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1
Q

Range of wt gain
Net wt gain
Recommended wt gain

A

11- 12. S kg
6-6.5 kg
12-5-18kg(thin) & <7kg (obese)

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2
Q

Extra calorie in TZ & T3
Extra calorie in lactation

A

+ 350kcal /day
+600kcall day

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3
Q

I -Ant of water retained in pregn.
2-due to

A

+6.5 L
Estrogen

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4
Q

Total Na
Total K
Total ca
Na conc
K conc
ca conc

A

++
++
less
less
less
less

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5
Q

Insulin resistance due to
max rise

A

HPL
Estrogen, Progesterone, cortisol
24- 28 Wks
Insulin secretion increases but there is insulin resistance

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6
Q

glucose transport across placenta by.

A

GLUT1 & GLUT-3

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7
Q

glycosuria
Lacturia
Proteinuria

A

Normal
Normal
Abnormal

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8
Q

Skin changes in pregn.

A

Linea nigra
Striae gravidarum
Chloasma gravidarum
Spider nevi
palmar erythema

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9
Q

Skin changes dueto
Basal body temp dueto
Breast increase due to

A

Estrogen
progesterone
Estrogen Progesterone Insulin PRL

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10
Q

Colustrum - upto

A

3 month

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11
Q

Colustrum lacks

A

K, Fat, carbS, vit D ,vit K

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12
Q

prolactin max at
pre paregn. level
pregn. level

A

labor
< 15 ng/ml
150 ng/ml

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13
Q

Estrogen effect on prolactin
Dopamine effect on prdacting.

A

Estrogen increases amt but decreases activity
Dopamine is PlH Prolactin inhibiting hormone

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14
Q

Change in vagina is K.A.

A

chadwick/ Jacqueimer sign

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15
Q

Inhabitant bacteria invagina

A

Dodelain bacilli (lactobacillus)
+
show
=
Protection against infection

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16
Q

m.C. vaginitis in pregn.
m.C.C UTI in pregn

A

Candidiasis.( survive in acidic media)
E. coli

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17
Q

Uterus wt,volume,length, shape

A

1.1 kg, 5 L, 35 cm. ,globular shape
mainly hypertrophy

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18
Q

Braxton Hicks contraction is seen in

A

in T2

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19
Q

Spleen enlarges in pregn.by
pituitary
kidney
thyroid
liver

A

50%
125%
Icm
Increases
remains same

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20
Q

THI → TH2. is absent in

A

PlH

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21
Q

Fibrinogen
Fibrin stabilizing Factor

A

increases
decreases.

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22
Q

BT, CT,Anti Thrombin Time

A

Unchanged

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23
Q

Transverse diameter increases
diaphragm pushed up by
circumference increases by
Subcostal angle

A

2 cm
4 cm
6 cm
103 degree

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24
Q

Resp. parameters
Increase
unchanged
decrease

A

IC TV MoVie
IRV ,EC ( IRV, RR, VC, EC)
Others

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25
Q

Blood O2 level
Blood co2 level
Blood pH

A

increases
decreases
same

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26
Q

vomitting due to
morning sickness and hyperemesis gravidarum common in

A

HCG
T1

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27
Q

In morning sickness suggest to have bisscuit/ water before?

A

Have biscuit before

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28
Q

morning sickness mx

A

Dorylamine + Pyridoxine
or Hyoscine

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29
Q

Hyperemesis gravidarum DX

A

> 5% wt loss
vitals unstable
Ketosis

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30
Q

more vomitting in male/ female child ?

A

Female child due to estrogen

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31
Q

m. C electrolyte abnormality in hyperemesis gravidarum ?

A

Hypokalaemia

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32
Q

M. C enzyme def in hyperemesis gravidarum?

A

vit k and thiamine
leads to Wernickes encephalopathy

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33
Q

m.C.metabolic AbN .in hyperemesis gravidarum?

A

metabolic alkalosis

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34
Q

Scoring of hyperemesis gravidarum?

A

Rhode, PUQE

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35
Q

mxof hyperemesis gravidarum

A

Promethazine,Prochloperazine,metochloperamide

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36
Q

Hydroureter move on right/left?

A

Right due to dextraration ofuterus

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37
Q

M.C. organ involved in PlH?
M. Characteristic H PE finding in PlH?

A

kidney
Glomerulo endothelions

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38
Q

UTI leads to

A

PTL, pyelonephritis

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39
Q

Serum Urea serum creatinine ,serum Uric increase/decrease in pregn.?

A

Decrease

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40
Q

DOCfor UTI in pregn?

A

Nitrofurantoin

41
Q

The only hormone to decrease in pregn?
The hormone which remains unchanged?

A

DHEA- S ,FSH,LH,TSH
ADH

42
Q

Sheehan syndrome is necrosis of ant /post pitvitary?

A

Ant.

43
Q

M.C.C of post parturm thyroiditis?

A

Anti microsomal Ab

44
Q

Parameters which increase in physiological Anemia of pregn?
Parameter which increases in pathological anemia Of pregp ?

A

Transferrin,TIBC
RDW

45
Q

Total amt of Fe in pregn?

A

1 gram or 4-6 mg lday

46
Q

IFA tab
Fe time?
Folic acid time?
Folic acid dose?

A

60 mg Fe + 500 Ug Folic acid
180 before to 180 after Fe
I month before to 3months after Folic acid P/ O
3month before to 3 month after Folic acid T/t
prophylaxis - 0.4 mgl day
h/ O NTD or valproate - 4mg lday
megaloblaine anemia - lmg lday

47
Q

Pathological anemia level?
severe
very severe

A

< II gm Idl
<7 gm I dl
< 4 gm 1 dl

48
Q

MCHC,S.Fe in IDA?

A

< 30,< 30

49
Q

Prolactin max at?
IDA testing at or GDM testing at?
Insulin resistance max at?
TIFFA / Anomaly scan at?

A

labor
1st antenatal visit + 24-28 wK
24-28 wK
18-20 wK

50
Q

Best mx Of IDA?

A

Fe tab
1 tab for prophylaxis
2 tab for T / t
I tab for maintainence

51
Q

Hb increases after?
at rate of?
Retic count increases after?

A

20 days
0-7 gm/dI/ wK
10 days

52
Q

Best Ix for IDA?
Earliest to rise after TH Of IDA?

A

Ferritin
Reticulocyte count

53
Q

Parenteral Fe indication?
Blood transfusion indication?

A

severe anemia and< 34Wk
very severe anemia ,>34wk, I hemorrhage, CHF

54
Q

m.c used Parenteral Fe?
Best Parenteral Fe?
Dose of parenteral Fe?

A

Fe sucrose
Fe carbonymaltose
2.4 X wt x Hbdeficit. +500 mg

55
Q

x mI Fe sucrose = x mg Fe = x ml NS

A

1 20 20

56
Q

m.C.c. of megaloblaine anemia in pregn?

A

Folic acid def

57
Q

Dimorphic anemia

A

IDA +folic acid def anemia

58
Q

M.C. C of anemia in pregn
2 nd m.c.C of anemia in pregn.?

A

IDA
ACD

59
Q

DM FBS ,RBS, HBAIC ?

A

126 ,200 , 6:5

60
Q

Overt Dm
GDM

A

TI T2 T3
T3 > T2

61
Q

DIPSI GDM Ix

A

2 hr OGTT
75gm
140,200

62
Q

M.C. cardiac anomaly?
M. specific cardiac anomaly?
m.C. cardiac finding?
m. specific anomaly?

A

VSD
TGA
HOCM
caudal regression syndrome / sacral agenesis

63
Q

Best test to predict congenital anomaly?
Best test to DX congenital anomaly?

A

HBAIC
TIFFA / Anomaly scan / level 2 usg

64
Q

Fe testing,GDM Testing,Anomaly scan is done in which pregn females?

A

All

65
Q

Macrosonia more common in male/female child?

A

male child

66
Q

Best Ix for growth of fetus / macroromia?

A

Adominal circumference >35 Cm

67
Q

Macrosomia wt criteria
indication Of C-section in macrosomia?

A

4kg
4.S kg in DMpregn
S kg in non- DM pregn

68
Q

Shoulder dystocia time?
Sign?
MX

A

morethan 1 min after delivery of head
Turtle sign
HEL PERR zivanelli

69
Q

sholder dystocia vs pseudo shoulder dystocia

A

after full cervical dilatation vs cervical dilation is incomplete

70
Q

m.C fetal complication of Shoulder dystocia?
mC maternal complication of shoulder dystocia?
mic nerve ingreed during Mc Robert manouvore?

A

Erbs paralyses/Brachial plexus injury
PPH
Iateral cutaneous nerve of thigh

71
Q

Best Ix to testlung maturity in DM mother?

A

PhosphatidyI chOline

72
Q

hyperviscocity syndrome has?

A

polycythaemia + hyperbilirubinemia

73
Q

mc fracture / dislocation in DM mother child?
mc fractvre in traumatic vaginal delivery?

A

Clavicle
Humerus

74
Q

GDM increases chances of DM by?
so Test at?

A

50%
6 wK after delivery

75
Q

DM levels
GDM levels
GDM T/t goals

A

12S. ,200,6.5
14O,200,120(pp)
95, 6, 14O & 120

76
Q

DM drugs safe in pregnancy?

A

Metformin,gliburide

77
Q

delivery time in Dm mother?

A

39Wk - 40wK

78
Q

Insulin given?

A

mixtard insulin
or
regular insulin+ NPH insulin

79
Q

insulin requirement Increases/ decreases aspregn. progresses?

A

Increases

80
Q

Criteria for HTN in pregn?

A

BP more than 140/90 mm Hg on 2 occassions atleast 4hrs apart

81
Q

PoG cut off for Chronic (HTN in pregn and PlH?

A

20 WKS

82
Q

Insulin comes back to N affer delivery in GDM?
BP comes backto N after delivery in PlH?

A

6 wKs
12Wks

83
Q

gestational H TN Vs Preeclampsia?

A

pehas Proteinuria and End Organ Damage
Severe pE BP morethan 160/110 and End organ damage

84
Q

Eclampsia is?

A

Severe PE+ GTCS

85
Q

severe PE can lead to??

A

Eclampsia and HELLP syndrome( 15%of Hellp have N BP so not included in diagnosis criteria)

86
Q

Keith Wagner classification is for?

A

HT N retinopathy

87
Q

Keith Wagner classification is for?

A

HT N retinopathy

88
Q

To prevent eclampsia in SeVerePE or impending eclampsia pt?
To p / o convulsions in PlH?
To T / t convulsions in PlH?
To P / O PlH with risk factor females ?

A

mgso4
mgso4
mgso4
Aspirin

89
Q

morning sickness in
HEllp syndrome in

A

T1
T3

90
Q

morning sickness in
HEllp syndrome in

A

T1
T3

91
Q

Tenesse criteria is for?

A

HELLP syndrome
LDH more than 600 IU
SGOT SGPT > 70 Iu/l
Platelet less than 1 lakh

92
Q

Tenesse criteria is for?

A

HELLP syndrome
LDH more than 600 IU
SGOT SGPT > 70 Iu/l
Platelet less than 1 lakh

93
Q

PE /HELLP more common in priem;/multigravidea?

A

pE priemi
HELLP multi

94
Q

Salt restriction diet
and anticoagulant heparinand
combination of heparin and aspirinand
ca supplementation and
smoking effect on Pl H?

A

No effect,no effect,benifits,benifit,benifit

95
Q

m.C Teet to predict PE?

A

UAE uterine Artery Doppler

96
Q

Pathology ofPE

A

Incomplete Trophoblast invasion

97
Q

Diuretics in PIH?

A

CI

98
Q

IUGR+ Oligonydramnios
IUGR+ Polyhydramnios

A

PlH
trisomy 18

PROFF - GYNAE (1 decks)

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