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Obstetrics & Gynecology
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…
DI
DineshOther
92d ago
6votes
1ans
63
views
Obstetrics & Gynecology✓ Resolved
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…
PR
Prabhu KvnOther
113d ago
0votes
1ans
44
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Obstetrics & Gynecology✓ Resolved
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 …
PR
Prabhu KvnOther
113d ago
0votes
2ans
48
views
Obstetrics & Gynecology✓ Resolved
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…
PR
Prabhu KvnOther
113d ago
0votes
1ans
42
views
Obstetrics & Gynecology✓ Resolved
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…
PR
Prabhu KvnOther
113d ago
0votes
0ans
41
views
Obstetrics & Gynecology
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…
PR
Prabhu KvnOther
113d ago
0votes
0ans
36
views
Obstetrics & Gynecology
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…
PR
Prabhu KvnOther
113d ago
0votes
0ans
36
views
Obstetrics & Gynecology
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…
PR
Prabhu KvnOther
113d ago
0votes
0ans
42
views
Obstetrics & Gynecology
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…
PR
Prabhu KvnOther
113d ago
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