2 module

At patient on the 5th day of postpartum period suddenly there was an increasing of the temperature. The body temperature is 38,5oС, mammaryglandsarenormal, lactationissatisfied. Signsofperotonealirritationareabcent. Inpelvicexaminationpurulentexcretionsfromtheuterusarepresent, uterusissoftinpainfullinpalpation. Theuterusisincreased, soft, painfulinpalpation.Whatisthemostprobablediagnosis?

1. Postpartum patient 25 years, V day of puerperal  period.  Labor I,  delivered  by the operation  of cesarean  section,  indication – clinically contracted pelvis. At the examination  a tongue is dry,  fever – body temperature is 38,5oC,  Ps – 120,  BP – 100/50  mm Hg.  Breathing is speed-up,  superficial.  Abdomen  is acutely painful, bloating.  Shchotcin’ symptom is positive.  Vomiting.  Gases are not depart.  Excretion  from  vagina are purulent  with  an unpleasant  smell. What diagnosis is most credible?

Postpartum patient C. on 4th day after labor complains about the rise of body temperature, general weakness, pains in lower part of abdomen. Preterm rupture of amniotic fluid was happaned. 72 hours without amniotic fluid. Uterus is on 4 cm below umbilicus, soft. On ultrasound the signs of endometritis are found. What is the reason of complication?

In the woman of the first day after labor  the rise of temperature up to 39oС was registered. The rupture of  the fetal membranes has taken place 36 hours prior to labor. The investigation of the bacterial flora of cervix of the uterus revealed – hemolytic streptococcus of agroup A. The uterine body is soft, tender. Discharges are bloody, with a  pus. Establish the most probable postnatal complication

Which is the following drug is not a 1^st line treatment for an anovulatory abnormal uterine bleeding in a 13 year old

Which of the following treatment for menorrhagia is not supported by evidence

In cystic glandular hyperplasia what is seen

Cystoglandular hyperplasia seen in

Persistent anovulation not treated leads to all except

Which is the following is an example of estrogen withdrwawl bleeding

A 45 years old lady presented with recurrent uterine bleeding. On TVS thickness of endometrium was found to be 8 mm. What should be the next step in yhe management of this patient

Treatment for 32 years old multipara with DUB

Initial evaluation in adolescent abnormal uterine bleeding except

The mc histological finding of endometrium in DUB is

The progesterone with greatest hemostatic effect used in DUB is

Which of the following is not a feaure of DUB

Characteristic of anovulatory uterine bleeding:

In climacteric age the medical treatment of dysfunctional uterine bleeding begin with:

What is spaniomenorrhea?

Which method of gynacological examination does belong to basic?

How to start a survey of gynecological patients?

A lady approaches a physian for contraceptive advice. On examination, there were two symmetrical ulcers on vulva, which were well defined with firm base. Which of the following is the most likely cause

A 25- year-old female with history of multiple contacts presenting with growth of vulva, the probable diagnosis is:

Nongonococcal uretritis is caused by:

Tell drug of choice for Chlamidia in pregnancy:

Salpingitis is best confirmed by:

The most sensitive method for detecting cervical chlamidia trachomatis infection is:

The most common cause of tubal block is:

To hypothalamic amenorrhea does not belong:

A 25 years old female with a single child seeks contraceptive advice. She gives H/O clear mucoid vaginal discharge. The cervix appears inflamed on speculum examination. Her husband is working abroad and comes home once in  2 months. Which of the best contraceptive advice