156
    -id: 614
    -question: "Quelle est la définition d'un adénomyose?"
    -reponse: """
      Prolifération de l'endomètre à l'intérieur du myomètre\n
      Symptomatologie variable\n
      Asymptomatique dans 1/3 des cas
      """
    -date_maj: DateTimeImmutable @1772623175 {#4154
      date: 2026-03-04 12:19:35.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:19:35.574Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770722876 {#4155
      date: 2026-02-10 12:27:56.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4159
    -id: 615
    -question: "Quelle est la définition d'un myome utérin?"
    -reponse: """
      Tumeur bénigne de l'utérus, constitué de fibres musculaires \n
      20-30% des femmes de plus de 35 ans\n
      Asymptomatique dans 50% des cas\n
      Troubles du cycle voire syndrome de masse pelvienne
      """
    -date_maj: DateTimeImmutable @1772623668 {#4157
      date: 2026-03-04 12:27:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:48.101Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770723006 {#4158
      date: 2026-02-10 12:30:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4162
    -id: 616
    -question: "A quoi correspond un polype endométrial?"
    -reponse: """
      Excroissance qui se développe aux dépends de l'endomètre\n
      En général asymptomatiques mais peuvent entraîner des troubles du cycles\n
      5% évoluent en cancer de l'endomètre
      """
    -date_maj: DateTimeImmutable @1772623677 {#4160
      date: 2026-03-04 12:27:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:56.968Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770723209 {#4161
      date: 2026-02-10 12:33:29.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4165
    -id: 617
    -question: "Quelle est la définition d'une hyperplasie endométriale?"
    -reponse: """
      Prolifération excessive du tissu endométriale par multiplication cellulaire\n
      Contexte d'hyper oestrogénie relative\n
      Hyperplasie endométriale sans atypies / avec atypies\n
      Asymptomatique, troubles du cycles 
      """
    -date_maj: DateTimeImmutable @1772623397 {#4163
      date: 2026-03-04 12:23:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:23:16.972Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770723428 {#4164
      date: 2026-02-10 12:37:08.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4168
    -id: 618
    -question: "Quel est le 4ème cancer chez la femme?"
    -reponse: "Cancer de l'endomètre"
    -date_maj: DateTimeImmutable @1772622985 {#4166
      date: 2026-03-04 12:16:25.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:16:25.597Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770724319 {#4167
      date: 2026-02-10 12:51:59.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4171
    -id: 619
    -question: "Quelle est la définition de l'ectropion?"
    -reponse: "Eversion de la muqueuse glandulaire endocervicale"
    -date_maj: DateTimeImmutable @1772623686 {#4169
      date: 2026-03-04 12:28:06.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:28:05.837Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770724733 {#4170
      date: 2026-02-10 12:58:53.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4174
    -id: 620
    -question: "Quel est le ttt pouvant causer les métroragies?"
    -reponse: "Anti coagulant"
    -date_maj: DateTimeImmutable @1772623630 {#4172
      date: 2026-03-04 12:27:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:10.185Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770724998 {#4173
      date: 2026-02-10 13:03:18.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4177
    -id: 621
    -question: "Quelles sont les maladies systémiques pouvant causer des métrorragies?"
    -reponse: """
      Hypothyroïdie\n
      Lupus érythémateux disséminé\n
      Insuffisance rénale chronique\n
      Insuffisance hépatique
      """
    -date_maj: DateTimeImmutable @1772623508 {#4175
      date: 2026-03-04 12:25:08.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:25:08.170Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770725106 {#4176
      date: 2026-02-10 13:05:06.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4180
    -id: 622
    -question: "Quel est le bilan biologique de première intention en cas de métrorragies?"
    -reponse: """
      HCG, nfs, TP, TCA, facteurs de willebrand\n
      Bilan martial et CRP
      """
    -date_maj: DateTimeImmutable @1772623199 {#4178
      date: 2026-03-04 12:19:59.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:19:59.339Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770725326 {#4179
      date: 2026-02-10 13:08:46.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4183
    -id: 623
    -question: "Quelle est l'imagerie de première intention en cas de métrorragies?"
    -reponse: "Echographie pelvienne "
    -date_maj: DateTimeImmutable @1772623132 {#4181
      date: 2026-03-04 12:18:52.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:18:52.494Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770725370 {#4182
      date: 2026-02-10 13:09:30.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4186
    -id: 624
    -question: "Quelle est la définition d'une douleur pelvienne aiguë?"
    -reponse: """
      Douleur évoluant depuis < 1 mois\n
      Hypogastre et/ou FIG et/ou FID
      """
    -date_maj: DateTimeImmutable @1772623622 {#4184
      date: 2026-03-04 12:27:02.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:27:02.517Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770725596 {#4185
      date: 2026-02-10 13:13:16.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4189
    -id: 625
    -question: "Quels sont les 4 diagnostics principaux des douleurs pelviennes aigues?"
    -reponse: """
      GEU\n
      Torsion d'annexe\n
      IGH\n
      Appendicite aigue
      """
    -date_maj: DateTimeImmutable @1772623008 {#4187
      date: 2026-03-04 12:16:48.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:16:48.065Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770725698 {#4188
      date: 2026-02-10 13:14:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4192
    -id: 626
    -question: "Quels sont les signes cliniques d'un kyste hémorragique?"
    -reponse: """
      Douleur brutale, parfois provoquée\n
      TV masse hyperalgique LU\n
      Image de kyste ovarien hétérogène +/- épanchement Douglas \n
      ATG et repos
      """
    -date_maj: DateTimeImmutable @1772623424 {#4190
      date: 2026-03-04 12:23:44.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:23:44.388Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770726281 {#4191
      date: 2026-02-10 13:24:41.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4195
    -id: 627
    -question: "Quels sont les signes cliniques de la torsion d'annexe?"
    -reponse: """
      Douleur brutale "en coup de poignard" + signes digestifs\n
      Notion de kyte de l'ovaire\n
      TV masse hyperalgique LU\n
      Image de kyste ovarien non vascularisé\n
      TTT = coelioscopie
      """
    -date_maj: DateTimeImmutable @1772623700 {#4193
      date: 2026-03-04 12:28:20.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:28:20.682Z"
          "etat" => 2
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770726382 {#4194
      date: 2026-02-10 13:26:22.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2343 …}
  }
  App\Entity\Flashcards {#4198
    -id: 628
    -question: "Quelles sont signes cliniques d'une IGH?"
    -reponse: """
      Douleurs progressive, +/- hyperthermie, +/- leucorrhée purulentes / mtr\n
      TV douleur annexielle provoquée/ douleur à la MU\n
      ttt : ATB
      """
    -date_maj: DateTimeImmutable @1772623071 {#4196
      date: 2026-03-04 12:17:51.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:17:50.981Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770726709 {#4197
      date: 2026-02-10 13:31:49.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4201
    -id: 629
    -question: "Quelle est la définition d'une douleur chronique?"
    -reponse: ""
    -date_maj: DateTimeImmutable @1772623077 {#4199
      date: 2026-03-04 12:17:57.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:17:57.325Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770726735 {#4200
      date: 2026-02-10 13:32:15.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4204
    -id: 630
    -question: "Quelle est la définition d'une douleur chronique?"
    -reponse: """
      Douleur pelvienne datant de > 6 mois\n
      Echo pelvienne ++
      """
    -date_maj: DateTimeImmutable @1772623181 {#4202
      date: 2026-03-04 12:19:41.0 Europe/Paris (+01:00)
    }
    -histo_etat: [
      "reviews" => [
        [
          "date" => "2026-03-04T11:19:40.990Z"
          "etat" => 1
        ]
      ]
    ]
    -ordre: 1
    -date_creation: DateTimeImmutable @1770727018 {#4203
      date: 2026-02-10 13:36:58.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4101 …}
    -etat: Proxies\__CG__\App\Entity\Etat {#2155 …}
  }
  App\Entity\Flashcards {#4207
    -id: 632
    -question: ""
    -reponse: ""
    -date_maj: DateTimeImmutable @1773416777 {#4205
      date: 2026-03-13 16:46:17.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 0
    -date_creation: DateTimeImmutable @1773416777 {#4206
      date: 2026-03-13 16:46:17.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#4209 …}
    -etat: null
  }
  App\Entity\Flashcards {#4213
    -id: 633
    -question: "Quel mécanisme juridique est mobilisé lorsque le juge engage la responsabilité d’un professionnel de santé quand l’expertise révèle un doute sur le lien de causalité entre la faute et le dommage de la victime, et que ce doute se double d’une incertitude s"
    -reponse: "La perte de chance"
    -date_maj: DateTimeImmutable @1773670390 {#4211
      date: 2026-03-16 15:13:10.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 6
    -date_creation: DateTimeImmutable @1773670390 {#4212
      date: 2026-03-16 15:13:10.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: null
  }
  App\Entity\Flashcards {#4216
    -id: 634
    -question: "Quel mécanisme juridique consiste à considérer que malgré une incertitude scientifique sur l’existence d’un lien causal, il va être tout de même décidé de, judiciairement, admettre l’existence d’un tel lien de causalité ?"
    -reponse: "Les présomptions graves, précises et concordantes"
    -date_maj: DateTimeImmutable @1773670440 {#4214
      date: 2026-03-16 15:14:00.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 6
    -date_creation: DateTimeImmutable @1773670440 {#4215
      date: 2026-03-16 15:14:00.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: null
  }
  App\Entity\Flashcards {#4219
    -id: 635
    -question: "La loi du 4 mars 2002 relative au droit des malades et à la qualité du système de santé est associée à une personnalité politique. Laquelle ?"
    -reponse: "Bernard Kouchner"
    -date_maj: DateTimeImmutable @1773670469 {#4217
      date: 2026-03-16 15:14:29.0 Europe/Paris (+01:00)
    }
    -histo_etat: null
    -ordre: 6
    -date_creation: DateTimeImmutable @1773670469 {#4218
      date: 2026-03-16 15:14:29.0 Europe/Paris (+01:00)
    }
    -media_question: null
    -media_reponse: null
    -categorie: Proxies\__CG__\App\Entity\Categorie {#3777 …}
    -etat: null
  }
]