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Pathological obstetric

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05.04.2020. Тест. Прочее, Прочее
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The test for 4 course 2 -module (21-30 questions )

Список вопросов теста

Вопрос 1

With a true increment of a normally located placenta, it is shown:

 

Варианты ответов
  • manual separation of the placenta.
  • curettage of the postpartum uterus.
  • uterinetamponade swab with fibrinogen.
  • supravaginal amputation of the uterus.
  • ligation uterian artery
Вопрос 2

Characteristic manifestations of complete tight attachment of the placenta are:

Варианты ответов
  • abdominal pain.
  • bleeding.
  • height of standing of the fundus of the uterus above the level of the navel after the birth of the fetus.
  • the absence of signs of separation of the placenta, the absence of bleeding.
  • bleeding, lack of signs of separation of the placenta.
Вопрос 3

Premature detachment of a normally located placenta can lead to:

 

Варианты ответов
  • the appearance of the uterus of the Couvelera.
  • intrapartum and antenatal fetal death.
  • the development of DIC.
  • hemorrhagic shock.
  • all of these complications.
Вопрос 4

Violation of the hemostatic system most often occurs:

Варианты ответов
  • with severe preeclampsia.
  • with premature detachment of the placenta.
  • with large blood loss of any origin.
  • with shock of any origin.
  • with all of the above.
Вопрос 5

With abruption of placenta, a retroplacental hematoma is formed, while it is possible:

 

Варианты ответов
  • infiltration of the muscle layer of the uterus with blood.
  • violation of the contractile function of the uterus.
  • formation of ICE-syndrome.
  • formation of the uterus of the Couvelera
  • all of the above.
Вопрос 6

The operation of manual separation of the placenta and isolation of the placenta should proceed:

 

Варианты ответов
  • if there are signs of separation of the placenta and the appearance of bleeding.
  • in the absence of signs of separation of the placenta and the appearance of bleeding.
  • in the absence of signs of separation of the placenta within 15 minutes.
  • in the presence of signs of placental separation within 3O minutes.
  • if there are signs of placental separation within 1 hour.
Вопрос 7

After the appearance of signs of separation of the placenta, the woman in labor was strained, the birth of the placenta did not occur. The doctor should:

 

catheterize the bladder

Варианты ответов
  • make a manual allocation of the placenta.
  • apply the techniques of Abuladze and Crede-Lazarevich.
  • start intravenous drip of oxytocin.
  • apply the Chukalov-Kustner technique.
  • catheterize the bladder.
Вопрос 8

Indication for manual separation of the placenta is:

 

Варианты ответов
  • minor spotting from the genital tract in the absence of signs of separation of the placenta.
  • minor bleeding from the genital tract in the presence of signs of separation of the placenta.
  • long (more than 30 minutes) during the last period with minor spotting from the genital tract.
  • start intravenous oxytocin
  • laparotomy
Вопрос 9

Hemorrhagic shock of the II degree is characterized by all of the following, except:

 

Варианты ответов
  • blood loss of 30-40% of BCC.
  • Heart rate> 100 per minute.
  • decrease in systolic blood pressure <100 mm.Hg. Art., pulse blood pressure <20-30 mm Hg Art., increase, respiratory rate 20 - 30 per minute.
  • diuresis 20-30 ml per hour.
  • the volume of blood loss is 1000-1500 ml.
Вопрос 10

Active management of the third half of the birth includes (exclude incorrect):

 

Варианты ответов
  • oxytocin 10 units. in / m.
  • clamping the umbilical cord after the birth of the fetus.
  • controlled traction for the umbilical cord.
  • uterine massage.
  • oxytocin 5 u / m.
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