Obstetrics & Gynaecology

Question 1

What important questions you are going to ask when taking sexual history?

Answer 1

1. Partner
2. Practices
3. Previous STIs
4. Protection from STI
5. Protection from pregnancy

Question 2

Indications for Emergency C- section in pregnant trauma patients?

Answer 2

1. Foetal distress with viable foetus
2. Uterine rupture
3. Placental abruption
4. Maternal cardiac arrest.

Question 3

Causes of primary post partum haemorrhage

Answer 3

TONE - Uterine atony
TRAUMA - Uterine laceration
TISSUE - Retained product of conception
THROMBIN - Pre-existing coagulopathy or bleeding diathesis.

Question 4

Indications to admit patient with PID

Answer 4

1. Surgical emergency cannot be excluded
2. Lack of response to oral therapy
3. Clinically severe disease
4. Tubo-ovarian abscess
5. Intolerance to oral therapy
6. Pregnancy

Question 5

Risk factors for pre-eclampsia

Answer 5

HIGH RISK FACTORS

• Type 1 & 2 DM
• Autoimmune disease i.e SLE
• Chronic HTN

MODERATE FACTORS

• Age > 40
• First pregnancy
• Multiple pregnancy
• Obesity
• Family history of pre - eclampsia

Question 6

When would you consider giving MGSO4 in patients with Pre-Eclampsia ?

Answer 6

Patient with severe pre-eclampsia and anyone of the following

• Ongoing severe headaches
• Visual scotomatas
• Nausea or vomiting
• Epigastric pain
• Oliguria
• Severe HTN
• Progressive decline in blood lab tests (HELLP syndrome)