Self Assessment: Obstetrics Quiz
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Questions and Answers

Blighted ovum is:

  • Synaptic knobs
  • Avascular villi (correct)
  • Intervillous haemorrhage
  • None of the above
  • The most life threatening complications of septic abortion includes:

  • Respiratory distress syndrome (correct)
  • Peritonitis
  • Septicemia
  • Renal failure
  • The method most suitable for MTP in 3rd month of pregnancy is:

  • Dilatation and curettage
  • Extra amniotic ethacridine
  • Hysterectomy
  • Suction and evacuation (correct)
  • The best method of evacuation of a missed abortion in uterus of more than 12 weeks:

    <p>Prostaglandin E1 vaginal misoprostol followed by evacuation of the uterus</p> Signup and view all the answers

    Pregnancy which continues following threatened abortion is likely to have increased incidence of:

    <p>All of the above</p> Signup and view all the answers

    Suction evacuation can be done up to:

    <p>15 weeks</p> Signup and view all the answers

    A P2+1 female comes with amenorrhea of 5 weeks. Her UPT is +ve. On USG, Gestational sac and yolk sac are seen in the uterus. No fetal pole is visible. No fetal cardiac activity is seen. CRL is 8 mm and MSD = 28 mm. What is the next best step?

    <p>High probability of nonviable pregnancy but still repeat scan after 7 days to confirm</p> Signup and view all the answers

    The figure shows a Karman cannula. The number of cannula corresponds to:

    <p>Diameter of cannula in mm</p> Signup and view all the answers

    Identify the instrument:

    <p>Thyroid curved scissors forceps</p> Signup and view all the answers

    Levels of progesterone indicating unviable pregnancy and viable intrauterine pregnancy are:

    <p>5 ng/mL; 20 ng/mL</p> Signup and view all the answers

    Best method for MTP in 2nd trimester abortion:

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

    In case of recurrent abortions, M/C uterine malformation seen is:

    <p>Mullerian fusion defects</p> Signup and view all the answers

    Study Notes

    Blighted Ovum

    • Characterized by avascular villi, indicating a form of early miscarriage where no embryo develops.

    Complications of Septic Abortion

    • Respiratory distress syndrome is one of the most life-threatening complications, along with peritonitis and septicemia.

    Methods for Medical Termination of Pregnancy (MTP)

    • Suction and evacuation are preferred for MTP during the third month of pregnancy, allowing for effective and safer procedures.
    • Prostaglandin E1 vaginal misoprostol followed by evacuation is the best option for missed abortions after 12 weeks.

    Incidence after Threatened Abortion

    • Pregnancies that continue after a threatened abortion have increased risks for preterm labor, fetal malformation, and intrauterine growth restriction (IUGR).

    Suction Evacuation Timing

    • Suction evacuation can be performed up to 15 weeks of gestation.

    Next Steps for Nonviable Pregnancy

    • In cases of amenorrhea with a positive UPT but no fetal pole or cardiac activity observed, the best step is to repeat the scan after one week to confirm viability.

    Karman Cannula

    • The diameter of the Karman cannula is indicated in millimeters, relevant for procedures involving manual vacuum aspiration.

    Surgical Instruments

    • Thyroid curved scissors forceps are distinguished as a specific surgical instrument used in various medical procedures.

    Progesterone Levels

    • Levels of progesterone at 5 ng/mL suggest a nonviable pregnancy, while 20 ng/mL is indicative of a viable intrauterine pregnancy.

    MTP in Second Trimester

    • Prostaglandin is the most effective method for medical termination of pregnancy in the second trimester.

    Uterine Malformations in Recurrent Abortions

    • Mullerian fusion defects are the most common uterine malformations associated with recurrent abortions, leading to issues in maintaining pregnancy.

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    Abortion_and_MTP (1).docx

    Description

    Test your knowledge on obstetrics with this self-assessment quiz. The questions cover critical topics including complications of septic abortion and methods for medical termination of pregnancy. Challenge yourself and review key concepts in the field of obstetrics.

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