Download RGUHS Fellowship Examination 2022 February 4233 High Risk Pregnancy Paper I Question Paper

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Rajiv Gandhi University of Health Sciences, Karnataka

Fellowship Examination — 18-Feb-2022

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

HIGH RISK PREGNANCY - PAPER -1

QP Code: 4233

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

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Answer All The Questions 10 X 10 = 100 Marks

1. A pregnant lady with asthma is referred to the joint obstetric/ medical clinic for preconception counselling. How would we calculate her predicted peak expiratory flow rate (PEFR)? What advice should be given regarding pregnancy and asthma?
2. A woman has congenital heart disease (tricuspid Atresia treated surgically) and pulmonary hypertension. Has come for prepregnancy counselling. What is NYHA functional classification? Discuss regarding the counselling to be done to her.
3. Pulmonary embolism remains a major cause of maternal death. Discuss the steps which should be taken to minimize the risk of thrombo-embolism in a pregnant woman.
4. Discuss the management of slow progress during the active phase of the first stage of spontaneous labour in a Primigravida

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5. A 32 year old Primigravida attends the antenatal booking clinic at 9 weeks. She weighs 130 kg and has a body mass index of 39.6 but no relevant medical history or other risk factors. How would you modify her antenatal and intrapartum care in the light of her obesity?
6. A woman who has a history of vulval herpes simplex infection is now 36 weeks pregnant. She is concerned that this might affect her labour and delivery. How would you advise her?
7. A 27-year old Primigravid woman has twin pregnancy. At 32 weeks gestation there is a reduction of fetal movements and an ultrasound scan reveals that one twin has died. Justify your subsequent management of the pregnancy.
8. Discuss in detail regarding the manoeuvres that may be used in the management of shoulder dystocia
9. A 29 year old school canteen worker in early pregnancy is concerned about the infections she might acquire as a consequence of her occupation that might affect her baby. How would you advise her?

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10. A 27 year old woman who has recently undergone renal transplantation is contemplating pregnancy. What advice would you give her? Discuss regarding management of pregnancy

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