OBGYN 2

Question 1

CM of hyperemisis gravidarum?

Answer 1

sever persistent vomiting
Dehydration
>5 % weight loss
Orthostatic hypotension

Question 2

Laboratory?

Answer 2

Ketonimia
Hypoclorimic metabolic alkalosis
Hypokalemia
Hemoconcentrasion

Question 3

When did the mother start to feel fetal kick count?

Answer 3

16-20 wk

Question 4

When do we start to use fetal kick count?

Answer 4

After 28 week

Question 5

What we should do if the fetal kick count decreased?

Answer 5

Non-stress test

Question 6

How do we do?

Answer 6

Tocodynamometer 20-40 min

Question 7

When do we say reactive?

Answer 7

> =2 acceleration over 10 minute
Baseline–110-160
Moderate variability(5-25)

Question 8

What we do if non-reactive?

Answer 8

BPP

Question 9

Antenatal GBS screening?

Answer 9

Rectovaginal swab–36-38 wk

Question 10

Intrapartum prophlaxis indication?

Answer 10

GBS bacteriuria and GBS UTI in current Px
Positive GBS ANC care test in current Px
Unknown GBS status with one of the Foll.
< 37-week gestation
ROM more than 18 Hr
Intrapartum fever
A prior infant with a history of GBS infection

Question 11

late deceleratino defn?

Answer 11

Deceleration after . 50 % of contraction

Question 12

what does it indicate?

Answer 12

Utroplacental inefficiency?

Question 13

Tachysystol and LD relation?

Answer 13

Tachysystol – UPI — may cause LD

Question 14

First-line management for Tachysystol?

Answer 14

lateral position
Fluid
stop uterotonic agent
Tocolytic

Question 15

Tachysystol definition?

Answer 15

> =5 contraction/10 min

Question 16

Screening for GDM?

Answer 16

24-28 Week
1hr 50g OGT
3hr 100 OGT

Question 17

Management?

Answer 17

1st line: Diet

2nd line; insulin, glyburide, and metformin

Question 18

Target blood glucose?

Answer 18

Fasting <95
1 hr post pradial<140
2hr post pradial <120

Question 19

Postpartum?

Answer 19

Fasting glucose at 24 and 72
2 hr 75 g glucose at 6-12 week visit
If negative every 3 years

Question 20

Why we follow post partum?

Answer 20

Normaly it resolve after placenta removed

But they have at risk of type 2 DM and may have undiagnosed T2DM prior to px

Question 21

Is preeclampsia persistent?

Answer 21

It can upto 12 week

Question 22

Congenital zika pathophysiology?

Answer 22

SS,Unenveloped RNA virus
Mother acquired by a mosquito or sexual contact with partner(avoid travel to tropics)
Transplcentaly move to the fetus
affect fetal neural proginator cell

Question 23

CM?

Answer 23

Microcephaly
Craniofacial disproportion
craniosynostosis
multiple contractures
Intracranial calcification
Cortical atrophy
ventriculomegaly
Hypertonic fetus

Question 24

confirmatory test?

Answer 24

PCR fetal serum, urine and CSF

Question 25

what about toxo CM?

Answer 25

Hydrocephalus Intracranial calcification chrioretinitis

Question 26

Prevention?

Answer 26

avoid unprocessed animal product

Question 27

rubella?

Answer 27

microcephaly cardiac defect cataract opened fontanel

Question 28

Prevention?

Answer 28

vaccination

Question 29

placenta accreta management?

Answer 29

If diagnosed prenatally --elective c/s

Question 30

ovarian torsion occurrence?

Answer 30

Ovary rotates around infundibulopelvic ligament--venous obstruction--edema and congestion--arterial obstruction --necrosis

Question 31

CM?

Answer 31

RLQ pain | Peritonitis(vomiting,tenderness)

Question 32

Risk factor?

Answer 32

ovarian mass>=5 CM mainly mature cystic teratoma women of reproductive age Ovulation induction

Question 33

Why MCT?

Answer 33

have variable density--unstable

Question 34

MCT pathology?

Answer 34

Benign contain 3 layer sebaceous fluid,teeth, and hair

Question 35

CM?

Answer 35

Mostly asymptomatic ovarian torsion stroma ovaries--hyperthyroidism unilateral adenexal mass

Question 36

U/S future?

Answer 36

complex Teeth--partially calcified--echogenic hair--multiple, thin echogenic band

Question 37

Management?

Answer 37

Laparascopy with derotation Cystectomy Opherectomy

Question 38

Dyphilis screening?

Answer 38

first, visit

Question 39

Management?

Answer 39

penicillin e 1 week for 3 dose

Question 40

Fetal effect of syphilis.

Answer 40

Hepatic injury Hemolytic anemia and thrombocytopenia long bone abnormality Failure to thrive

Question 41

If we found High rade squamous intraepitelial lesion on pap smear on pregnant mother what will be the next steep ?

Answer 41

Colposcopy | Loop electrical surgery fro non pregnant

Question 42

Granoulosa cell tumour pathogrenexsis?

Answer 42

Sex cord stromal tumour Increase estradiol Increase inhibine

Question 43

CM?

Answer 43

``` Complex ovarian mass Precocious puberty Breast tenderness AUB Post menopausal bleeding ```

Question 44

Histopatology?

Answer 44

Cell exener body.

Question 45

Management?

Answer 45

Endometrial biopsy | Surgery

Question 46

secresion?

Answer 46

estradiol | inhibin

Question 47

Effect of SLE on fetus?

Answer 47

Ab against AV block--Ireversible danage

Question 48

Effect prolonged blocked?

Answer 48

cardiomyophaty | Hydrop fetalis

Question 49

Gestational thrombocytopnia?

Answer 49

Total platelet count 100,000-150,00 Asymptomatic Diagnosis of exclusion

Question 50

Management?

Answer 50

Reassurance(resolve within 6 weeks of postpartum)

Question 51

When do we need to have a diagnostic evaluation for patients with thrombocytopenia?

Answer 51

Symptomatic | platlet < 100,000

Question 52

Quadruple test?

Answer 52

MSAFP Estriol Inhibin A B hcg

Question 53

When to do?

Answer 53

15-20 wk

Question 54

Down finding?

Answer 54

High Bhcg and Inhibin A | Low MSAFP and

Question 55

Edward finding?

Answer 55

normal inhibin A | Low Bhcg, MSAFP, Estriol

Question 56

What we do next if we found a positive finding?

Answer 56

Cell-free fetal DNA | ultrasound

Question 57

Normal PT value?

Answer 57

10-12

Question 58

Normal PTT?

Answer 58

30-45

Question 59

Bleeding time normal range?

Answer 59

2-7 min