OB Final exam 2010 1 Shift 1.Abortus =Fetus < 500 gms 2.Most common death of maternal =Hemorrhage 3.Case??

=Errors of omission 4.Duct open on either side of vestibule just outside the lateral margin of the vaginal orifice =Bartholins gland 5.Middle portion =Levator ani muscle 6.Cervix : Uterine size in young children =2:1 7.FSH =Granulosa cells 8.Day 1-4 =Recruitment
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2 Shift 1.Normal vaginal delivery =500 ml blood loss 2.Implantation of blastocyst =7 days after fertilization 3.Fetal kidney starts to produce urine at 12 weeks gestation 4.Truthful to patients to be able to create or earn trust =Professional Communications

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3 Shift 1.which one is not genetic disease in preconceptional counselling =preeclampsia

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2.Injury to the periosteum of the skull during labor =Cephalhematoma 3.Finger function-retained =Brachial plexus injury 4.True about maternal counseling resulted to =Few macrosomia 5.BPP score of 4 how to management =Repeat test same day, if repeat test =< 6 delivery 6.Head truma =Early Deceleration

7.Variable Deceleration =Abrupt decrease in rate that varies with successive contractions

4 Shift 1.Between the midpoint of the sacral promontory to the midline of the inner surface of the symphysis pubis =True or anatomic conjugate 2.Mid pelvic contraction ?? 3.Head is extended, if cephalic prominence is on the same side of the fetal back in =Face presentation 4.True about true labor =Uterine contraction 60-90 mmHg 5.Uterine rupture>> Pathological retraction ring of Bandl 6.Latent phase in multipara =Prolonged if more than 14 7.Acceleration phase =Predictive of the outcome of particular labor 8.Dilatational Division =Uneffected by sedation 9.The level to which the fetal presenting part has descended into the maternal pelvis =Station 10.Umbilical vessels separate in the membranes at a distance from the placental margin =Velamentous Insertion 11.Some of fetal vessels in the membranes cross the region of the cervical os below the presenting fetal part =Vasa Previa 12.Gold standard for labor pain relief in all stages of labor =Epidural analgesia

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5 shift 1.BPD is at or below the pelvic inlet =Engagement 2.Pelvic contraction 3.Estimating size of babyd head =Muller-Hillis maneuver 4.Complication of amniotomy =Prolapse of cord 5.RacDA?? 6.Thighs flexed into abdomen, legs flexed on thigh =Complete breech 7.Manipulate the second twin =Internal Podalic Version 8.Elective CS may be consider =39 weeks

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9.Case =Missed abortion 10.Management of Incomplete abortion =Completion Curettage 11.Sepsis syndrome?? 12.Serum progesterone values <5 ng/ml suggest =Fetal nonviable (Dead fetus) 13.Management of medication =Methotrexate 14.Spielberg Criteria =The ovary must be connected to the uterus by the ovarian ligament 15.Risk factor of placenta previa =Advancing maternal age Prior CS, Prior D&C Multiple gestation Recurrent abortion Smoking Multiparity 16.Circuate hematoma?? 17.Amniotic Fluid Embolism 18.Amniotic Fluid Embolism =Detection of fetal squamous cells or other fetal debris in the maternal pulmonary circulation

7 Shift 1.Preeclampsia =BP >= 140/90 after 20 weeks gestation 2.Twin to twin transfusion =A-V anastomosis 3.Dose of dexamethasone =6 mg. every 6x4 4.The uterus recedes to a nonpregnancy state = During 6 weeks after delivery

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8 shift 1.Case severe disease of pneumonia =Amoxicillin-Clavulanate 2.Marfed limitation of physical activity, comfortable at rest =Class III NYHA 3.Thyroid?? =Monitor monthly free T4 4.Anemia in pregnant = < 10 g/dl

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5.HBeAg =Acute infection 6.Asymptomatic bacteriuria =25% of infected women subsequently develop acute symptomatic infection during pregnancy 7.Drug of choice in acute pyelonephritis =Ampicillin,Gentamycin,Cefazolin,Ceftriazone

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