3. Answer the questions:
• Name the instrument
Ventouse cup with traction device( metalic/silastic)
• Two prerequisites
• head should be engaged
• cervix fully dialted
• pelvis should be adequate
• membrane should be ruptured
• bladder should be emptied
• Two contraindications for it’s application
preterm labor
malpresentation
suspected fetal coagulation defect and macrosomia
5. Answer the questions:
• Diagnosis on glance
fibroid uterus
• Two symptoms of patient with this pathology
menorrhagia, pain lower abdomen,
dysmenorrhoea, swelling in lower abdomen,
infertility, pressure symptoms
• Two treatment options for this condition.
medical: anti progesterone, danazole, gnrh
analogue
Surgical:myomectomy, hysterectomy
7. • Spot diagnosis
Uterovaginal prolapse
• List two risk factors for this condition
multiparity, postmenopausal atrophy,
gravitational stress, trauma to the supporting
structure
• Two management options
Conservative: pessary, kegels exercise, estrogen
replacement therapy
Surgical: vaginal hysterectomy with PFR, Fothergills
op, Abd sling op
9. Answer the questions:
• Name this device
Intra uterine contraceptive device
• Two absolute contraindication
pelvic infection
undiagnosed genital tract bleeding
presence of fibroid
suspected pregnancy
• Two side effects
bleeding , perforation, pelvic pain, PID, abnormal
bleeding
11. Answer the questions:
• What do you call this condition
cord prolapse
• Two predisposing factors
polyhydramnios,
malpresentation(transverse), prematurity,
twins, placenta previa
• Two management options
dead baby – spontaneous delivery
living baby – quick cs
13. This tissue was evacuated from uterus
of 17 years old women with 12 weeks
amenorrhea
• Your diagnosis
hydatidiform mole
• Two investigations for confirmation of diagnosis.
B hcg, USG
• Treatment
suction /evacuation
• One necessary investigation in follow up
serum HCG
15. Answer the questions:
• What is the diagnosis of this foetus?
Anencephaly
• What is predisposing factor for this condition?
genetic , environment: toxins , drugs, alcohol
• How can this condition prevented?
Folic acid 4mg
• How would a pregnant lady present with foetus ?
Lady could be young or very elderly
inability to palpate head during ANC
PV exam: face or breech presentation
• In USG how early this condition be diagnosed ?
10 weeks
17. This lady had repeated fits at 34 weeks
of gestation, BP was 160/110mm hg,
she is not in labour.
• What is provisional diagnosis ?
Eclampsia
• Two necessary drugs to be given ?
MgSO4,
Labetalol, Hydralazine
Diuretics
• How long this pregnancy should be continued ?
Immediate delivery
• Mode of termination at this condition ?
CS
19. This lady had vaginal delivery, lost
about 1000ml of blood.
• What you call this condition ?
• PPH
• What is minimum amount of blood loss to diagnose
this condition after vaginal delivery ?
• 500 ml
• List two causes which may lead to this condition ?
• Atonic uterus – grand multiparity, morbid adherent placenta
• Traumatic – Instrumental, episio
• Tissue – Retained placenta
• mention any one measure to control this condition.
• Oxytocin, uterine massage, active 3rd stage mx, Hysterectomy
21. Look at the picture & answer the
questions:
• What is this investigation known as ?
• HSG
• List two indications for this investigation.
• Tubal patency test in infertility
• Detection of uterine malformation
• Dx of cervical incompetance
• Days in menstrual cycle for this investigatigation to
perform for tubal patency
• 6-10 days
• One alternative of this investigation.
• Laparascopy and chromopertubation
• SonoHSG
• Falloposcopy
• Salpingosopy
