ob gyn 5

Question 1

cyctic fibrosis presentation

Answer 1

ears: repeated otitis media

respiratory tract: pneumonia /bronchectasis
(s.aureus/psedudomonas auregonosa)

pancreas: pancreatic failure —>malabsorption of vit.K
steatorrhea

ileum: meconium ileus /obstruction ileum-cecum/delayed meconium

genetal tract : infertility

Question 2

fetal distress indicates….

Answer 2

urgent c-section

Question 3

fetal HR

Answer 3

normal: 120-160
bradycardia: less than 110
tachycardia : more than 160

Question 4

late deceleration due to….

Answer 4

usually due to placental insufficiency

Question 5

early deceleration due to …

Answer 5

compression of the head/normal reflex

Question 6

variable deceleration ?

Answer 6

before and after uterine contraction

Question 7

variable deceleration caused by …

Answer 7

umbilical cord compression

Question 8

safe vaccination during pregnancy

Answer 8

influenza ,DTAP

Question 9

contraindicated vaccination during pregnancy

Answer 9

live vaccine

Question 10

rubella in first trimester

Answer 10

abortion

Question 11

lower abdominal pain+vaginal discharge mostly…

Answer 11

endometritis

Question 12

(+)blomberg sign + lower abdominal rigidity

Answer 12

pelvioperitonitis

Question 13

acute endometritis..

Answer 13

usually after labor

Question 14

acute adnexitis presentation

Answer 14

lower right/left quadrant pain
without regidiy

Question 15

ovarian apoplexy

Answer 15

sudden onset of pain
enlargment of appenages

Question 16

ectopic pregnancy

Answer 16

-missed period
-+b hcg pregnancy test
-vaginal bleeding
-left/right lower quadrant pain

Question 17

antenatal hemorrhage differential…

Answer 17

-placenta previa
-placental abruption
-uterine rupture

Question 18

post partum hemorrhage duo to…

Answer 18

uterine atony (absent contraction after birth lead to massive bleeding )

Question 19

uterine atony risk factors

Answer 19

twins/prolonged lapor/high administration of uterotonic agents(oxytocin)

Question 20

postpartum hemorrhage TX:

Answer 20

1st: bimanual massage
2nd:oxytocin+carboprost
3rd:balloon tamponade
4th:hysterectomy

Question 21

placenta accreta ? tx?

Answer 21

-placenta attached to endometrium and myometrium instead of endometrium only
-placenta unable to deliver
-TX:hysterectomy

Question 22

cause of damaged uterine cervix?

Answer 22

forceps delivery—>cervical laceration—>postpartum hemorrhage

Question 23

herpetic infection comes as…

Answer 23

-gingivostomatitis
-genital infection
-herpetic withlow(visicle nearfinger nails)

Question 24

anthrax route of infection

Answer 24

-bioterrorism
-cattles (farmer)

as black eschar

Question 25

erysipelas TX

Answer 25

antibiotics(oxacillin/methicillin)

Question 26

adhesive process in small pelvice

Answer 26

laparoscopy

Question 27

posterior pituitary gland hormones...?

Answer 27

-oxytocin -ADH(vasopressin)

Question 28

anterior pituitary hormones...?

Answer 28

-growth hormone -prolactin -LH -FSH ACTH -TSH

Question 29

less pituitary hormones

Answer 29

1)less ACTH --->less cortisol--->low blood pressure ,fatigue 2)less GNRH--->less LH/FSH---> no menstruation/less estogen--> atrophy of sexual organs 3)less prolactin--->less milk--->no breast feeding

Question 30

physiological amenorrhea period ?

Answer 30

no more than 6 months

Question 31

high prolactin

Answer 31

inhibits estrogen--->amenorrhea

Question 32

PCOS symptoms

Answer 32

-amenorrhea -acne -hirsutism -obesity -hyperglycemia -infertility

Question 33

ectopic pregnancy symptoms

Answer 33

pain in R/L LQP (+) BHCG test vaginal bleeding missedperiod

Question 34

size of uterus in pregnancy

Answer 34

=weeks of gestation in CM +/- 1,2 cm

Question 35

reverse diastolic component

Answer 35

urgent C-section

Question 36

fetal/maternal distress(preeclampsia)

Answer 36

urgent delivery

Question 37

preterm new born < 34 weeks

Answer 37

give steroids to the mother befor delivery to prevent RDS ,for lung maturation

Question 38

genital herpes infection... symptoms and diagnosis

Answer 38

vesicles -panfull -itching -burning during urination -swelling/redness diagnosis: PCR from ruptured vesicles

Question 39

vulvar cancer cause and symptoms?

Answer 39

cause:HPV (16,18) symptoms :ulcer,bleding does not heal by itself

Question 40

primary syphilis

Answer 40

painless ulcer

Question 41

papillomavirus

Answer 41

benign cauliflower warts

Question 42

breast cyst x-ray

Answer 42

low echogenecity filled with fluid

Question 43

mastitis symptoms

Answer 43

fever swelling fissure post partum

Question 44

breast cancer

Answer 44

lymph nodes involvement orang peel nipple involvement young adults

Question 45

cancer of adipose tissue of the breast called

Answer 45

lipoma

Question 46

connective tissue ligament cancer of the breast called

Answer 46

fibrous adenoma

Question 47

fibrous adenoma is...

Answer 47

benign tumor of fibrous connective tissue of breast round mass mobile estrogen sensitive increases during menstruation decrease during endometrial shedding no malignant potential high echogenecity

Question 48

abnormal labor in first stage and management

Answer 48

1) active **protraction** labor (prolonged dialation time after 6 cm)--->oxytocin indication 2) active arrest labor(stopped dialation after 6cm ----> C-section

Question 49

second stage of labor management (abnormal)_

Answer 49

fetal distress 1)if fetal head engaged we use vacuum or forceps---> may cause head trauma (hematoma) if head not engaged ---> c-section

Question 50

3rd stage of labor management(abnormal)

Answer 50

placenta accreta ---> hysterectomy

Question 51

sensitive test ,specific test for SLE

Answer 51

sensitive:antinuclear antibodies -SLE,auto immune diseases (not accurate) spesific:- accurate for SLE called anti DNA antibodis

Question 52

sensitive test ,specific test for rhematoid arthritis

Answer 52

sensitive:-rheumatoid factor specific:-anti citrullinated anti bodies

Question 53

fetus with (+) AV block -->

Answer 53

neonatal lupus

Question 54

(+) anti centromere antibodies -->

Answer 54

limited scleroderma(CREST syndrome)

Question 55

CREST syndrom

Answer 55

C :- calcinosis of skin R :-raynaud phenomenon E :- esophageal dysmotility (dysphagia) S :- sclerodactyly calcification T :- telangiectasia

Question 56

SLE serology

Answer 56

low circulating complement (c3,c4) high immunocomplex

Question 57

prostatic cancer

Answer 57

- elderly - high prostate specific antigen - enlargement (posterior lobes) (hard nodular enlargement ) - digital rectal exam - stony density

Question 58

benign prostatic hyperplasia

Answer 58

****- elderly - high in normal range **prostatic specific antigen** - symmetrical enlargement - weak flow of urine - drippling of urine (urinary incontinence - central lobes enlargement

Question 59

chronic congestion prostatitis

Answer 59

- pain with egaculation - WBC in urine