Obstetrical Anesthesia

Question 0

MC used in OPD gynecologic procedures

WOF fetal bradycardia

Answer 0

Paracervical blocks

Lidocaine or chloroprocaine at 3 and 9 o’ clock around cervix

Question 1

Pain during the
First stage of labor
Second

Answer 1

Upper genital tract Frankenhauser ganglion plexus T11-T12

Pudendal nerve S2-S4

Question 2

Cesarean section
Forceps/Vacuum delivery
WOF hypotension

Answer 2

Spinal (subarachnoid) block

T8 dermatome

Question 3

Gold standard
MC vaginal delivery
Ideal for severe pre eclampsia and eclampsia
WOF cardiorespiratory depression hypotension meningitis

Answer 3

Epidural

Bupivacaine Ropivacaine

Question 4

Internal podalic version of second twin
Breech decomposition
Replacement of inverted uterus
Severe maternal hemorrhage
WOF cardiorespiratory depression and hypotension hepatitis

Answer 4

General Anesthesia

Question 5

Acute hemorrhages or hypotensive

CI women with preeclampsia

Answer 5

Ketamine

Question 6

CI spinal block

Answer 6

Hypotension
Severe pre ec
Coagulation do
Neurologic do
Aortic stenosis or pulmo hpn

Question 7

CI epidural anesthesia

Answer 7

Maternal bleeding
Infection
Neurologic do