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ANEMIA IN PREGNANCY : MCQS AND IMPORTANT MCQS By DR MARIA RAFI

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  1.  A 30-year-old pregnant female is undergoing routine blood tests . Pregnancy is associated with an increase in which of the following? A) Mean Cell Hemoglobin Concentration (MCHC) B) Serum ferritin concentration C) Hematocrit D) Total Iron Binding Capacity (TIBC) ✅ Answer: D) Total Iron Binding Capacity (TIBC) Explanation: Pregnancy leads to increased TIBC due to higher transferrin synthesis to compensate for increased iron demand. Serum ferritin and iron decrease due to increased iron utilization. Hematocrit reduces due to physiological hemodilution , not an actual decrease in RBC mass. DR MARIA RAFI ;923324747587 2.  A 28-year-old female, para 2+0 , presents with Hb 7 g/dL . What is the next best investigation? A) Hb electrophoresis   B) Total iron-binding capacity (TIBC) C) MCV and peripheral smear ✅ D) Serum iron Answer: A) Hb electrophoresis Explanation: The first step is to check MCV (Mean Corpuscular Volume) to classify anemia...
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What is Chronic Pelvic Pain? A Simple Guide to Understanding and Managing It .. reference gtg 41 ,2012

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What is Chronic Pelvic Pain? 🤔 Chronic Pelvic Pain (CPP) is pain that occurs in the lower abdomen or pelvis and lasts for at least 6 months. It can be constant or intermittent and is not necessarily related to your menstrual cycle, sexual activity, or pregnancy. CPP can significantly impact your daily life and well-being, affecting about 1 in 6 women. 🌸 Gathering Information 🩺  ask  about: The nature of your pain: When did it start? How often does it occur? Is it constant or does it come and go? What does it feel like (sharp, dull, burning)? Associated symptoms: Do you have bladder or bowel problems, such as pain during urination or bowel movements, or changes in bowel habits? Menstrual history: Is the pain related to your menstrual cycle? Sexual history: Does the pain occur during or after sexual intercourse? Psychological factors: Are you experiencing stress, anxiety, or depression? Previous medical conditions: Have you had any surgeries, injuries, or infections that migh...
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🌟 Caesarean Scar Ectopic Pregnancy: Essential Insights 🌟 reference : Cesarian scar ectopic preg tog 2017.

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Introduction Caesarean scar ectopic pregnancy (CSP) is a rare but increasingly common form of ectopic pregnancy where the gestational sac implants within the scar of a previous caesarean section. With the rise in caesarean deliveries, understanding and managing CSP is crucial for obstetricians and gynecologists. Incidence and Diagnosis 📈 Rising Incidence:The number of CSP cases is climbing due to the increased frequency of caesarean sections. Estimates of CSP incidence range from 1/1800 to 1/2500 of all pregnancies. It has been estimated that 6.1% of pregnancies in women with at least one previous CS and a diagnosis of ectopic pregnancy will be CSP 🩺 Diagnosis:  Early and accurate diagnosis is vital. A high index of suspicion is necessary, particularly in women with a history of caesarean delivery presenting with atypical bleeding. Ultrasound, especially transvaginal with color Doppler, is the gold standard for diagnosing CSP. if suspicion we can use MRI Pathophysiology 🔬 Mechan...
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ANEMIA IN PREGNANCY : MCQS AND IMPORTANT MCQS By DR MARIA RAFI

Image
  1.  A 30-year-old pregnant female is undergoing routine blood tests . Pregnancy is associated with an increase in which of the following? A) Mean Cell Hemoglobin Concentration (MCHC) B) Serum ferritin concentration C) Hematocrit D) Total Iron Binding Capacity (TIBC) ✅ Answer: D) Total Iron Binding Capacity (TIBC) Explanation: Pregnancy leads to increased TIBC due to higher transferrin synthesis to compensate for increased iron demand. Serum ferritin and iron decrease due to increased iron utilization. Hematocrit reduces due to physiological hemodilution , not an actual decrease in RBC mass. DR MARIA RAFI ;923324747587 2.  A 28-year-old female, para 2+0 , presents with Hb 7 g/dL . What is the next best investigation? A) Hb electrophoresis   B) Total iron-binding capacity (TIBC) C) MCV and peripheral smear ✅ D) Serum iron Answer: A) Hb electrophoresis Explanation: The first step is to check MCV (Mean Corpuscular Volume) to classify anemia...
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IMPORTANT MCQS OF 2024for imm ; fcps ; mcps ; IMM (MUST DO BEFORE EXAM DAY )

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  1. A 13-year-old girl (P0) presents with irregular vaginal bleeding since menarche one year ago. Examination is unremarkable, and lab reports are normal. What is the best management? a) Anti-Prostaglandins b) Cyclical Progesterone c) Tranexamic Acid d) Combined Oral Contraceptive Pills Key: d) Combined Oral Contraceptive Pills Explanation: Adolescent abnormal uterine bleeding (AUB) is often due to anovulatory cycles. Combined oral contraceptive pills (COCPs) help regulate menstrual cycles by providing hormonal balance. 2. A 27-year-old primigravida (P0) with a breech presentation is being evaluated for the possibility of vaginal delivery. In which type of breech presentation does X-ray pelvimetry still have a role? a) Flexed Breech b) Extended Breech c) Face Presentation d) Shoulder Presentation Key: b) Extended Breech Explanation:  . Among breech presentations, extended breech is considered the safest for vaginal delivery due to better head flexion and descent. 3. A 30-y...
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IMPORTANT MCQS FILE 3 (70 mcqs) : IMM ; MCPS ; FCPS

1. A 32-year-old G2P1 woman with a previous cesarean section presents to OPD at 30 weeks of gestation. She has a history of chronic hypertension and is on oral labetalol 100 mg twice daily. Her BP is 160/100 mmHg, and fundal height corresponds to 26 weeks. Doppler ultrasound shows reduced end-diastolic flow. What is the next step in management? A. Ductus Venosus Doppler B. Umbilical and Middle Cerebral Artery Doppler C. Middle Cerebral Artery Doppler D. Uterine Artery Doppler Answer: A. Ductus Venosus Doppler Explanation: Reverse end-diastolic flow in umbilical artery Doppler is an ominous sign of fetal compromise. Ductus Venosus Doppler is the next step to assess fetal well-being, particularly cardiac compromise to time delivery before time  2. A 35-year-old P4+0 woman presents with complaints of something coming out of the vagina. On POP-Q staging, the findings are Aa +3, Ba +6, C -8, Ap +3, Bp +6, and TVL 10 cm. What is the best management option? A. Manchester Rep...
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