Obstetrics and Gynecology Complications
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Questions and Answers

What is the indication of Uterus > POC in the context of pregnancy?

  • Fetal parts are inside the uterus (correct)
  • Incomplete mole
  • Fetal parts are outside the uterus
  • Pregnancy is less than 6 months

    • What does a higher BUCG level (> 10 1/2) indicate?

  • A normal pregnancy
  • A pregnancy with fetal parts outside the uterus
  • A luteal cyst
  • A complete mole (correct)

    • What is the characteristic ultrasound feature of a complete mole?

  • A cystic structure
  • A snow storm pattern (correct)
  • A heterogeneous mass
  • A snow flake pattern

    • What is the term for fetal parts outside the uterus?

    <p>Jetal tissue</p> Signup and view all the answers

    What is the term for a cystic structure in the uterus during pregnancy?

    <p>Luteal cyst</p> Signup and view all the answers

    What is the term for a pregnancy with a fetal heart rate?

    <p>Apparent pregnancy</p> Signup and view all the answers

    What is the consequence of decreased HCG?

    <p>Increased risk of abortions</p> Signup and view all the answers

    Which of the following is NOT a consequence of trisomy 21?

    <p>Frisomies other than trisomy 21</p> Signup and view all the answers

    What is the characteristic of a circummarginate placenta?

    <p>It has no correlation with HCG levels</p> Signup and view all the answers

    What is the relationship between HCG levels and frisomies other than trisomy 21?

    <p>Increased HCG levels increase the risk of frisomies</p> Signup and view all the answers

    What is the consequence of increased HCG levels?

    <p>Increased risk of ectopic pregnancy</p> Signup and view all the answers

    Which of the following is a consequence of trisomy 21?

    <p>Higher risk of ectopic pregnancy</p> Signup and view all the answers

    What is the relationship between HCG levels and abortions?

    <p>Decreased HCG levels increase the risk of abortions</p> Signup and view all the answers

    What is the characteristic of an ectopic pregnancy?

    <p>It is a pregnancy that develops outside the uterus</p> Signup and view all the answers

    What is the recommended timing for ensuring the evacuation process is complete?

    <p>Between 7-10 weeks</p> Signup and view all the answers

    What is the recommended method for suction evacuation?

    <p>Vaccum Aspiration</p> Signup and view all the answers

    What is the key indicator of UPI according to the Lab Criteria?

    <p>Presence of 3 antibodies</p> Signup and view all the answers

    At what gestational age is preterm delivery considered a risk?

    <p>Before 32 weeks</p> Signup and view all the answers

    What is the recommended interval for testing antibodies?

    <p>12 weeks apart</p> Signup and view all the answers

    What is the recommended threshold for fetal losses at 7/10 weeks?

    <p>3 losses</p> Signup and view all the answers

    What is the recommended medication for oral/buccal administration?

    <p>Misoprostol</p> Signup and view all the answers

    What is the recommended blood pressure threshold for UGR?

    <p>660mmHg</p> Signup and view all the answers

    What is the most common congenital condition associated with compression of the Inferior Vena Cava (IVC)?

    <p>Marfan Syndrome</p> Signup and view all the answers

    Which of the following is a contraindication for Methylergometrine during labor?

    <p>Severe Mitral Stenosis</p> Signup and view all the answers

    What is the NYHA classification associated with severe heart disease?

    <p>NYHA Grade 3/4</p> Signup and view all the answers

    What is the lateral position associated with Bromocriptine therapy?

    <p>Left lateral position</p> Signup and view all the answers

    Which of the following is not a contraindication for Methylergometrine?

    <p>Hypertension during pregnancy</p> Signup and view all the answers

    What is the condition associated with compression of the Inferior Vena Cava (IVC) during pregnancy?

    <p>Marfan Syndrome</p> Signup and view all the answers

    What is the primary concern when using Methylergometrine in patients with severe heart disease?

    <p>Pulmonary edema</p> Signup and view all the answers

    What is the underlying condition associated with severe Mitral Stenosis?

    <p>Rheumatic Heart Disease</p> Signup and view all the answers

    What is the most likely diagnosis if a patient presents with bright red coloured blood and a sinusoidal heart pattern?

    <p>Vasa Previa</p> Signup and view all the answers

    Which of the following is a risk factor for uterine rupture?

    <p>Previous C-Section</p> Signup and view all the answers

    What is the most likely cause of fetal distress in a patient with abruptio placenta?

    <p>Fetal blood loss</p> Signup and view all the answers

    A patient presents with a non-tender uterus and dark red coloured blood. What is the most likely diagnosis?

    <p>Placenta Previa</p> Signup and view all the answers

    What is the most likely diagnosis if a patient presents with a relaxed, soft uterus and bleeding?

    <p>Placenta Previa</p> Signup and view all the answers

    A patient presents with abdominal tenderness and dark red coloured blood. What is the most likely diagnosis?

    <p>Abruptio Placenta</p> Signup and view all the answers

    What is the most likely diagnosis if a patient presents with a high chance of conversion to GTN?

    <p>Hydatidiform Mole</p> Signup and view all the answers

    A patient presents with bleeding and no pain. What is the most likely diagnosis?

    <p>Placenta Previa</p> Signup and view all the answers

    What is the most likely diagnosis if a patient presents with a high chance of hemorrhage?

    <p>Vasa Previa</p> Signup and view all the answers

    A patient presents with a tender uterus and bright red coloured blood. What is the most likely diagnosis?

    <p>Abruptio Placenta</p> Signup and view all the answers

    Study Notes

    Abortions and Pregnancy Complications

    • Decreased HCG levels are associated with abortions, ectopic pregnancy, and trisomy 21.
    • Misoprostol 800 may be used orally or buccally to ensure a complete process.

    Diagnostic Criteria

    • Mod SAPPARO.SYDNEY Criteria include clinical and laboratory criteria.
    • Clinical criteria include:
      • Thrombosis episode
      • Three or more losses at 10 weeks
      • Fetal losses at 7/10 weeks
      • Lethal fetal anomaly
      • Preterm delivery before 32 weeks
    • Laboratory criteria include:
      • Three antibodies
      • Any one positive antibody on two occasions 12 weeks apart

    Pregnancy Complications

    • Uterine size greater than expected for gestational age (POG) is a complication.
    • Fundal height less than expected for gestational age (POG) is a complication.
    • High beta HCG level (> 10 1/2) is a complication.
    • Bilateral theca luteal cysts are a complication of pregnancy.
    • Molar pregnancy is a complication.

    Ultrasound Findings

    • Snow Storm appearance on USG is associated with a less chance of conversion to GTN.
    • High chance of conversion to GTN is associated with a complete mole.

    Antepartum Hemorrhage

    • Causes of antepartum hemorrhage include:
      • Placenta previa
      • Abruptio placenta
      • Vasa previa
      • Uterine rupture
    • Signs and symptoms of antepartum hemorrhage include:
      • Pain
      • Bleeding
      • Tz bleeding
      • Red colored blood
      • Bright red colored blood
      • Non-tender uterus
      • Fetal distress

    Fetal Distress

    • Signs of fetal distress include:
      • Sinusoidal heart pattern
      • Abnormal non-stress test (NST)
      • Fetal blood loss

    Other Complications

    • Compression of IVC can cause hypertension.
    • Methylergometrine is contraindicated in:
      • Severe hypertension
      • Pulmonary hypertension
      • Marjolin's ulcer
      • Heart disease
      • NYHA grade 3/4
      • Severe MS
      • Coarctation of aorta

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    Related Documents

    OBGYN 20th Notebook PDF

    Description

    Learn about abortions, pregnancy complications, and diagnostic criteria including Mod SAPPARO.SYDNEY Criteria. Understand the roles of HCG levels and Misoprostol in obstetrics.

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