Download RGUHS Fellowship Examination 2024 August 4233 High Risk Pregnancy Paper I Question Paper

Fellowship Examination - 22-Aug-2024

[Time: 3 Hours] [Max. Marks: 100]

HIGH RISK PREGNANCY - PAPER -1

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QP Code: 4233

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer All The Questions 10 X 10 = 100 Marks

1. A 25 year old known epileptic woman seeks advice on a planned pregnancy. Discuss the interventions and adjustments in management which may be advocated

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2. Discuss your management of a 27 year old Primigravida who attends the antenatal clinic 32 weeks gestation complaining of worsening generalized pruritus for four weeks. The only skin lesions present are scattered scratch marks
3. A healthy Primigravida has had an uncomplicated pregnancy and labour. You are called to the delivery suite because she is bleeding heavily per vaginam 15 minutes after a normal delivery. Explain your management in a logical manner
4. Discuss regarding indications and contraindication of external cephalic version (ECV), Pre- procedure preparation and steps of ECV and post procedure monitoring after procedure.
5. A woman who is known to have beta Thalassaemia trait is due to marry someone from the same ethnic background. She seeks your advice about the implications for a future pregnancy. How would you advise her?
6. A young woman in the middle trimester of pregnancy is noted to have thyroid enlargement and the clinical features of thyrotoxicosis. Justify your investigations and management

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7. Mrs. A. attends your antenatal clinic in her second pregnancy. Her first child was delivered vaginally at term with “Fetal distress”.’ The child has cerebral palsy and Mrs. A. requests elective caesarean as she believes the cerebral palsy was called by intrapartum hypoxia. How would you counsel her on this matter?
8. A woman is found to have a platelet count of 60 x 10⁹/l on routine screening at 28 weeks in her first pregnancy. Discuss the investigations and management of the pregnancy and delivery in women with idiopathic thrombocytopenia
9. Regarding systemic lupus erythematosus and pregnancy - discuss in detail the management of pregnancy
10. Critically discuss the use of obstetric forceps for delivery in prolonged second stage of labour due to occipito - posterior position of the fetal head at station +2cm

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