Obstretics N

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OBSTRETICS

PHYSIOLOGICAL CHANGES DURING PREGNANCY

1. Abnormal weight gain in pregnancy


2. Changes in breast during pregnancy
3. Anatomical changes in breast during pregnancy
4. Cardiovascular changes in pregnancy
5. Changes in cervix in pregnancy and labour

INJURY TO BIRTH CANAL

1. Complete pereneal tear


2. Causes of ruptured uterus
3. Vulval haematoma

ANTENATAL ASSESSMENT

1. Non-stress test
2. Stress test
3. Antenatal assessment of fetal well being
4. Biophysiological profile for fetal well being in utero

SAFE MOTHERHOOD

1. Causes of stillbirth
2. Enumerate the causes of maternal death in our country. How would you prevent them
3. Maternal mortality rate
4. RCH . Causes of maternal mortality. How RCH Helps?
5. Safe motherhood initiative

FUNDAMENTALS OF REPRODUCTION

1. Illustrate with diagram the structure of chorionic villi


2. Fertilization
3. Implantation
4. Decidua

SPECIAL CASES

1. Hydrope fetalis
2. What is Rh isoimmunisation
3. How would you investigate for iso-immunization during pregnancy
4. Outline the management of a iso-immunised second gravida in the 3rd trimester of
pregnancy
5. How will you manag e a case of icterus gravis neonatarum
6. Rh isomerisation. Manage a case of 2nd gravida pregnancy
7. Define grand multipara? Complications of term pregnancy
8. Bad obstretics history (BOH)

CONTRACTED PELVIS
1. Trial labour? Difference between trial of labour and trial of forceps?
2. Define CPD. How will you proceed to detect CPD at term/early onset of lbour?

FOETAL SKULL

1. Moulding and its significance during labour


2. Pelvic inlet and its importance
3. Anatomical and obstretical outlet
4. Gynaecoid and andecoid pelvis
5. Caput succedanum
6. Classification of pelvis
7. Assessment of maternal pelvis
8. Small gynaecoid pelvis

VOMITTING IN PREGNANCY

1. Hyperemesis gravidarum
2. Causes of vomiting in early pregnancy
3. Diagnosis and management of aa case of hyperemesis gravidarum
4. Causes of vomiting in pregnancy

PLACENTA

1. Gross anatomy of human placenta at term with a diagram


2. Name placental hormones
3. Functions of placenta
4. Describe origin , composition and function of amniotic fluid
5. Foetal circulation and changes at birth
6. Umbilical cord

DIAGNOSIS OF PREGNANCY

1. Diagnosis of pregnancy at 8 weeks


2. Symptoms and signs of pregnancy
3. Uterine soufflé and funie soufflé
4. Quickening
5. Dx of pregnancy

ANTENATAL CARE

1. Objective and benefits of antenatal care


2. Aim and objective of antenatal care
3. What is antenatal care? How do you conduct antenatal care in primagravidae

SPECIAL TOPICS IN OBSTRETICS

1. Assessment of fetal growth during pregnancy


2. What is foetal distress
3. How will you diagnose a case of foetal distress
4. How will you manage a case of foetal distress in 2nd stage of labour
5. Signs and symptoms of foetal distress
6. Foetal distress during labour
7. Intranatal foetal monitoring
8. What are high risk pregnancy states? How will you do antenatal foetal monitoring in utero in
high risk pregnancy. What are its benefits?
9. Obstretic shock
10. DIC

OTHERS

1. Bicornuate uterus
2. How will you manage a case of severe PET
3. Cord complications during pregnancy and labour
4. Teratogens
5. Intrapartum foetal death
6. Danger of oxytocin
7. Morbid adhesions of placenta
8. Neural tube defects of newborn
9. Pulse polio programme
10. Daily foetal movement count
11. Adolescent pregnancy
12. Diet in pregnancy
13. Causes of post partum collapse
14. Basic obstretic care (BMOC)
15. Emergency obstretic care (EMOC)

NORMAL PURPUREUM

1. Uterine involution
2. Changes in breast during pregnancy
3. Lochia and its significance
4. Colostrum
5. Physiology of lactation
6. Endocrinology of lactation
7. Changes in genital tract during normal perpureium

ABNORMALITY OF PURPUREUM

1. Breast engorgement
2. Subinvolution of uterus
3. Purpureal pyrexia amd its common causes
4. Crack nipple

NORMAL LABOUR

1. Define term pregnancy. What are the signs of labour? Management of case of primigravidae
in labour room at term pregnancy
2. Period of viability
3. AMTSC and its benefit
4. Delayed 2nd stage of labour
5. How will you conduct active management of in light of ‘SAFE MOTHERHOOD’ in our country?
6. What is 3rd stage of labour, active management of 3rd stage of labour, complications of 3rd
stage of labour
7. Lower uterine segment
8. Symptoms and signs of true labour
9. Mechanism of normal labour
10. Symptoms and signs of onset of 2nd stage of labour
11. Management of 2nd stage of labour

PROLONGED LABOUR

1. How will you manage prolonged 1st stage of labour? & prolonged 2nd stage of labour
2. How will you predict and prevent prolong labour
3. What do you mean by ectosia and dystocia in labour
4. Diagnosis of obstructed labour, its management
5. Hydrocephalus
6. Anencephaly
7. Causes of prolong labour, causes of prolonge 2nd stage of labour
8. Causes of obstructe labour, clinical features, prevention and sequele

DISEASE OF FOETUS

1. APGAR score
2. Prevention of birth trauma
3. Infection prevention practices in labour room
4. Neonatal jaundice, cause and its management
5. Birth asphyxia
6. Erb’s palsy
7. Cephalohematomaa
8. Ophthalmia neonatorum
9. Kernicterus
10. Respiratory distress syndrome
11. Birth injury

PRETERM LABOUR

1. Causes of preterm labour. Complications of preterm baby


2. Preterm labour
3. Post dated pregnancy
4. PROM
5. Management of postdated pregnancy

MALPOSITION

1. What is deep transverse arrest? Describe the management of DTA?


2. What are abnormal presentations
3. What are the causes of malpresentation
4. Complications of transverse lie, diagnosis, management
5. Complications of vaginal breech delivery
6. Diagnosis of aa case of breech presentation at 34 weeks
7. Causes of breech presentation
8. Management of case of primigravida with flexed breech at 38 weeks of pregnancy in early
labour
9. Antenatal management of breech presentation
10. Management of breech presentation with extended legs at 37 weeks
11. Name different presentation and position of foetus in antenatal period. What complications
arises out of its condition in labour
12. Persistent occipito-posterior position
13. Antenatal management of breech presentation at 34-36 weeks
14. Face to pubis delivery
15. Causes of breech presentation in term pregnancy? Antenatal management is possible in case
of breech presentation at 36 weeks and procedure of that specific management with merits
and demerits
16. Neglected shoulder presentation with transvers lie
17. Problems of occpito-posterior position of vertex in labour

HAEMORRJHAGE IN EARLY PREGNANCY

1. HTP and its complications


2. Bleeding in 1st trimester
3. Causes of bleeding in early pregnancy. How will you diagnose and manage a case of vesicular
mole?
4. What are the signs and symptoms of molar pregnancy? How will you manage a case of molar
pregnancy at 24 weeks?
5. Causes of bleeding PV in early pregnancy? Diagnosis of ruptured ectopic pregnancy. Specific
management
6. Define abortion. Causes of spontaneous abortion? Management of septic abortion?
7. Causes of bleeding in 1st trimester? Diagnosis of disturbed ectopic pregnancy
8. Habitual abortion

MULTIPLE PREGNANCY

1. Placenta succenturiata
2. How will you diagnose multiple pregnancy? Complications? Management of delivery of 2nd
twin?
3. Mention antenatal complications of twin pregnancy. How will you conduct a twin delivery,
mentioning all precautionary measures
4. Antenatal complications of twin pregnancy and prevention
5. Discuss aetiology of multiple pregnancy? Antenatal complications of twin pregnancy? How
can you prevent such complications?
6. Causes of uniovular twin pregnancy
7. Different abnormalities of placenta and clinical significance. Circumvallate placenta?
8. Complications of polyhydramions
9. Causes and diagnosis and management of polyhydraminos
10. Difference between monozygote and diazygote twins
11. Diagnosis and complications of multifetal pregnancy?

PHARMACOTHERAPAEUTICS

1. Drugs in pregnancy
2. Pudendal block
3. Obstretic analgesia

HYPERTENSIVE DISORDER

1. Discuss aetiopathogenesis of pre-eclampsia. Complications? How can you prevent them?

GYNAECOLOGICAL DISORDER

1. Red degeneration

COMPLICATIONS OF 3RD STAGE OF LABOUR

1. Define PPH. How do you manage a case of atonic PPH. Classification of PPH
2. Management of retained placenta
3. Predisposing factors for atonic PPH
4. Causes of PPH
5. Management of primary PPH
6. Placenta accrete
7. Complications of 3rd stage of labour
8. How will you treat a case of acute inversion of uterus
9. Traumatic PPH

ANTEPARTUM HAEMORRHAGE

1. Abruptio placentae
2. Causes of bleeding in late pregnancy
3. Define antepartum haemorrhage, causes
4. Describe clinical features of placenta previa and complications
5. How can you improve foetal outcome in APH
6. Vasa previa
7. Types of placenta previa
8. Diagnosis and management of placenta previa

INDUCTION OF LABOUR

1. Partograph and its significance in management of labour


2. Advantage of partograph
3. Components of partograph
4. Indications of induction of labour
5. Different methods of induction of labour and demerits of each
6. What is ‘induction of labour’ and ‘augmentation of labour’?
7. How will you induce labour in post term pregnancy in primi
8. Medical induction of labour
9. ARM

OPERATIVE OBSTRETICS

1. Episiotomy- induction and complications


2. Obstretic forceps
3. Indications and complications of forceps delivery
4. Indications of caesarean section
5. Enumerate the contraindication of external cephalic version and complication
6. Indication of craniotomy and classification.
7. Indications of caesarean hysterectomy
8. Complications of craniotomy.
9. Pre-requisites of foeceps application
10. Suction evacuation
11. LSCS
12. Trail of forceps
13. Outlet forceps

LOW BIRTH WEIGHT BABIES

1. Asymmetric IUGR
2. Complications of LBW baby
3. LBW baby
4. Define IUGR. Dx of IUGR at 34 weeks
5. Causes of IUGR
6. Retention of urine
7. Effects of anaemia on mother and foetus

MEDICAL AND URGICAL ILNESS IN PREGNANCY

1. Define anaemia. Causes and prevention


2. Management of anaemia at 34 weeks of pregnancy
3. Management of Fe deficiency anaemia
4. Detection of HIV in pregnancy, pregnancy with HIV
5. Management of a case of anaemia women in Labour
6. Steps taken during delivery of HIV positive case
7. Screening of GDM. Effect of diabetes in pregnancy
8. Management of Fe deficiency anaemia in 3rd trimester of pregnancy
9. Enumerate the causes of nutritional anaemia

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