OBGYN 7/8

Question 1

bloody discharge + delay of mensis

Answer 1

suspicion of ectopic pregnancy

Question 2

ruptured of ectopic pregnancy complications

Answer 2

peritonitis

bleeding–>hypovolemic shock

Question 3

adnexitis

Answer 3

• inflammation of ovaries and fallopian tubes
• pain in L\R LQ
• fever
• vaginal discharge

Question 4

ovarian torsion

Answer 4

• R\L LQ PAIN
• Ssudden onset of pain after physical activity
• mass / tumor near fallopian tube in history

Question 5

acute appendicitis symptoms

Answer 5

paraumbilical pain

RLQP

fever

leukocytosis

Question 6

acute bartholinitis TX

Answer 6

if no abscess –>self resolvement

if abscess –> surgical drainage +antibiotics

Question 7

hydatidiform mole (molar pregnancy)

Answer 7

• non vital pregnancy
• very high BHCG
• fact enlargement in uterus
• sometimes there is organs development (heart …)

Question 8

complications of molar pregnancypresentation and

management

Answer 8

• hyperemesis gravidarum
• weght loss
• high BHCG –>hyperthyroidism –>preeclampsia

abortion +curtage

Question 9

complication after curatage

Answer 9

chorioepithelioma
(high BHCG ,distended uterus)

Question 10

B9 deficiency in first trimester

Answer 10

absent brain( anencephaly)

Question 11

severe dehydration

Answer 11

-eyes are deeply sunken
-low blood pressure
- anuria
- caused by cholera usually

Question 12

typhoid fever

Answer 12

• fever
• normal HR
• roseola on abdomen (pink rash)

Question 13

salmonella

Answer 13

raw eggs
watery/bloody diarrhea

Question 14

toxic food borne infection

Answer 14

S.AUREUS
mayonnaise
after 6hrs –> diarrhea

Question 15

dysentery

Answer 15

-shigella
- LLQP
- ulcers in rectum
- bloody diarrhea

Question 16

normal apgar score

Answer 16

> 7 points

Question 18

most common cause of fetal growth restriction is..

Answer 18

chronic fetoplacental insufficiency

Question 19

risk factors chronic fetoplacental insufficiency

Answer 19

-preeclampsia
-diabetes
-gestational HTN

Question 20

endometrial adenocarcinoma stages

Answer 20

-stage 1–> till myometrium
-stage 2–>lymph nodes involvement
- stage 3A –> invade uterine body and / adnexia / serosa
-stage 3 B–>vagina /parametria/pelvic peritonium
-stage 3 C —>metastitis in pelvic paraortic lymph nodes
stage 4 A —>other organ metastasis

Question 21

placental abruption risk factors

Answer 21

-cocaine
-smoking
- preeclampsia
- HTN

Question 22

uterine rupture presentation

Answer 22

• during labor
• vaginal bleeding
• sudden onset of pain
• fetal parts easily palpated

Question 23

fertility management and causes

Answer 23

• semen analysis
• female examination
  menstrual cycle
• endocrinal analysis

causes:- artificial abortion
- pelvic inflammatory
diseases
- chronic salpingo-
oophoritis

Question 24

artificial abortion complications

Answer 24

removal of endometrium–>no menstruation–>asherman syndrom