OBGYN1

Question 1

Preeclampsia?

Answer 1

Newly diagnosed Hypertension S>140/D>90 Plus proteinuria or sign of end-organ damage after GA 20

Question 2

Confirmatory test?

Answer 2

Urine protein/Cr ratio of >3 or

Total 24-hour urine protein >300

Question 3

Why dipstick protein is not confirmatory?

Answer 3

High false positive or false negative results in pregnancy.

Question 4

Management?

Answer 4

Non sever–37 week
sever–34 week
mgso4 for seizure prophlaxix
antihypertensive

Question 5

How to diagnose GDM?

Answer 5

oral glucose tolerance test

Question 6

How to measure B/P for preeclampsia?

Answer 6

two measurements with a 4-hour gap.

Question 7

Preterm labor?

Answer 7

thru labor present before 37 week

Question 8

Management?

Answer 8

based on weeks

Penicillin prophylaxis if GBS positive or ROM

Question 9

> =34 weeks

Answer 9

Betamethasone

Question 10

32-34 weeks

Answer 10

Betamethasone

Tocolytics

Question 11

<32

Answer 11

Betamethasone
Tocolytics
MgSO4

Question 12

The management of singleton breach?

Answer 12

ECV if no C/I

C/S

Question 13

Why we not tocolysis after >34

Answer 13

Drug S/E outweigh
NSAID-PDA
Nifedipine–HYpotension and tachycardia

Question 14

Magnesium sulfate benefits preterm?

Answer 14

Reduces the risk of cerebral palsy and protects gross motor function.

Question 15

Post dural puncture headache?

Answer 15

Headaches occur after dura injury during spinal anesthesia or neuropraxia.

Question 16

Clinical manifestation?

Answer 16

Positional(worse when stand and improves when lying flat)
Neck stiffness
Diplopia and Bluring
Hiring loss and tinnitus
nausea and vomiting

Question 17

Pathophysiology?

Answer 17

CSF leak–decrease ICP–herniation of brain base during standing

Question 18

management?

Answer 18

Self Limited

Epidural blood path

Question 19

Epidural blood patch mechanism?

Answer 19

It will form a blood clot that obstructs the leakage.

Question 20

vasa previa definition?

Answer 20

fetal vessel overlying the cervix

Question 21

Risk factors?

Answer 21

Placenta previa
Multiple gestations
Invitro fertilization
Sucenuriate placenta

Question 22

CM?

Answer 22

Painless vaginal bleeding during contraction or ROM
Fetal HR abnormality
Fetal exitinusion and death

Question 23

Diagnosis?

Answer 23

At 18-20 week of gestation

Question 24

management?

Answer 24

If bleeding emergency C/S

If not expect until 34, inpatient management at 3rd TM

Question 25

why prone to the rapture?

Answer 25

Normal cord covered by Warton jelly but in VP only thin membrane.

Question 26

Managment of mulerian agenesis?

Answer 26

Renal U/S( high risk of ass. kidney anomaly) | Viginal dilation--for sex

Question 27

Cervicitis clasical presentation?

Answer 27

Mucopurulent discharge | Friable cervix

Question 28

MCC?

Answer 28

Nisseria and clymedia

Question 29

management?

Answer 29

emperic;;aziro and cef NAAT positive for chlamydia(azithromycin only b/c it may cover gono) NAAT positive for Gonno(ceftriaxone and azitro b/c cef only have a high risk of resistance)

Question 30

asymptomatic bacteriuria definition?

Answer 30

culture >100,00 colony and no urinary symptom

Question 31

when to do?

Answer 31

screening all px in 12-16 week

Question 32

management?

Answer 32

nitrofurantoin or amoxaclin | should repeat culture after some week to define cure and if positive again repeat treatment and do culture for a cure.

Question 33

Abnormal presentation management in early pregnancy?

Answer 33

Expectant--Most of them turn to cephalic at term

Question 34

When to do ECV?

Answer 34

At term

Question 35

Why?

Answer 35

since having the risk of abruption, PROM, and preterm labor--Preterm delivery

Question 36

can we do it while in labor?

Answer 36

No b/c of a low success rate

Question 37

when to do an endometrial biopsy in AUB?

Answer 37

age > 45

Question 38

Cause of fetal tachycardia?

Answer 38

Hyperthyroidism fever Drug(beta Agonist) Fetal tachyarrhythmia

Question 39

Cause of low or absent variability?

Answer 39

CNS depressant Fetal sleep Hypoxia prematurity

Question 40

Late-term >41 and post-term>42 complications?

Answer 40

``` Macrosomia Dysmaturity syndrome Oligohydramnios Demisa Placental aging--uteroplacental insuficiency ```

Question 41

Sign of UPI?

Answer 41

Late deceleration on non-stress test | Oligohydramnios

Question 42

Variable deceleration can be managed?

Answer 42

Amino infusion

Question 43

why?

Answer 43

maybe due to oligohydramnios-cord compression

Question 44

A complication of submucosal fibroid?

Answer 44

affect endometrial growth and vascularity | affect implantation and growth

Question 45

management?

Answer 45

hysteroscopic myomectomy?

Question 46

Inflammatory breast ca CM?

Answer 46

Padua orange develop rapidly Fast axillary metastasis itching

Question 47

tests should be done in 24-28 wk

Answer 47

hematocrit OGCT(but px with Risk of GDM at initial visit) combs if RH negative

Question 48

at 35-37?

Answer 48

GBS screening

Question 49

Risk of GDM?

Answer 49

Obesity Rapid wt gain in px Family history of DM Previous macrosomic baby

Question 50

Diagnosis of HIT?

Answer 50

Serum serotonin release assay.

Question 51

Lactational mastitis CM?

Answer 51

Breast mass,tendernes,s and induration Fever and mayalgia Axillary lymphadenopathy

Question 52

Management?

Answer 52

antibiotic(cloxacillin/cephalexin) continue breastfeeding NSAID

Question 53

Risk?

Answer 53

skin crackling | milk stagnation factor