pregnancy

Question 1

tocolysis

Answer 1

indomethacin and nifedipine

Question 2

severe features of preeclampsia

Answer 2

more than 160.1210
thrombocytopenia
creatinnie
alt ast
pulmonary edema
visual or cerebral symptoms

delivery at 34

Question 3

second stage od delivery

Answer 3

after 10cm dialation
arrest is 3 hours ( 4 with epi) no fetal decent

Question 4

delivery and HPv

Answer 4

HPV can cause oropharynx and larynx lesions, and juvenile respiratory papillomatosis,

but cesarian wont decrease the chances so normal delivery

Question 5

contraindication for pregnancy

Answer 5

pulmonary HTN
perupartum cardiomyopathy with residual LV
HF with under 30 %
severe coarctasion
sever MS
severeAS
severe aortic dilation
eisenmenger syndrome

Question 6

amnioic fluid embolisim

Answer 6

advanced maternal ge
gravida more than 5
cessarian or instrmental delivery
placenta abraptio previa and preeclampsia

shock
hypoxic respiratoru failure
DIC
coma and seizure

soppurt and rasfusion

Question 7

high spinal plecental anesthesia

Answer 7

hypotention due to loss of sympathis ==c response
paralysis of the diaphragm and other muscles,
not associated with hypercoagulopathy

Question 8

fetal growth restriction

Answer 8

1st chromosla congenital inf, global , serial sonography doppler and soon and biophysical management

2,3 : head sparin , if doppler is not good : end the pregnancy

Question 9

prolapsonf amniotic membrane

Answer 9

poor prognosis even with cerclage

Question 10

indications for prophylactic administration of antiD for negative RD patients

Answer 10

at 28-32 weeks
72 hours after delivery
72 hours after abortion
ectopic pregnancy
threatened abortion
hydatiform mole
chrionic vullus sampling, aminocenthesis
abdominal trauma
2ns and 3rd trimester bleeding
external cephalic version

Question 11

HELLP syndrome complications

Answer 11

abruptio placentae
subcapsular liver hematoma
acute renal failure
pulmonary edema
DIC

Question 12

deque contraction

Answer 12

in active phase (6 -10cm) its every 2-3 minutes and 1cm per 2hr

if nor change in 4h with adequet and 6 h without adequwt= cesarien

Question 13

cervical insufficiency

Answer 13

history of two painless abortion 2nd trimester

painless advanced dilation in2nd trimester

asymptomatic cervical shortening in less than 24 eek
(less than 2.5 CM)

Question 14

alpha FP

Answer 14

increased open neural tube defect, ventral wall defect, multiple gestation,

decreased: aneuploidies(18.21)

Question 15

management of shoulder dystocia

Answer 15

be calm

breath do not push
elevate legs and flex hips against the abdomen
call for help
apply suprapubic pressure
enlarged vaginal opening with episiotomy
maneuvers:
deliver posterior arm
rotate posterior shoulder
adduct posterior shoulder
mother on hands and knees
replace fetal head in the pelvis for cesarean delivery

Question 16

externa cephalic version

Answer 16

37 weeks and more

Question 17

equate peniciline before delivery

Answer 17

4 hours before

Question 18

cell free DNA testing indications

Answer 18

mother more than 35
abnormal maternal serum screening
sonographic findings associated with fetal aneuploidy
prior aneuploidy
parental balanced robertsonian translocation

Question 19

under 34 AB PROM prophylaxy

Answer 19

ampi azithro . for PROM 34 is thenumber for delivery or wait

Question 20

clinical features of early congenital syphlis

Answer 20

focal necrosis of the umbilical cord, prematurity , fetal demise

sniffles : copious rhinorrhea, often purulant, rash maculupapular and desquamating , including palms and soles, fissure near orifices)anal and oral), jundice

long bone abnormalities( periostal thickening, metaphyseal erosion)

hepatosplenomegaly, lymphadenopathy, anemia thrombocytopenia, leukopenia,

Question 21

shoulder dystocia warning signs

Answer 21

protracted llabor

retraction of the fetal head into the perineum after delivery ( turtle sign)

Question 23

mentum posterior

Answer 23

cesarian