Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
Abdominal examination of a 12 weeks PG according to her LMP, fundal level was found at level of umbilicus with a doughy uterus. Choose a possible cause:.b. c. d. e. .
Anonymous Quiz
2%
Polyhydramnios
0%
Intrauterine fetal death.
8%
Normal finding.
2%
ontracted pelvis.
88%
Molar pregnancy
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A 25-year-old woman presents at 14 wks with mild vaginal bleeding and +ve pregnancy test. TVS shows a non-living intrauterine pregnancy. The most reasonable to offer her:a. b. c. d. e. .
Anonymous Quiz
13%
Laparoscopy.
13%
Serum HCG measurement
49%
Misoprostol
17%
Methotrexate.
9%
Progesterone
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
The most consistent symptom of ectopic pregnancy is:
Anonymous Quiz
6%
Amenorrhea.
6%
Severe vaginal bleeding.
84%
Pain.
0%
Fainting.
4%
Hyperemesis gravidarum.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A 7 weeks pregnant patient presents with vaginal spotting, lower abdominal cramps. US shows a single fetus with +ve pulsations. PV shows a closed cervix. Appropriate management:
Anonymous Quiz
2%
a. Admit to hospital to follow the case.
20%
b. Bed rest at home, prohibit intercourse & administer a progestin.
67%
c. Bed rest at home, prohibit intercourse & administer a progesterone.
9%
d. Bed rest at home and administer a tocolytic.
2%
e. Repeat ultasonography and pregnancy test after 2 days.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
Regarding treatment of choriocarcinoma, choose the correct statement
Anonymous Quiz
7%
a. It is mainly surgical.
2%
b. Radiotherapy is always needed.
9%
c. Chemotherapy is not indicated in all cases.
7%
d. Actinomycin is the single agent drug of choice
74%
e. Methotrexate can be given for both metastatic and nonmetastatic risk cases.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
The most common route for metastatic spread of choriocarcinoma is:a. b. c. d. e. .
Anonymous Quiz
5%
Lymphatic.
86%
Hematogenous
5%
Peritoneal fluid.
0%
Cerebrospinal fluid.
5%
Peritoneal seedling.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
Alarming event for the possibility of gestational trophoblastic disease include:
Anonymous Quiz
92%
Persistent titer of HCG after pregnancy.
0%
Hematuria.
2%
Weight loss
6%
Persistent postpartum anovulation.
0%
Persistent unexplained fever.
❤2
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A 24-year-old G3P2 presents with vaginal bleeding, B-HCG: 300.000miu/ml, uterine is 12wks, US shows a snow storm appearance in the uterus. Most appropriate management is:
Anonymous Quiz
2%
Plan for hysterectomy.
5%
Anti-D and bed rest.
76%
Plan for dilatation and suction evacuation.
7%
Repeat B-HCG after 48hrs.
9%
Methotrexate therapy
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
. The following are true regarding the follow up after evacuation of a molar pregnancy:
Anonymous Quiz
2%
a. Endometrial biopsy and chest X-Ray should be performed every 3months for a year.
16%
b. Endometrial biopsy, chest X-Ray &B-HCG levels are obtained serially monthly
78%
c. B-HCG levels should be monitored weekly until undetectable, then monthly for 6months
5%
d. B-HCG and chest X-Ray are done weekly until being negative
Transverse lie in a multipara at 32 weeks pregnancy could be managed by:
Anonymous Quiz
15%
External cephalic version
46%
Wait for spontaneous correction.
15%
Cesarean delivery
0%
Oxytocin induction
23%
Internal podalic version and breech extraction.
Transverse lie in a multipara at full term is best managed by:
Anonymous Quiz
22%
External cephalic version
0%
Wait for spontaneous correction.
52%
Cesarean delivery
0%
Oxytocin induction
26%
Internal podalic version and breech extraction
Which of the following is characteristic for true labor pains?
Anonymous Quiz
22%
Stationary in frequency and strength.
0%
Pains could be relieved by sedatives and antispasmodics.
22%
Usually coincide with rupture of membranes
22%
Starts after fetal head engagement.
35%
Associated with bulging of membranes
As regard management of 2nd stage of normal labor;
Anonymous Quiz
10%
Fundal pressure is mandatory to help fetal head expulsion
10%
Bearing down is discouraged.
20%
Episiotomy is routinely done in primipara.
50%
Head is allowed to extend after crowning
10%
After head delivery, anterior shoulder is delivered first.
During 3rd stage of labor, one of the following is not related to placental separation:
Anonymous Quiz
45%
Reflex bearing down.
41%
Uterus becomes harder.
0%
Elongation of the umbilical cord.
0%
Gush of blood.
14%
Suprapubic fullness.
The following can predispose to retained after-coming head in breech presentation:
Anonymous Quiz
0%
Complete breech.
25%
Frank breech.
10%
Well flexed fetal head.
5%
Associated placenta previa.
60%
Traction on fetal body during assisted breech delivery
Fetal head is delivered in flexion in one of the following conditions:
Anonymous Quiz
33%
Direct occipito anterior.
11%
Direct mento-posterior.
0%
Persistent brow.
56%
After coming head in breech presentation.
0%
Neglected shoulder.
Fetal head is delivered in extension in one of the following conditions:
Anonymous Quiz
65%
Direct occipito anterior.
5%
Face to pubis.
15%
Direct mento posterior.
10%
Persistent brow.
5%
After coming head in breech presentation.
Pethidine injections more than two hours before delivery may be complicated by:
Anonymous Quiz
0%
Neonatal jaundice
22%
Motor block with weakness of lower limbs
67%
Neonatal respiratory depression.
0%
Postpartum hemorrhage
11%
Inborn error of metabolism