obs

Question 1

whats the relative cut off between obs and gyne history taking for a pregnant woman

Answer 1

It’s also worth noting that before 18 weeks gestation, most obstetric conditions are unlikely, therefore your history should be gynaecology focussed (e.g. abdominal pain at 8 weeks gestation could be an ectopic pregnancy).

Question 2

gravitity

Answer 2

how many pregnancies regardless of outcome

Question 3

parity

Answer 3

how many births (incl still birth)

Question 4

still birth

Answer 4

> 24 weeks

Question 5

when is previa more likely to happen

Answer 5

secind trimester >20 weeks

Question 6

1st trimester

Answer 6

<12 weeks

Question 7

2nd trimester

Answer 7

13 -27 weeks

Question 8

signs of previa

Answer 8

abdo pain ? but usually painless
bright red vaginal bleedomg

Question 9

pregnant woman comes in bleeding dx

Answer 9

miscarriage
previa /abruption
ectropion
sti

Question 10

pruritus

Answer 10

cholestatic status

Question 11

unilateral leg swellling dx

Answer 11

DVT

Question 12

signs of preclampsia

Answer 12

headache
vision loss
proetinuria
abdominal pain

Question 13

chest pain dx

Answer 13

PE

Question 14

DX FEVER

Answer 14

1. UTI
2. chorioamniotis
3. septic abortion

Question 15

when does HG usually begin and go away

Answer 15

1st trimester 4-8 weeks of pregnancy and usually goes away in 2nd trimester but can persisit throughout the whole pregnancy

Question 16

when do you start to feel fetal mvements

Answer 16

16-24 weeks

primigravida women will often not feel fetal movements until after 20 weeks gestation).

Question 17

in regards to discharge what do you ask since its normal to have a little discharge

Answer 17

anything thats changed from the usual discharge

volume
consistency
colour
smell.

Question 18

fish like smell

Answer 18

BV

Question 19

what is a incompetent cervix

rf ectopic

Answer 19

normlaly the cervix will shorten and and dilate when baby is full term but this happens early and is a cause of miscarriage

IVF
prvious ectopic
PID
iud in situ
endometriosis

Question 20

early vs late miscarriage

Answer 20

early 1st trimetster
late after and before 24 weeks

Question 21

what is a missed misscarriage

Answer 21

when the baby dies but you dont realise it and your body gives no sign of miscrriage so you still think you are pregnant.

Question 22

is it normal to bleed in pregnancy

Answer 22

yes in early pregancy especially spotting,

Question 23

when do symptoms of ectopic typically occur

Answer 23

first trimester

6-8 weeks

Question 24

key thing about ectopic in history

Answer 24

shoulder tip pain

Question 25

why shoulder tip pain in ectopic diagnosis

Answer 25

only if it ruptures and blood then seeps out and irrates the diaphragm Diagnosis is confirmed by positive pregnancy test and a transvaginal ultrasound that has located the pregnancy outside the uterine cavity

Question 26

signs of ctopic

Answer 26

unilateral pain shoulder tip pain abdominal pain /pelvic pain bloating (from blood if rupture may have vaginal bleeding bowel and bladder issues -retention vibes ervical tenderness (chandelier sign) on bimanual examination

Question 27

what is chandelier sign

Answer 27

severe pain when touching cervic rleated to PID or ectopic