7 week

1. At patient on the 5th day of postpartum period suddenly there was an increasing of the temperature. The body temperature is 38,5oС, mammary glands are normal, lactation is satisfied. Signs of perotoneal irritation are abcent. In pelvic examination purulent excretions from the uterus are present, uterus is soft in painfull in palpation. The uterus is increased, soft, painful in palpation.What is the most probable diagnosis?

1. You are called to a maternity ward to see a 23
   year old primi patient who had delivered a 2.7 kg
   baby boy 2 days back.She had a normal vaginal
   delivery and placenta delivered spontaneously.
   Now she complains of bloody vaginal discharge
   with no other signs. O/E you notice a sweetish
   odour bloody discharge on the vaginal walls and
   introitus.Sterile pelvic examination shoes a soft
   non tender uterus.Her P/R-78/min, B/P-110/76 mm of
   hg, temp-37°C,R/R-16/min. Her WBC count =10,000
   with predominant granulocytes. What is the most
   appropriate step?    

1. At patient on the 7th day of puerperal period suddenly there was a hallucinatory syndrome: patient is not oriented in space and time, does not recognize neighbors. The temperature of body rose to 38,5oС, purulent excretions from the uterus appeared. At vaginal examination: the uterus is increased, soft, painful at palpation, the uterine cervix free lyskips 1 finger. What reason of psychical violations, that are at postpartum patient?

1. 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?

1. 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

1. In hysterosalpingography, fallopian tubes are seen beaded in appearance with clubbing of fimbrial end and ampulla. Most likely cause is:

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

Nongonococcal uretritis is caused by:

Salpingitis is best confirmed by:

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

Tell true about bacterial vaginosis except:

Tell about trichomonas vaginalis except: