Pediatrics
Today's Task:
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1οΈβ£ Dr Mohamed Esmail
GIT 3
GIT 4
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GIT 2
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Today's Task:
GIT 2
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1οΈβ£ Dr Mohamed Esmail
GIT 3
GIT 4
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GIT 2
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Pediatrics
Today's Task:
Sources
1οΈβ£ Dr Mohamed Esmail
GIT 5
GIT 6
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2οΈβ£ DR. KZAZ
GIT 3
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Today's Task:
End of GIT
Sources
1οΈβ£ Dr Mohamed Esmail
GIT 5
GIT 6
ΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩ
2οΈβ£ DR. KZAZ
GIT 3
ΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩΩ
1. The most important factor for placental separation from its implantation site:
Anonymous Quiz
6%
Maternal pushing a
12%
Gentle cord traction. b.
62%
Uterine smooth muscle contraction.
15%
d Hematoma formation between the uterine wall and placenta.
6%
e Fundal pressure by the ulnar border of the physician hand.
2. The relation of the fetal long axis to that of the mother is termed:
Anonymous Quiz
88%
a Fetal lie
0%
b Fetal angle.
6%
Fetal attitude.
3%
d Fetal position.
3%
e. Fetal engagement.
3. The following determine the relation of the fetal parts to one another:
Anonymous Quiz
13%
a Presentation of the fetus.
6%
b Lie of the fetus.
72%
Attitude of the fetus.
9%
d Position of the fetus.
0%
e Intention of the fetus
4. In shoulder presentation, the portion of the fetus chosen for orientation is:
Anonymous Quiz
3%
a Head
6%
b. Breech.
0%
Ribs.
87%
d Scapula
3%
e Umbilicus.
5. The following is the correct order for the cardinal movements of labor:
Anonymous Quiz
33%
a Descent, engagement, internal fixation, flexion, extension, external rotation, expulsion.
4%
b Descent, flexion, engagement, external fixation, extension, internal rotation, expulsion.
48%
C Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion,
4%
d. Engagement, flexion, descent, internal rotation, straightening, expulsion.
11%
Descent, engagement, flexion, external rotation, extension, restitution, internal rotation.
6. Progress of first stage of normal labor is characterized by:
Anonymous Quiz
14%
a. Engagement of fetal head must occur before full cervical dilatation.
0%
b. Rate of cervical dilatation is the same throughout first stage.
71%
c. In primipara, effacement of the cervix occurs before dilatation.
4%
d. Duration till full cervical dilatation is usually less than 3 hours.
11%
e. Membranes should be intact till full cervical dilatation.
7. A 20-year-old GIP0 at 39wks presents with severe abdominal pains. cx is closed, she is given sedation. 4hrs later, her pain stopped. Her cervix is closed. Most likely diagnosis is:
Anonymous Quiz
93%
False labor
7%
b. Prolonged latent phase.
0%
Prolonged active phase.
0%
d Arrest of latent phase.
0%
e Arrest of the active phase.
8. According to Friedmann, the normal rate of active-phase labor in a multipara is:
Anonymous Quiz
10%
a 1cm/hr.
0%
b 1.2cm/hr.
0%
d. 2cm/hr.
86%
1.5cm/hr.
3%
e 3cm/hr
9. Station 0 describes the relationship between which of the following:
Anonymous Quiz
0%
a BPD and the pelvic outlet
33%
b. BPD and the ischial spines.
15%
C The lowermost portion of the presenting fetal part and the pelvic inlet.
52%
d The lowermost portion of the presenting fetal part and the ischial spines.
0%
e When the head is seen at the vulval ring.
10. The following about the importance of the level of the ischial spine is true, EXCEPT:
Anonymous Quiz
12%
a It is the level of the levator Ani.
60%
b The internal os of the cervix lie at this level.
8%
c. The obstetric axis changes its direction at this level.
12%
d. The head is considered engaged if the vault is felt at or below this level.
8%
e Forceps should not be applied when the fetal head is above that level.
11. The interspinous diameter of a normal pelvis should be at least:
Anonymous Quiz
0%
a. 5.5 cm.
10%
b. 8.5 cm.
55%
C. 10.5 cm.
17%
d. 11.5 cm.
17%
e. 12.5 cm.
12. The head can be compressed as sutures allow the bones to come together and even
Anonymous Quiz
7%
overlap:
0%
a Retention.
11%
b. Caput.
0%
c Distension
79%
d Moulding
4%
e Detention.
13. All the following are causes of non-engagement in the last 4 weeks in PG EXCEPT:
Anonymous Quiz
4%
Contracted pelvis.
11%
b. Pelvic tumors.
78%
Previous CS scar
7%
d. Polydramnios.
14. A partogram is used for assessment of:
Anonymous Quiz
6%
a. Maternal wellbeing.
22%
b. Fetal wellbeing during labor.
0%
c. Fetal condition after delivery.
0%
d. Placental insufficiency.
72%
e Progress of labor
15. A sure evidence of onset of labor is:
Anonymous Quiz
0%
a. Pelvic heaviness.
13%
b. Expulsion of mucus streaked with blood.
5%
Reflex bearing down.
21%
d. Head engagement.
61%
e. Progressive cervical dilatation
14 year-old girl has hepatosplenomegaly, intention tremors, dystonia and she has a several year history of elevated liver enzymes. Which is the best explanation
Anonymous Quiz
67%
Cystic fibrosis
0%
Liver cirrhosis
0%
Wilson disease
33%
a 1 antitrypsin deficiency
You are advised by the obstetrician that the mother of a baby she has delivered is a carrier of hepatitis B surface antigen. Which of the following is the most appropriate action?
Anonymous Quiz
0%
Administration hepatitis B immunoglobulin and hepatitis B vaccine to the infant
100%
Administration hepatitis B immunoglobulin only
0%
Isolate the infant
0%
Screen the infant for HBSAg
8 month old child admitted in emergency department,with a history of recurrent hematemesis for the past 3 days. On examination the baby was very pale + has hepatomegaly
The appropriate initial action
The appropriate initial action
Anonymous Quiz
0%
Abdomina ultrasound
0%
Liver biopsy
100%
Ringer lactate then blood transfusions
0%
Upper endoscopy and injection sclerotherapy
β€1