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Obstetric and Gynaecological Questions

Total questions: 4

Worksheet time: 29mins

Name
Class
Date
1-4.

CASE STUDY 1

1.

Why is early ANC registration important?

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2.

What investigations should be ordered?

a)

o   Conduct complete blood count (CBC), HBsAg, blood group, random blood sugar (RBS), and urine routine.

b)

o   Conduct complete blood count (CBC), HIV, HBsAg, VDRL, blood group, random blood sugar (RBS), and urine routine.

c)

o   Conduct complete blood count (CBC), HIV, HBsAg, VDRL, random blood sugar (RBS), and urine routine.

3.

What immediate interventions are needed?

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4.

What is the follow-up plan?

a)

o   Schedule 4 ANC visits per WHO guidelines, with PMSMA sessions from the second trimester onward.

b)

o   Schedule 6 ANC visits per WHO guidelines, with PMSMA sessions from the second trimester onward.

c)

o   Schedule 4 ANC visits per WHO guidelines, with PMSMA sessions from the first trimester onward.

5-9.

CASE STUDY 2

5.
  1. What signs in this case made you suspect ectopic pregnancy?

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6.
  1. What could have happened if the patient had not been referred?

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7.
  1. How would you stabilize this patient before referral?

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8.
  1. Why is it important not to perform D&C in suspected ectopic?

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9.
  1. What preventive advice can we give for future pregnancies?

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10-13.

CASE STUDY 3

10.

How is anaemia classified per WHO?

a)

o   Mild: 7–9.9 g/dL; Moderate: 5–7 g/dL; Severe: <5 g/dL.

b)

o   Mild: 12–13.9 g/dL; Moderate: 7–12 g/dL; Severe: <7 g/dL.

c)

o   Mild: 10–10.9 g/dL; Moderate: 7–9.9 g/dL; Severe: <7 g/dL.

11.

What immediate actions should be taken?

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12.

What dietary counselling is needed?

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13.

When to refer?

a)

Refer if Hb <7 g/dL, no improvement after 1 month, or symptoms of severe anaemia (e.g., breathlessness, palpitations).

b)

Refer if Hb <9 g/dL, no improvement after 1 month, or symptoms of severe anaemia (e.g., breathlessness, palpitations).

c)

Refer if Hb <12g/dL, no improvement after 1 month, or symptoms of severe anaemia (e.g., breathlessness, palpitations).

14.

CASE STUDY 5

14.

What are the GDM diagnostic criteria?

a)

o   OGTT (75g): Fasting 92 mg/dL, 1-hr 180 mg/dL, or 2-hr 153 mg/dL (any one abnormal).

b)

o   OGTT (75g): Fasting 92 mg/dL, 1-hr 180 mg/dL, or 2-hr 153 mg/dL (any one abnormal).