Obstetrics

Question 1

Physiological changes in pregnancy Cardiovascular?

Answer 1

1) RBC volume increases
2) Cardiac output increases

Question 2

Physiological changes in pregnancy RESPIRATORY?

Answer 2

1) TV increases by 30% due to hyperventilation
2) RV and Functional residual capacity decreases due to rise in diaphragm

Question 3

Physiological changes HAEMATOLOGY?

Answer 3

1) Plasma volume increases by 50% (Dilutional anaemia)
2) Hypercoagulability due to increased fibrinogen and clotting factors

Question 4

Physiological changes ENDOCRINE?

Answer 4

hCG mimics TSH causing increase in thyroid hormone but TFTS remain stable

Question 5

Tx for PID?

Answer 5

IM Ceftriaxone + 14 days pf doxycycline and metronidazole

Question 6

Management of primary post partum haemorrhage?
1
2
3

Answer 6

1) Palpate uterine fundus + Catheterise
2) IV Oxytocin
3) Iv egromost

Question 7

1st line blood Ix for primary infertility in women?

Answer 7

Serum progesterone 7 days before end of menstrual cycle