OB GYN Form 5 Exam with Questions and Answers, Exams of Gynecology

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1. 87 yo. dementia pt. with prolapse of uterus . Tx? insertion of vaginal pessary 2. painless ulcer with slightly raised edges and shallow basc) despite negative RPR 6 weeks ago--> next best step? syphillis strongly suspected --> repeat RPR 3. 42. with arrest of labor with baby in occiput posterior position and contractions measure in at 30 mmHg. Cause of arrest? inadequate contractions 4. what is the next step indicated if uterine massage & oxytocin fail to stop bleeding in PPH? ergonovine thearapy 5. a pregnant pt. with achondroplasia is at greatest risk of what during delivery ? Pregnancy in achondroplasia is considered high risk - cesarean section is usual mode of delivery + Cephalopelvic disproportio 6. Small, painful vesicles or ulcers on erythematous base (can coalesce), mild lymphadenopathy ¢ Urine contact on ulcers ’ Pain with urination. Dx? HSV 7.22 yo. with Multiple soft pink papillary lesions HPV 6, 11’ condyloma acuminata (genital warts) Tx: podophyllum resin therapy with areas of pigmentation. Dx and Tx? 8. Mild erythema and excoriation (pruritus), no vaginal bleeding or discharge ¢ Microscopy reveals pseudohyphae. Dx and Tx? vaginal test infection. vaginal miconazole . 9. lactating 27 yo. With tenderness of unilateral breast i * Clinical Features: erythema, tenderness, fever, fissures of nipple Dx and Tx? Lactalional mastilis Pathogenesis - skin flora (eg, Staphylococcus aureus) ’ clogged, inflamed milk ducts + Tx: frequent breastfeeding, antibiotics (Dicloxacillin)