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OSPE exam
MED 32
(midterm ) Made by :
Kenana Owaidah Sara jameel Amal al rifai Shorooq al enzi Arwa al hujaili Shahd sheikh
• Mention the labelled strutures :
A- Utersacral ligament
B-uterus
C-ovary
D-Fallopian tubes
• Dx?
Placenta previa
Types labelled ?
A-increta
B-percreta
2 risk factors ?
-previous CS
-Multiple gestations
1 fetal complication ?
IUFD
• Name of this condition ?
D & C after missed abortion
• 2 complications ?
DIC
Infection
• 1 risk factor ?
Uncontrolled DM -smoking
صورة شبه دي
• Dx?
Galactorrhea
• What hormone is responsible ?
Prolactin
• 2 causes ?
-pitutary adenoma
-drug side effect
-hypothyroidism
• DX?
Endometriosis
Describe the picture ?
Adhesions between uterus and bladder and colon ..ect
2 investigations ?
Laparoscopy -MRI
كان فيه صوة تانية موضحة
adhesions
#Case scenario of watery discharge with abnormal
epithelium
• Dx?
Bacterial vaginosis
• 2 diagnostic criteria ?
-+ve KOH
- pH>4.5
• 1 causative organism?
- Gardnerella vaginosis
• Dx?
Face presentation
Denominator ?
Mentum
Action of delivery ?
Felxion
Diameter ?
Suboccipitubregmatice
1 maternal complication ?
PPH
Dx? Fern test – PROM (according to the scenario) 2 therapeutic indication ? -tocolytics -dexamethasone -observation 1 maternal complication ? chorioamnionitis
Dx? HSG 3 uses ? -evaluate tubal patency -detect uterine abnormality -as therapeutic measure for unexplained infertility
• Dx?
COCP
• Mechanism of action ?
Inhibit ovulation - change in motility , secretion of tube(interfering fertilization ) -
Effect on the endometrium , cervical mucus .
• 2 non contraceptive uses ?
Cycle regulation – endometriosis
• Dx?
PCOS
• 3 criteria for dx?
-amenorrhea/oligomennorrhea
-lab or clinical evidence of hypergonadism
-us features of PCO
Dx?
Late deceleration
management?
Stop oxytocin –give O2- IVF
Dx?
Mediolateral episiotomy
2 indications?
-obstructed labor
-prolonged labor
1 maternal complication ?
Dysparenunia –bleeding-infection
• Dx?
Vesicular mole
• 2 risk factors?
Smoking
Extreme of age
• 2 TTT options ?
Suction curretgae
Hysterectomy
chemotherapy
Done
... ادعولنا