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
First stage of labor:
Anonymous Quiz
16%
Begins at the time of full cervical dilatation.
11%
Has a latent phase that ends with dilatation exactly at 6cm.
53%
Has an active phase with at least 1cm/hr dilatation in nulliparous.
21%
Has an active phase that begins with repetitive contractions.
0%
Has a latent phase with a rapid rate of cervical change
The approximate incidence of breech presentation at 28 weeks GA is:
Anonymous Quiz
11%
4%
6%
10%
6%
15%
72%
20%
6%
8%
A 30-year-old PG presents in spontaneous labor at 41weeks. PV: cervix is fully dilated, vertex is direct occipito-posterior. What will be the distending diameter of the vulva?
Anonymous Quiz
12%
Bitemporal
47%
Occipito-frontal
12%
Submento-bregmatic.
29%
Suboccipito-bregmatic
0%
Vertico-mental
What is the mechanism of head delivery in a face presentation:
Anonymous Quiz
27%
Extension
0%
External rotation
73%
Flexion
0%
Internal rotation
0%
Restitution
Regarding the third stage of labor, which of the following is correct:
Anonymous Quiz
20%
Active management reduces hemorrhage and shortens 3rd stage compared to physiological management.
0%
Early cord clamping achieves better infant hematological outcomes than delay cord clamping.
50%
If actively managed, the mean duration is 30minutes.
10%
If the placenta is retained, then its manual removal should only be conducted under GA
20%
Active management involves cord clamping, give oxytocin and immediately pull on the cord.
Breech presentation in a PG at term in labor is best managed by:
Anonymous Quiz
17%
External cephalic version
8%
Internal cephalic version and extraction
75%
Cesarean section
0%
Oxytocin induction.
0%
Internal podalic version and breech extraction
False labor pains are characterized by which of the following?
Anonymous Quiz
0%
Associated with decreased fetal movements.
0%
Starts after fetal head engagement.
0%
Starts when the cervix is 3cm dilated
0%
Usually coincide with rupture of membranes.
100%
Pains are relieved by sedatives and antispasmodics
Second stage of normal labor is characterized by all the following EXCEPT:
Anonymous Quiz
0%
Increased uterine contractions.
18%
Rupture of membranes
9%
Urge to bear down
64%
Increased fetal movements.
9%
Fetal head is delivered by extension.
In management of third stage of normal labor:
Anonymous Quiz
13%
Conservative management is associated with less risk of post-partum hemorrhage.
73%
Duration till placental delivery should not exceed ½ an hour.
0%
Estimated blood loss from placental site is about lliter.
7%
Ritgen maneuver may be used to enhance placental separation.
7%
Manual separation of placenta is routinely done.
ملخص سريع لل anti epileptic drugs 👇
أى دواء فيه حرف P يبقى علاج لل partial seizures و الأدوية هي :
( Carbamazepine - sodium valproate - phenytoin - phenobarbitone )
و لو resistant هنضطر نخش ب topiramate
لاحظ
Resistant : topiramate
الاتنين عندهم 2t و 1r🤷♂️
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
لو هنتكلم على جزئية ال myoclonic فبرضوا هتلاقي الأدوية كلها فيها حرف ال M ما عدا topiramate علشان انت عارف ان فيه P و هو متخصص فى resistant partial seizure
و lamotrigine هو كده كده broad spectrum بس مش هينفع لو pure
الأدوية هى :
( sodium valporate - clonazepam - levetiracetam - ethosuxamide )
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
ال absence هنا بنتكلم فى اختصار كلمة SEA
S : sodium valproate
E : ethosuxamide
A : absence عادى 😅
💥طب فى علاج مش الطبيعى اللى الاقيه فى حالة absence علشان برة كلمة SEA فبالتالي هستخدمه للحالات ال atypical absence و هو lamotrigine😅
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
ال generalized بقى اللى دوخت عقبال ما جبت واحدة
بس ممكن نقول : ليه العربية الvيرنا فست؟
ليه : Levetiracetam
العربية : Carbamazepine
الvيرنا : sodium valproate
فست: phenytoin - phenobarbitone
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
قبل اخر حاجه هى ال epileptic spasm و هنعملها فى كلمتين و هم : Clep Viga أو بالعربي كِلِيبْ vيجا
Cl : clonazepam
Ep: epileptic spasm
Viga : Vigabatrin
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
أخر قسم 😮💨و هى الحالات المتخصصة و هم :
Carbamazepine 👉 partial seizures ( the best)
Lamotrigine 👉 broad spectrum
Atypical absence seizures 👉 lamotrigine
Resistant partial 👉 topiramate
أى دواء فيه حرف P يبقى علاج لل partial seizures و الأدوية هي :
( Carbamazepine - sodium valproate - phenytoin - phenobarbitone )
و لو resistant هنضطر نخش ب topiramate
لاحظ
Resistant : topiramate
الاتنين عندهم 2t و 1r🤷♂️
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
لو هنتكلم على جزئية ال myoclonic فبرضوا هتلاقي الأدوية كلها فيها حرف ال M ما عدا topiramate علشان انت عارف ان فيه P و هو متخصص فى resistant partial seizure
و lamotrigine هو كده كده broad spectrum بس مش هينفع لو pure
الأدوية هى :
( sodium valporate - clonazepam - levetiracetam - ethosuxamide )
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
ال absence هنا بنتكلم فى اختصار كلمة SEA
S : sodium valproate
E : ethosuxamide
A : absence عادى 😅
💥طب فى علاج مش الطبيعى اللى الاقيه فى حالة absence علشان برة كلمة SEA فبالتالي هستخدمه للحالات ال atypical absence و هو lamotrigine😅
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
ال generalized بقى اللى دوخت عقبال ما جبت واحدة
بس ممكن نقول : ليه العربية الvيرنا فست؟
ليه : Levetiracetam
العربية : Carbamazepine
الvيرنا : sodium valproate
فست: phenytoin - phenobarbitone
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
قبل اخر حاجه هى ال epileptic spasm و هنعملها فى كلمتين و هم : Clep Viga أو بالعربي كِلِيبْ vيجا
Cl : clonazepam
Ep: epileptic spasm
Viga : Vigabatrin
ــــــــــــــــــــــــــــــــــــــــــــــــــــ
أخر قسم 😮💨و هى الحالات المتخصصة و هم :
Carbamazepine 👉 partial seizures ( the best)
Lamotrigine 👉 broad spectrum
Atypical absence seizures 👉 lamotrigine
Resistant partial 👉 topiramate