1.
a) Multi fetal pregnancy
b) Dichorionic Diamniotic twins
Monochorionic Diamniotic twins
Monochorionic Monoamniotic twins
c) Number of placentas
Inter twin membrane thickness
Lambda Sign/T Sign
Fetal sex
d) Twin to twin transfusion syndrome
Twin oligo polyhydroamnios
Twin reverse anaemia and polycythemia
Discordant growth
FGR
Vanishing twin syndrome
e) Potassium Chloride
2.
a) Antara
[Link] Medroxy Progesterone Acetate
b) Inj. 150 mg IM three monthly
c) Endometriosis
Dysmenorrhea
Heavy menstrual bleeding
Fibroids
Pre menstrual Syndrome
d) Undiagnosed vaginal bleeding
Pregnancy
Known/Suspected breast cancer
Benign/Malignant liver tumors
e) Irregular vaginal bleeding
Pain at injection site
Weight gain
Delayed return to fertility
Mood changes
3.
a) Karman's Canula
b) Manual vacuum aspiration
Incomplete/missed abortion/ suction evacuation
Endometrial aspiration
c) Size ~ Period of gestation
d) Perforation
Infection
Hemorrhage
Incomplete evacuation
e) Suspected ectopic pregnancy
Hemodynamic instability
Uterine perforation/suspected uterine rupture
Gestational age greater than or equal to 12-14 weeks
4.
a) PCOS
b) Oligo/Anovulation
Hyperandrogenism- clinical/biochemical evidence
USG features :- Greater than or equal to 12 antral follicles in one ovary
Ovarian volume greater than or equal to 10 ml
c) Hirsutism
Acne
Male pattern baldness
Deepening of voice
d) LH/FSH
Thyroid profile
Serum Prolactin
Serum Androgens
FBS
Lipid profile
e) Metformin
Myoinositol
5.
a) Hyperemesis Gravidarum
b) Symptoms:-
Dizziness,Confusion,Oliguria
Signs:-
Sunken eyes,loss of skin turgosity,
dry mouth,hypotension,tachycardia
c) Multi fetal pregnancy
Molar pregnancy
Gastroenteritis
Thyrotoxicosis
d) Dehydration
Electrolyte imbalances
e) IV fluids
Replace electrolytes
Antiemetics- Metaclopramide/ Ondansetron
Encourage oral intake slowly