1. Vacuum Extractor A.

Classification
A. Indications: Maternal exhaustion, prolonged second First degree: fourchette, superficial perineal skin or
labor, fetal distress in second stage of labor, maternal vaginal mucosa,
medical disorders (cardiac, cerebrovascular, pulmonary Second degree: perineal muscles, fascia
disorders) Third degree: anal sphincter
B. Complications: cephalhematoma (subgaleal/ 3a: ext anal sphincter <50%
subaponeurotic hemorrhage due to rupture of emissary 3B: ext anal sphincter >50%
veins), nerve palsy, retinal hemorrhage, skull fracture; 3c: internal anal sphincter
Maternal perinal lacerations, Fourth degree: rectal mucosa

2. Compound presentation 10. Diameter:

A. Face presentation, Brow presentation, Breech A- Suboccipitofrontal diameter
presentation, Shoulder presentation B- Occipitofrontal diameter
B. Face presentation (anterior) C- Submentobregmatic diameter
D- Suboccipitobregmatic diameter
3. Female condom Norplant subdermal implant E- Occipitomental diameter
LNG-IUS COC pill
Copper T IUD Male condoms A= Suboccipitobregmatic diameter
DMPA
11. A = Secondary arrest
A. COC pills B= Normal labor
B. LNG-IUS C = Prolonged latent phase

4. Cusco’s bivalve self retaining vaginal speculum 12. Cystocele

A. Obtaining pap smear, A - Obstetric trauma
Obtain high vaginal swab B- Genuine stress urinary incontinence
Visualize cervix and vaginal wall in pelvic exam
Insert/ remove IUD 13. Uterine perforation
Insert laminaria A - Anteverted anteflexed
B - Anteverted anteflexed
5. Secondary arrest (Arrest in cervical dilatation)
A. Causes: CPD, OP position, Inadequate uterine 14. Brandt-Andrews maneuver
contractions A. Causes: prolonged labor, precipitate labor,
B. Mng: CPD = CS overdistended uterus, induction of labor, high parity, use of
OP position = exclude obstruction, oxy MgSO4, macrosomia, >35yo, obesity, polyhydramnios,
Inadequate UC = amnio then CS multigravid, multiple gestations
B. Management: uterine massage, uterotonic drugs,
6. Oxytocin: Augment labor, active management for 3 rd stage blood transfusion, catheter
labor and control PPH, Given after evacuation of uterus C. Hysterectomy
Mg SO4: eclampsia prophylaxis
Hydralazine: Preeclampsia and eclampsia 15. Information: enlarged uterus, adnexal mass, wiggling
Ergometrine: Uterine atony, expulsion of h.mole, excessive tenderness (PID), vaginal disacharges
hemorrhage A. Vaginal atrophy vs. Endometrial pathology

A. Cardiac arrest 16. Diagnosis: Turner syndrome

B. Water retention
7. 5 questions: Frontal headache unrelieved with
paracetamol, Visual disturbance (blurring of vision),
Epigastric pain, nausea and vomiting, swelling, malaise
8. Indications: Prolonged second stage, fetal compromise,
maternal illnesses, breech, fetal malposition
A. Prerequisites: engaged head, fully dilated cervix,
position of head must be known, no CPD, ruptured
membranes, adequate analgesia, Adequate facility,
competent operator
B. Piper’s forceps
9. Types: Median episiotomy, Mediolateral episiotomy
A. Coarcatation of the aorta
B. Growth hormone and Estrogen
17. Complete H. mole
A. Quantitative B-hCG, TVS UTZ, chest xray, cbc, kidney
and liver function tests
B. Symptoms: abnormal growth of the uterus, severe
nausea and vomiting, vaginal bleeding during first 3 months
of pregnancy, hyperthyroidism symptoms, symptoms of
preeclampsia
18. Grips: Fundal grip, Umbilical grip, Pawlik’s grip, Pelvic grip
A. Engagement is when the widest part of the baby’s
presenting part enters the pelvic brim or inlet
B. B. Station 0
 C. Pelvic brim

19. PCOS
A. Type 2 diabetes
B. Clomiphene citrate

20. Frothy discharge

Strawberry cervix
Trichomonas vaginalis
Metronidazole

21. Ectopic / Tubal pregnancy

A. Pelvic pain, vaginal bleeding, amenorrhea
B. Threatened abortion, twisted ONG
C. Methotrexate, Pelvic lap

22. Cardiotocograph
A. Late deceleration, category 3
B. Uteroplacental insufficiency
C. CS

23. Batholin gland

A. Infection with E. coli, gonorrhea, chlamydia
B. Bartholin gland abscess
C. Clindamycin

24. HPV
Pap smear
Chemoradiation
Uremia

25. S/SX: heavy menstrual bleeding, pelvic pressure/pain,

frequent urination,
A. Intramural, subserous, submucous
B. Hysterectomy
C. Calcific

26. Hydrosalpinx
Chlamydia/ polymicrobial
Ceftiaxone, Clindamycin, Doxycycline

27. Mauriceau-Smellie-Veit Maneuver

Complications: Fetal head entrapment, Nuchal arms,
Cervical spine injury, Cord prolapse,
Types: Frank, Complete, Incomplete
No

28. Couvelaire’s uterus

Abruptio placenta

29. Hysterectomy
Myoma, Cancer, ONG, Severe endometriosis
Ureteral injury

30. Mcroberts maneuver

Shoulder dystocia
Brachial plexus palsy/ Erb/ Klumpke’s
Risk factor: Maternal diabetes, Fetal macrosomia,
prolonged labor/ precipitate labor, induced, maternal
obesity, epidural