Obstetrics and Gynecology Part 3

Maja Rotzky, a 19 y/o primigravid consulted on your clinic for her first prenatal check-up. The fundic height was measured to be at the level of umbilicus. Assuming that this is NOT a multifetal pregnancy and there is NO structural, or medical abnormality, approximately how many weeks AOG is this pregnancy?

Cathy Poe is a 31-year-old female who is complaining of cyclic pelvic pains since 8 months PTC. She thought this was just an ordinary case of dysmenorrhea hence she self-medicated with NSAID’s. However, 2 weeks PTC, patient experienced defecating with blood. You requested ultrasound which revealed hyperechoic sacs on both ovaries which possibly blood-containing. What is your diagnosis?

Halley is a 23-year-old promiscuous lady who came in due to right upper abdominal pain. Further history revealed previous episodes of STD but did not comply with the complete treatment course. Laparoscopy was done and showed periportal hepatitis with characteristic violin string adhesions. What is your impression?

You are consulted by a 28-year multigravida who is on her 2nd week post-partum because she was unable to express milk for her child. Further history revealed profuse bleeding during her last childbirth. With that kind of history, you are able to diagnose the patient with?

A 24-year-old primigravid with 9 weeks AOG consulted due to passing of meaty material. History started a day PTC, patient had crampy abdominal pain (7-8/10 in pain scale) associated with spotting. Few hours PTC, patient noted passing-out of meaty material per vagina. Speculum exam showed closed cervix. To be sure, you requested ultrasound and revealed empty uterine cavity. What is your next step?

The most common type of breech presentation is characterized by?

The most common symptom found in complete mole is?

A 25-year-old female, with several previous episodes of PID, came in due to severe right lower quadrant pain. No associated fever, diarrhea or vomiting noted. Further history revealed missed menses for 2 months. Pregnancy test revealed positive and you are entertaining ectopic pregnancy. If you are to perform ultrasound, you should know that a gestational sac should be seen once the level of hCG is?

Which among the following statements is/are true regarding medical treatment of Ectopic pregnancy?

What is the most common cause of DIC in pregnant women?

Vaginal delivery follows a series of fetal movement in relation to uterine contractions, which are called Cardinal movements. Which cardinal movement is the most important and is the first prerequisite for vaginal birth?

Which of the following is/are criteria for using Oxytocin?

A 27-year-old nulligravid have undergone explore laparotomy due to ovarian tumor. Grossly, the tumor contains teeth, hair and bone. What is your impression?

Which of the following is/are probable sign/s of pregnancy?

Human Placental Lactogen is being pointed-out as the cause of gestational diabetes. Its peak levels can be detected on what age of gestation?

The minimum criteria for diagnosing Pelvic Inflammatory Disease includes

Call Exner bodies are the pathognomonic finding in?

This is an abnormal uterine bleeding characterized by scanty menstruation.

The most common cause of secondary amenorrhea is?

A 28-year-old primigravid consulted at ER due to painless
vaginal bleeding. She is currently on her 32nd week of gestation.
The least you would do is?