183 must know points for DUHS GYN-OBS

1. Hemolytic disease of newborn = mother is D –ve and neonate D+ve (tt)
2. Large SPH = mistaken dates (ct)
3. Small SPH = mistaken dates (ct)
4. Aim of safe motherhood = care by skilled health personal for child birth (tt)
5. Risk factor of thromboembolism in preg = throbophilia ??? (written in top in tt so)
6. Complication revelant to twin prg = preterm (tt)
7. Death in placenta abruptia = antepartum hemorrhage, dic ?????
8. Massive PPH = uterine atony (tt)
9. Anemia in preg = iron deficiency (tt)
10. Change in preg = raised esr (tt)
11. Stop bleed after uterine atony = massage (tt)
12. Regard NTD = anecephalocele, encephalocele, spina bifida (tt)
13. Purpose of booking visit = risk assement (tt)
14. Early preg scan = confirm dates (tt)
15. Screening = rubella (tt)
16. Oogenesis =diploid cell produce haploid by meiosis (tt)
17. Polyhyraminons =  occur in uncontrolled diabetes (tt)
18. Adroid pelvis = deep transverse arrest (tt)
19. Gravid = all preg including current (tt)
20. Important point in obs hx = recurrent miscarriage (tt)
21. Reassuring sign in labour = head engaged ??? , longitudinal lie, clear amniotic fluid, adequate pelvis, rupture membrane…..
22. Most common cause of still birth world wide= antepartum hemmorrahge ???
23. Best regarding implantation = secretion of HCG start after implanation (ct)
24. Alet line on partogarm = ideal labour, progress 1 cm / hour, action line drawn…. (all in tt, )
25. Fetal blood = reticulocyte more (ct)
26. Chorionic villous sampling = done after 10 week (ct, tt)
27. Uterine involution = return of uterus to its normal size of 100 gm (tt)
28. Embryonic period = 4-10 weeks (tt)
29. Bishop score less than 5 = vaginal pessaries (ct)
30. 2 breeh vaginal hx, now again breech = bicornvate uterus (ct)
31. Fetal acidosis = FBS (tt)
32. Shifting patient = uterus is empty, no products ????
33. Women with rubella IgG –ve = susceptible women should be advised against exposure (ct)
34. Secondary PPH = retained product of conception (tt)
35. Case of uterine inversion = push it back with compression (tt)
36. Reproduction = spermatogenesis is formation of mature sperms (tt)
37. High MMR = pulmonary htn (tt)
38. No of prim oocyte at birth = 2 million (gTT)
39. Development arrest of ovum = metaphase II (tt)
40. Genetic sex = conception ???
41. Mesonephric cord = ????
42. Gestatinal sac visible = HCG> 1500 (tt)
43. Development of ovary = two week later to testis and grow slowly (gtt)
44. Bp during preg = decrease (tt)
45. Baby, tachypnoic, grunting, cyanotic = RDS (tt)
46. Best assessment of age at 12 week = CRL (tt)
47. Best assesemnt at 12-20 week = BPD, HC, FL (tt)
48. Identification of choronicity = monochorionic has inc mortality (tt)
49. Nucal transluancy seen on u/s = 11-13 week (tt)
50. Cordocentesis = all true (tt)
51. Prenatal screen of CHD = one sibling and father affected has risk of 2% (tt)
52. Twin mortality 6 time more than single = pretem (tt)
53. Female, bp 155/105, protinuria, epigastric pain = cessarain ???
54. Antihypertensive in preg = methyldopa ???
55. Feature showing abruption = tense tender abdomen (tt)
56. Contraception in brest feeding =POP (tt)
57. Mitral stenosis patient, intervation = avoid ergotamine ???
58. Pre preg counseling of mitral stenosis patient = cardiac fuction ????
59. Screening of DM = OGTT ???
60. Hypethyroid female = still birth (tt)
61. MCV < 60, investigation = serum ferritin (tt)
62. Purities and sleep disturbance in preg = cholestasis of pregnancy ???
63. Dection of hep B = Hbs ag ??
64. Regard hep B = brest feed immediately after active and passive immunization ???
65. Anatomy of female pelvis = has three planes ????
66. Fetal scalp = bones approximated, not fused ???
67. Attitude of fetus = flexion or extension of head relative to upper cervical spine (tt)
68. Normal duration of labour = < 8 hour in multipara (tt)
69. Syntocinon not given in multi = uterine rupture, uterine hyperstimulation, uterine inertia, fetal compromise ?????
70. Partogaram = show events of labour ????
71. Best about labour = spontaneous, single, between 37-42 weeks (tt)
72. Contra of ventous = face presentation (tt)
73. Contra of forcep = head high up (tt)
74. Principal of ventous = head, not just scalp should descend with each pull (tt)
75. Brech delivery = call senior help  obs ki bandi????
76. Secure bleeding = secure angles of incison of cs (tt)
77. Position in cs = tilted left lateral with head down (tt)
78. Previous cs, lower segment placenta now = placenta accrete
79. Indication of c. hysterectomy = p. previa (tt)
80. Female in labour since 16 hour, cervix 16 cm = cervical dystocia ???
81. Female 32 week, 40 week SPH, fulid thrill = polyhydramnos ???
82. Child died, cord felt on vaginal exam = cord prolapsed
83. Female in labour, raised bp and fits = termination of preg ???
84. Female in current preg, previous 3 birth, 2 live, one still and one miscarriage = G5 P 3+1 ???
85. At 34 week, hb 7 gm =  infusion of iron sucrose ????
86. Neonatal admin in UK = 10 % (tt)
87. Neonate in intensive care = jaundice, mother has chd, premature ???
88. Apgar = grimice is response to suction cath (tt)
89. Lactational amenorrha = due to dec LH pulse (tt)
90. Most import feature of contraception = effectiveness ????
91. Not cause of fits = diazepam over dose
92. Epithelium of vagina = stratified squamous (tt)
93. Size of uterus = 7.5*5*3 (tt)
94. Lies posterior to inguinal ligament =
95. Dorsal position of examination = commnest, embarsising, best for bimunual examination ????
96. Ph of vagina = 3.5-4.5 (tt)
97. 7 year old girl with menstruation = gnrh analogue (tt)
98. Hormonal control of menstruation =
99. Proliferative phase = mistosis seen in stroma and glands (tt)
100. Hormonal control of puberty =
101. 20 yr old, married 10 month, present with prim ammenorhea = height ??? (top on list in tt)
102. Primary amenorrhea, most comprehensive hx = development hx (tt)
103. Best to confirm anvolunatory cycle= ultrasound (tt)
104. Sequence of test for sec. amenorrhea = pregnancy, prolactine, tsh, lh (tt)
105. Amenorrhea due to excersice = (tt says “hypothalamic failure”, don’t remember options)
106. Early preg loss in endometriosis = luteal phase def (tt)
107. Coitus interuptus = timming
108. Contra of IUCD = malformation of uterus (tt)
109. Contra of IUCD = active pid
110. Minilap = reversible sterilization (tt)
111. Abortion with misoprotol =
112. Women had evacation of hm, need contraceptive advice = COC ???
113. Important point about coitus = coitus frequency ????
114. Intrauterine insemination = tubal patency
115. Constant feture of ectopic = ammenorhea, pain and syncope,  ????
116. Women missed cycle 7 days ago = serum beta HCG (tt)
117. Abortion due to trauna, consul = missed abortion not due to trauma ????
118. 8 week preg, os close, fetus dead, slight bleed, chance of spontaneous abortion = ????
119. Partial mole incidcnce = 1:700(tt)
120. Partion mole = triploid
121. H.m , for diagnosis = beta HCG
122. Charactersitc of leiomyomata = urinay frequency, varicose veins, menorrhagia, pain, subfertiligy ????
123. Treatment of endometriosis = ocp given without break (tt)
124. Epithelial ovarian tumour = peak incidence 50-69
125. Ovarian cyst = torsion
126. Colposcopy = cervix (tt)
127. Urine tract endometriosis = cyclical hematuria and dysuria (tt)
128. Treatment of vin III = excision biopsy (tt)
129. Vulval cancer in form of nodule = radiacal vulvectomy
130. Myometrial invasion of endomentrial cancer = ???
131. Effects of estrogens = ????
132. 2nd trimerster missgacarege, = bacterial vaginosis (tt)
133. Color less vaginal discharge, inc pre menstrual = physiological discharge ???
134. Dignossi of genital tb = raised esr, tuberculin test, chest x ray, montoux test, pcr????
135. Women had abortion followed by infection = Chlamydia (tt)
136. something coming out of vagina + urinary symtomps = cystourethrocele (tt)
137. spontaneous + provoked contraction of bladder = detrusuer instability (tt)
138. symptom of cystocyle = urine frequency (tt)
139. cause of uv prolapsed = child birth (tt)
140. vasomotor symptoms of menopause = hot flush and night sweets  (tt)
141. contra to HRT =active liver disease (tt)
142. breat exam to exclude = tumours ???
143. intermenstrual bleeding nt responseive to progesterone = cervical polyp, cervical ectropion ???
144. endometrium showing nuclear atypi and disordered growth = atypical hyperplasia ???
145. secondary amenorha since 6 month, heavy vaginal bleed, now biopsy show = proliferative phase ???
146. endometriap polyp diagnosis = hysteroscopy (tt)
147. what if dead embryo left inside = infection ???
148. regarding methotrexate = give if embroyo less than 3.5 cm ???
149. slow growing mass in lower abdomen since 6 months = ovarian cyst, fibroid ????
150. first stage of puberty = growth spurt (tt)
151. commen presnt of benign ovarian tumour = asymptom (tt)
152. gold stanadard of ectopic = laproscopy (tt)
153. women underwent d and e, presents with bleed = RPOC (ct)
154. women underwent evacuatin  of mole, important of histo report = take aporopiate action (ct)
155. female files litigation = histo report (ct)
156. women para 6, something communing out vagina = uv prolapsed
157. 6 month old infertile copule, most imp q to wife = age of female partner (ct)
158. Mandatory for assisted reproduction = controlled ovarian stimulation (tt)
159. Posterior vagianl fornix = culdocentesis (tt)
160. 18 year old female, anemic, menorrhageia = mefanimic acid (ct)
161. Endometrium = supplied by spiral arteries (tt)
162. Anatomy of uterus =  all was true as per tt L
163. 42 year, Obese, hypertensive women, menorrhageia = endometrial carcinoma (ct)
164. Ovulation sign = basal body temp (tt)
165. Risk of DVT = 1 % (ct)
166. Degree of menorrhagia = no of tampons (tt)
167. Post pill amenorrhea = suppression of hypothalamus (ct)
168. External feature of turner = webbed neck (tt)
169. Menorhagia, normal uterus, normal ovargy = DUB (tt)
170. You chose laproscopy for infertile women = endometrisis is visible (tt)
171. 4*4 cm fibrid  near cervix = hysterectomy (ct)
172. Dead fetus 14 weeks, mode of abortion = ????
173. Ovarian tumour = BSOP and hysterectomy for over 45 year (tt)
174. 38 year old menorrhagia need contraception = levonorgesterol IUD (tt)
175. case of molar pregnancy investigation - longest answer with xray and suction
176. 2nd degree UV prolapse treatment - vaginal hysterectomy with anterior colporrhaphy (tt pg205 states that it should be vaginal hysterectomy with adequate support of vault)
177. gold standard for endometriosis -laproscopy
178. indication for hysteroscopy - bleeding
179. uroflowmetry is a part of routine uroflodynamics
180. case of PID with adnexal mass
181. Women present wit excessive bleeding?......hysteroscopy
182. regarding ovarian tumors? most common benn is serous cystadenoma
183. IU LNG ? Its also used in menoragia