OB/GYN BOX TOP10

Contraindicated external cephalic version? 1- Ultrasound findings (anterior low-lying placenta) 2- The presence of a low lying placenta 3- Cardiotocogram with variable deceleration ( non- reassuring fetal heart trace. ) 4- Bicornuate uterus Screening: • After how many weeks of gestation, it is recommended to screen for gestational diabetes mellitus in asymptomatic pregnant women? 24 • Female pregnant 23 weeks gestation came to antenatal clinic all previous pregnancy uncomplicated her mother have T2DM she is asking about GDM screening? 75g oral glucose tolerance test at 24- 28 weeks Folic acid: No risk = 400 microgram (0.4 mg) (1mg) Risk = 4mg SCD = 5 g throughout pregnancy (Multiple gestation) is the right answer when asking about : 1- SUA 2- Which of the following is the most likely risk factor for preeclampsia in pt had twin 3- PPH Organism: • Breastfeeding mother, right breast shows a skin wound on the areolar with a reddened and indurated surrounding area., high fever ? Staphylococcus aureus Number: • 50-year-old woman had a recent miscarriage and is inquiring if her age contributed to the miscarriage. • Which of the following is the most appropriate response? Risk is between 10% to 50% • recommended age to start Pap smear screening for cervical cancer in married women? 20-24 • recommended frequency of Pap smear screening for cervical cancer? Every 3 year Tx of UTI in pregnancy: Either symptomatic or Asymptomatic should be treated Drug of choice: 1- Augmentin 2- Cefalexin 4- Amoxicillin لكن اذا ما في الا هو بالاختيارات يصير الخيار الصحيح ) Nitrofurantoin (not preferred -3 Augmentin and Cefalexin have priority in choices cuz not shown any advers eeffect even with precene of Nitrofurantoin. Drug C/I in pregnancy: - Ciprofloxacin - Trimethoprim-Sulfamethoxazole - Aminoglycoside - Fluoroquinolone + If she is in first trimester don’t give Nitrofurantoin. No interventions in: 1- asymptomatic fibroid 2- asymptomatic POP 3- asymptomatic ovarian cyst/mass Mangment of GDM 1- life styles modification (Dite) 2- Insulin 3- Glyburid

OBGYN: • Which of the following is another reliable test to confirm amniotic fluid leaks? Microscopy to detect arborization or ferning of fluid • Management of Rh alloimunization with fatal anaemia? = up to 36 week > Fatal Blood Transfusion = Equal or Above 37 > Deliver immediately • A case of an Ovarian cyst of 12cm with peritoneal thickening, Mx? Surgery with chemo • SCD pregnant folic acid? 5mg pregnancy whole pregnancy • Most common risk factor for abruption placenta = maternal hypertension • Which of the following findings would indicate severe preeclampsia? Platelet count • Which of the following is the most important purpose of the first antenatal visit? Confirm the gestational dating • Ultrasound pelvis scan shows a 9X9 centimetre heterogeneous mass filled with a calcifications. most appropriate method of treatment? Operative laparoscopy • Polyhydramonius : DM, Down syndrome, multiple gestation • Oligohydramenous: IUGR • Breech position and the patient is admitted for a caesarean section. When would be the optimal time to administer intravenous antibiotics? During pre-operative preparation • Which of the following is the primary reason for administering the intravenous medication (magnesium sulfate)? Prevent seizures • Hypertension case asking about During this pregnancy which of the following risks is increased ?Intrauterine growth restriction • Insulin-dependent diabetes class F with nephritis. Additionally, she has chronic hypertension, Which of the following complications is most likely to occur? Pre-eclampsia • SUA : 1- maternal diabetes, or 2- multiple gestation • 28-year-old woman is diagnosed with an ectopic pregnancy. Which of the following is the most likely predisposing factor? Pelvic inflammatory disease • Pt with GDM She is asking for an advice regarding the best dietary habits she can follow to control her blood sugar and avoid insulin injection., Which of the following is the best diet option? Low glycemic index diet • A case of long term hx of DM, uncontrolled HbA1C 12, which one of this complicates can be happening? 1- congenital malformation (if not present in answer) then will be 2- pre eclampsia • 24-year-old woman, diagnosed clinically as Down's syndrome. The mother asked about the risk in any future pregnancy. Which of the following is the appropriate investigation to determine this risk? Karyotyping for this infant and mother • Dose of iron that prescribed to the pregnant: 1000

♨️ملف وفاء 2024 معاد تصحيحه من د. جمانة https://t.me/ObGynBox/70

♨️أفضل تفريغ للأوبيقاين كورس وفاء 2024 ⬇️ https://t.me/ObGynBox/110