Repro 3

Question 1

Triad of ruptured membranes followed by painless, vaginal bleeding, and fetal distress.

Answer 1

Vasa previa Immediate C-section.

Question 2

How do you manage chronic pre-existing HTN?

Answer 2

HTN 140/90 or greater occuring before 20 weeks. Managed with Labetalol, Nifedipine or Methyldopa.

Question 3

What is new onset HTN of 140/90 or greater occuring after 20 weeks gestation and no proteinuria, edema, or end organ damage?

Answer 3

Transitional HTN. aka Gestational HTN,

Question 4

Management for pre-eclampsia at 37 weeks or greater?

Answer 4

Delivery

Question 5

Treatment for Eclampsia

Answer 5

IV magnesium sulfate.

Question 6

Maneuver of hyperflexion and abduction of the mother’s hips towards the abdomen without and then with suprapubic pressure.

Answer 6

McRoberts maneuver.

Question 7

MC breech position?

Answer 7

Frank

Hips flexed, knees extended.

Question 8

Gush of fluid, pooling of secretions in posterior fornix. Nitrazine paper test turns blue if pH > 6.5 May lead to chorioamnionitis or endometritis if prolonged.

Answer 8

PROM if 37 or more weeks PPROM if < 37 weeks

Question 9

What steroid is given to help enhance fetal lung development?

Answer 9

Betamethasone

Question 10

Management of postpartum hemorrhage.

Answer 10

Bimanual uterine massage and compression IV oxytocin

Question 11

MC location of ectopic pregnancy?

Answer 11

ampulla of fallopian tube

Question 12

Severe abdominal pain, left shoulder pain (Kehr sign) syncope, hypotension.

Absence of gestational sac with beta-hCG levels > 2,000.

Answer 12

Ruptured ectopic

Question 13

Management of stable/unruptured ectopic?

Answer 13

Methotrexate

Question 14

Management for unstable/ruptured ectopic.

Answer 14

laparoscopic salpingostomy

Question 15

PE shows unilateral pelvic and lower abdominal pain, vaginal bleeding, amenorrhea.

Adnexal mass and Cervical motion tenderness.

Answer 15

Stable/unruptured ectopic.