MDC Theory Flashcards
A mother with a fetus in frank breech presentation arrived at the labour ward and delivered without assistance as far as the umbilicus. The reminder of the body is manually assisted by the obstetrician.
a. State two maneuvers that can be used to deliver the rest of the body up to the head
b. List three Methods of delivering the after coming head
c. State two maternal complications associated with the delivery
d. State six(6) fetal complications associated with the delivery
A💫Ritgen maneuver
💫Pinard maneuver
B. Maureceau viet maneuver
Wood corkscrew maneuver
C. Post part haemorrhage
Vaginal injuries
D. Birth asphyxia
Birth injuries
Meconium aspiration
Erbs palsy
Cord prolapse
Shoulder dystocia 🤔
A four-year child was brought to your facility with a complain of vomiting, pyrexia 39.10c, the
child had a convulsion but had aborted before arrival to the facility.
1. What is the diagnosis?
2. Mention two (2) bedside investigations you will do?
3. Give four other differential diagnosis for the condition
4. Among the differential diagnosis given above, give the emergency management of the one
common in our setting.
À. Fibrile convulsions
B. Rapid diagnostic test
Random blood sugar
C. Differentials
Severe malaria
Severe uti
Typhoid fever
Sepsis
cerebral malaria
Meningitis
Epilepsy
Severe malaria
Hypoglycemia
D. Severe malaria: conduct primary survey, secure Intravenous line, take samples for investigations, start intravenous antimalarial therapy, give appropriate analgesics and antipyretic, hydrated with crystalloid monitor vitals and refer to a pediatrician
QUESTION ONE
An elderly man was found unable to wake up/stand behind his desk. He was rushed to your health
facility. According to the spouse he is a known hypertensive.
1. Give two differential diagnosis of the condition
2. Mention four (4) investigations you will carry out
3. Later you found out that he has weakness on the left side of the body. What is the most
likely diagnosis?
4. How will you manage him?
A. Transient ischemic stroke
Hypoglycemia
B. 💫Random blood sugar or fasting blood sugar
💫Blood film for malaria parasites
💫 Full blood counts
💫 Head computed tomography
C. Transient ischemic stroke with left hemiparesis
D. Detain, conduct primary survey, prop up in bed ,give oxygen if necessary,secure Intravenous line take samples for investigations, give appropriate antihypertensives, analgesics, monitor vitals and refer to a physician internist
Surgery
A 26year old painter fell from the second floor of the hospital building. On your initial assessment
he was unconscious and not responding to stimuli and voice commands.
1. What will be your initial assessment?
2. How will you manage him?
3. What investigations will you carry out?
4. Briefly describe the method you will use to assess his level of consciousness
5. If you later hear smell of alcohol how will you manage him?
A.Conduct primary survey and neurological assessment
— To gain full marks, write what is supposed to be done for primary survey and neurological assessment
GCS—-write in full
Eye open— 4
Verbal response-5
Motor response-6
I think this okay ✅
B. Detain, conduct primary survey, keep nil per oral, pass a urtheral catheter, give oxygen if necessary, secure Intravenous line resuscitate with crystalloid (ringers lactate), refer immediately to a surgeon
C. Full blood counts, blood urea electrolytes and creatinine, chest x-ray, head computed tomography
D. Glasgow coma scale
E.give thaime, anticonvulsant if necessary hydrate adequately and refer to a physician internist or psychiatrist
Is a surgery question so always refer to the surgeon
