Obstetrics And Gynaecology Questions And Answers Pdf 💯

Administer Rh(D) immune globulin (300 mcg IM) . Also give after any potentially sensitizing event (e.g., abortion, amniocentesis, trauma) and within 72 hours of delivery of an Rh-positive newborn.

Endometrial biopsy (office) or dilation and curettage (D&C) with hysteroscopy. Thickened stripe (>4-5 mm postmenopausal) + bleeding requires tissue diagnosis to rule out endometrial cancer. obstetrics and gynaecology questions and answers pdf

Digital cervical examination. This can provoke catastrophic hemorrhage. Management is C-section. Administer Rh(D) immune globulin (300 mcg IM)

Letrozole (aromatase inhibitor) – now preferred over clomiphene due to higher live birth rates and lower multiple pregnancy risk. Dose 2.5-7.5 mg days 3-7 of cycle. Section 7: Urogynecology Q20: What is the difference between a cystocele, rectocele, and enterocele? Management is C-section

Excisional procedure (LEEP or cold knife cone). For CIN 2-3, observation is not recommended in a non-pregnant adult. If margins involved → repeat excision or follow-up.

Arrest disorder: Active phase arrest. Next step: amniotomy if membranes intact, followed by oxytocin augmentation if no progress after 2-4 hours. If still no change → C-section.

Endomyometritis. Broad-spectrum IV antibiotics: Gentamicin + clindamycin (or ampicillin-sulbactam). Switch to oral when afebrile for 24-48 hours.