OG

Question 1

Decreasing order of mortality in neonates

Answer 1

Prematurity
Birth asphyxia
Sepsis
Congenital anomalies

Question 2

Minimum antenatal visits

Answer 2

WHO recent - 8
WHO old - 4
GoI - 4

Question 3

Anemia Mukt bharath

Answer 3

1) Mild to moderate - 7 to 10.9
a)<34 weeks → 2 IFA
i)Tolerates → continue
ii) not tolerate → IV Iron sucrose
b)>34 weeks → IV Iron sucrose
2) Severe - <7
a) 5 to 6.9
i)<34 weeks → IV Iron sucrose
ii)>34 weeks → Blood transfusion
b)<5 → Blood transfusion

Question 4

Cervavac

Answer 4

Quadrivalent recombinent 6,11,16,18
L1 capsid
<15 yrs - 2 doses 0,6
>15 yrs - 3 doses 0,1,6
C/I - pregnancy
A/E - syncopal attack

Question 5

WHO SAGE guidelines for cervical cancer vaccine

Answer 5

Gardasil 9 strains - 6,11,16,18,31,33,45,52,58
<21 yrs - 1 or 2 doses
>=21yrs - 2 doses

Question 6

C/I for HRT

Answer 6

Stroke
Breast Ca
CAD
VTE
Active Liver disease

Question 7

HRT risks

Answer 7

HRT is given in <60 yrs or <10 yrs from menopause

E+P - no effect on CAD & endometrial ca
E alone - ↓CAD & ↑ endometrial ca

Question 8

OCP risks

Answer 8

↑ hepatic adenoma
↑ cervical ca
↑ breast ca (slight)
↓ ovarian ca
↓ endometrial ca
↓ colon ca
↓ benign breast disease

Question 9

C/I for uterotonics

Answer 9

Carboprost - asthma
Methergine - PE/E/Heart disease

Question 10

Estrogen in pregnancy

Answer 10

↑RAAS - ↑Aldosterone
Skin changes
↑TBG
↑Coagulation factors
Cholestasis

Question 11

Surgery in uterine inversion

Answer 11

Huntingtons surgery

Question 12

DMPA

Answer 12

150mg IM
Safe period 4 weeks
Return of fertility 1 year

Question 13

Ovarian cancer

Answer 13

RF:
Infertility/nulliparity
PCOS
Endometriosis
Early menarche / late menopause

Protective factors:
OCPs
Breastfeeding
Pregnancy

M/c gene p53>BRCA

Question 14

Ovarian cancer

Answer 14

RF:
Infertility/nulliparity
PCOS
Endometriosis
Early menarche / late menopause

Protective factors:
OCPs
Breastfeeding
Pregnancy

M/c gene p53>BRCA

Question 15

Ovarian Tumors and markers

Answer 15

Leydig cell tumor - reinke crystals
Dysgerminoma - septa& lymphocytic infiltration
Krukenberg tumor - signet ring cells
Brenners - walthard cell nests
Chorio ca - dimorphic cyto and syncytiotrophoblasts
Endodermal sinus tumor - Schiller-duval bodies
Dermoid - rokitansky protruberance

Question 16

Hirsutism

Answer 16

Weight loss
LSM
OCP x 6 months →(not improved) add antiandrogens(not given together)

Question 17

Teratogenic viruses

Answer 17

Varicella:
Skin scarring, limb defects
Congenital: 13-20 weeks
Neonatal: 5 days before to 2 days after birth

CMV: Microcephaly, Periventricular calcification

Rubella:
Cataract, PDA, SNHL
Congenital<16 weeks

Zika: Microcephaly

Toxoplasmosis: Hydrocephalus, generalized calcification

Question 18

Hydrops fetalis

Answer 18

Hb<5%
Placentomegaly
Polyhydramnios

Syphilis
Parvovirus
Rubella
Herpes

Δ criteria (any 2)
Pleural effusion
Pericardial effusion
Ascites
Subcutaneous edema