OBGYN 15

Question 1

CMV manifestation on U/S?

Answer 1

Periventricular calcification
Ventriculomegaly
Microcephaly
Intracranial calcification
IUGR
Hydrop Fetalis

Question 2

neonatal future?

Answer 2

Petichea
HSM
Chorioretinitis
Microcephaly

Question 3

Long-term sequelae?

Answer 3

Seizure
Chirioretinitis
Developmental delay

Question 4

CM of imperforate hymen?

Answer 4

Primary amenorrhea
Cyclic abdominal pain
Dificulty in urination and modification
Suprapubic mass
Bulging Uterine membrane

Question 5

Management?

Answer 5

Incision and drainage

Question 6

Did bile acid pass the placenta?

Answer 6

Yes

Question 7

what is the normal lochia pattern?

Answer 7

Rubra/serosa and alba

Question 8

Lucia Rubra?

Answer 8

In the first 4 day
dark/bright red blood
minimal clot

Question 9

Lucia Serosa?

Answer 9

4-10/14 day
serosangius(pink)
brownish(old blood)

Question 10

Lucia alba?

Answer 10

white/yellow, creamy and light quantitiy

Question 11

Increase MSAFP?

Answer 11

NTD
VAWD
MG

Question 12

low MSAFP?

Answer 12

aneuploidy (18 and 21)

Question 13

Gestational thrombocytopenia?

Answer 13

70,000-100,000

Resolve after delivery

Question 14

Normal and abnormal WBC count in Px?

Answer 14

N–Leukocytosis(granulocytosis)

A-Lymphocytosis or bandimia

Question 15

Type of breach?

Answer 15

frank/complete /footling

Question 16

frank?

Answer 16

Hip flex and knee extended

Question 17

Complete?

Answer 17

Both hip and knee flexed

Question 18

footling/frank?

Answer 18

one hip extended

Question 19

Risk factor?

Answer 19

Age>35
Polyhydramnios
Oligohydramnios
Multiparity
Uterine diapedesis/septate utrus
IUGR
Uterine leiomyoma(MCC)
preterm
Placenta previa
anencephaly

Question 20

Management?

Answer 20

EPV at term

C/s

Question 21

lactation complication/disotder?

Answer 21

Engorgement
Nipple injury
Plugged duct
Galactocele
Mastitis
Abscess

Question 22

Engorgement?

Answer 22

common in 3-5 day
Due to colostrum replaced by milk and Dec. prog–Int.edema
Bilateral/symmetric fullness, warmth, and tenderness

Question 23

Nipple injury?

Answer 23

abrasion, bruising, Cracking, and blistering from poor latch

Question 24

Plugged duct?

Answer 24

Focal tenderness, fullness/erythema but no fever

Question 25

Galactocele?

Answer 25

subareolar,well-circumscribed, mobile non-tender mass---no fever

Question 26

Mastitis?

Answer 26

focal tenderness/erythema + fever, chills, and myalgia

Question 27

Abscess?

Answer 27

mastitis + flactuant mass

Question 28

engorgement managment?

Answer 28

Cold compress Acetaminophen NSAID

Question 29

mammary candidosis?

Answer 29

unilateral breast pain out of proportion of PE | due to scaling of skin and areola

Question 30

Management of imperforate hymen?

Answer 30

incision and drainage(blood accumulate in vagina--pelvic pressure--pain during defecation) renal U/S(asses another congenital anomaly

Question 31

Secondary amenorrhea defination?

Answer 31

No menses for 3 months with regular menses and > 6month inpatient with irregular menses

Question 32

Changes after COC stoping?

Answer 32

amenorrhea(resolve within 3 months) intermittent headache due to estrogen flactuation Flarup of acne(estrogen have anti-androgenic property)

Question 33

AUB at menarche?

Answer 33

Due to immaturity of HPG axis--anovulation--no corpus luteum)--No progesterone in the luteal phase--the shedding of proliferated endometrium. resolve 1-4 year

Question 34

Is c/s mandatory for chorioamnionitis?

Answer 34

No, even if immediate delivery recommended

Question 35

Normal vaginal PH?

Answer 35

3.8-4.5

Question 36

What we should do in patients with amenorrhea, lower abdominal pain, Vx bleeding, and positive urine HCG with no intro or extrauterine Px seen on TV/TA u/s?

Answer 36

Do serum HCG then if < 1500 repeat only HCG level after 2 days but if > 1500 repeat TVUS and serum HCG after 2 days.

Question 37

hidradenitis suppurativa ?

Answer 37

Chronic inflammatory disease due to recurrent occlusion of the hair follicle in intertriginous are(axial and groin)

Question 38

Risk factor?

Answer 38

age 20-40 smoking obesity

Question 39

Clinical manifestation?

Answer 39

recurrent induration and abscess that drain spontaniousley chronic and progressive wide area thickened, band, forming fibrosis with sinus(resemble acne)

Question 40

management?

Answer 40

prevent complication and recurrence

Question 41

complication?

Answer 41

lymphatic obstruction contracture fistula