OBGYN9

Question 1

Obstatric complication of amphytamins??

Answer 1

Spontaneous abortion
abruption
preterm labor
preeclampsia
IUGR
IUFD
preterm delivery

Question 2

1st TM NSAID exposure?

Answer 2

Gastroschisis

Question 3

Gartner duct cyst D/C with Bartholin gland cyst?

Answer 3

GDC
   Located in the lateral aspect of the upper anterior 
   vagina
   Not involve vulva
Is remanant of wolfian duct

Question 4

Bartholin gland cyst Management?

Answer 4

Depend on the presence of symptoms

Question 5

Asymptomatic?

Answer 5

Observation and F-up

Question 6

Symptomatic?

Answer 6

drainage and place wortins tube

if recurrent–marsupialization

Question 7

Marsupialization

Answer 7

Is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely.

Question 8

When will be progesterone production will be shifted from the corpus luteum to the placenta?

Answer 8

At 10 week

Question 9

Clinical importance?

Answer 9

If ovary containing corpus luteum removed progesterone should be supplemented until 10 weeks.

Question 10

cervical conization?

Answer 10

Insition of the intact transformation zone

Question 11

How it will be done?

Answer 11

scalpel –Cold Knife conization

LEEP–Loop electrosurgical technique

Question 12

indication for conization?

Answer 12

Stage 2 and 3

Question 13

Complication?

Answer 13

Cervical stenosis
PROM
Preterm birth
2nd TM pregnancy loss

Question 14

when we should do an HPV test in patients diagnosed with CIN?

Answer 14

atypical squamous cells of undetermined significance

Low-grade SIL

Question 15

most significant risk factor for endometrial ca?

Answer 15

obesity

Question 16

colposcopy when to do?

Answer 16

Abnormal PAP test

Question 17

What do we see?

Answer 17

Vulva
vagina
cervix

Question 18

when we need an additional endocervical biopsy?

Answer 18

if we do not see the squamocolumnar junction

Question 19

When we suspect esophageal perforation in HG?

Answer 19

epigastric/retrosternal pain radiates to the back
Hamman sign(Crepitation/crunching sound with heart Beat)
crepitation in neck
Fever
Plural effusion with green discharge

Question 20

CXR?

Answer 20

widened mediasternum
pnmothorax/mediasternum
plural effusion

Question 21

CT?

Answer 21

Cxr future

Thickened esophageal wall

Question 22

Diagnosis?

Answer 22

esophagestroscopy with water-soluble contrast

Question 23

Management?

Answer 23

NPO
IV antibiotic(risk of sepsis)
emergency surgery

Question 24

Management of IUFD?

Answer 24

20-23–D & E/VD

>=24–VD

Question 25

things that can make doppler sonography fails to detect FHB?

Answer 25

obesity | malpresentation

Question 26

The Kleihauer–Betke ("KB") test, Kleihauer–Betke ("KB") stain, Kleihauer test or acid elution test,

Answer 26

is a blood test used to measure the amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream.It is usually performed on Rh-negative mothers to determine the required dose of Rho(D) immune globulin (RhIg) to inhibit the formation of Rh antibodies in the mother and prevent Rh disease in future Rh-positive children

Question 27

Test shoud done in IUFD?

Answer 27

``` Autopsy( placenta, membrane, and cord) karyotype KBT Antiphospholipid syndrome Coagulation studies ```

Question 28

Risk of DIC after IUFD high?

Answer 28

after 2 week

Question 29

Indication for treatment in case of endometriosis?

Answer 29

Chronic pelvic pain Dysmenorrhea/worsening pain that not respond to NSAID Infertility Dyspareunia

Question 30

Hormonal replacement therapy(estrogen with progesterone ) indication in menopause?

Answer 30

Sever vasomotor symptoms

Question 31

why not osteoporosis and CVD prevention?

Answer 31

risk outweigh

Question 32

C/I for HRT?

Answer 32

``` age >60 Bca End.Hyperplasia Strock TIA Coronary artery disease Thromboembolism ```

Question 33

what we give in case of C/I

Answer 33

SSRI

Question 34

what we see in VV fistula?

Answer 34

continuous discharge discharge PH>4.5 granulation tissue in the anterior vagina

Question 35

How OL cause Fistula?

Answer 35

head compression--tissue necrosis

Question 36

Postpartum endometritis treatment?

Answer 36

Clindamycin and gentamycine

Question 37

CM?

Answer 37

Fever >24 Hr Foul-smelling discharge Uterine tenderness

Question 38

Risk factors?

Answer 38

``` C/S PROM OVD chorioamnionitis GBS carrier ```

Question 39

Why severe bleeding(abruption and PPH) cause DIC?

Answer 39

Bleeding cause thromboplastin release

Question 40

Asymptomatic women with positive NAAT for gonorrhea and chlamydia need treatment?

Answer 40

Yes(most of the time asymptomatic)

Question 41

Physiologic acid-base disturbance of PX?

Answer 41

metabolic alkalosis

Question 42

cause?

Answer 42

increase progesterone --stimulate medullary respiratory center--Increase TV and MV

Question 43

lab value?

Answer 43

``` PH>=4.5(but the body usually maintains < 7.40 High Po2(100-110) d/t from hypoxic RA Low bicarb(Compensatory) ```

Question 44

What about Na in PX?

Answer 44

Decrease B/C of increased ADH

Question 45

normal PCO2

Answer 45

35-45

Question 46

first-line tocolytics?

Answer 46

Indometacine/Nefidipine

Question 47

Indometacin S/E?

Answer 47

dec..prostaglandin--premature DA closure--decrase renal perfusion--oligohydramnios

Question 48

management?

Answer 48

Give < 48 hr | reversible after drug discontinuation