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88) Explanation
• Deceleration is transient decrease in FHR below the
baseline by 15 bpm or more and lasting for more than or
equal to 15 secs.
• Three basic type of deceleration are observed:
Early Deceleration: Due to head compression
Late deceleration: Uteroplacental insufficiency and
fetal hypoxia
Variable deceleration: Cord compression (MC type)
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Correct Answer - A
Ans. A. Marsupilisation
Bartholin's cyst
Bartholin's cyst is formed when duct of bartholins gland is blocked
either by inflammation or by inspissated secretion.
It appears as a swelling on the inner side of the junction of the
anterior two-thirds with the posterior one-third of the labium majus.
A small cyst remains asymptomatic, but a larger one bulges across
the vaginal introitus and causes dyspareunia, discomfort and may
get infected when it needs excision or marsupialization
Correct Answer - B
Answer- B. Primary pulmonary hypertension
Place of therapeutic termination in case of following heart diseases.
Considering high maternal deaths, absolute indications are :
Primary pulmonary hypertension
Eisenmenger's syndrome
Pulmonary veno - occlusive disease
Correct Answer - B
Answer- B. 20%
Oxygen consumption increases approximately 20% during
pregnancy, and it is approximately 10% higher in multifetal
gestation.
During labour, oxygen consumption increases 40 - 60%.
Correct Answer - A
Years, A. 3
The relationship between the fetal and placental weights can be studied by the so called fetoplacental relationship (fetal weight/ placental weight ratio).
The fetoplacental relationship increases as the pregnancy advances.
Correct Answer - B
Answer- B. Grade 2
There are three gradings of moulding :
Grade 1 - the bones touching but not overlapping
Grade 2 -overlapping but easily separated
Grade 3 - fixed overlapping.
Correct Answer - B
Ans.B. Increased frequency at 14 weeks
Physiological changes in bladder in pregnancy
Marked congestion and hypertrophy of the muscles and elastic
tissues of the bladder wall.
Edematous bhdder mucosa in late pregnancy especially in
primigravida.
Increased frequency of micturition at 6 - 8 weeks which subsides by
12 weeks and reappears in late pregnancy due to pressure of the
gravid uterus on bladder.
Stress urinary incontinence in late pregnancy.
Correct Answer - D
Answer- D. 4.3 kg
Johnson's Formula for estimation of fetal weight :
Height of the uterus above the symphysis pubis in centimeters
minus 12, if the vertex is at or above the level of ischial spines or
minus 11, if the vertex is below the level of ischial spines - multiplied
by 155 gives the weight in grams.
Solution : (40 - 12) x 155 = 4340 gms
Correct Answer - B
Retained placenta
Secondary PPH
Bleeding usually occurs between 8th to 14th day of delivery.
Causes of late PPH :
Retained bits of cotyledon or membranes (M.C.)
Infection and separation of slough over a deep cervico - vaginal
laceration.
Endometritis and subinvolution of the placental site.
Correct Answer - C
Growth of fetus
Functions :
a) Provide fetal nutrition by antagonizing the action of insulin in
maternal circulation, breakdown of fats and proteins and transport of
fatty acids and amino acids from maternal to feta circulation.
b) Potent angiogenic, helps develop fetal vasculature.
c) Promotes growth of breast for lactation.
Correct Answer- A Ans. is None/ a i.e. 3-4 mm "7he Endometrium is in the secretory phase corresponding to 2021 days of cycle" at the time of implantation. "After ovulation, the endometrium now demonstrates a combined reaction to estrogen and progesterone activity. Most impressive is that total endometrial height is fixed at roughly its preovulatory extent (5-6 mm) despite continued availability of estrogen." Reading the above text it is clear that endometrium is- 5- 6 mm thick at the time of implantation, which is not given in the option. Still if you have to mark one answer option 'a' i.e. 3- 4 mm being closest could be right.
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87) Explanation
•• After suction Evacuation: We send weekly serum β-hCG. Till they Become Normal.
Avg. time for hCG to Came Back to Normal
•• After a complete Mole – 9 weeks •• After a partial Mole – 7 weeks •• After a Molar – 9 weeks •• Once hCG is Normal •• We send hCG values Monthly × 6 months
87) In a patient who underwent post molar evacuation by dilatation and curettage. Which of the following test used to define successful removal of H. Mole:
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86) A 26 weeks pregnant female presented with HTN for the first time. There is no proteinuria. Diagnosis of such condition
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