Section 14

Question 1

What are the primary concerns in emergency care for pregnant women?

Answer 1

Maternal and fetal well-being, avoiding teratogenic medications, and managing hemodynamic changes.

Question 2

What is the standard assessment approach for pregnant trauma patients?

Answer 2

ABCDE approach, maternal stabilization, and fetal monitoring.

Question 3

How is fetal distress identified in emergency settings?

Answer 3

Abnormal fetal heart rate, reduced fetal movement, and signs of hypoxia.

Question 4

What is the emergency management for ectopic pregnancy?

Answer 4

Stabilization, ultrasound confirmation, and surgical or medical intervention.

Question 5

What are the symptoms of ectopic pregnancy?

Answer 5

Abdominal pain, vaginal bleeding, and signs of shock if ruptured.

Question 6

How is preeclampsia managed in emergency care?

Answer 6

Blood pressure control, seizure prophylaxis with magnesium sulfate, and monitoring for complications.

Question 7

What are the clinical signs of preeclampsia?

Answer 7

Hypertension, proteinuria, and edema.

Question 8

What is the emergency intervention for eclampsia?

Answer 8

Magnesium sulfate administration, blood pressure control, and rapid delivery if necessary.

Question 9

How is placental abruption managed in emergency settings?

Answer 9

Maternal stabilization, monitoring of fetal distress, and emergency delivery if severe.

Question 10

What are the symptoms of placental abruption?

Answer 10

Sudden abdominal pain, vaginal bleeding, and uterine tenderness.

Question 11

What is placenta previa and how is it managed?

Answer 11

Placental attachment over or near the cervix; managed with maternal monitoring and possible cesarean delivery.

Question 12

What is the first step in managing postpartum hemorrhage?

Answer 12

Fundal massage, uterotonic medications, and addressing bleeding causes.

Question 13

What are the risk factors for postpartum hemorrhage?

Answer 13

Prolonged labor, multiple gestation, uterine atony, and retained placenta.

Question 14

How is uterine atony treated in emergency care?

Answer 14

Uterine massage, oxytocin administration, and surgical intervention if needed.

Question 15

What are the signs of uterine rupture?

Answer 15

Sudden abdominal pain, loss of fetal station, and hemorrhage.

Question 16

How is uterine rupture managed in emergency settings?

Answer 16

Immediate surgical intervention and maternal stabilization.

Question 17

What is the emergency protocol for shoulder dystocia during delivery?

Answer 17

McRoberts maneuver, suprapubic pressure, and potential episiotomy.

Question 18

What is the difference between miscarriage and stillbirth?

Answer 18

Miscarriage occurs before 20 weeks, stillbirth occurs after 20 weeks of gestation.

Question 19

How is a miscarriage managed in emergency settings?

Answer 19

Stabilization, ultrasound assessment, and evacuation if necessary.

Question 20

What are the common causes of vaginal bleeding during pregnancy?

Answer 20

Ectopic pregnancy, placenta previa, placental abruption, and miscarriage.

Question 21

How is hyperemesis gravidarum managed in emergency care?

Answer 21

IV hydration, electrolyte replacement, and antiemetic medications.

Question 22

What are the signs of gestational diabetes in pregnancy?

Answer 22

Excessive thirst, frequent urination, and fatigue.

Question 23

How is gestational diabetes managed in emergency settings?

Answer 23

Blood glucose control, dietary modifications, and sometimes insulin therapy.

Question 24

What are the symptoms of ovarian torsion?

Answer 24

Sudden, severe pelvic pain, nausea, and vomiting.

Question 25

How is ovarian torsion managed in emergency care?

Answer 25

Immediate surgical intervention to prevent tissue damage.

Question 26

What are the primary signs of pelvic inflammatory disease (PID)?

Answer 26

Lower abdominal pain, fever, abnormal vaginal discharge, and pain during intercourse.

Question 27

How is PID managed in emergency settings?

Answer 27

Antibiotic therapy, pain control, and possible surgical evaluation.

Question 28

What are the clinical features of ruptured ovarian cyst?

Answer 28

Sudden pelvic pain, abdominal tenderness, and sometimes internal bleeding.

Question 29

What is the emergency treatment for a ruptured ovarian cyst?

Answer 29

Pain management, monitoring for bleeding, and possible surgical intervention.

Question 30

How is gestational hypertension different from preeclampsia?

Answer 30

Gestational hypertension has elevated blood pressure without proteinuria; preeclampsia includes proteinuria.

Question 31

What are the symptoms of vaginal prolapse?

Answer 31

Pelvic pressure, bulging tissue from the vagina, and discomfort.

Question 32

How is vaginal prolapse managed in emergency care?

Answer 32

Pelvic floor exercises, pessary insertion, or surgical intervention if severe.

Question 33

What are the risks of multiple gestations during pregnancy?

Answer 33

Preterm birth, low birth weight, and higher risk of preeclampsia.

Question 34

How is premature labor managed in emergency settings?

Answer 34

Tocolytics, corticosteroids, and monitoring for fetal distress.

Question 35

What are the signs of amniotic fluid embolism?

Answer 35

Sudden respiratory distress, hypotension, and coagulopathy.

Question 36

What is the emergency intervention for amniotic fluid embolism?

Answer 36

Immediate resuscitation, oxygenation, and supportive care.

Question 37

How is cervical insufficiency managed during pregnancy?

Answer 37

Cervical cerclage and bed rest if indicated.

Question 38

What is the purpose of Rh immunoglobulin in pregnancy?

Answer 38

To prevent Rh sensitization in Rh-negative mothers carrying an Rh-positive fetus.

Question 39

What are the emergency management steps for septic abortion?

Answer 39

Antibiotic therapy, uterine evacuation, and supportive care.

Question 40

How is infertility evaluated in emergency gynecological settings?

Answer 40

Ultrasound, hormone analysis, and assessment of reproductive history.