Obstetrics 8 semester 2 module

Most common cause of postpartum hemorrhage is:

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?

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?

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?                 

Common route of spread of puerperal sepsis:

Which of the following steps has proven benefit in
decreasing puerperal infection following cesarean
section:                                

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 freely skips 1 finger. What reason of psychical violations, that arose up at postpartum patient?

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

 In which type of abortion the gestation age corresponds to the uterine size

What is the size of Hegars dilator if passed through the internal Os can be labeled as cervical incompetence

Thretened abortion is not signified by

Air embolism occurs in which type of abortion

DIC in cases of abortion is associated with

18 weeks of pregnancy last 2 times history of midtrimester abortion, which was painless. What is your diagnosis

First trimester abortions are most commonly due to

Arrest disorder is defined when there is no cervical dilation for more ….. hours in active stage of labor

Best drug for abortions

Most common chrosomal abnormality in early trimester abortion

In case of recurrent abortions following investigation is unwanted

Spontaneus abortions occur in which month

Abortions in the 1^st trimester is due to

18 weeks of pregnancy last 2 times history of midtrimester abortion, which was painless. What is your diagnosis

 First trimester abortions are most commonly due to

0. Billings method of contraception is 

0. 1. Safe period is

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​​​​​​​

A 30 years old female with a single child seeks contraceptive advice for a period of 2 years. She has primary dysmenorrhea and frequent irregular menstrual bleeding. No abnormalities are detected on examination and USG. Which is the best contraceptive advice

Which is the following is the noncontraceptive benefit of OCP