Questions
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MBBS Final Year – Obstetrics & Gynecology Discussion
Long Answer Question:
Define preeclampsia. Discuss risk factors, clinical features, complications, investigations, and management of severe preeclampsia.
Answer as you would writ…
6votes
1ans
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Placenta previa at 34 weeks with active bleeding — expectant management vs emergency caesarean?
A 35-year-old G2P1 at 34 weeks with major placenta previa presents with painless bright red vaginal bleeding of approximately 300 mL. Previous C-section scar raises concern for pla…
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1ans
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Ectopic pregnancy: criteria for methotrexate vs laparoscopic salpingectomy
A 25-year-old woman with 6 weeks LMP presents with lower abdominal pain and spotting. Urine hCG positive, TVS shows a right adnexal mass of 2.8 cm with a yolk sac, no intrauterine …
0votes
2ans
105
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PCOS with anovulatory infertility — ovulation induction: letrozole vs clomiphene vs gonadotropins
A 28-year-old woman with PCOS (Rotterdam criteria) has been trying to conceive for 18 months. She has oligomenorrhea, AMH of 8 ng/mL, and BMI of 28. What is the first-line ovulatio…
0votes
1ans
91
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Stepwise management of primary postpartum hemorrhage — uterotonics, tamponade, and surgical options
A G3P3 patient has estimated blood loss of 1200 mL after vaginal delivery with uterine atony. After IV oxytocin 20 units, uterus remains boggy. What is the stepwise approach: misop…
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111
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Gestational diabetes management: when to escalate from diet to metformin or insulin?
A 32-year-old woman diagnosed with GDM at 26 weeks has fasting glucose 105-115 mg/dL despite 2 weeks of dietary modification and moderate exercise. What are the target glucose leve…
0votes
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104
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Shoulder dystocia in the delivery room — step-by-step maneuvers and documentation
During a vaginal delivery of a macrosomic baby (estimated 4.5 kg), the head delivers but the shoulders are impacted at the symphysis. After calling for help, what is the correct se…
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139
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Preterm labor at 28 weeks — tocolysis choice, corticosteroid timing, and magnesium for neuroprotection
A 26-year-old G1P0 at 28 weeks presents with regular uterine contractions every 5 minutes, cervical dilation of 2 cm, and intact membranes. How long can we safely tocolyze with nif…
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112
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Management of severe preeclampsia with severe features — antihypertensives, MgSO4, and delivery timing
A 30-year-old primigravida at 33 weeks gestation presents with BP 168/110 mmHg, severe headache, epigastric pain, and 3+ proteinuria. Labs show elevated LFTs and platelets of 89,00…
For peer discussion only — not a substitute for clinical judgment. Verify with authoritative sources.